PMID: 18413026Apr 17, 2008Paper

Role of ultrasound scanning in community contraceptive and reproductive health clinics

The Journal of Family Planning and Reproductive Health Care
Andrea Brockmeyer, Anne Webb

Abstract

The role of ultrasound scanning (USS) in the community setting of contraception and reproductive health (CRH) has not yet been clearly established. Abacus Clinics use ultrasound scans prior to referral for abortion where gestation is uncertain and for location of an intrauterine device/intrauterine system (IUD/IUS). To audit the indications for USS performed in Abacus Clinics and to determine a minimum acceptable number of annual scans for each clinician. A retrospective review of case notes was performed for a period of 3 months. The majority of women (36; 64%) had a scan to determine gestation prior to referral for abortion. In 12 (21%) women the scan was performed for location of an IUD/IUS. Two (4%) women had a scan for both indications. Only six (11%) women did not comply with the indications listed above but all were related to gestation or IUD/IUS use. In 16 women the scan significantly influenced decision-making regarding referral to the appropriate abortion service provider. The number of scans performed by individual doctors varied between two and 12. The use of USS prevented unnecessary referrals to hospital and delays in clients' care. The number of scans each clinician performed was small and the indications for fu...Continue Reading

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