Assessing quality of documentation and interpretation of obstetric ultrasound scan performed by midwives at St Martins Hospital and Namwera Health Centre in Mangochi District

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2022-04-11
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A cross-sectional study design and will employ quantitative method. Quantitative data will be obtained from routine data thus registers and health passport books of women that received obstetric ultrasound scanning services done by midwives. The sample size 220. Quality of care delivered during antenatal affects the health outcome of both the mother and the baby being expected. The introduction of ultrasound scanning services in antenatal clinic is believed to improve both maternal and fetal outcome as ultrasound scan (USS) helps in diagnosis of fetal viability and anomalies, identification of high risk factors such as low lying placenta, determination of gestational age and estimation of date of delivery which helps the mother to plan for delivery in time. World Health Organization recommended that USS should be done in all pregnant mothers before 24 weeks gestation and that midwives can provide the ultrasound USS services. In midwifery practice documentation is very important as it gives a proof of recording and reporting of the care or intervention done. When a midwife has performed an USS, it is expected that the findings should be documented in the register and health passport book. This report will help the next provider to know the findings and help in the plan of care. Therefore, this study seeks to assess quality of documentation and interpretation of obstetrics ultrasound scan performed by midwives at St Martin’s hospital and Namwera health centre in Mangochi district. Methodology This will be a cross - sectional study design using quantitative methods. Data will be collected using routine data collection tools, USS register and ANC mother’s health passport book. Data will be analyzed using excel. Ethical approval will be sought from Kamuzu University of Health Sciences’ College of Medicine Research and Ethics Committee (COMREC). Expected findings and dissemination The researcher is expected to find poor documentation based on other studies in Africa and Malawi related to documentation practice by nurses (1) (2). However there can be a change as this study is assessing documentation practice in relation to ultrasound services since it is a new intervention provided by midwives hey may be motivated to document. The research findings will be presented to Mangochi DHO, Peers at School of Public Health, KUHeS and COMREC. Oral presentation at Consortium for Ultrasound Imaging in Malawi and be published in journal
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