Awareness, attitudes, and practices regarding obstetrical ultrasound among pregnant women in Abbottabad, Khyber Pakhtunkhwa
Abstract
Introduction: Obstetric ultrasound (OU) is crucial for monitoring the health of developing fetuses and expectant mothers, aiding in the detection of congenital anomalies and pregnancy-related complications. Effective prenatal care relies on understanding the role of OU in managing reproductive health. This study aimed to evaluate the Knowledge, Attitude, and Practice (KAP) regarding obstetric ultrasonography among pregnant patients at City Ultrasound Institute, Abbottabad, Pakistan.
Methodology: A cross-sectional study was conducted from December 23, 2023, to February 9, 2024, involving 159 female outpatients. Data were collected using a dichotomous scale questionnaire assessing KAP related to OU. Statistical analyses were performed using SPSS version 25.0.
Results: The average gestational age of participants was 29.6 weeks. Knowledge, attitude, and practice scores for OU were 67.8%, 67.7%, and 86.6%, respectively. Key findings include: 31.4% of participants knew about OU, 59.7% considered it necessary to confirm pregnancy, and 78% believed it was needed at different stages of pregnancy. Most participants (84.9%) recognized OU's ability to detect anomalies, though 15.7% thought it might harm the fetus. In terms of practice, 88.6% had access to OU facilities, and 90.5% recommended OU to others. However, 9.4% felt their privacy was compromised during scans.
Conclusion: The study reveals that while the practice of OU is widely adopted, there is a significant gap in knowledge among pregnant women regarding its full benefits. Many participants view OU primarily for confirming pregnancy or checking gender, rather than its broader role in monitoring fetal and maternal health.
Downloads
References
Recker F, Weber E, Strizek B, Gembruch U, Westerway SC, Dietrich CF. Point-of-care ultrasound in obstetrics and gynecology. Arch Gynecol Obstet. 202; 303:871-6.
DOI: https://doi.org/10.1007/s00404-021-05972-5.
Houston LE, Odibo AO, Macones GA. The safety of obstetrical ultrasound: a review. Prenatal Diagnosis. Int Soc Prenat. Diagn. 2009; 29(13):1204-12.
DOI: https://doi.org/10.1002/pd.2392.
Abramowicz JS. Obstetric ultrasound: where are we and where are we going? Ultrasonography. 2021; 40(1):57.
DOI: https://doi.org/10.14366/usg.20088.
Drukker L, Droste R, Chatelain P, Noble JA, Papageorghiou AT. Safety indices of ultrasound: adherence to recommendations and awareness during routine obstetric ultrasound scanning. Ultraschall Med. 2020; 41(02):138-45.
DOI: https://doi.org/10.1055/a-1074-0722.
Cowan Bennett C, Richards DS. Patient acceptance of endovaginal ultrasound. Ultrasound Obstet Gynecol. 2000; 15(1):52-5.
DOI: https://doi.org/10.1046/j.1469-0705.2000.00010.x.
Lawson GW. Naegele’s rule and the length of pregnancy–A review. Aust N Z J Obstet Gynaecol. 2021; 61(2):177-82.
DOI: https://doi.org/10.1111/ajo.13253.
Kim ET, Singh K, Moran A, Armbruster D, Kozuki N. Obstetric ultrasound use in low and middle-income countries: a narrative review. Reprod Health. 2018; 15:1-26.
DOI: https://doi.org/10.1186/s12978-018-0571-y.
Jain V, O'Quinn C, Van den Hof M. Guideline No. 421: point of care ultrasound in obstetrics and gynaecology. J Obstet Gynaecol Can. 2021; 43(9):1094-9.
DOI: https://doi.org/10.1016/j.jogc.2021.07.003.
Melamed N, Baschat A, Yinon Y, Athanasiadis A, Mecacci F, Figueras F, et al. FIGO (International Federation of Gynecology and Obstetrics) initiative on fetal growth: best practice advice for screening, diagnosis, and management of fetal growth restriction. Int J Gynaecol Obstet. 2021; 152(Suppl 1):3.
DOI: https://doi.org/10.1002/ijgo.13522.
Vogel JP, Souza JP, Mori R, Morisaki N, Lumbiganon P, Laopaiboon M, et al. Maternal complications and perinatal mortality: findings of the World Health Organization Multicountry Survey on Maternal and Newborn Health. Int J Gynecol Obstet. 2014; 121:76-88.
DOI: https://doi.org/10.1111/1471-0528.12633.
