Knowledge and attitude regarding obstetric ultrasound among pregnant women: a cross sectional study


  • Nivedita Krishnamoorthy Department of Obstetrics and Gynaecology, Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam-605107, Puducherry, India
  • Ananthi Kasinathan Indira Gandhi Medical College and Research Institute, Kathirkamam-605009, Puducherry, India



Knowledge, Attitude, Ultrasound, Pregnant women, PNDT act


Background: Ultrasound examination forms an integral part of antenatal care both in high risk and normal pregnancies. Even though it acts as a source of reassurance about the well-being of her baby and also a source of connecting with her baby in the antenatal period, for many pregnant mothers in India it is still only a tool for sex determination and its other major uses remain in the background. Fear regarding its safety and doubts about its necessity are also prevalent among pregnant women. The purpose of this study is to assess the knowledge of antenatal mothers regarding the uses of ultrasound during pregnancy and also to assess their attitude towards ultrasound.

Methods: This is a descriptive cross sectional study carried out in Sri Manakula Vinayagar medical college and hospital, Puducherry, India between the periods of April 2014 to July 2014. 300 pregnant women were selected by simple random sampling among patients attending the antenatal clinic for routine checkup irrespective of their parity. After obtaining informed consent, these women were given a predesigned, self-administered questionnaire in local language that had questions on socio demographic data, knowledge regarding use of ultrasound in pregnancy, attitude towards ultrasound, source of information about ultrasound and awareness regarding PNDT act. The data was entered in SPSS and analyzed using descriptive statistics.

Results: Although awareness regarding the indications for USG during pregnancy was found to be fairly good among the participants , 36 % of the them assumed determination of sex in utero as an indication for ultrasound.88% of them considered ultrasound as safe and 98% considered it essential. 26% of the pregnant women considered that sex determination was permissible by law. Most of them obtained information regarding ultrasound from health providers and the role of media was negligible.

Conclusions: Awareness regarding the uses of USG during pregnancy and attitude towards ultrasound was good but knowledge about recommendations of PNDT act was lacking in pregnant women and so every possible route particularly extensive media coverage can be used to create awareness regarding the recommendations of the PNDT act to the public.


Enakpene CA, Morhason-Bello IO, Marinho AO, Adedokun BO, Kalejaiye AO, Sogo K, et al. Clients reasons for prenatal ultrasonography in Ibadan, South west of Nigeria. BMC Women’s Health. 2009;9:12.

Boukydis CF, Treadwell MC, Delaney-Black V, Boyes K, King M, Robinson T, et al. Women’s responses to ultrasound examinations during routine screens in an Obstetric clinic. J ultrasound Med. 2006;25(6):721-8.

Khatri M, Acharya R, Sharma G. Knowledge attitude and practices related to preconception and prenatal diagnostic techniques Act among the antenatal women in Bikaner. Scientific Reports. 2012;1:121.

Shidaye PR, Giri PA, Nagaonkar SN, Shidaye RR. Study of knowledge and attitude regarding prenatal diagnostic techniques act among the pregnant women at a tertiary care teaching hospital in Mumbai. J Edu Health Promot. 2012;1:36.

Munim S, Khawaja NA, Quereshi R. Knowledge and awareness of pregnant women about ultrasound scanning and prenatal diagnosis. J Pak Med Assoc. 2004;54:553-5.

Wahabi HA, Channa NA, Fayed A, Esmaeil SA, Masha ARO, et al. Knowledge, expectations and source of information of pregnant Saudi women undergoing second trimester ultrasound examination. Gynecol Obstet. (Sunnyvale). 2014;4:243.

Eniyandunni F, Soyebi K, Irurhe N, Olowoyeye O, Adeyomoye A, Ketiku K, Arogundade R. A survey of psychological reaction and perception of pregnant women, to prenatal ultrasonograpy in Lagos University teaching Hospital, Idi-Araba, Lagos. The Internet Journal of Health. 2010;13(1):1-9.

Oche OM, Umar AS, Raji MO, Kaoje AV, Godwin G, Ango JT, et al. Knowledge of the uses and indications for Obstetric ultrasound scan among women attending a main referral Hospital, Sokoto, Nigeria. Research in Obstetrics and Gynecology. 2013:2(5):55-62.

Firth ER, Mlay P, Walker R, Sill PR. Pregnant women’s beliefs, expectations and experiences of antenatal ultrasound in Northern Tanzania. African Journal of reproductive health. 2011;15(2);91-107.

Mensah YB, Nkyekyer K, Mensah K. The Ghanian woman’s experience and perception of ultrasound use in antenatal care. Ghana medical journal. 2014 8;48(1):31-8.

Ikeako LC, Ezegwui HO, Onwudiwe E, Enwereji JO. Attitude of expectant mothers on the use of ultrasound in pregnancy in a tertiary institution in South east of Nigeria. Ann Med Health Sci Res. 2014;4:949-53.






Original Research Articles