Abstract.
The objective of this study was to gauge women views of transvaginal sonography in an emergency setting and to study any correlation between their perception of the procedure and their prior knowledge and experience of it. We surveyed women presenting with various complications of the first trimester. Only women who had transvaginal sonography and who gave informed consent were included. Four hundred and twenty-five women were recruited. Transvaginal sonography was considered not embarrassing, acceptable, not painful and not stressful by 378 (88.9%), 417 (98.1%), 419 (98.6%) and 385 (90.6%) of the women respectively. There were no statistically significant differences in the women's perception of the procedure whether they had prior knowledge and previous experience of the procedure or not. The majority of the women perceived transvaginal sonography favourably. Their perception of the procedure was favourable whether they had prior knowledge and previous experience of it or not.
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References
Achiron R, Tabmor O (1991) Screening for foetal anomalies during the first trimester of pregnancy: transvaginal versus transabdominal sonography. Ultrasound Obstet Gynecol 1:186–191
Braithwaite JM, Economides DL (1997) Acceptability by patients of transvaginal sonography in the elective assessment of the first-trimester foetus. Ultrasound Obstet Gynecol 9:91–93
Braithwaite JM, Armstrong MA, Economides DL (1996) Assessment of foetal anatomy at 12–13 weeks of gestation by transabdominal and transvaginal sonography. Br J Obstet Gynaecol 103:82–85
Coleman BG, Arger PH, Grumbach K, Menard MK, Mintz MC, Allen KS, Arenson RL, Lamon KA (1988) Transvaginal and transabdominal sonography: prospective comparison. Radiology 168:639–643
European Committee for Ultrasound Radiation Safety (1994) The watchdogs. Transvaginal ultrasonography. Safety Aspects. Eur J Ultrasound 1:1355–1357
Krubel R, Freedman D, Bursch B (1996) Effects of transvaginal sonography on pregnant patients' perception of care in the emergency department. Am J Emerg Med 14:232–233
Lee C, Slade P (1996) Miscarriage as a traumatic event, a review of the literature and implications for intervention. J Psychosom Res 40:232–245
Mandelson EB, Bohm-Velez M, Joseph N, Neiman HL (1988) Gynaecologic imaging: comparison of TAS and TVS sonography. Radiology 166:321–324
Rosati P, Guariglia L (2000) Acceptability of early transvaginal or abdominal sonography in the first half of pregnancy. Arch Gynecol Obstet 264:80–83
Royal College of Obstetricians and Gynaecologists, The Royal College of Radiologists (1995) Guidance on ultrasound procedures in early pregnancy. RCOG Press, London
Royal College of Obstetricians and Gynaecologists (2000) Management of early pregnancy loss RCOG guideline No.25. RCOG Press, London
Schlager D, Lazzareschi G, Whitten D, Sanders AB (1994) A prospective study of ultrasonography in the emergency department by emergency physicians. Am J Emerg Med 12:185–189
Shillito J, Walker JJ (1997) Early pregnancy assessment units. Br J Hosp Med 58:505–509
Tessler FN, Schiller VL, Perrella RR, Sutherland ML, Grant EG (1989) Transabdominal sonography versus endovaginal pelvic sonography: prospective study. Radiology 170:553–556
Timor-Tritsch IE, Monteagudo A, Peisner DB (1992) High frequency transvaginal sonographic examination for the potential malformation assessment of the 9-week to 14-week foetus. J Clin Ultrasound 20:231–238
Tsoi MM, Hunter M (1987) Ultrasound scanning: consumer reaction. J Reprod Infant Psychol 5:43–48
Acknowledgements.
We gratefully acknowledge the effort of several people who assisted us in the preparation of this work. We would like to thank all of them. We would like to thank Miss Sally Hollis and Mr. Miland Joshi of the Northwest NHS Research and Development Support Unit in Lancaster University and Dr. Suhail Ashraf of the health protection agency for their help with the statistics. We would like to show our gratitude to Mrs. Christine Rigney, medical secretary, Mrs. Wendy Ropper, the word clerk, and all the other staff in wards G2 and G1 whose help is highly valued. We are grateful to Miss Shirley Waters and Miss Asmita Vaidya in the clinical governance and audit department.
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Basama, F.M.S., Crosfill, F. & Price, A. Women's perception of transvaginal sonography in the first trimester; in an early pregnancy assessment unit. Arch Gynecol Obstet 269, 117–120 (2004). https://doi.org/10.1007/s00404-002-0424-2
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DOI: https://doi.org/10.1007/s00404-002-0424-2