Improving the detection of fetal growth restriction: evaluation of user experience of an interactive educational program

Improving the detection of fetal growth restriction: evaluation of user experience of an interactive educational program

Weller, Megan (1), Gardener, Glenn (1), Firth, Tracey (2), Warrilow, Kara (2), Gordon, Adrienne (1,3), Sethna, Farah (4), Henaway, Toni-Maree (5), Chand, Reshika (1), Flenady, Vicki (1)

(1) Centre of Research Excellence in Stillbirth, Mater Research Institute – The University of Queensland, Brisbane, Australia; (2) Safer Care Victoria, Australia; (3) Royal Prince Alfred Newborn Care, Sydney, Australia; (4) Centenary Hospital for Women and Children, ACT Health, Australia; (5) Mater Education, Mater Health Services, Brisbane, Australia

Background:
Undetected fetal growth restriction (FGR) is a major contributor to stillbirth and other adverse pregnancy outcomes. Current antenatal detection of FGR is suboptimal, and practice surrounding this is variable. Improving the detection and care of pregnancies with FGR is an important strategy to reduce adverse outcome and is relevant to all maternity care providers.

Methods:
A four and a half face-to-face workshop has been developed to provide education to clinicians to improve the detection and management of FGR. Evaluation of participant knowledge and confidence of 11 learning objectives was undertaken using a paper based or on-line survey administered immediately before and after the workshop.

Results:
585 participants have attended the 20 workshops held to date. Pre-workshop evaluation surveys were completed by 449 participants; including 387 midwives, 60 doctors and 2 nurse educators. Post-workshop evaluation surveys were completed by 327 participants; including 281 midwives, 44 doctors and 2 nurse educators. A high level of satisfaction was reported for all aspects of the workshop including quality of facilitators, learning resources, relevant content and presentation The FGR education program appears to be beneficial in improving clinician knowledge and confidence in the detection and management of FGR across all learning objectives (see figure 1). Overall, 37% of participants reported being confident or extremely confident in best practice for the detection and clinical management of FGR prior to the program and this increased to 88% post-workshop. 92% of participants indicated they would change some aspect of their clinical practice following the workshop. format.

Conclusions:
The FGR education program appears to be beneficial in improving clinician knowledge and confidence in the detection and management of FGR. Participants reported a high level of satisfaction for all aspects of the workshop including quality of facilitators, learning resources, relevant content and presentation format.

Ethics Statement:
The fetal growth restriction program is a quality assurance activity and therefore ethics approval was not sought.


International Stillbirth Alliance, Annual Conference on Perinatal Mortality and Bereavement Care, Madrid, Spain. October 5-6th, 2019.

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