78 J Gandhara Med Dent Sci April - June 2025 : : LETTER TO EDITOR REVOLUTIONIZING IMPACT OF POINT OF CARE ULTRASOUND (POCUS): A GAME - CHANGER FOR DECISION MAKING AT BEDSID E ESPECIALLY IN EMER GENCY OBSTETRICS AND GYNECOLOGY Sadia Shoukat Consultant Obstetrician, Gynaecologist and Senior Registrar, Suleman Roshan Medical College Hospital, Tando Adam nadiashoukat2010@hotmail.com Dear Editor, I am writing to highlight the transformative potential of Point - of - Care Ultrasound (POCUS) in emergency obstetrics a nd gynecology. It provides immediate bedside imaging, enabling l ife - saving decisions without d elays . Its portability, cost - effectiveness, an d ability to minimize patient movement make it indispensable in busy, resource - limited settings. Its capacity to streamline care, improve outcomes, and reduce strain on overburdened healthcare systems caught my attention . It is not just a tool - it’s a parad igm shift in emergency obstetrics and gynecology, and its widespread adoption deserves prioritization. Unlike traditional ultrasound, which often requires scheduling and specialized technicians, trained professionals can perform Point - of - Care Ultrasound at the bedside , promoting a patient - centered approach . 1,2 In obstetrics, it is invaluable for assessing fetal viability, gestational age, fetal presentation, and complications like placental abnormalities or ectopic pregnancies. A recent multicenter cohort study by Knights et al. demonstrated that POCUS in the third trimester reduced undiagnosed breech presentations at term from 16.5% to 3.5% (p < 0.001), significantly improving perinatal outcomes . 3 In gynecology, Point - of - Care Ultrasound aids in diagnosing ovarian cysts, fibroids, torsion, and pelvic inflammatory disease, often avoiding invasive procedures . 4,5 Vinayak et al. showed that training midwives in rural areas to use Point - of - Care Ultrasound with tablet platforms improved diagnostic c apabilities in low - resource settings . 2 Similarly, Prasad et al. emphasized the importance of training midwives to determine fetal presentation using handheld devices, calling it "the need of the hour" to reduce maternal and neonatal morbidity . 6 Howev er, successful implementation hinges on proper training to ensure accurate image acquisition and interpretation. Structured training programs have been shown to improve the reliability of Point - of - Care Ultrasound findings significantly . 7 I believe thi s technology deserves to be highlighted for its far - reaching implications in transforming maternal and g ynecological healthcare globally. REFERENCES +92-334-2041601 LICENSE: JGMDS publishes its articles under a Creative Commons Attribution Non-Commercial Share-Alike license ( CC-BY-NC-SA 4.0 ). COPYRIGHTS: Authors retain the rights without any restrictions to freely download, print, share and disseminate the article for any lawful purpose.It includes scholarlynetworks such as Research Gate, Google Scholar, LinkedIn, Academia.edu, Twitter, and other academic or professional networking sites. 1. Mancusi C, Carlino MV, Sforza A. Point‐of‐care ultrasound with pocket‐size devices in emergency department. Echocardiography. 2019 Aug 8;36(9):1755 . https://doi.org/10.1111/echo.14451 2. Vinayak S, Sande J, Nisenbaum H, Nolsøe C. Training Midwives to Perform Basic Obstetric Point - of - Care Ultrasound in Rural Areas Using a Tablet Platform and Mobile Phone Transmission Technology - A WFUMB COE Project. Ultrasound Med Biol. 2017;43:2125. DOI: 10.1016/j.ultrasmedbio.2017.06.005 3. Knights S, Prasad S, Kalafat E, Dadali A, Sizer P, Harlow F, Khalil A. Impact of point - of - care ultrasound and routine third trimester ultrasound on undiagnosed breech presentation and perinatal outcomes: An observational multicentre cohort study. PL oS Med. 2023;20(4):e1004192 . DOI: 10.1371/journal.pmed.1004192 4. Segura‐Grau E, Antunes P, Magalhães J, Vieira IC, Segura - Grau A. Minute Zero: an essential assessment in peri - operative ultrasound for anaesthesia. Anaesthesiol I ntensive Ther. 2022;54:80. DOI: 10.5114/ait.2022.114321 5. Ursprung E, Oren - Grinberg A. Point - of - Care Ultrasound in the Perioperative Period. Int Anesthesiol Clin. 2015;54:1. DOI: 10.1097/AIA.0000000000000084 6. Prasad S, Poljak B, Richens Y, Lee - Wo C, Khalil A. Training midwives to determine fetal presentation using a handheld portable ultrasound device — need of the hou r? AJOG Glob Rep. 2024 Jan 19;4(1):100314. DOI: 10.1016/j.xagr.2024.100314 7. Ali N, Soomar SM, Waheed S. Point - of - care ultrasound training in low - income countries: a need of time. Ann M ed Surg. 2023;85:1356. DOI: 10.1097/MS9.0000000000000397 http://doi.org/10.37762/jgmds.687