, Room 212, 8 Portland Villas, Plymouth University, Drake Campus, Plymouth, PL4 8AA, UK.
Deputy Head of School, Associate Head of School (Teaching & Learning), School of Nursing & Midwifery, University of Plymouth, Room 210, 8 Portland Villas, Drake Circus, Plymouth, PL4 8AA, UK.
Nurse Educ Pract. 2020 Mar;44:102756. doi: 10.1016/j.nepr.2020.102756. Epub 2020 Mar 6.
Fetal growth restriction is a major complication of pregnancy and increases the risk of stillbirth. Midwives screen for fetal wellbeing by measuring the symphysis fundal height to detect growth restriction, which can present in a low risk pregnancy or occur late in gestational age. The detection, surveillance and onward referral of these pregnancies are the responsibility of all midwives. To prevent avoidable stillbirth due to restricted fetal growth and to ensure safe, evidence based practice, the Perinatal Institute developed the Growth Assessment Protocol (GAP). A qualitative study using semi-structured interviews was conducted to explore 2nd year student midwives' perception of the GAP training and its impact on their clinical practice. Data was analysed and four main themes were identified using interpretative phenomenological analysis. The findings from the study show that the participants viewed the GAP training as 'authentic' and commented on the alignment with contemporary practice for the detection and surveillance of at risk pregnancies. The findings suggest that GAP training for pre-registration student midwives has the potential to provide a sustainable workforce, prepared to meet the World Health Organisation's global strategy for eliminating avoidable stillbirth by 2030.
胎儿生长受限是妊娠的主要并发症之一，增加了死胎的风险。助产士通过测量耻骨联合宫底高度来监测胎儿的健康状况，以发现生长受限，这种情况可能在低风险妊娠中出现，也可能在妊娠晚期出现。所有助产士都有责任对这些妊娠进行检测、监测和转介。为了防止因胎儿生长受限而导致的可避免性死胎，并确保安全、基于证据的实践，围产期研究所制定了生长评估方案（GAP）。本研究采用半结构式访谈进行了定性研究，以探讨二年级学生助产士对 GAP 培训的看法及其对临床实践的影响。使用解释现象学分析对数据进行了分析，并确定了四个主要主题。研究结果表明，参与者认为 GAP 培训是“真实的”，并评论了其与当代检测和监测高危妊娠实践的一致性。研究结果表明，为注册前学生助产士提供 GAP 培训有可能提供一支有能力的劳动力队伍，为实现世界卫生组织到 2030 年消除可避免死胎的全球战略做好准备。
