To update clinical, technological, and educational evidence on obstetric and gynecologic POCUS and present an implementation-oriented framework.
Approach:
Review design: Narrative, non-systematic review of literature published mainly from January 2020 through March 2026.
Selection: The review emphasized guidance and standards, focused or handheld ultrasound studies, AI and tele-ultrasound applications, and training and governance literature.
Key Findings:
POCUS is a focused bedside adjunct for immediate clinical questions, triage, procedures, or monitoring; it does not substitute for comprehensive diagnostic ultrasound.
In obstetrics, focused questions may include fetal cardiac activity, presentation, whether the placenta is clearly distant from the cervix on transabdominal assessment, gross amniotic-fluid appearance, and fetal head position during labor. POCUS is insufficient for complete fetal anatomy scanning, detailed assessment of placental accreta spectrum, evaluation of fetal growth restriction, or complex Doppler assessment.
The review describes a non-systematic, thematic approach emphasizing professional guidance and standards, focused or handheld ultrasound studies, AI and tele-ultrasound applications, and training and governance literature.
Interpretation:
The review presents OB/GYN POCUS as a limited, indication-dependent examination whose use should be bounded by its capabilities and supported by training, documentation, and recognition of technical limitations.
Limitations:
The review was narrative and non-systematic, with non-exhaustive searches and no predefined methodological hierarchy.
The supplied context ends during the discussion of WHO recommendations; subsequent review findings and details are unavailable.
A living clinical guideline outlines a treatment hierarchy for selected pharmacologic therapies in patients with obesity and selected patients with overweight.