Impact of a standardized training program on midwive’s ability to assess fetal heart anatomy by ultrasound [Elektronisk resurs]

• Background: Studies of prenatal detection of congenital heart disease (CDH) in the UK, Italy, and Norway indicate that it should be possible to improve the prenatal detection rate of CDH in Sweden. These studies have shown that training programs, visualization of the outflow tracts and color-Doppler all can help to speed up and improve the detection rate and accuracy. We aimed to introduce a more accurate standardized fetal cardiac ultrasound screening protocol in Sweden. Methods: A novel pedagogical model for training midwives in standardized cardiac imaging was developed, a model using a think-aloud analysis during a pre- and post-course test and a subsequent group reflection. The self-estimated difficulties and knowledge gaps of four midwives were identified. A two-day course with mixed lectures, demonstrations and handson sessions was followed by a feedback session one month later consisting of an interview and check-up. The long-term effects were tested two years later. Results: At the post-course test the self-assessed uncertainty was lower than at the pre-course test. The qualitative evaluation showed that the color Doppler images were difficult to interpret, but the training seems to have enhanced the familiarity with the new technique. The ability to perform the method remained at the new level at follow-up both three months and two years later. Conclusions: Our results indicate that by implementing new imaging modalities and providing hands-on training, uncertainty can be reduced and time decreased, but they also show that continuous on-site training with clinical and technical back-up is important. 

Ämnesord

Medical and Health Sciences  (hsv)

Clinical Medicine  (hsv)

Other Clinical Medicine  (hsv)

Medicin och hälsovetenskap  (hsv)

Klinisk medicin  (hsv)

Annan klinisk medicin  (hsv)

Medical and Health Sciences  (hsv)

Clinical Medicine  (hsv)

Obstetrics, Gynecology and Reproductive Medicine  (hsv)

Medicin och hälsovetenskap  (hsv)

Klinisk medicin  (hsv)

Reproduktionsmedicin och gynekologi  (hsv)

Indexterm och SAB-rubrik

Color Doppler

Congenital heart disease

Detection of congenital heart defects

Fetal heart scanning

Learning program

Prenatal cardiology

Second trimester screening

Standardized training program

Ultrasound screening