Ultrasound for Midwives

FOR MIDWIVES BY MIDWIVES

Ultrasound is a wonderful tool for midwives.

We can do a scan when it is needed.

We gain information with the woman and her family.

We can use the information immediately for diagnosis and management.

We refer her for more information and skill when needed.

 

Ultrasound for Midwives was designed
For Midwives by Midwives.

 

Please enjoy this website and let us know how we can be of assistance with helping you to learn what you need to incorporate ultrasound into your midwifery care.

 

Contact us at: cgegor@gmail.com or call: 410-707-7607.

 

 

Course Overview

“Ultrasound for Midwives” is a comprehensive course including lecture and hands-on scanning designed to prepare midwives to have the basic knowledge of Point of Care ultrasound. This knowledge covers a wide number of topics beginning with the concept of Point of Care (POC) scanning that sets the parameters of the scope of scanning at the bedside with the purpose of obtaining information for diagnosis and management of the patient needs in real time. POC ultrasound does not include 1st or 2nd trimester genetic screening or the full anatomy screen. It also does not include complex gynecologic evaluation.

The course goes on to cover focused gynecologic scans and focused first trimester obstetric exams. There is an introduction to the physics of diagnostic ultrasound as well as the concept of cross sectional anatomy necessary to scan and interpret the scans to be performed.

Focused second and third trimester scanning encompasses the range of biometry to assess fetal gestational age as well as the skills to perform and interpret the fetal well-being procedure of the Biophysical Profile. Estimated fetal weight is also included for second and third trimester scanning.

Finally, a thorough review of the ARDMS/ACNM Midwifery Certification Exam is introduced in depth. Both didactic material and the requirements for scanning in eight domains are discussed. The details of each are the structure of the overall course, giving the participants the option to be able to sit for the exam and the obtain quality images for approval for final certification.

Objectives for the lectures are highlighted below.


I. Introduction to Point of Care use of Ultrasound in Ob/Gyn settings

A. Objectives

At the end of this lecture, the participant will be able to

  1.  identify three reasons for incorporating Point of Care ultrasound (POCUS) into midwifery clinical practice
  2. discuss differences between POCUS exams from full-scope exams in the hands of an ultrasound expert

 

II. Focused gynecologic ultrasound exams

A. Objectives

 At the end of this lecture, the participant will be able to

  1. identify components of the basic gynecologic exam
  2.  identify physiologic changes identified in normal gynecologic scansidentify intrauterine device (IUD) placement
  3. discuss ultrasound elements of assisted reproductive techniques
  4.  know the indications for use of transabdominal vs transvaginal scanning

 

III. Focused first trimester obstetric exams

A.Objectives

At the end of this lecture, the participant will be able to

  1.  identify components of the first trimester obstetric exam
  2.  identify physiologic changes in the developing pregnancy throughout the first trimester
  3. indicate means of measuring images for gestational dating
  4. 4. identify signs of a failed pregnancy
  5. discuss the ultrasound and clinical findings of an ectopic pregnancy
  6. know the indications for use of transabdominal vs transvaginal scanning

 

IV. Focused gynecologic ultrasound exams

 A. Behavioral Objectives

 At the end of this lecture, the participant will be able to

  1. identify components of the basic gynecologic exam
  2. identify physiologic changes identified in normal gynecologic scans
  3. identify intrauterine device (IUD) placement
  4. discuss ultrasound elements of assisted reproductive techniques
  5. know the indications for use of transabdominal vs transvaginal scanning

 

V. Focused second and third trimester obstetric exams

A.Objectives

At the end of this lecture, the participant will be able to

  1. identify components of the second and third trimester biometry exams and related gestational age assessments
  2. identify indications for and components of the third trimester Biophysical Profile
  3. identify physiologic changes in the cervix during 2nd and 3rd trimesters
  4. identify specific components of the ultrasound exam that may be indicated by maternal/fetal complications

 

VI. ARDMS Midwife Focused Sonography Certificate

A.Objectives

At the end of this lecture, the participant will be able to

  1.  identify components of the ARDMS Midwife Focused Sonography
  2. identify scope of knowledge based exam
  3.  identify scope of hands-on documentation of competence
  4. identify appropriate candidates for the exam

Hands-on Scanning Sessions

This is a general description, behavioral objectives and content outline that will apply to each scan done throughout the day. Specific anatomy to be imaged is listed separately in the lectures.
 

Behavioral Objectives

At the end of this lecture, the participant will be able to:

  1. relate patient’s clinical history to the scanning results.
  2. indicate when a scan needs to be done by an expert sonographer.
  3. utilize knowledge of sound reflection as it relates to variations in tissue density.
  4. understand the “knobology” of the ultrasound machine.
  5. know how the manage cleaning and disinfection of ultrasound transducers.

Content Outline:

    A. Determine the necessity of a full bladder based on the indication for the Examination.

    B. Obtain a brief medical history from the patient as it pertains to her current clinical situation.

    C. Select the appropriate transducer based on the type of exam to be done and other needs of the patient.

    D. Modify the exam based on artifacts.

    E. Utilize the gain and time gain compensation on the machine.

    F. Identify and set the appropriate focal zone.

    G. Modify the exam based on the displayed mechanical index and its effect on the Fetus.

    H. Modify the exam based on the displayed thermal index and its effect on the Fetus.

    I. Practice the ALARA (as low as reasonably achievable) Principle.


1.65 CEUs (16.5 contact hours) have been approved by ACNM. Each participant will receive a certificate with indication of attendance and awarded CEUs.