{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,14]],"date-time":"2026-11-14T11:13:18Z","timestamp":1794654798276,"version":"4.9.1"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Caption Health\/ GE HealthCare"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Obstetric ultrasound (OBUS) is recommended as part of antenatal care for pregnant individuals worldwide. To better understand current uses of OBUS in low- and middle-income countries and perceptions regarding potential use of artificial intelligence (AI)-assisted OBUS, we conducted an anonymous online global survey. A total of 176 respondents representing 34 countries participated, including 41% physicians, 49% nurses or midwives, and 6% ultrasound technicians. Most had received OBUS training (72%), reported expertise (60%) and confidence (77%) in OBUS use, and had access to ultrasound (85%). Assessment of gestational age, fetal viability, fetal presentation, and multiple gestation were both the most common OBUS uses and among the most highly prioritized for AI-assisted OBUS development. Most respondents noted ultrasound access was important (84%) and agreed that OBUS improves quality of care (98%) and patient outcomes (97%). Of the 34% expressing reservations associated with using AI-assisted OBUS, healthcare providers not understanding the technology (71%), misdiagnosis (62%), and cost (59%) were the most common. Better understanding the OBUS user, the pregnant individual, and the context, and taking care to ensure responsible, sustainable, and inclusive development and use of AI-assisted OBUS will be critical to successful integration and implementation and to increasing access to OBUS.<\/jats:p>","DOI":"10.1038\/s41598-025-87284-1","type":"journal-article","created":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T04:15:06Z","timestamp":1738296906000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["A survey of obstetric ultrasound uses and priorities for artificial intelligence-assisted obstetric ultrasound in low- and middle-income countries"],"prefix":"10.1038","volume":"15","author":[{"given":"Amy Sarah","family":"Ginsburg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zylee","family":"Liddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eren","family":"Alkan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla","family":"Matcheck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"May","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,31]]},"reference":[{"key":"87284_CR1","unstructured":"World Health Organization (WHO). USAID, Maternal and Child Survival Program. WHO recommendations on antenatal care for a positive pregnancy experience: ultrasound examination highlights and key messages from the world health organization\u2019s 2016 Global Recommendations.  (2018)."},{"key":"87284_CR2","unstructured":"WHO antenatal care recommendations for a positive pregnancy experience. Maternal and Fetal Assessment Update: Imaging Ultrasound before 24 Weeks of Pregnancy (World Health Organization, 2022)."},{"key":"87284_CR3","doi-asserted-by":"crossref","unstructured":"Noguchi, L., Bucagu, M. & Tun\u00e7alp, \u00d6. Strengthening antenatal care services for all: Implementing imaging ultrasound before 24 weeks of pregnancy. BMJ Glob Health ; 8(5). (2023).","DOI":"10.1136\/bmjgh-2022-011170"},{"issue":"1","key":"87284_CR4","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1186\/s12978-018-0571-y","volume":"15","author":"ET Kim","year":"2018","unstructured":"Kim, E. 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Health"},{"issue":"4","key":"87284_CR9","doi-asserted-by":"publisher","first-page":"e0194774","DOI":"10.1371\/journal.pone.0194774","volume":"13","author":"TA Reynolds","year":"2018","unstructured":"Reynolds, T. A. et al. Impact of point-of-care ultrasound on clinical decision-making at an urban emergency department in Tanzania. PLoS One. 13 (4), e0194774 (2018).","journal-title":"PLoS One"},{"issue":"1","key":"87284_CR10","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1370\/afm.2330","volume":"17","author":"CA Andersen","year":"2019","unstructured":"Andersen, C. A., Holden, S., Vela, J., Rathleff, M. S. & Jensen, M. B. Point-of-care Ultrasound in General Practice: A systematic review. Ann. Fam Med. 17 (1), 61\u201369 (2019).","journal-title":"Ann. Fam Med."},{"issue":"6","key":"87284_CR11","doi-asserted-by":"publisher","first-page":"1351","DOI":"10.1016\/j.ultrasmedbio.2019.01.019","volume":"45","author":"H Shokoohi","year":"2019","unstructured":"Shokoohi, H. et al. Assessment of Point-of-care Ultrasound Training for clinical educators in Malawi, Tanzania and Uganda. Ultrasound Med. Biol. 45 (6), 1351\u20131357 (2019).","journal-title":"Ultrasound Med. Biol."},{"key":"87284_CR12","doi-asserted-by":"crossref","unstructured":"Tran, T. T., Hlaing, M. & Krause, M. Point-of-care Ultrasound: Applications in low- and Middle-Income Countries. Curr. Anesthesiol Rep. : 1\u20137. (2021).","DOI":"10.1007\/s40140-020-00429-y"},{"key":"87284_CR13","doi-asserted-by":"publisher","first-page":"101333","DOI":"10.1016\/j.eclinm.2022.101333","volume":"45","author":"SK Abrokwa","year":"2022","unstructured":"Abrokwa, S. K., Ruby, L. C., Heuvelings, C. C. & B\u00e9lard, S. Task shifting for point of care ultrasound in primary healthcare in low- and middle-income countries-a systematic review. 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EA was an employee and KM is an employee of Caption Health\/GE HealthCare. ZL and SM declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"3873"}}