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首页> 外文期刊>Ultrasound in Medicine and Biology >Focused maternal ultrasound by midwives in rural Zambia.
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Focused maternal ultrasound by midwives in rural Zambia.

机译：赞比亚农村地区助产士对产妇进行聚焦超声检查。

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Point-of-care ultrasound is being increasingly implemented in resource-poor settings in an ad hoc fashion. We developed a focused maternal ultrasound-training program for midwives in a rural health district in Zambia. Four hundred forty-one scans were recorded by 21 midwives during the 6-month study period. In 74 scans (17%), the ultrasound findings prompted a change in clinical decision-making. Eight of the midwives were evaluated with a 14-question observed structured clinical examination (OSCE) and demonstrated a slight overall improvement with mean scores at 2 and 6 months of 10.0/14 (71%) and 11.6/14 (83%), respectively. Our pilot project demonstrates that midwives in rural Zambia can be trained to perform basic obstetric ultrasound and that it impacts clinical decision-making. Ultrasound skills were retained over the study period. More data is necessary to determine whether the introduction of ultrasound ultimately improves outcomes of pregnant women in rural Zambia.
机译：在资源匮乏的环境中，越来越多地以临时方式实施即时医疗超声。我们为赞比亚农村卫生区的助产士制定了重点产妇超声培训计划。在为期6个月的研究期间，由21名助产士记录了414次扫描。在74次扫描中（占17％），超声检查结果提示临床决策发生了变化。八个助产士接受了14个问题的观察结构化临床检查（OSCE）评估，结果显示总体上略有改善，在2个月和6个月时的平均评分分别为10.0 / 14（71％）和11.6 / 14（83％） 。我们的试点项目表明，赞比亚农村地区的助产士可以接受培训，以进行基本的产科超声检查，这会影响临床决策。在研究期间保留了超声技能。需要更多数据来确定超声的引入是否最终改善赞比亚农村孕妇的结局。

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