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Audit of the appropriateness of the indication for obstetric sonography in a tertiary facility in Ghana
INTRODUCTION: the use of ultrasound is one of the most vital tools in the management of pregnancies and contributes significantly in improving maternal and child health. Certain indications in pregnancy, guide the obstetrician as to which obstetric scan deems appropriate. The full realization of the...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The African Field Epidemiology Network
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8571929/ https://www.ncbi.nlm.nih.gov/pubmed/34795816 http://dx.doi.org/10.11604/pamj.2021.40.35.26349 |
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author | Edzie, Emmanuel Kobina Mesi Dzefi-Tettey, Klenam Gorleku, Philip Narteh Brakohiapa, Edmund Kwakye Botwe, Benard Ohene Amankwa, Adu Tutu Idun, Ewurama Andam Kusodzi, Henry Asemah, Abdul Raman |
author_facet | Edzie, Emmanuel Kobina Mesi Dzefi-Tettey, Klenam Gorleku, Philip Narteh Brakohiapa, Edmund Kwakye Botwe, Benard Ohene Amankwa, Adu Tutu Idun, Ewurama Andam Kusodzi, Henry Asemah, Abdul Raman |
author_sort | Edzie, Emmanuel Kobina Mesi |
collection | PubMed |
description | INTRODUCTION: the use of ultrasound is one of the most vital tools in the management of pregnancies and contributes significantly in improving maternal and child health. Certain indications in pregnancy, guide the obstetrician as to which obstetric scan deems appropriate. The full realization of the benefits of ultrasound depends on whether it is being used appropriately or not, and hence this study aimed at auditing for the appropriate indications for obstetric ultrasound. METHODS: a review of all request forms for obstetric scan between June 2019 and July 2020 was performed to assess the appropriateness of requests for obstetric ultrasound at the Cape Coast Teaching Hospital. The data obtained was analyzed using SPSS (SPSS Inc. Chicago, IL version 20.0). A Chi-squared test of independence was used to check for statistically significant differences between variables at p ≤ 0.05. RESULTS: three hundred and fourteen (314) out of the 527 request forms had clinical indications stated. 174 (81.7%) of requests from Cape Coast Teaching Hospital and 39 (18.3%) from other health centers did not indicate patients clinical history/indication on the request forms. Majority 76 (68.5%) of scans in the first trimester were done without indications/history. Only 29 of requests with clinical history were inappropriate. CONCLUSION: practitioners should be mindful of adequately completing request forms for obstetric investigations since a large number of practitioners do not state the history/indications for the scans. There should be continuous medical education on the importance of appropriate indication for obstetric ultrasound. |
format | Online Article Text |
id | pubmed-8571929 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-85719292021-11-17 Audit of the appropriateness of the indication for obstetric sonography in a tertiary facility in Ghana Edzie, Emmanuel Kobina Mesi Dzefi-Tettey, Klenam Gorleku, Philip Narteh Brakohiapa, Edmund Kwakye Botwe, Benard Ohene Amankwa, Adu Tutu Idun, Ewurama Andam Kusodzi, Henry Asemah, Abdul Raman Pan Afr Med J Research INTRODUCTION: the use of ultrasound is one of the most vital tools in the management of pregnancies and contributes significantly in improving maternal and child health. Certain indications in pregnancy, guide the obstetrician as to which obstetric scan deems appropriate. The full realization of the benefits of ultrasound depends on whether it is being used appropriately or not, and hence this study aimed at auditing for the appropriate indications for obstetric ultrasound. METHODS: a review of all request forms for obstetric scan between June 2019 and July 2020 was performed to assess the appropriateness of requests for obstetric ultrasound at the Cape Coast Teaching Hospital. The data obtained was analyzed using SPSS (SPSS Inc. Chicago, IL version 20.0). A Chi-squared test of independence was used to check for statistically significant differences between variables at p ≤ 0.05. RESULTS: three hundred and fourteen (314) out of the 527 request forms had clinical indications stated. 174 (81.7%) of requests from Cape Coast Teaching Hospital and 39 (18.3%) from other health centers did not indicate patients clinical history/indication on the request forms. Majority 76 (68.5%) of scans in the first trimester were done without indications/history. Only 29 of requests with clinical history were inappropriate. CONCLUSION: practitioners should be mindful of adequately completing request forms for obstetric investigations since a large number of practitioners do not state the history/indications for the scans. There should be continuous medical education on the importance of appropriate indication for obstetric ultrasound. The African Field Epidemiology Network 2021-09-14 /pmc/articles/PMC8571929/ /pubmed/34795816 http://dx.doi.org/10.11604/pamj.2021.40.35.26349 Text en Copyright: Emmanuel Kobina Mesi Edzie et al. https://creativecommons.org/licenses/by/4.0/The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Edzie, Emmanuel Kobina Mesi Dzefi-Tettey, Klenam Gorleku, Philip Narteh Brakohiapa, Edmund Kwakye Botwe, Benard Ohene Amankwa, Adu Tutu Idun, Ewurama Andam Kusodzi, Henry Asemah, Abdul Raman Audit of the appropriateness of the indication for obstetric sonography in a tertiary facility in Ghana |
title | Audit of the appropriateness of the indication for obstetric sonography in a tertiary facility in Ghana |
title_full | Audit of the appropriateness of the indication for obstetric sonography in a tertiary facility in Ghana |
title_fullStr | Audit of the appropriateness of the indication for obstetric sonography in a tertiary facility in Ghana |
title_full_unstemmed | Audit of the appropriateness of the indication for obstetric sonography in a tertiary facility in Ghana |
title_short | Audit of the appropriateness of the indication for obstetric sonography in a tertiary facility in Ghana |
title_sort | audit of the appropriateness of the indication for obstetric sonography in a tertiary facility in ghana |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8571929/ https://www.ncbi.nlm.nih.gov/pubmed/34795816 http://dx.doi.org/10.11604/pamj.2021.40.35.26349 |
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