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科学技术培训对改善资源有限地区胎儿生长曲线发育数据库充分性的影响:以印度尼西亚南加里曼丹省为例

The Impact of Scientific and Technical Training on Improving Databases' Adequacy for Fetal Growth Chart Development in Limited-Resource Settings: A Case Study in the Province of South Kalimantan, Indonesia.

作者信息

Anggraini Dewi, Abdollahian Mali, Marion Kaye, Nuryani Supri, Ramadhan Fadly, Rahayu Rezky Putri, Rachman Irfan Rizki, Wurianto Widya

机构信息

School of Science (Mathematical and Geospatial Sciences), College of Science, Engineering, and Health, RMIT University, GPO BOX 2476, Melbourne, VIC 3001, Australia.

Study Program of Mathematics, Faculty of Mathematics and Natural Sciences, University of Lambung Mangkurat (ULM), Ahmad Yani Street, Km. 36, Banjarbaru, South Kalimantan 70714, Indonesia.

出版信息

J Pregnancy. 2019 Feb 3;2019:8540637. doi: 10.1155/2019/8540637. eCollection 2019.

DOI:10.1155/2019/8540637
PMID:30854237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6377992/
Abstract

OBJECTIVES

To assess the impact of scientific and technical training on midwives' abilities in collecting and recording the key performance indicators for fetal growth chart development in limited-resource settings.

METHODS

A descriptive design was used to describe midwives' abilities in timely collecting and recording the minimum data required to estimate fetal weight and develop fetal growth chart. The study was conducted among 19 urban and rural midwives in South Kalimantan, Indonesia, between April 2016 and October 2017. The training provided access to antenatal care information on 4,946 women (retrospective cohort study) and 381 women (prospective cohort study).

RESULTS

The average amount of recorded antenatal care data on the key performance indicators of fetal growth assessment has been significantly improved (from 33.4% to 89.1%, p-value < 0.0005) through scientific and technical training.

CONCLUSIONS

Scientific knowledge and technical abilities have enabled midwives to timely record routine data of the key performance indicators for fetal growth surveillance. Access to this information is vital during different stages of pregnancy. The information can be utilised as evidence-based guidelines to assess fetal risks through fetal weight estimation and to develop fetal growth chart that is currently not available in Indonesian primary healthcare systems.

摘要

目的

评估科学技术培训对助产士在资源有限环境中收集和记录胎儿生长图表制定关键绩效指标能力的影响。

方法

采用描述性设计来描述助产士及时收集和记录估计胎儿体重及制定胎儿生长图表所需最低数据的能力。2016年4月至2017年10月期间,在印度尼西亚南加里曼丹的19名城乡助产士中开展了该研究。培训提供了4946名妇女的产前护理信息(回顾性队列研究)和381名妇女的产前护理信息(前瞻性队列研究)。

结果

通过科学技术培训,胎儿生长评估关键绩效指标的记录产前护理数据平均量有显著提高(从33.4%提高到89.1%,p值<0.0005)。

结论

科学知识和技术能力使助产士能够及时记录胎儿生长监测关键绩效指标的常规数据。在孕期不同阶段获取这些信息至关重要。这些信息可作为循证指南,通过胎儿体重估计评估胎儿风险,并制定印度尼西亚初级医疗保健系统目前没有的胎儿生长图表。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6b/6377992/a76e30e7ce6a/JP2019-8540637.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6b/6377992/e98bdabd1d33/JP2019-8540637.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6b/6377992/cbd636774f28/JP2019-8540637.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6b/6377992/a76e30e7ce6a/JP2019-8540637.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6b/6377992/e98bdabd1d33/JP2019-8540637.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6b/6377992/cbd636774f28/JP2019-8540637.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6b/6377992/a76e30e7ce6a/JP2019-8540637.003.jpg

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本文引用的文献

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Foetal weight prediction models at a given gestational age in the absence of ultrasound facilities: application in Indonesia.在没有超声设备的情况下预测特定孕周胎儿体重的模型:在印度尼西亚的应用。
BMC Pregnancy Childbirth. 2018 Nov 6;18(1):436. doi: 10.1186/s12884-018-2047-z.
2
The Impact of Scientific and Technical Training on Improving Routine Collection of Antenatal Care Data for Maternal and Foetal Risk Assessment: A Case Study in the Province of South Kalimantan, Indonesia.科技培训对改善用于孕产妇和胎儿风险评估的产前保健数据常规收集的影响:印度尼西亚南加里曼丹省的案例研究
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定制生长图表:原理、验证和临床获益。
Am J Obstet Gynecol. 2018 Feb;218(2S):S609-S618. doi: 10.1016/j.ajog.2017.12.011.
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Correction: The World Health Organization Fetal Growth Charts: A Multinational Longitudinal Study of Ultrasound Biometric Measurements and Estimated Fetal Weight.更正:世界卫生组织胎儿生长图表:超声生物测量和估计胎儿体重的多国纵向研究。
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WHO recommendations on antenatal care for a positive pregnancy experience-going beyond survival.世界卫生组织关于获得积极妊娠体验的产前保健建议——超越生存目标。
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International standards for symphysis-fundal height based on serial measurements from the Fetal Growth Longitudinal Study of the INTERGROWTH-21st Project: prospective cohort study in eight countries.基于INTERGROWTH-21st项目胎儿生长纵向研究系列测量结果的耻骨联合上缘至宫底高度国际标准:八个国家的前瞻性队列研究
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