<scp>OC</scp>23.01: The prevalence of prenatal conditions detected by ultrasound in a rural clinic in Uganda

To observe the prevalence of prenatal conditions in a rural area of Uganda In June 2010, Imaging the World began offering access to basic antenatal ultrasound at Nawanyago Health Centre (HC III) in Uganda. This program, consisting of simple scanning protocols and internet based remote reading and reporting, provides reliable identification of several common prenatal conditions such as confirming intrauterine pregnancy, fetal number, fetal position, placental position, amniotic fluid volume and pelvic mass. Clinical records were collected prospectively after introduction of the ultrasound program in June of 2010 through March of 2012. During the study period, 1,084 women presented for evaluation at the HC III. Observations included: In patients with known age, the mean was 26 years old (range of 14 to 43 years) and 30% of the patients were 30 years or older; The timing of the visits to the HC III were 1st trimester at 7%, 33% during 2nd trimester at 33% and 3rd trimester at 54%; The fetal number was determined for 1,077 women (1 to 3 fetuses) with a multiple gestation rate of 3.9%; Fetal position was determined for 737 women with a malposition rate of 19.7%; Placental position was determined for 973 women with a malposition rate of 1.6%; Amniotic fluid volume was determined for 1,042 women with an abnormal volume rate of 2.7%; Screening for the presence of pelvic mass was performed in 598 women of whom 1.3% was observed to have a pelvic mass. The rate of pregnancy in women over 30 was higher than recent rates in the United States, (30% vs. 15%). The rate of multiple gestations was similar to the rate observed in the U.S., (3.3%). The rate of fetal malposition was substantially higher than that observed in the U.S., (19.7% vs. 5.5%). [Source: CDC National Vital Statistics Reports; Vol. 61, 5 and Vol. 61, 1]. This information may be used to inform decisions regarding prenatal health care management in low resource geographies.