TITLE:
Quality Control of First Trimester Ultrasound Examinations in the Gynecology and Obstetrics Department of the University Teaching Hospital Yalgado Ouedraogo (UTH-YO) of Ouagadougou, Burkina Faso
AUTHORS:
Ouattara Adama, Nde Ouédraogo Nina Astrid, Lankoandé Bako Natacha, Ouédraogo Smaila, Nare Amelie, Tougma Sanou Aline, Sawadogo Yobi Alexis, Millogo Traoré Francoise, Ouédraogo Marie Charlemagne, Ouédraogo Ali, Thieba Bonané Blandine
KEYWORDS:
Ultrasonography, First Trimester, Reports, UTH-YO
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.13,
November
12,
2018
ABSTRACT: Objective: To evaluate the quality of first trimester ultrasound examinations in
patients consulting in the gynecology and obstetrics department at the
University Teaching Hospital Yalgado Ouedraogo (UTH-YO) of Ouagadougou. Method: Our study took place from January 1st to March 31st 2017, in the
department of Obstetrics and Gynecology of the University Teaching Hospital Yalgado
Ouedraogo of Ouagadougou. This was a descriptive study on the records of the first
trimester ultrasound of pregnancy, with analysis of the iconography. We used
the criteria of the Technical Committee of Fetal Echography (TCFE) of France to
analyse all the ultrasound reports brought by
the patients. Results: Two hundred reports were collected in three months. In terms of ultrasound identification, only 2
reports out of 200 mentioned the brand and date of first circulation and 4
specified the type of device. The study of the quality of the appointment
showed that only 52% of the ultrasounds had been performed at the right time,
between 11SA - 14SA of amenorrhea. For the nuchal translucency quality, we rated by the
Herman score, 41.67% of the scores were of “unacceptable” quality and only
58.33% were of “acceptable” quality we did not achieve “excellent” quality. The
analysis of the biparietal diameter (BIP) cuts revealed that 1/4 only anatomical cuts had been well made. Analysis of the cranio caudal
length (CCL) cuts showed that only 14.58% of the CCLs had been well done.
Elements of early morphology had been explored to less than 5%. Conclusion: The results revealed the acceptable quality of the NC measurements, but
a small proportion of NC achieved. The quality of the ultrasound, morphological
analysis and biometrics period is not very acceptable.