Kariman Shariva S, van den Heuvel Josephus F M, Adriaanse Bauke M E, Oepkes Dick, Bekker Mireille N
Division of Obstetrics & Gynecology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Division of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.
Prenat Diagn. 2025 Jun;45(7):906-920. doi: 10.1002/pd.6679. Epub 2024 Oct 10.
To explore the use of tele-ultrasound and handheld or self-operated ultrasound in pregnancy.
A systematic search provided 31 studies. The risk of bias for each study was assessed. Results were analyzed and presented in a narrative overview in four domains: tele-ultrasound, patient-operated ultrasound, handheld devices and low- and middle-income countries (LMIC).
The quality of studies was generally low or fair based on the NIH Quality Assessment Tools. Fetal tele-ultrasound services (11 studies) are feasible and especially helpful in rural areas or with increased centralization of specialist care. Three studies with patient-operated ultrasound concluded its feasibility with good-to-high experiences. The use of handheld devices in pregnancy (eight studies) showed similar ultrasound results when compared to standard devices. In LMICs, innovative use of ultrasound (nine studies) can facilitate access to obstetric care performed by trained as well as unskilled caregivers combined with remote evaluation by an expert.
Innovations in ultrasound in pregnancy care have shown promising results for application. Although most studies demonstrated benefits for pregnant women or care providers, high-level evidence is scarce. High-quality studies on innovations are needed to assess medical outcomes, patient and provider experiences and costs.
探讨远程超声及手持式或自行操作超声在孕期的应用。
系统检索得到31项研究。评估每项研究的偏倚风险。对结果进行分析，并在远程超声、患者操作超声、手持式设备以及低收入和中等收入国家（LMIC）这四个领域以叙述性综述的形式呈现。
根据美国国立卫生研究院质量评估工具，研究质量总体较低或一般。胎儿远程超声服务（11项研究）是可行的，在农村地区或专科护理集中化程度提高的情况下尤其有帮助。三项关于患者操作超声的研究得出其具有可行性且体验良好至高。孕期使用手持式设备（8项研究）与标准设备相比显示出相似的超声结果。在低收入和中等收入国家，超声的创新应用（9项研究）可促进由经过培训以及未经培训的护理人员提供的产科护理，并结合专家的远程评估。
孕期护理中超声的创新应用已显示出有前景的应用结果。尽管大多数研究表明对孕妇或护理人员有益，但高水平证据稀缺。需要高质量的创新研究来评估医疗结果、患者和提供者的体验以及成本。
