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Screening Obstetric Ultrasound Training for a 5-Country Cluster Randomized Controlled Trial

Nathan, Robert MD, MPH*; Swanson, Jonathan O. MD*; Marks, William MD; Goldsmith, Nicole RDMS; Vance, Cheryl MA, RDMS§; Sserwanga, Ntale Brian DIP; Swanson, David MIDP; McClure, Elizabeth M. PhD; Franklin, Holly MPH; Mirza, Waseem MD#; Mwenechanya, Musaku MD**; Muyodi, David MD††; Figuero, Lester MD, FANCAP‡‡; Bolamba, Victor Lokomba MD§§; Goldenberg, Robert L. MD∥∥; Pineda, Irma Sayury‡‡

doi: 10.1097/RUQ.0000000000000096
Topics in Ultrasound Education

Abstract: With decreased equipment cost, provision of ultrasound is now feasible in some low resource settings. Screening obstetric ultrasound may identify potential pregnancy complications and, with this knowledge, allow women to plan to deliver at the appropriate level of care. In this article, we describe a 10-day course with quality assurance activities to train ultrasound-naïve, nonphysician healthcare professionals at midlevel health facilities to perform screening obstetric ultrasound. Those trained will participate in a cluster randomized controlled trial to assess the impact of screening obstetric ultrasound on maternal and newborn outcomes.

*Department of Radiology, University of Washington, Seattle, WA; †Radia, Seattle, WA; ‡University of Washington, Seattle, WA; §C&D Advance Consultants, LLC, San Antonio, TX; ∥Millennium Village Project, Ruhirra, Uganda; ¶Department of Statistics and Epidemiology, RTI International, Research Triangle Park, NC; #Department of Radiology, Aga Khan University, Karachi, Pakistan; **Department of Pediatrics, University Teaching Hospital, Lusaka, Zambia; ††Moi University School of Medicine, Eldoret, Kenya; ‡‡Fundación para la Alimentación y Nutrición de Centro América y Panamá (FANCAP), Guatemala City, Guatemala; §§Département de Gynécologie-Obstétrique, Faculté de Médecine, Université de Kinshasa, Kinshasa, République Démocratique du Congo; and ∥∥Department of Obstetrics and Gynecology, Columbia University, New York, NY.

Received for publication April 9, 2014; accepted May 12, 2014.

The authors declare no conflicts of interest.

This study was funded by the Bill & Melinda Gates Foundation, GE Healthcare, and grants from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (U01 HD040636, U01 HD040607, U01 HD058326, U01 HD043464, and U01 HD040657). The study ultrasound equipment was donated by GE Healthcare.

Reprints: Robert Nathan, MD, MPH, 3442 72nd Pl SE, Mercer Island, WA 98040 (e-mail: ronathan@uw.edu).

© 2014 by Lippincott Williams & Wilkins