Seffah Joseph D, Adanu Richard M K
Department of Obstetrics and Gynaecology, University of Ghana Medical School, Accra, Ghana.
Clin Obstet Gynecol. 2009 Jun;52(2):250-5. doi: 10.1097/GRF.0b013e3181a4c2d5.
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.
发展中国家产科实践中的主要问题是孕产妇和围产期死亡率居高不下。在大多数低收入国家，卫生筹资系统不完善，因此大多数人在服务提供点支付医疗服务费用。这使得与费用相关的问题成为主要关注点。因此，在低收入国家，关于产科超声检查需要解决的主要问题是，这种检查是否能改善孕产妇和新生儿结局，以及这项服务是否在这些国家大多数人的承受范围内。本文讨论了低收入国家产科超声检查的适应证、产科超声检查的使用指南以及产科超声检查的益处，并简要探讨了发展中国家产科超声检查的未来。
