PDF(Sci-hub)
Abstract：
OBJECTIVE: To assess the impact of scientific and technical training on midwives\' abilities in collecting and recording the key performance indicators for fetal growth chart development in limited-resource settings.
METHODS: A descriptive design was used to describe midwives\' abilities in timely collecting and recording the minimum data required to estimate fetal weight and develop fetal growth chart. The study was conducted among 19 urban and rural midwives in South Kalimantan, Indonesia, between April 2016 and October 2017. The training provided access to antenatal care information on 4,946 women (retrospective cohort study) and 381 women (prospective cohort study).
RESULTS: The average amount of recorded antenatal care data on the key performance indicators of fetal growth assessment has been significantly improved (from 33.4% to 89.1%, p-value < 0.0005) through scientific and technical training.
CONCLUSIONS: Scientific knowledge and technical abilities have enabled midwives to timely record routine data of the key performance indicators for fetal growth surveillance. Access to this information is vital during different stages of pregnancy. The information can be utilised as evidence-based guidelines to assess fetal risks through fetal weight estimation and to develop fetal growth chart that is currently not available in Indonesian primary healthcare systems.
METHODS: A descriptive design was used to describe midwives\' abilities in timely collecting and recording the minimum data required to estimate fetal weight and develop fetal growth chart. The study was conducted among 19 urban and rural midwives in South Kalimantan, Indonesia, between April 2016 and October 2017. The training provided access to antenatal care information on 4,946 women (retrospective cohort study) and 381 women (prospective cohort study).
RESULTS: The average amount of recorded antenatal care data on the key performance indicators of fetal growth assessment has been significantly improved (from 33.4% to 89.1%, p-value < 0.0005) through scientific and technical training.
CONCLUSIONS: Scientific knowledge and technical abilities have enabled midwives to timely record routine data of the key performance indicators for fetal growth surveillance. Access to this information is vital during different stages of pregnancy. The information can be utilised as evidence-based guidelines to assess fetal risks through fetal weight estimation and to develop fetal growth chart that is currently not available in Indonesian primary healthcare systems.
摘要：
目的：评估科学和技术培训对助产士在有限资源环境中收集和记录胎儿生长图发育关键性能指标的能力的影响。
方法：使用描述性设计来描述助产士及时收集和记录估计胎儿体重和制作胎儿生长图所需的最低限度数据的能力。这项研究是在南加里曼丹的19名城乡助产士中进行的，印度尼西亚,2016年4月至2017年10月。培训提供了4,946名妇女（回顾性队列研究）和381名妇女（前瞻性队列研究）的产前护理信息。
结果：在胎儿生长评估的关键性能指标上记录的产前护理数据的平均数量得到了显着提高（从33.4％提高到89.1％，p值<0.0005)通过科学和技术培训。
结论：科学知识和技术能力使助产士能够及时记录胎儿生长监测关键性能指标的常规数据。在怀孕的不同阶段，获取这些信息至关重要。该信息可用作基于证据的指南，以通过估计胎儿体重来评估胎儿风险，并开发目前在印度尼西亚初级医疗保健系统中不可用的胎儿生长图。
方法：使用描述性设计来描述助产士及时收集和记录估计胎儿体重和制作胎儿生长图所需的最低限度数据的能力。这项研究是在南加里曼丹的19名城乡助产士中进行的，印度尼西亚,2016年4月至2017年10月。培训提供了4,946名妇女（回顾性队列研究）和381名妇女（前瞻性队列研究）的产前护理信息。
结果：在胎儿生长评估的关键性能指标上记录的产前护理数据的平均数量得到了显着提高（从33.4％提高到89.1％，p值<0.0005)通过科学和技术培训。
结论：科学知识和技术能力使助产士能够及时记录胎儿生长监测关键性能指标的常规数据。在怀孕的不同阶段，获取这些信息至关重要。该信息可用作基于证据的指南，以通过估计胎儿体重来评估胎儿风险，并开发目前在印度尼西亚初级医疗保健系统中不可用的胎儿生长图。
