Pregnancy Pregnancy and Childbirth Pregnancy
Conditions
Interventions
8 to 12 health care workers from each of the participating centres will be trained over a period of one week using a bespoke training package designed to teach ultrasound niece midwives to perform ult
Sponsors
University of Edinburgh
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients who are: a. Pregnant b. Estimated age = 18 years c. Signed (and witnessed, if applicable) informed consent given 2. Trainees who are: a. Self-motivated midwives registered by the nurses and midwives council of Malawi and Clinical officers registered by the Medical Council of Malawi b. Informed consent given
Exclusion criteria
Exclusion criteria: = 26 weeks’ gestation based on clinical assessment prior to recruitment (note, where the trainer’s femur length measurement subsequently suggests that the pregnant woman is more than 24+6 weeks’ gestation the data will be discarded)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Gestation using measurement of either crown-rump length or femur length as compared with the trainers' results, through observation of the trainees' global clinical skills and through ongoing assessment of the trainees' images during the subsequent supervisory phase | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To identify the experiential learning requirements which must be met after formal training to facilitate independent practice over a four week period. Trainee competency will be based on the achievement of 5 consecutive measurements that are within 10% of those obtained by the trainers and a global assessment from the trainers as to whether they deem the candidate ready based on observation of their performance. If they are not competent at the end of the week competency will be assessed based on review of their submitted images during the supervisory phase. 2. To evaluate whether femur length measurements alone are adequate to assess fetal gestation in the study population using ultrasound scan assessed by comparing the estimated due date determined by the trainers' 3 femur length measurements to the estimated due date given by the trainers' composite measurements of head circumference, abdominal circumference and femur length 3. To explore the midwives’ views and experience of the training package using questionnaires and interviews to discuss their confidence in performing scans independently at the end of the 4 weeks mentorship. | — |
Countries
Malawi
Contacts
Public ContactAlexandra Viner
Outcome results
None listed