ArticleFrontiers in global women's health2022
Training in Ultrasound to Determine Gestational Age (TUDA): Evaluation of a Novel Education Package to Teach Ultrasound-Naive Midwives Basic Obstetric Ultrasound in Malawi.
Article in Frontiers in global women's health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Shaping ultrasound in midwifery: towards an evidence-based training framework for enhanced prenatal care.Archives of gynecology and obstetrics · 2024Pooled it
- Evaluating the usability and practicality of AI-enabled smartphone-based obstetric ultrasound in Sierra Leone: a mixed-methods study.BMC pregnancy and childbirth · 2026Article
- Approaches, barriers, and facilitators to and strategies for normalizing the provision of ultrasound scanning by midwives in the antenatal clinic.Reproductive health · 2026Article
- Facilitators and barriers to implementation of obstetric ultrasound scanning intervention by midwives within maternal and child health departments of the selected healthcare facilities in four districts of Zambia: experiences of healthcare workers.BMC pregnancy and childbirth · 2026Article
- Implementation strategies and economic considerations for point-of-care ultrasound in Low- and Middle-Income Countries: A scoping review.PLOS global public health · 2026Article
- Nurses' Challenges in Performing Ultrasound Hip-Screening Techniques for Home Visits to Newborns and Infants: A Descriptive Case Study.Journal of nursing management · 2026Article
- Observational
- Pioneering point-of-care obstetric ultrasound integration in midwifery education - the MEPOCUS study.BMC medical education · 2024Article
- Deep learning to estimate gestational age from fly-to cineloop videos: A novel approach to ultrasound quality control.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2024Article
- Perceptions on acceptability of the 2016 WHO ANC model among the pregnant women in Phalombe District, Malawi - a qualitative study using Theoretical Framework of Acceptability.BMC pregnancy and childbirth · 2023Article
- Midwife-Led Ultrasound Scanning to Date Pregnancy in Malawi: Development of a Novel Training Program.Journal of midwifery & women's health · 2022Article
- Implementation of a novel ultrasound training programme for midwives in Malawi: A mixed methods evaluation using the RE-AIM framework.Frontiers in health services · 2022Article
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Authors and funding
13 authors at 8 institutions in 2 countries.
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Abstract
Introduction: Although ultrasound to determine gestational age is fundamental to the optimum management of pregnancy and is recommended for all women by the World Health Organisation, it remains unavailable to many women in low-income countries where trained practitioners are scarce. This study aimed to evaluate a novel, context-specific education package to teach midwives basic obstetric ultrasound, including the determination of gestational age by measurement of fetal femur length. Methods: The study was conducted across six sites in Malawi in January 2021. Following a virtual "training of the trainers", local teams delivered a 10-day programme encompassing both didactic and "hands on" components. Matched pre and post course tests assessed participants' knowledge of key concepts, with Objective Structured Clinical Examinations used to evaluate practical skills. To achieve a pass, trainees were required to establish the gestational age to within ±7 days of an experienced practitioner and achieve an overall score of >65% on five consecutive occasions. A matched pre and post course survey explored participants' attitudes and confidence in performing ultrasound examinations. Results: Of the 29 midwives who participated, 28 finished the programme and met the criteria specified to pass. 22 midwives completed the matched knowledge tests, with the mean (SD) score increasing from 10.2 (3.3) to 18 (2.5) after training ( Conclusion: This study demonstrates not only that ultrasound-naive practitioners can be taught to perform basic obstetric ultrasound dating scans, confidently and competently, after 10 days of training, but also that local teams can be orientated to successfully deliver the programme virtually. Previous ultrasound training initiatives, while often more comprehensive in their syllabus, have been of considerably longer duration and this is likely to be a barrier to upscaling opportunities. We propose that this focused training increases the potential for widescale and sustainable implementation.
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