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JULIA JOHNSON MFM in NEW ZEALAND

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Auckland, New Zealand

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Objectives To compare the frequency of use of ultrasound technology in the pregnant patient at KU Med and Auckland City Hospital To identify the views of New Zealand OBGYNs and OB patients about the use of routine ultrasound evaluations in the pregnant patient and evaluate patient concerns about ultrasonography To compare the indications for ultrasound evaluation in the pregnant patient at KU Med and Auckland City Hospital

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Auckland City Hospital Largest MFM service on the North Island Over 7,000 deliveries/ year Walking distance from dorms I participated in specialty and ultrasound clinics 4 days a week High risk scheduled C-sections 1 day a week

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Frequency of Ultrasound Frequency of ultrasound is extremely similar Major difference: all high risk obstetricians in NZ do their own scans vs ultrasound techs at KUMC 2 scans for all low risk pregnancies (early pregnancy and growth scan) High risk OB involves frequent ultrasounds depending on diagnosis

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KANSAS CITY AUCKLAND New patient concern about potential fetal harm with excess ultrasound exposure 3D ultrasound is a fad for new mothers ACOG Minimal patient or OBGYN concern about ultrasound exposure 3D ultrasound newly available at ACH, not frequently used RCOG Views of Ultrasound

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Indications for Ultrasound the clinical guidelines for ultrasonography are extremely similar between the two countries. American College of Obstetricians and Gynecologists VS Royal College of Obstetricians and Gynaecologists Early pregnancy scan gestational age, viability, fetal number 20 week growth scan anatomy scan of the fetus All other scans are based off of identified abnormalities

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Cultural Experiences Hostel living Great work/life balance Emphasis on outdoor activities Generally healthy population

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Clinical Experiences First assist on high risk C-sections Assisted on a crash C-section on a patient I had seen once a week for the first three weeks OR runs very smoothly and similarly to KUMC Slight differences in sterile technique

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White Water Rafting

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South Island

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Queenstown Bungy

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Best Group. Best Month. Best Trip!