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Feasibility and Acceptance of Self-Guided Mobile Ultrasound among Pregnant Women in Routine Prenatal Care

Background and objectives: Mobile and remote ultrasound devices are becoming increasingly available. The benefits and possible risks of self-guided ultrasound examinations conducted by pregnant women at home have not yet been well explored. This study investigated aspects of feasibility and acceptan...

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Autores principales: Pontones, Constanza A., Titzmann, Adriana, Huebner, Hanna, Danzberger, Nina, Ruebner, Matthias, Häberle, Lothar, Eskofier, Bjoern M., Nissen, Michael, Kehl, Sven, Faschingbauer, Florian, Beckmann, Matthias W., Fasching, Peter A., Schneider, Michael O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10342822/
https://www.ncbi.nlm.nih.gov/pubmed/37445258
http://dx.doi.org/10.3390/jcm12134224
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author Pontones, Constanza A.
Titzmann, Adriana
Huebner, Hanna
Danzberger, Nina
Ruebner, Matthias
Häberle, Lothar
Eskofier, Bjoern M.
Nissen, Michael
Kehl, Sven
Faschingbauer, Florian
Beckmann, Matthias W.
Fasching, Peter A.
Schneider, Michael O.
author_facet Pontones, Constanza A.
Titzmann, Adriana
Huebner, Hanna
Danzberger, Nina
Ruebner, Matthias
Häberle, Lothar
Eskofier, Bjoern M.
Nissen, Michael
Kehl, Sven
Faschingbauer, Florian
Beckmann, Matthias W.
Fasching, Peter A.
Schneider, Michael O.
author_sort Pontones, Constanza A.
collection PubMed
description Background and objectives: Mobile and remote ultrasound devices are becoming increasingly available. The benefits and possible risks of self-guided ultrasound examinations conducted by pregnant women at home have not yet been well explored. This study investigated aspects of feasibility and acceptance, as well as the success rates of such examinations. Methods: In this prospective, single-center, interventional study, forty-six women with singleton pregnancies between 17 + 0 and 29 + 6 weeks of gestation were included in two cohorts, using two different mobile ultrasound systems. The participants examined the fetal heartbeat, fetal profile and amniotic fluid. Aspects of feasibility and acceptance were evaluated using a questionnaire. Success rates in relation to image and video quality were evaluated by healthcare professionals. Results: Two thirds of the women were able to imagine performing the self-guided examination at home, but 87.0% would prefer live support by a professional. Concerns about their own safety and that of the child were expressed by 23.9% of the women. Success rates for locating the target structure were 52.2% for videos of the fetal heartbeat, 52.2% for videos of the amniotic fluid in all four quadrants and 17.9% for videos of the fetal profile. Conclusion: These results show wide acceptance of self-examination using mobile systems for fetal ultrasonography during pregnancy. Image quality was adequate for assessing the amniotic fluid and fetal heartbeat in most participants. Further studies are needed to determine whether ultrasound self-examinations can be implemented in prenatal care and how this would affect the fetomaternal outcome
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spelling pubmed-103428222023-07-14 Feasibility and Acceptance of Self-Guided Mobile Ultrasound among Pregnant Women in Routine Prenatal Care Pontones, Constanza A. Titzmann, Adriana Huebner, Hanna Danzberger, Nina Ruebner, Matthias Häberle, Lothar Eskofier, Bjoern M. Nissen, Michael Kehl, Sven Faschingbauer, Florian Beckmann, Matthias W. Fasching, Peter A. Schneider, Michael O. J Clin Med Article Background and objectives: Mobile and remote ultrasound devices are becoming increasingly available. The benefits and possible risks of self-guided ultrasound examinations conducted by pregnant women at home have not yet been well explored. This study investigated aspects of feasibility and acceptance, as well as the success rates of such examinations. Methods: In this prospective, single-center, interventional study, forty-six women with singleton pregnancies between 17 + 0 and 29 + 6 weeks of gestation were included in two cohorts, using two different mobile ultrasound systems. The participants examined the fetal heartbeat, fetal profile and amniotic fluid. Aspects of feasibility and acceptance were evaluated using a questionnaire. Success rates in relation to image and video quality were evaluated by healthcare professionals. Results: Two thirds of the women were able to imagine performing the self-guided examination at home, but 87.0% would prefer live support by a professional. Concerns about their own safety and that of the child were expressed by 23.9% of the women. Success rates for locating the target structure were 52.2% for videos of the fetal heartbeat, 52.2% for videos of the amniotic fluid in all four quadrants and 17.9% for videos of the fetal profile. Conclusion: These results show wide acceptance of self-examination using mobile systems for fetal ultrasonography during pregnancy. Image quality was adequate for assessing the amniotic fluid and fetal heartbeat in most participants. Further studies are needed to determine whether ultrasound self-examinations can be implemented in prenatal care and how this would affect the fetomaternal outcome MDPI 2023-06-22 /pmc/articles/PMC10342822/ /pubmed/37445258 http://dx.doi.org/10.3390/jcm12134224 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pontones, Constanza A.
Titzmann, Adriana
Huebner, Hanna
Danzberger, Nina
Ruebner, Matthias
Häberle, Lothar
Eskofier, Bjoern M.
Nissen, Michael
Kehl, Sven
Faschingbauer, Florian
Beckmann, Matthias W.
Fasching, Peter A.
Schneider, Michael O.
Feasibility and Acceptance of Self-Guided Mobile Ultrasound among Pregnant Women in Routine Prenatal Care
title Feasibility and Acceptance of Self-Guided Mobile Ultrasound among Pregnant Women in Routine Prenatal Care
title_full Feasibility and Acceptance of Self-Guided Mobile Ultrasound among Pregnant Women in Routine Prenatal Care
title_fullStr Feasibility and Acceptance of Self-Guided Mobile Ultrasound among Pregnant Women in Routine Prenatal Care
title_full_unstemmed Feasibility and Acceptance of Self-Guided Mobile Ultrasound among Pregnant Women in Routine Prenatal Care
title_short Feasibility and Acceptance of Self-Guided Mobile Ultrasound among Pregnant Women in Routine Prenatal Care
title_sort feasibility and acceptance of self-guided mobile ultrasound among pregnant women in routine prenatal care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10342822/
https://www.ncbi.nlm.nih.gov/pubmed/37445258
http://dx.doi.org/10.3390/jcm12134224
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