Campobasso Gianluca, Castellana Fabio, Tempesta Annalisa, Bottai Alice, Scatigno Annachiara, Rizzo Elisa, Petrillo Francesca, Cappello Grazia, Piscitelli Prisco, Zupo Roberta
Division of Obstetrics and Gynecology, Vito Fazzi Hospital, 73100 Lecce, Italy.
Department of Interdisciplinary Medicine, University of Bari Aldo Moro, 70100 Bari, Italy.
Epidemiologia (Basel). 2025 Jul 24;6(3):39. doi: 10.3390/epidemiologia6030039.
: The objectives are to evaluate the influence of different maternal characteristics on ultrasound image quality and operator satisfaction, and to assess, preliminarily, a rating scale to stratify the difficulty level of ultrasound examination in early gestation. : A multicentric observational study of ultrasound scans was carried out on singleton pregnant women undergoing routine gestational ultrasound at 11-14 weeks and 19-21 weeks of gestation at two Prenatal Care Centers in the Apulia region (Southern Italy). Inclusion criteria included the presence of one or more limiting features, i.e., obesity, retroverted uterus, myomas, previous abdominal surgery, and limited echo-absorption. Each woman was given an overall pre-echographic limiting score from 0 to 9. The outcome measure was the operator's satisfaction with the examination, scored on a Likert scale. Nested linear regression models (raw, semi- and fully adjusted) were built for each of the two trimesters on the pre-ecographic limiting score (0-9 points) as dependent variables, with the operator's satisfaction as the regressor. : The whole sample included 445 pregnant women. The two-center samples did not show statistically different baseline features. The operator's satisfaction with the sonographic examination was significantly (and inversely) related to the pre-echographic limiting score, regardless of the mother's age, the operator performing the ultrasound, the Hospital Center where the ultrasound examination was performed, and the duration of the sonographic examination. : A number of maternal conditions need to be monitored for good ultrasound performance; using a specific rating scale to stratify the level of difficulty of the ultrasound examination at early gestation could represent a potentially useful tool, although it requires further validation.
目的是评估不同孕妇特征对超声图像质量和操作者满意度的影响，并初步评估一种用于对早孕期超声检查难度水平进行分层的评分量表。
在意大利南部普利亚地区的两个产前护理中心，对在妊娠11 - 14周和19 - 21周接受常规妊娠超声检查的单胎孕妇进行了一项多中心超声扫描观察性研究。纳入标准包括存在一个或多个限制因素，即肥胖、子宫后倾、肌瘤、既往腹部手术史和回声吸收受限。每位女性在超声检查前获得一个从0到9的总体限制评分。结局指标是操作者对检查的满意度，采用李克特量表评分。针对两个孕期中的每一个，以超声检查前限制评分（0 - 9分）作为因变量，以操作者满意度作为回归变量，建立了嵌套线性回归模型（原始模型、半调整模型和完全调整模型）。
整个样本包括445名孕妇。两个中心的样本在基线特征方面没有显示出统计学上的差异。无论母亲年龄、进行超声检查的操作者、进行超声检查的医院中心以及超声检查的时长如何，操作者对超声检查的满意度与超声检查前限制评分显著（且呈负相关）相关。
为了获得良好的超声检查效果，需要对一些孕妇情况进行监测；使用特定的评分量表对早孕期超声检查的难度水平进行分层可能是一个潜在有用的工具，尽管它需要进一步验证。
