Document Detail


The maternal perspective on prenatal ultrasound.
MedLine Citation:
PMID:  10923568     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Most women in the United States will have a routine sonogram during pregnancy. The medical necessity of this is debatable. The goal of our study was to examine maternal beliefs about prenatal sonography. METHODS: We surveyed 150 prenatal patients at their point of entry to maternity care at a large military medical center. The main outcome measures were the patient's desire for a prenatal sonogram, the reasons for wanting a sonogram, the number of sonograms wanted, and the patient's willingness to pay for the examination. RESULTS: Of the 150 eligible subjects, 137 (91%) participated and 135 (98%) wanted a prenatal sonogram. Fifty-one (37%) of the respondents were willing to pay for the sonogram if it was not ordered by their provider. The reasons for wanting a sonogram (to determine the sex of the fetus, to ensure that the fetus was healthy, general maternal reassurance, and to ensure adequate fetal growth) were similar across age, race, and income (military rank). CONCLUSIONS: Our study indicates that most women want a sonogram during pregnancy, and many are willing to pay for the examination. Women appear to want sonograms for reasons that may not assist their provider with immediate clinical decision making. This is a potentially important disagreement between cost-saving and patient satisfaction that maternity care providers must consider when deciding whether to perform prenatal sonography for women with low-risk pregnancies.
Authors:
M B Stephens; R Montefalcon; D A Lane
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  The Journal of family practice     Volume:  49     ISSN:  0094-3509     ISO Abbreviation:  J Fam Pract     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2000-09-13     Completed Date:  2000-09-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7502590     Medline TA:  J Fam Pract     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  601-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814, USA. mstephens@usuhs.mil
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MeSH Terms
Descriptor/Qualifier:
California
Data Collection
Female
Humans
Military Personnel / psychology
Mothers / psychology*
Patient Acceptance of Health Care / psychology*
Pregnancy
Prenatal Care / economics
Ultrasonography, Prenatal / economics,  psychology*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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