Naoko Kozuki1, Joanne Katz2, Subarna K Khatry3, James M Tielsch4, Steven C LeClerq5, Luke C Mullany1. 1. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 2. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: jkatz1@jhu.edu. 3. Nepal Nutrition Intervention Project - Sarlahi, Lalitpur, Nepal. 4. Department of Global Health, George Washington University Milken Institute School of Public Health, Washington, DC, USA. 5. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Nepal Nutrition Intervention Project - Sarlahi, Lalitpur, Nepal.
Abstract
OBJECTIVE: To assess levels of awareness and use of obstetric ultrasonography in rural Nepal. METHODS: Between March 2014 and March 2015, a cross-sectional survey was conducted among married women aged 15-40years residing in rural Sarlahi District, Nepal, regarding their knowledge and use of obstetric ultrasonography during their most recent pregnancy. Regression analyses were conducted to identify reproductive health, socioeconomic, and other characteristics that increased the likelihood of undergoing an obstetric ultrasonographic examination. RESULTS: Among 6182 women, 1630 (26.4%) had undergone obstetric ultrasonography during their most recent pregnancy, of whom 1011 (62.0%) received only one examination. Odds of receiving an ultrasonographic examination were higher among women with post-secondary education than among those with none (≥11years' education: adjusted odds ratio [aOR] 10.28, 95% confidence interval [CI] 5.55-19.04), and among women whose husbands had post-secondary education than among those with husbands with none (≥11years' education: aOR 1.99, 95% CI 1.47-2.69). Odds were lower among women younger than 18years than among those aged 18-34years (aOR 0.72, 95% confidence interval 0.59-0.90). CONCLUSION: Utilization of obstetric ultrasonography in rural Nepal was very limited. Further research is necessary to assess the potential health impact of obstetric ultrasonography in low-resource settings, while addressing limitations such as cost and misuse.
OBJECTIVE: To assess levels of awareness and use of obstetric ultrasonography in rural Nepal. METHODS: Between March 2014 and March 2015, a cross-sectional survey was conducted among married women aged 15-40years residing in rural Sarlahi District, Nepal, regarding their knowledge and use of obstetric ultrasonography during their most recent pregnancy. Regression analyses were conducted to identify reproductive health, socioeconomic, and other characteristics that increased the likelihood of undergoing an obstetric ultrasonographic examination. RESULTS: Among 6182 women, 1630 (26.4%) had undergone obstetric ultrasonography during their most recent pregnancy, of whom 1011 (62.0%) received only one examination. Odds of receiving an ultrasonographic examination were higher among women with post-secondary education than among those with none (≥11years' education: adjusted odds ratio [aOR] 10.28, 95% confidence interval [CI] 5.55-19.04), and among women whose husbands had post-secondary education than among those with husbands with none (≥11years' education: aOR 1.99, 95% CI 1.47-2.69). Odds were lower among women younger than 18years than among those aged 18-34years (aOR 0.72, 95% confidence interval 0.59-0.90). CONCLUSION: Utilization of obstetric ultrasonography in rural Nepal was very limited. Further research is necessary to assess the potential health impact of obstetric ultrasonography in low-resource settings, while addressing limitations such as cost and misuse.
Authors: Carolyn G Scrafford; Luke C Mullany; Joanne Katz; Subarna K Khatry; Steven C LeClerq; Gary L Darmstadt; James M Tielsch Journal: Trop Med Int Health Date: 2013-09-23 Impact factor: 2.622
Authors: Timothy Powell-Jackson; Joanna Morrison; Suresh Tiwari; Basu Dev Neupane; Anthony M Costello Journal: BMC Health Serv Res Date: 2009-06-09 Impact factor: 2.655
Authors: Elizabeth M McClure; Robert O Nathan; Sarah Saleem; Fabian Esamai; Ana Garces; Elwyn Chomba; Antoinette Tshefu; David Swanson; Hillary Mabeya; Lester Figuero; Waseem Mirza; David Muyodi; Holly Franklin; Adrien Lokangaka; Dieudonne Bidashimwa; Omrana Pasha; Musaku Mwenechanya; Carl L Bose; Waldemar A Carlo; K Michael Hambidge; Edward A Liechty; Nancy Krebs; Dennis D Wallace; Jonathan Swanson; Marion Koso-Thomas; Rexford Widmer; Robert L Goldenberg Journal: BMC Pregnancy Childbirth Date: 2014-02-17 Impact factor: 3.007
Authors: Naoko Kozuki; Luke C Mullany; Subarna K Khatry; James M Tielsch; Steven C LeClerq; Caitlin E Kennedy; Joanne Katz Journal: BMC Pregnancy Childbirth Date: 2018-04-10 Impact factor: 3.007