Accuracy of Ultrasonography in Detecting Ectopic Pregnancy

Abstract

Objectives: Reduction of child mortality rates, to improve maternal health, to sustain post millennium goals 2015, to revitalize Kenya"s health infrastructure as part of Kenya"s Vision 2030. Methods: Ultrasound services were introduced at Elgeyo. Data sheets for each ultrasound scan performed during routine clinical care were collected and analyzed to determine patient demographics, which ultrasound applications were most frequently used, and whether the use of the ultrasound changed patient management plans. Ultrasound scans performed by the Sono Imaging Kenya during the period were reviewed for accuracy of interpretation and image quality by a specialist. Results: Adult women appeared to benefit most from the presence of ultrasound services. During these outreaches a total of 247 women were scanned. Twenty percent of these scans showed abnormalities. These woman were referred to the nearest health center or hospital where they received more check-ups. Conclusions: We suggest ultrasound is a useful modality that particularly benefits women's health and obstetrical care in the developing world, it appears that an ultrasound program led by Sono Imaging Kenya is sustainable and lead to accurate diagnoses in a rural international setting. Ultrasound training in a rural setting supported remotely is feasible, efficient, and sustainable. It can help local healthcare workers and therefore has the potential to improve outcomes at delivery and provide site-specific epidemiologic data that can be used to develop new healthcare provision strategies.