[A study on the role of ultrasonography in antenatal care in Thailand with focus on the appropriate technology].

The authors investigated the state of antenatal care, outcome of deliveries and use of ultrasonography at the Maternal and Childhood Health Hospital in Khonkane province, Thailand. The study was conducted before (stage I) and after (stage II) the introduction of the second ultrasonographic equipment in an attempt to set up a proper standard of technological level of clinical laboratory services and to investigate the usefulness of introducing ultrasonography into the prenatal care in developing countries. As a result, about 60% of first antenatal visits were in their second or third trimester, about 80% of pregnancies terminated by normal vaginal deliveries, parity, rate of cesareans sections and pre-term labors were not significantly different in both stages. Ultrasonography was performed on 16% of the first antenatal visits in stage I, while, in stage II, it was performed on 31.3% of them. Ultrasonography was used most frequently to determine the gestational age and presentation of the fetus in both years (70.3% and 79.1% respectively in stage I and stage II). In most of the cases, ultrasonography was performed only once during the gestation. Thus, it was proved that technical training must be provided with introduction of new equipment to medical facilities and utilization of medical technologists for ultrasonography was another concern in developing countries. Beside, it was important to determine the proper period during the gestation when ultrasonography should be applied and to adopt an effective public health service including health education and health insurance to promote antenatal visits in time during the proper periods.