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Ultrasonography

Ultrasonography

Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...

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Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

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Introduction of a Maternal-Fetal Medicine Tele-Ultrasound Program in Rural Alberta.

Titilayo Oluyomi¹, Stephanie Cooper¹, Anne Roggensack¹

¹Department of Obstetrics and Gynecology, Section of Maternal-Fetal Medicine, University of Calgary Cumming School of Medicine, Calgary, AB.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC

|May 11, 2023

Summary

Maternal-Fetal Medicine (MFM) telemedicine is a safe and feasible option for remote consultations. This program reduced patient costs and stress while improving ultrasound quality.

Keywords:

education imaging maternal-fetal medicine tele-ultrasound telemedicine

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Published on: June 29, 2013

Area of Science:

Medical Informatics
Maternal-Fetal Medicine
Telehealth

Background:

Long travel times to tertiary centers pose challenges for high-risk pregnancies.
Alberta data (2017-2022) shows thousands of patients travel >2 hours for delivery.
Specific anomalies like invasive placenta and growth restriction require specialized MFM care.

Purpose of the Study:

To establish and evaluate a Maternal-Fetal Medicine (MFM) telemedicine program.
To assess the safety, feasibility, and acceptability of remote MFM consultations and tele-ultrasound.
To improve access to specialized care for patients in remote locations.

Main Methods:

A multi-disciplinary team planned a quality improvement project starting December 2019.
Sonographer training preceded the implementation of a pilot telemedicine program.
Feasibility and acceptability were assessed via patient surveys, image audits, and neonatal outcome reviews.

Main Results:

Over 5000 patients traveled >2 hours to reach their birth site between 2017-2022.
Patient surveys indicated >85% experienced reduced costs and stress.
Ultrasound image quality improved and became more consistent after 3 months of training and supervision.

Conclusions:

Maternal-Fetal Medicine telemedicine is feasible and safe with appropriate supervision.
The program demonstrated positive impacts on patient experience and image quality.
Scaling this quality improvement initiative requires additional support and resources.