{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:45:14Z","timestamp":1787237114091,"version":"build-2736575974"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T00:00:00Z","timestamp":1608595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the reliability of obstetric handheld smartphone\u2010based point\u2010of\u2010care ultrasound (POCUS) in a resource\u2010limited high\u2010volume setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single\u2010center prospective observational study among women requiring urgent diagnosis and admitted to a maternity referral hospital in Sierra Leone from March to April 2019. Pre\u2010specified ultrasound findings were obtained with a handheld POCUS device; a comprehensive ultrasound examination was then performed by an experienced operator using conventional full\u2010feature apparatus. Agreement was assessed by diagnostic accuracy and Cohen \u03ba\u2010statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, there were 307 participants. The mean aggregated diagnostic accuracy was 95.5% (\u03ba\u2010statistic, 0.90; 95% confidence interval [CI], 0.89\u20130.93;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Highest accuracy was reported for detecting free fluid collection in the abdominal cavity (100%; \u03ba\u2010statistic, 1.00; 95% CI, 1.00\u20131.00;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Ultrasound findings obtained with the handheld device for intrauterine pregnancy, fetal heartbeat, cephalic presentation, multifetal pregnancy, and assessment of gestational age based on bi\u2010parietal diameter were highly reliable (agreement, &gt;90%; \u03ba\u2010statistic, &gt;0.80). Detection of low\u2010lying placenta or placenta previa was the least reliable (\u03ba\u2010statistic, 0.53; 95% CI, 0.13\u20130.93;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Handheld POCUS findings were found to be reliable for detecting pre\u2010specified urgent obstetric findings in a high\u2010volume resource\u2010limited referral hospital.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.13475","type":"journal-article","created":{"date-parts":[[2020,11,7]],"date-time":"2020-11-07T12:45:31Z","timestamp":1604753131000},"page":"280-286","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Reliability of ultrasound findings acquired with handheld apparatuses to inform urgent obstetric diagnosis in a high\u2010volume resource\u2010limited setting"],"prefix":"10.1002","volume":"153","author":[{"given":"Yuichi","family":"Kodaira","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Funabashi Central Hospital Funabashi Japan"},{"name":"Section of Operational Research Doctors with Africa CUAMM Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Pisani","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Amsterdam University Medical Centers Amsterdam Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Boyle","sequence":"additional","affiliation":[{"name":"Princess Christian Maternity Hospital Freetown Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salawu","family":"Olumide","sequence":"additional","affiliation":[{"name":"Princess Christian Maternity Hospital Freetown Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Orsi","sequence":"additional","affiliation":[{"name":"Princess Christian Maternity Hospital Freetown Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adetunji O.","family":"Adeniji","sequence":"additional","affiliation":[{"name":"Princess Christian Maternity Hospital Freetown Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enzo","family":"Pisani","sequence":"additional","affiliation":[{"name":"Section of Operational Research Doctors with Africa CUAMM Padova Italy"},{"name":"Princess Christian Maternity Hospital Freetown Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianna","family":"Zanette","sequence":"additional","affiliation":[{"name":"Section of Operational Research Doctors with Africa CUAMM Padova Italy"},{"name":"Princess Christian Maternity Hospital Freetown Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Putoto","sequence":"additional","affiliation":[{"name":"Section of Operational Research Doctors with Africa CUAMM Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael M.","family":"Koroma","sequence":"additional","affiliation":[{"name":"Princess Christian Maternity Hospital Freetown Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15287"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-103948"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1481803500011416"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0194774"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.16.05073"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/2036-7902-4-22"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2010.06.563"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2006.11.020"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2011.12.002"},{"key":"e_1_2_8_11_1","volume-title":"Point\u2010of\u2010Care Obstetrical Ultrasound","author":"Jones R","year":"2016"},{"key":"e_1_2_8_12_1","unstructured":"Annual report PCMH 11Feb2019."},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.11613\/BM.2012.031"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-006867"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1865-1380-4-72"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12657"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-018-0571-y"}],"container-title":["International Journal of Gynecology &amp; 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