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Midwives’ and obstetricians’ views on appropriate obstetric sonography in Norway
National Center for Fetal Medicine, Trondheim University Hospital, Trondheim, Norway. (Komplikationer under de reproduktiva åren)
Department of Clinical Sciences, Obstetric and Gynecology, Umeå University, Umeå, Sweden. (Komplikaitoner under de reproduktiva åren)
Örebro University, School of Health Sciences. University College of Southeast Norway, Tønsberg, Norway. (Sexuell och reproduktiv hälsa)ORCID iD: 0000-0002-2577-1632
Department of Clinical Sciences, Obstetric and Gynecology, Umeå University, Umeå, Sweden; School of Nursing and Midwifery, College of Science, Health and Engineering, La Trobe University, Australia. (Komplikaitoner under de reproduktiva åren)
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2018 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 16, p. 1-5Article, review/survey (Refereed) Published
Abstract [en]

Introduction: The primary aim of this study was to investigate midwives' and obstetricians' views on how many ultrasound examinations should be part of standard care during pregnancy in Norway.

Material and methods: This study is a part of a larger study, the CROss-Country Ultrasound Study (CROCUS), an international investigation of midwives' and obstetricians' experiences of and views on the use of ultrasound. We distributed 400 questionnaires to respondents in all five health regions in Norway: 40 to municipal midwives, 180 to midwives working in hospitals and 180 to obstetricians. The questionnaire included specific questions about the appropriate number of examinations during pregnancy, examinations without medical indication, non-medical ultrasound, commercialisation and safety.

Results: The response rate was 45%. Of the respondents, 58% reported satisfaction with the offer of one scheduled ultrasound examination during pregnancy, as recommended in the Norwegian guidelines. Health care professionals who used ultrasound themselves were significantly more likely to want to offer more ultrasound examinations: 52% of the ultrasound users wanted to offer two or more ultrasound examinations vs. 16% of the non-users (p < .01). The majority of obstetricians (80%) reported that pregnant women expect to undergo ultrasound examination, even in the absence of medical indication.

Conclusion: The majority of Norwegian health care professionals participating in this study supported the national recommendation on ultrasound in pregnancy. Ultrasound users wanted to offer more ultrasound examinations during pregnancy, whereas non-users were generally content with the recommendation. The majority of respondents thought that commercialisation was not a problem at their institution, and reported that ultrasound is often performed without a medical indication. The ultrasound users thought that ultrasound is safe.

Place, publisher, year, edition, pages
Elsevier, 2018. Vol. 16, p. 1-5
Keywords [en]
Ultrasonography, Health care professionals, Non-medical ultrasound, Safety
National Category
Obstetrics, Gynecology and Reproductive Medicine Nursing
Research subject
Caring Sciences w. Medical Focus
Identifiers
URN: urn:nbn:se:oru:diva-64025DOI: 10.1016/j.srhc.2017.12.006ISI: 000440877700001PubMedID: 29804752Scopus ID: 2-s2.0-85044744044OAI: oai:DiVA.org:oru-64025DiVA, id: diva2:1172805
Available from: 2018-01-10 Created: 2018-01-10 Last updated: 2018-09-14Bibliographically approved

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Adolfsson, Annsofie

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