Implications of incorrect determination of fetal sex by ultrasound

Chigbu, Chibuike O.; Odugu, Boniface Uwaezuoke; Okezie, OA

doi:10.1016/j.ijgo.2007.09.021

Cited by 24 publications

(27 citation statements)

References 9 publications

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“…In 1994, India passed a law prohibiting doctors and clinics from determining the sex of the fetus using diagnostic techniques due to traditional primogeniture [11]. A study conducted in Nigeria has also found that incorrect sex determination through ultrasound has led to domestic violence and marital conflicts [3].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, computer vision could compare images obtained during an exam to a control set of images to detect possible complications and present the image that possibly contains a complication to the midwife to verify the possible condition exists. Finally, it could be beneficial to use computer vision to obscure the gender of the fetus, potentially avoiding problems observed elsewhere [3,11,16].…”

Section: Future Workmentioning

confidence: 99%

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Portable antenatal ultrasound platform for village midwives

Brunette

Gerard

Hicks

et al. 2010

Proceedings of the First ACM Symposium on Computing for Development

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Ultrasound imaging is an effective tool for identifying maternal mortality risk factors. Unfortunately, ultrasound is nearly absent in many rural healthcare facilities in developing regions due to the high costs of both equipment and required training. To leverage existing healthcare systems commonly found in these contexts, we have focused our efforts on increasing the diagnostic capabilities of midwives -often central medical figures in rural and lowincome communities. We have designed and built a low-cost portable ultrasound device consisting of a USB ultrasound probe and a touchscreen netbook for a total cost of around USD3500. Compared to currently available ultrasound devices, we simplified the user interface while maintaining functionality to allow midwives to detect three common obstetrical conditions: placenta previa, multiple gestations, and breech presentation. To evaluate our solution, we tested the accuracy of ultrasound measurements, image quality, and whether midwives could use ultrasound. Testing performed by nine clinicians indicated our device would be appropriate for identifying the three conditions. Our modular design approach allows for easy modification, and the device is designed to utilize existing local healthcare resources in order to create a sustainable solution that does not depend on continuous foreign assistance.

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Section: Discussionmentioning

confidence: 99%

Section: Future Workmentioning

confidence: 99%

Portable antenatal ultrasound platform for village midwives

Brunette

Gerard

Hicks

et al. 2010

Proceedings of the First ACM Symposium on Computing for Development

View full text Add to dashboard Cite

show abstract

“…The presence of private ultrasound facilities couple with the fact that people pay for services out of pocket means that women can perform self referrals for ultrasound examinations for as many times as they can afford leading to overuse of the service. Chigbu et al 19 working in Nigeria have shown the serious social and psychologic implications in the wrong assignment of fetal sex. This abuse calls for strict guidelines for sonographers practicing in developing countries.…”

Section: Dangers Of Obstetric Ultrasound Scanning In Developing Countmentioning

confidence: 99%

Obstetric Ultrasonography in Low-income Countries

Seffah

Adanu²

2009

Clinical Obstetrics &Amp; Gynecology

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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.

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“…Such use of ultrasonography not only has implications for abortion rates and sex ratios, but also carries the potential consequences of incorrect assessment. In a Nigerian study [23], some women who delivered a female neonate after being told that their fetus was male via ultrasonography reported negative experiences such as marital conflict (including physical violence from their partners) and regret toward tubal ligation. A Ghanaian study [24] showed an ultrasonography accuracy of only 86.5% for detection of fetal sex.…”

Section: Discussionmentioning

confidence: 99%

Community survey on awareness and use of obstetric ultrasonography in rural Sarlahi District, Nepal

Kozuki

Katz

Khatry

et al. 2016

Intl J Gynecology & Obste

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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 15–40 years residing in rural Sarlahi District, Nepal, regarding their knowledge and use of obstetric ultrasonography during their most recent pregnancy. Regression analyses were used 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 higher education than among those with none (≥11 years’ education: adjusted odds ratio [aOR] 10.28, 95% confidence interval [CI] 5.55–19.04), and among women whose husbands had higher education than among those with husbands with none (≥11 years’ education: aOR 1.99, 95% CI 1.47–2.69). Odds were lower among women younger than 18 years than among those aged 18–34 years (aOR 0.72, 95% confidence interval 0.59–0.90). Conclusion Utilization of obstetric ultrasonography in rural Nepal was very limited. The health community should actively work toward researching the potential health impact of obstetric ultrasonography in low-resource settings, while addressing limitations such as cost and misuse.

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Implications of incorrect determination of fetal sex by ultrasound

Abstract: Incorrect determination of fetal sex by ultrasound has implications that can affect the mental and psychological health of the mother and the upbringing of the newborn.

Cited by 24 publications

References 9 publications

Portable antenatal ultrasound platform for village midwives

Portable antenatal ultrasound platform for village midwives

Obstetric Ultrasonography in Low-income Countries

Community survey on awareness and use of obstetric ultrasonography in rural Sarlahi District, Nepal

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