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Pratique de l’échographie de routine dans le suivi de la grossesse à Yaoundé (Cameroun): analyse des connaissances des prescripteurs
| Content Provider | Semantic Scholar |
|---|---|
| Author | Essiben, Félix Foumane, Pascal Moifo, Boniface Dohbit, Julius Sama Mboudou, Emile Télesphore Doh, Anderson Sama |
| Copyright Year | 2016 |
| Abstract | ABSTRACT AIM. Benefits of routine ultrasonography during pregnancy are well known. Since it was introduced in Cameroon thirty years ago, data on health care providers knowledge has never been reported. The aim of this study was to analyze the health care providers knowledge on the prescription of routine ultrasonography during pregnancy. METHODS. This was a cross sectional descriptive study based on a questionnaire filled by the antenatal care providers working in Yaounde, Cameroon. RESULTS. sixty-six providers filling the inclusion criteria were included. 29(42.4%) were obstetricians. The number of exams systematically prescribed varied from 1 to 6, with a mean of 2.97 ± 0.58. If for most of the health care providers, the 1st ultrasonography was required for diagnosis and age determination of the pregnancy, 59.1% of them wrongly prescribed it between the 8th and the 10th week of pregnancy. 62.1% of responders adequately prescribed the morphological ultrasonography between the 20th and the 25th week of pregnancy. For the 3rd term of pregnancy, the ultrasonography was prescribed by 98.5% of health care providers, mainly 75.4% of them to assess fetal growth. CONCLUSION. Even though routine ultrasonography for antenatal care is known by all the health care providers included in the study, wrong knowledge and prescription habits were identified. It is, therefore, recommended to harmonize the usage of routine ultrasonography for antenatal care in our setting, and specifically train the health care providers involved in its prescription. RESUME: OBJECTIFS. Les benefices de l'echographie de routine au cours de la grossesse sont indeniables. Introduite au Cameroun depuis une trentaine d'annees, les donnees sur les connaissances des prescripteurs d'echographie n'y ont jamais ete rapportees. Cette etude se propose d'analyser les connaissances des prescripteurs sur l'echographie de routine au cours de la grossesse. METHODOLOGIE. Il s'agit d'une etude transversale descriptive basee sur un questionnaire qui a ete propose a des prestataires des consultations prenatales exercant a Yaounde. RESULTATS. Soixante six personnels de sante remplissant les criteres d'inclusion ont repondu au questionnaire. 29(42,4%) etaient des gynecologues obstetriciens. Le nombre d'echographies prescrites systematiquement pour une grossesse sans complication etait de 2,97 ± 0,58 avec des extremes de 1 et 6. Si la majorite des prescripteurs demandaient la 1ere echographie pour le diagnostic et la datation de la grossesse, 59,1% des prestataires la prescrivaient de facon inappropriee pour la datation de la grossesse entre la 8eme et la 10eme semaine. 62,1% des personnes interrogees prescrivaient opportunement l'echographie morphologique entre la 20eme et la 25eme semaine. L'echographie etait prescrite au 3eme trimestre par 98,5% des praticiens et 75,4% d'entre eux la prescrivaient pour apprecier la croissance fœtale. CONCLUSION. A Yaounde, l'echographie obstetricale de routine est connue mais certaines connaissances et habitudes de prescription sont erronees. Une harmonisation de l'utilisation de l'echographie de routine dans le suivi de grossesse dans notre milieu ainsi que la remise a niveau des prescripteurs sont recommandees. |
| File Format | PDF HTM / HTML |
| Volume Number | 17 |
| Alternate Webpage(s) | https://www.hsd-fmsb.org/index.php/hsd/article/download/548/pdf_318 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
