Evidence map›Paper›PMID 31548354›Full record

ArticleBMJ open2019

Health professionals' experiences and views on obstetric ultrasound in Vietnam: a regional, cross-sectional study.

Sophia Holmlund, Pham Thi Lan, Kristina Edvardsson, Ho Dang Phuc, Joseph Ntaganira, Rhonda Small, Hussein Kidanto, Matilda Ngarina, Ingrid Mogren

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 8 countries.

Sophia HolmlundDepartment of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden sofia.holmlund@umu.se.ORCID 0000-0003-3391-2308
Pham Thi LanDepartment of Dermatology and Venereology, Hanoi Medical University, Hanoi, Vietnam.
Kristina EdvardssonDepartment of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden.
Ho Dang PhucDepartment of Probability and Mathematical Statistics, Institute of Mathematics, Vietnam Academy of Science and Technology, Hanoi, Vietnam.
Joseph NtaganiraSchool of Public Health, University of Rwanda, College of Medicine and Health Sciences, Kigali, Rwanda.
Rhonda SmallJudith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia.
Hussein KidantoDepartment of Obstetrics and Gynecology, Aga Khan University - Tanzania, Dar es Salaam, Tanzania.
Matilda NgarinaDepartment of Obstetrics and Gynecology, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Ingrid MogrenJudith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia.
La Trobe University · AUAga Khan University · TZHanoi Medical University · VNInstitute of Mathematics and Informatics · BGMuhimbili National Hospital · TZUmeå University · SEUniversity of Rwanda · RW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesObstetric ultrasound is an important part of antenatal care in Vietnam, although there are great differences in access to antenatal care and ultrasound services across the country. The aim of this study was to explore Vietnamese health professionals' experiences and views of obstetric ultrasound in relation to clinical management, resources and skills.

designA cross-sectional questionnaire study was performed as part of the CROss Country UltraSound study.

settingHealth facilities (n=29) in urban, semiurban and rural areas of Hanoi region in Vietnam.

participantsParticipants were 289 obstetricians/gynaecologists and 535 midwives.

resultsA majority (88%) of participants agreed that 'every woman should undergo ultrasound examination' during pregnancy to determine gestational age. Participants reported an average of six ultrasound examinations as medically indicated during an uncomplicated pregnancy. Access to ultrasound at participants' workplaces was reported as always available regardless of health facility level. Most participants performing ultrasound reported high-level skills for fetal heart rate examination (70%), whereas few (23%) reported being skilled in examination of the anatomy of the fetal heart. Insufficient ultrasound training leading to suboptimal pregnancy management was reported by 37% of all participants. 'Better quality of ultrasound machines', 'more physicians trained in ultrasound' and 'more training for health professionals currently performing ultrasound' were reported as ways to improve the utilisation of ultrasound.

conclusionsObstetric ultrasound is used as an integral part of antenatal care at all selected health facility levels in the region of Hanoi, and access was reported as high. However, reports of insufficient ultrasound training resulting in suboptimal pregnancy management indicate a need for additional training of ultrasound operators to improve utilisation of ultrasound.

Indexed as

Nurse MidwivesPhysiciansPrenatal CareUltrasonography, PrenatalAdultAttitude of Health PersonnelClinical CompetenceCross-Sectional StudiesFemaleFocus GroupsHealth Services AccessibilityHealth Services Needs and DemandHumansObstetricsPregnancyProcedures and Techniques Utilizationhealth personnelmidwivesobstetricianspregnancyprenatal careprenatal ultrasonographyVietnam

Identifiers

PMID31548354
PMCPMC6773349
OpenAlexW2974614246

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.