Time to scale-up point-of-care ultrasound (POCUS) in obstetrics and gynaecology in Nigeria

The availability, affordability and portability of high-resolution-ultrasound machine in recent years have made ultrasound an indispensable point-of-care diagnostic and procedural tool in current practice of Obstetrics and Gynaecology. POCUS is a goal-directed (focused/emergency) ultrasound examination performed by the healthcare provider in the consulting office or patient’s bedside to make a specific diagnosis that will direct timely and definitive treatment of the patient. It improves clinical outcomes, prevents hospital delays, promotes swift definitive treatment, reduces cost and enhances patient satisfaction without exposure to ionizing radiation. It is a readily available care in Obstetrics and Gynaecology. Skills acquisition in POCUS should be incorporated in teaching programs for midwives, medical students, resident doctors and consultants. This review aims to summarize the literature on the advances in ultrasound technology, indications and practice guidelines for clinicians’ POCUS examinations in Obstetrics and Gynaecology. Recommendations to fill the gaps in the current training and skills acquisition in Nigeria are proposed.