Obstetric ultrasound use in low and middle income countries: a narrative review

Reproductive Health
Eunsoo Timothy KimNaoko Kozuki

Abstract

Although growing, evidence on the impact, access, utility, effectiveness, and cost-benefit of obstetric ultrasound in resource-constrained settings is still somewhat limited. Hence, questions around the purpose and the intended benefit as well as potential challenges across various domains must be carefully reviewed prior to implementation and scale-up of obstetric ultrasound technology in low-and middle-income countries (LMICs). This narrative review discusses these issues for those trying to implement or scale-up ultrasound technology in LMICs. Issues addressed in this review include health personnel capacity, maintenance, cost, overuse and misuse of ultrasound, miscommunication between the providers and patients, patient diagnosis and care management, health outcomes, patient perceptions and concerns about fetal sex determination. As cost of obstetric ultrasound becomes more affordable in LMICs, it is essential to assess the benefits, trade-offs and potential drawbacks of large-scale implementation. Additionally, there is a need to more clearly identify the capabilities and the limitations of ultrasound, particularly within the context of limited training of providers, to ensure that the purpose for which an ultrasound is in...Continue Reading

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Citations

May 30, 2019·Journal of Perinatal Medicine·Hasan ErogluAykan Yucel
Aug 17, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Thomas J MariniBenjamin Castaneda
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Oct 27, 2020·Physiological Measurement·Camilo E ValderramaGari D Clifford

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Methods Mentioned

BETA
cesarean section
biopsy
X-ray

Software Mentioned

SonoSite

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