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首页> 外文期刊>World Journal of Preventive Medicine >Global Maternal and Child Health Outcomes: the Role of Obstetric Ultrasound in Low Resource Settings
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Global Maternal and Child Health Outcomes: the Role of Obstetric Ultrasound in Low Resource Settings

机译：全球母婴健康成果：产科超声在资源贫乏地区的作用

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摘要

There are vast inequalities across maternal and infant mortality with the developing world accounting for the majority of the burden. Within countries there are also disparities between urban and rural populations with rural populations expecting worse maternal outcomes. These inequalities are linked to health care service delivery, with this review focusing on obstetric ultrasound and its potential to improve maternal and newborn health in low resource settings. Access to obstetric ultrasound in the developed world is almost universal, identifying potential obstetric risks to contribute to improvements in maternal and newborn health outcomes. In contrast to this access to obstetric ultrasound in the developed world is poor, particularly in rural areas. Considerations for service provision in these areas are vastly different to the developed world and include infrastructure, economic resources, training and cultural acceptability. Innovations in teleradiology and portable ultrasound offer opportunity for improved ultrasound access in low resource settings potentially improving maternal care and outcomes. The versatility of ultrasound also offers a wide range of non-obstetric clinical applications. This review demonstrates promising benefits of obstetric ultrasound in poorly resourced settings. The literature also shows a need for large scale trials in limited resource settings, particularly in rural and remote areas.
机译：孕产妇和婴儿死亡率之间存在着巨大的不平等，其中发展中国家承担了大部分负担。在国家内部，城乡人口之间也存在差异，农村人口期望产妇的结局恶化。这些不平等与医疗服务的提供有关，本文的重点是产科超声检查及其在资源匮乏地区改善孕产妇和新生儿健康的潜力。在发达国家，获得产科超声检查几乎是普遍的，它确定了潜在的产科风险，有助于改善孕产妇和新生儿的健康状况。与此相反，在发达国家，尤其是在农村地区，获得产科超声检查的机会很差。这些地区提供服务的考虑因素与发达国家大不相同，包括基础设施，经济资源，培训和文化接受度。远程放射学和便携式超声技术的创新为在资源匮乏的环境中改善超声检查的机会提供了可能改善孕产妇护理和结局的机会。超声波的多功能性还提供了广泛的非产科临床应用。这项审查表明资源匮乏的环境中产科超声的有益前景。文献还表明需要在有限的资源环境中进行大规模试验，尤其是在农村和偏远地区。

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