Proposed Topic (Most preferred): :
Research and Innovations (new projects / technology / innovations / service models)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Authors (including presenting author) :
Hung CMW(1), Chan VYT(1), Cheng WT(1), Wong CK(1), Ho KWK(1), Wan P(1), Li YY(1), Leung CW(1), Lau WL(1)
Affiliation :
(1)Department of Obstetrics and Gynaecology, Kwong Wah Hospital
Introduction :
Ultrasound is widely used in obstetrics, but its use for assessing labor is still a growing trend worldwide. Intrapartum ultrasound is primarily used as an objective tool to determine the fetal head position, station, and attitude during the first and second stage of labor. It is recommended as an adjunct to digital vaginal examination to facilitate clinical decision making. Our unit has been performing intrapartum ultrasound since 2009. However, in Hong Kong, the use of ultrasound during labor is still uncommon due to a lack of training and familiarity with transperineal scanning and image interpretation. As with any technical skill in the medical field, hands-on training is crucial for acquiring knowledge, skills and building confidence.
Objectives :
To enhance the knowledge, skills and attitude of doctors by participating in a targeted hands-on workshop on Intrapartum Ultrasound.
Methodology :
The first hands-on Intrapartum Ultrasound Workshop was conducted in July 2023 at Kwong Wah Hospital, with 15 doctors nominated from all eight Obstetrics units under the Hospital Authority. Prior to the workshop, participants were given pre-course materials to familiarize themselves with the basic techniques of intrapartum ultrasound. The workshop comprised of lectures followed by hands-on sessions, which were further divided into three parts. The first part of the workshop focused on interpreting ultrasound images and demonstrating techniques of performing transperineal ultrasound with the help of a manikin. Another part utilized a simulation model (IUSim™) where participants could perform the scan and interpret findings simultaneously. The third part of the workshop involved case discussions using real-life cases from our unit. Participants were invited to complete an evaluation form at the end of the workshop.
Result & Outcome :
All participants completed the evaluation and they agreed that the workshop significantly improved their knowledge in performing intrapartum ultrasound, with an average score of 4.9 on a scale of 1 to 5. Participants also reported increased confidence levels, with an average score of 4.9. When asked about the usefulness of intrapartum ultrasound and their willingness to perform or teach it in their own units, the average scores were 4.6, 4.5, and 4.6, respectively. The overwhelmingly positive feedback regarding improved knowledge, skills, and attitude following the workshop highlights the effectiveness of a targeted training session with hands-on experience. Additional workshops are planned for 2024 to equip more staff with this valuable skill, with the ultimate aim of ensuring safe deliveries and optimizing the birthing experience.
