Volume 20, Issue 78 (7-2011)                   jour guilan uni med sci 2011, 20(78): 49-55 | Back to browse issues page

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Sharami S, Faraji R, Khoramnia S, Dalile Heyrati S. Survey the Reason of Maternal Request for Prenatal Ultrasound in Low Risk Pregnancy . jour guilan uni med sci. 2011; 20 (78) :49-55
URL: http://journal.gums.ac.ir/article-1-147-en.html
Guilan University of Medical Sciences
Abstract:   (6518 Views)
Abstract Introduction: In the last three decades prenatal ultrasound is the most important technology to evaluate Pregnancy, however it had an important role to evaluate and treatment of high risk pregnancies, but there wasn’t coordinate idea for doing it in low risk pregnancies. Ultrasound should only implemented in pregnancy where indication is presented. Routine ultrasounds lead to unnecessary interventions and exorbitant costs of health systems in low risk pregnancies. Objective: To determine the reasons of maternal request for ultrasound in low risk pregnancy. Materials and Methods: In a cross- sectional study, 204 low risk pregnant women who referred to Alzahra hospital were selected during March 2008 till 2009.They had no scale of high risk pregnancy according to reference books. Questionnaires were completed through interview and investigating their blood examination and their documents. Questionnaire included several sections: demographic Characteristics, the number of ultrasound and the causes of implementation. Finally the findings were analyzed using chi square and ANOVA test and SPSS software. Results: Among the studied population, 100% of cases was performed ultrasound at least once. The need for ultrasound was ordered by specialists (55.1%), the health center staff (21.3%), the patient (13.3%), the midwife (6.9%) and General Physician (3.41%). The most important causes to ultrasound consist of: confidence of determining the gender of the fetus, health condition, and time of delivery and normal growth of the fetus, respectively. In primigravid patients the frequency of ultrasound was more than multigravid patients (p=0.001). Frequency of ultrasound in women who covered in insurance centers was more than other group (p=0.029) .The frequency of ultrasound in women with high education was more than low education group (p=0.003). Conclusion: Ultrasound is common in low risk pregnant women. Specialists, Health center staffs and the patients emphasize on it as a routine means for maternal care. However it seemed unethical and may lead to high expenditure of time and financial issues. Women have specific causes for implementation of ultrasound that are affected by socioeconomic, obstetric and individual factors.
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Type of Study: Research | Subject: Special
Received: 2013/11/10 | Accepted: 2013/11/10 | Published: 2013/11/10

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