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
Slide 5
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
Slide 6
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
Slide 7
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
Slide 8
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
Slide 9
Cultural Experiences Hostel living Great work/life balance
Emphasis on outdoor activities Generally healthy population
Slide 10
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