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Obstetric Ultrasonography in Low-income Countries

SEFFAH, JOSEPH D. MD; ADANU, RICHARD M. K. MD

Clinical Obstetrics and Gynecology: June 2009 - Volume 52 - Issue 2 - p 250-255
doi: 10.1097/GRF.0b013e3181a4c2d5
Obstetric Practice in the Third World

The major issues in obstetric practice in developing countries are the high rates of maternal and perinatal mortality. In most low-income countries health financing systems are not well established so most people pay for health services at the service delivery points. This causes cost-related issues to be of major concern. The main questions that therefore need to be addressed about obstetric ultrasonography in low-income countries is whether the practice improves maternal and neonatal outcomes and whether the service is within the means of most people in these countries. The indications for obstetric ultrasound, guidelines for the use of obstetric ultrasound and the benefits of obstetric ultrasound in low-income countries are discussed and the future of obstetric ultrasound in developing countries is also briefly considered.

Department of Obstetrics and Gynaecology, University of Ghana Medical School, Accra, Ghana

Correspondence: Joseph D. Seffah, MD, Department of Obstetrics and Gynaecology, University of Ghana Medical School, PO Box 4236, Accra, Ghana. E-mail: jseffah@yahoo.co.uk

© 2009 Lippincott Williams & Wilkins, Inc.