Technology has long contributed to higher quality of care in the US health care system. Yet, not all technology adds to health care quality equally, and many have argued that the introduction of new technology should be based on measures of both quality added and cost-effectiveness. Quality is also multi-dimensional and includes measures of clinical as well as patient-focused quality outcomes. Patient satisfaction is one common component of health care quality measurement. Health care providers, insurers and policy makers are interested in how satisfied patients are, as the perceived satisfaction of patients allows for improvements in the delivery of care. One aspect of patient satisfaction centers on technology. Evidence has supported improved patient satisfaction with improvements in diagnostic technology and treatments in a number of areas including IV treatments, knee replacement, pain management, and surgical improvements. Obstetric care is also a specialty where technologies such as sonograms and ultrasounds are common practice. Ultrasounds specifically are recommended for use at pregnancy onset to indicate the term of the pregnancy and to avoid the complications of post term pregnancy. Ultrasounds generate high frequency and low intensity sound waves that pass through the abdomen and cervix to produce an image of the fetus. This technology has been used for over 50 years during pregnancies in the United States and around the world. Ultrasound technology more recently has allowed for clear 3-and 4D imaging of the fetus. According to the American Pregnancy Association, there is no recommended number of ultrasounds a woman should receive

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