Kumar DS, Maniiarasan P, editors. Predicting Pregnancy Complications Through Artificial Intelligence and Machine Learning. IGI Global; 2023.
Dobrovanov OY. Efficacy and sensitivity of prenatal and postnatal ultrasound screening of congenital developmental anomalies of kidneys in Slovakia. Wiad Lek. 2021; 74(3):450.
DOI: https://doi.org/10.36740/WLek202103112
Amir-ud-Din R, Mahmood HZ, Abbas F, Muzammil M, Kumar R, Pongpanich S. Association of breastfeeding and birth interval with child mortality in Pakistan: a cross-sectional study using nationally representative Demographic and Health Survey data. BMJ Open. 2022; 12(1):e053196.
DOI: https://doi.org/10.1136/bmjopen-2021-053196.
Dinu M, Badiu AM, Hodorog AD, Stancioi-Cismaru AF, Gheonea M, Grigoras Capitanescu R, et al. Early Onset Intrauterine Growth Restriction—Data from a Tertiary Care Center in a Middle-Income Country. Medicina. 2022; 59(1):17.
DOI: https://doi.org/10.3390/medicina59010017.
Haile ZW, Gurmu AG. Knowledge, attitude, barriers, and associated factors of obstetric ultrasound among pregnant women in public hospitals, Ethiopia, 2022: a cross-sectional study. J Ultrasound. 2023; 27(1):31-40.
DOI: https://doi.org/10.1007/s40477-023-00783-7.
Survey best practices. (cited 2024 Sept 9). Available from: https://reports.utexas.edu/content/survey-best-practices#:~:text=Launching%20the%20survey.,your%20responses%20during%20this%20window.
Gulrukh S, Malik N, Iftikhar T, Aftab SB, Farooq N, Malik MA. Knowledge, Attitude, Practice Study of Congenital Anomalies After Ultrasound Scanning Among Expecting Women in Tertiary Care Hospitals in Islamabad. Journal of The Society of Obstetricians and Gynaecologists of Pakistan. 2023; 13(1):45-50.
Stober J, Dette DE, Musch J. Comparing continuous and dichotomous scoring of the Balanced Inventory of Desirable Responding. J Pers Assess. 2002; 78(2):370-89.
DOI: https://doi.org/10.1207/S15327752JPA7802_10.
Recker F, Weber E, Strizek B, Gembruch U, Westerway SC, Dietrich CF. Point-of-care ultrasound in obstetrics and gynecology. Arch Gynecol Obstet. 2021; 303:871-6.
DOI:ht tps://doi.org/10.1007/s00404-021-05972-5.
Andrade C, Menon V, Ameen S, Kumar Praharaj S. Designing and conducting knowledge, attitude, and practice surveys in psychiatry: practical guidance. Indian J Psychol Med. 2020; 42(5):478-81.
DOI: https://doi.org/10.1177/0253717620946111.
Maniragena J, Kasozi D, Mubuuke GR, Murachi EJ. Knowledge, Attitudes and Practices of Pregnant Women towards Obstetric Ultrasound at Mulago Hospital: A Cross-sectional Survey.2021; Int Res J Basic Appl Sci. 60(5):78-92.
DOI: https://doi.org/10.21203/rs.3.rs-1108130/v1
Abduljabbar HS, Jabal NA, Hussain FA, Alqabbaa RM, Marwani FA, Alghamdi SA, et al. Knowledge, attitudes and practice about obstetric ultrasonography among women attending a university hospital: a cross-sectional study. Open J Obstet Gynecol . 2020; 10(12):1763-75.
DOI: https://doi.org/10.4236/ojog.2020.10120159
Gulrukh S, Malik N, Iftikhar T, Aftab SB, Farooq N, Malik MA. Knowledge, Attitude, Practice Study of Congenital Anomalies After Ultrasound Scanning Among Expecting Women in Tertiary Care Hospitals in Islamabad. J Soc Obstetr Gynaecolog Pak. 2023; 13(1):45-50.
Copyright (c) 2024 Journal of Shifa Tameer-e-Millat University

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Journal of Shifa Tameer-e-Millat University (JSTMU) is the owner of all copyright to any work published in the journal. Any material printed in JSTMU may not be reproduced without the permission of the editors or publisher. The Journal accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing and/or decision in this journal. The Editorial Board makes every effort to ensure the accuracy and authenticity of material printed in the journal. However, conclusions and statements expressed are views of the authors and do not necessarily reflect the opinions of the Editorial Board or JSTMU.

Content of this journal is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
