Point-of-care ultrasound in obstetrics and gynecology

Abstract

Background: The rapid technical development and portability of ultrasound systems over recent years has had a profound impact on the area of point-of-care-ultrasound (POCUS), both in general medicine and in obstetrics and gynecology. The use of POCUS enables the clinician to perform the ultrasound scan either at the medical office or the patient's bedside and used as an extension of the physical examination. Real-time images can immediately be correlated with the patient's symptoms, and any changes in a (critical) patient's condition can be more rapidly detected.

Pocus in obgyn: POCUS is also suitable for time-critical scenarios, and depending on the situation and its dynamics, the course and results of any therapy may be observed in real time. POCUS should be considered to be a routine extension of practice for most OB/GYN clinicians as it can give immediate answers to what could be life-threatening situations for the mother and/or baby. With its proven usefulness, the applications and use of POCUS should be incorporated in teaching programs for medical students, OBGYN residents and emergency physicians.

Keywords: Gynecology; Imaging; Obstetrics; Point-of-care ultrasound (POCUS).

Fig. 1

Determination of the cervical length in the second trimester (TA view)

Fig. 2

Fetus with cystic hygroma and measurement of the crown–rump length in the first trimester (TA view)

Fig. 3

Presentation of the fetal viability in the first trimester

Fig. 4

Dichorionic–diamniotic twins showing a lambda sign in the first trimester

Fig. 5

Identification of the uterine position (sagittal view from TA)

Fig. 6

Confirmation the location of intrauterine contraceptive devices in situ (TA)

Fig. 7

Right hydrosalpinx in a patient suffering from pain