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Research Article

Awareness & Acceptance of Transvaginal Ultrasound Scanning Among Ever Pregnant Women in Nigeria

Komolafe JO, Akindele RA, AKinleye CA, Fashanu AO, Adeleke NA, Isawumi AI, Komolafe MO and Oyewo TJ

Correspondence Address :

Dr Johnson O. Komolafe
Department of Obstetrics & Gynaecology
Ladoke Akintola University of Technology Teaching Hospital
P.M.B 5000, Osogbo, Osun State
Nigeria
Email:komosayo@gmail.com

Received on: December 29, 2015, Accepted on: January 18, 2016, Published on: January 27, 2016

Citation: Komolafe JO, Akindele RA, AKinleye CA, et al. (2016). Awareness & Acceptance of Transvaginal Ultrasound Scanning Among Ever Pregnant Women in Nigeria

Copyright: 2016 Johnson O. Komolafe, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Question: Are women in semi-urban city of Nigeria aware of alternative route of ultrasound scanning in early pregnancy aside trans-abdominal route (TAS) and what is the level of acceptance of trans-vaginal ultrasound scanning(TVS) among them?
Summary Answer: Only about one-fifth (16.4%) of women who have been pregnant ever are aware of TVS as an option in pregnancy assessment, among which only 52.6% of them know that TVS is preferred in some pregnancy conditions over TAS. Less than onethird (28.8%) will accept to have TVS done.
Known Already: Several studies in western world have looked at acceptability of TVS among women for various indications with a wide range acceptability of 43% to 96% depending on the content of questionnaire. Very few studies have looked at acceptability in Nigeria. Willingness to have TVS done was quoted by Atalabi et al. as 84%.
Study Design, Size and Duration: This was a cross-sectional study over 8-week period among unselected women who came for routine ante-natal clinic in two tertiary hospitals in Osogbo, Nigeria. The plan was to administer at least 300 questionnaires. Verbal consent was secured after due counselling by research assistant.
Participants, Settings, Method: Pregnant women attending booking clinics of Lautech teaching hospital and Asubiaro general hospital were approached as convenient to participate in the study using self-administered questionnaire though queries about questionnaire were answered on spot by research assistant. Verbal consent after due counsel was accepted. Descriptive and  multivariate analysis done using SPSS Statistics version 20 software.
Main results: Total of 347 participants. Response rate was 94.3%. Two out of three participants (68%) had tertiary level of education. Of the participants 83.6% think ultrasound scanning is not harmful. Only about one-fifth (16.4%) of women who have been pregnant ever are aware of TVS as a tool in women assessment. Among those who are aware of TVS over 80% are unsure of conditions when TVS is preferred to TAS. The leading negative expected feeling among participants (74.7%) who responded if they were asked to do TVS was expectation of more pain compared to TAS 41.2% will consider giving consent only after discussing it with husband. Less than one-third (28.8%) of women who have ever been pregnant will accept to have TVS done.
Limitation: Participants are within semi-urban area even though two-third of them has tertiary level of education. The environment of study may be a strong factor in limiting exposure & thus awareness of TVS.
Wider Implications of Findings: There is urgent need to educate the populace including men via various media houses including social media on the safety & advantages of TVS in assessment of women either in pregnancy or outside of pregnancy.
Only about one-fifth (16.4%) of women who have been pregnant ever are aware of TVS as a tool in women assessment, Less than one-third (28.8%) of women who have ever been pregnant will accept to have TVS done.
Keywords: Awareness TVS, Pregnant Women