■产科超声被认为对确定胎龄很重要,识别单胎或多胎妊娠,定位胎盘和胎儿畸形,监测胎儿生长和妊娠相关并发症,以改善患者管理。
■探索卫生专业人员对坦桑尼亚产科超声检查不同方面的看法,即自我报告的超声检查技能,以及在临床环境中如何改善产科超声检查的获取和利用。
■横断面研究。
■数据是在2017年11月至12月之间使用基于CROssCountryUltrasound研究(CROCUS研究)先前的定性研究结果的问卷收集的。包括达累斯萨拉姆地区5个城市和半城市的17个医疗保健设施,有636名卫生专业人员参与(医生,n=307和助产士/护士,n=329)。
■大多数卫生专业人员(82%的医生,81%的助产士/护士)认为产科超声在妊娠的临床管理中具有决定性作用。结果表明,各学科之间的熟练程度存在差距:51%的医生和48.8%的助产士/护士报告没有或没有评估宫颈长度的技能。同样,在评估胎儿心脏的四腔视图时观察到缺陷(医生:51%,助产士/护士:61%),主动脉,肺动脉(医师:60.5%,助产士/护士:65%)和多普勒评估(脐动脉:医生60.6%,助产士/护士56.1%)。与助产士/护士相比,医生更有可能同意或强烈同意使用更多的超声机器(优势比(OR)2.13;95%置信区间(CI)1.26-3.61),超声机质量更好(OR2.27;95%CI1.10-4.69),为目前正在进行超声检查的卫生专业人员提供更多培训(OR2.11;95%CI1.08-4.17),并为接受超声检查培训的医师提供更多培训(OR2.51;95%CI1.30-4.87).
■改善坦桑尼亚产科超声检查的提供需要更多,质量更好的超声机器,加强对卫生专业人员的培训,并增加接受超声使用培训的医生数量。为了进一步提高坦桑尼亚产科护理中产科超声的可及性和利用率,必须为助产士提供基本产科超声技术的培训。
一项研究报告了卫生专业人员对坦桑尼亚怀孕扫描的见解和技能。在坦桑尼亚进行,探索卫生专业人员对产科超声的看法,一个重要组成部分被认为会增加低收入国家的产前护理出勤率。这项研究是通过一项涉及636名卫生专业人员的横断面研究进行的,主要是医生和助产士/护士,评估他们进行产科超声检查的自我报告技能,并确定可以在临床环境中增强产科超声检查的获取和利用的因素。研究结果强调,大多数卫生专业人员认为产科超声在管理怀孕方面至关重要。然而,医生和助产士/护士之间的感知技能存在显著差异,尤其是在基础产科超声检查中。大多数卫生专业人员报告说,在评估宫颈长度等各个方面方面没有技能或低水平技能,胎儿心脏(四腔视图),主动脉,肺动脉和多普勒(脐动脉)。研究表明,可以通过增加高质量超声机器的可用性和加强培训来改善产科超声的获取和利用。医生对更多超声机器的积极影响表示了更强烈的信念,更好的机器质量,为当前超声检查者和更多接受超声培训的医生提供额外培训。数据强调了通过投资于更好的技术来加强坦桑尼亚产科超声服务的潜力,为医疗保健专业人员提供更多培训,并增加熟练使用超声的医生数量。此外,这项研究建议对助产士进行有针对性的培训,以提高他们对基础产科超声的熟练程度,最终有助于改善坦桑尼亚产科护理中产科超声的可及性和利用率。
UNASSIGNED: Obstetric ultrasound is considered important for determining gestational age, identifying single or multiple pregnancies, locating the placenta and fetal anomalies and monitoring fetal growth and pregnancy-related complications in order to improve patient management.
UNASSIGNED: To explore health professionals\' perspectives on different aspects of obstetric ultrasound in Tanzania regarding self-reported skills in performing ultrasound examinations and what could improve access to and utilization of obstetric ultrasound in the clinical setting.
UNASSIGNED: Cross-sectional study.
UNASSIGNED: Data was collected between November and December 2017 using a questionnaire based on previous qualitative research results from the CROss Country UltraSound Study (CROCUS Study). Seventeen healthcare facilities in 5 urban and semiurban municipalities in the Dar-es-Salaam region were included, with 636 health professionals participating (physicians, n = 307 and midwives/nurses, n = 329).
UNASSIGNED: Most health professionals (82% physicians, 81% midwives/nurses) believed that obstetric ultrasound was decisive in the clinical management of pregnancy. Results indicate proficiency gaps across disciplines: 51% of physicians and 48.8% of midwives/nurses reported no or low-level skills in assessing cervical length. Similarly, deficiencies were observed in evaluating the four-chamber view of the fetal heart (physicians: 51%, midwives/nurses: 61%), aorta, pulmonary artery (physicians: 60.5%, midwives/nurses: 65%) and Doppler assessments (umbilical artery: physicians 60.6%, midwives/nurses 56.1%). Compared to midwives/nurses, physicians were significantly more likely to agree or strongly agree that utilization would improve with more ultrasound machines (odds ratio (OR) 2.13; 95% confidence intervals (CI) 1.26-3.61), better quality of ultrasound machines (OR 2.27; 95% CI 1.10-4.69), more training for health professionals currently performing ultrasound (OR 2.11; 95% CI 1.08-4.17) and more physicians trained in ultrasound (OR 2.51; 95% CI 1.30-4.87).
UNASSIGNED: Improving the provision of obstetric ultrasound examinations in Tanzania requires more and better-quality ultrasound machines, enhanced training for health professionals and an increased number of physicians trained in ultrasound use. To further increase the accessibility and utilization of obstetric ultrasound in maternity care in Tanzania, it is essential to provide training for midwives in basic obstetric ultrasound techniques.
A study reporting on health professionals’ insights and skills regarding pregnancy scans in TanzaniaThis study, conducted in Tanzania, explores health professionals’ perspectives on obstetric ultrasound, an important component believed to increase antenatal care attendance in low-income countries. The research was carried out through a cross-sectional study involving 636 health professionals, primarily physicians and midwives/nurses, to assess their self-reported skills in performing obstetric ultrasound examinations and identify factors that could enhance access to and utilization of obstetric ultrasound in clinical settings. The findings highlight that most health professionals view obstetric ultrasound as crucial in managing pregnancy. However, there is a notable discrepancy in the perceived skills between physicians and midwives/nurses, especially in basic obstetric ultrasound examinations. A majority of health professionals reported either no skills or low-level skills in assessing various aspects like cervical length, fetal heart (four-chamber views), aorta, pulmonary artery and Doppler (umbilical artery). The study suggests that improving access and utilization of obstetric ultrasound could be achieved through increased availability of quality ultrasound machines and enhanced training. Physicians expressed a stronger belief in the positive impact of more ultrasound machines, better machine quality, additional training for current ultrasound examiners and more physicians trained in ultrasound. The data underscores the potential for enhancing obstetric ultrasound provision in Tanzania by investing in better technology, providing more training for healthcare professionals and increasing the number of physicians skilled in ultrasound use. Furthermore, the study recommends targeted training for midwives to enhance their proficiency in basic obstetric ultrasound, ultimately contributing to improved accessibility and utilization of obstetric ultrasound in maternity care in Tanzania.