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The impact of performing a standardized, focused, basic ultrasound examination on admission to a large maternity ward in Tanzania. A prospective observational study

Utne, Kari
Master thesis
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http://hdl.handle.net/11250/2463171
Utgivelsesdato
2017
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  • Master i jordmorfag [7]
Sammendrag
Objective: To assess whether a basic ultrasound examination following the ordinary

clinical examination on admission to a maternity ward, had any impact for improved

diagnostics and the clinical management of labor.

Methods: This is an observational study, which was carried out at the largest

hospital in Tanzania. A four-­step basic ultrasound examination was performed after

the clinical examination by the local midwife, on women admitted in labor. We

assessed the fetal presentation, fetal cardiac activity, number of fetuses and the

placental location. Outcome information was collected from the birth protocol.

Results: A total of 63 women were recruited into the study and were examined with

ultrasound on admission to the maternity ward. 21% of the women had received

suboptimal primary pregnancy healthcare. Ten women had not been examined with

ultrasound, while five women had received 4-­5 ultrasound examinations each. The

median pregnancy length at delivery was 265 days, and the cesarean section rate in

the study population was 35%.

Conclusion: The local midwives proved to be very skilled at clinical examinations,

and the ultrasound examinations were thus of limited value, and did not crucially alter

the decision-­making, diagnosis nor management of labor in this small study sample.
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