'Without ultrasound you can't reach the best decision' - Midwives' experiences and views of the role of ultrasound in maternity care in Dar Es Salaam, Tanzania.
Sex Reprod Healthc
; 15: 28-34, 2018 Mar.
Article
em En
| MEDLINE
| ID: mdl-29389498
ABSTRACT
OBJECTIVE:
To explore Tanzanian midwives' experiences and views of the role of obstetric ultrasound in relation to clinical management of pregnancy, and in situations where maternal and fetal health interests conflict.METHOD:
In 2015, five focus group discussions were conducted with midwives (Nâ¯=â¯31) at three public referral hospitals in the Dar es Salaam region as part of the CROss Country Ultrasound Study (CROCUS).RESULTS:
Ultrasound was described as decisive for proper management of pregnancy complications. Midwives noted an increasing interest in ultrasound among pregnant women. However, concerns were expressed about the lack of ultrasound equipment and staff capable of skilful operation. Further, counselling regarding medical management was perceived as difficult due to low levels of education among pregnant women.CONCLUSION:
Ultrasound has an important role in management of pregnancy complications. However, lack of equipment and shortage of skilled healthcare professionals seem to hamper use of obstetric ultrasound in this particular low-resource setting. Increased availability of obstetric ultrasound seems warranted, but further investments need to be balanced with advanced clinical skills' training as barriers, including power outages and lack of functioning equipment, are likely to continue to limit the provision of pregnancy ultrasound in this setting.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Complicações na Gravidez
/
Cuidado Pré-Natal
/
Atitude do Pessoal de Saúde
/
Ultrassonografia Pré-Natal
/
Tomada de Decisões
/
Tocologia
/
Enfermeiros Obstétricos
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Qualitative_research
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
/
Pregnancy
País/Região como assunto:
Africa
Idioma:
En
Revista:
Sex Reprod Healthc
Assunto da revista:
ENFERMAGEM
/
MEDICINA REPRODUTIVA
/
OBSTETRICIA
Ano de publicação:
2018
Tipo de documento:
Article