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Overview

Delivering the knowledge base and skills required to assess fetal presentation and wellbeing with ultrasound.

Mercy Perinatal

Developed as a joint initiative between the Mobile Learning Unit, Melbourne Medical School, and Mercy Perinatal, Mercy Hospital for Women.

Many of the problems and clinical questions encountered in routine antenatal care can be quickly solved or easily answered with a bedside ultrasound scan. We have designed this ultrasound course to upskill midwives and doctors providing pregnancy care anywhere to be able to accurately determine fetal presentation, and to assess fetal wellbeing at the point of care, without having to refer on to a medical imaging service.

DESIGNED FOR

Midwives and doctors providing antenatal and intrapartum care to pregnant women.

LEARNING OUTCOMES

  1. USE an ultrasound machine to assess fetal presentation and wellbeing in pregnancy
  2. EXAMINE, determine and describe accurately fetal presentation and lie
  3. ANALYSE and access the amniotic fluid volume
  4. EVALUATE and perform a biophysical profile assessment
  5. EVALUATE blood flow resistance in the umbilical artery and the fetal middle cerebral artery
  6. APPLY knowledge of ultrasound results to patients' clinical contexts

COURSE OUTLINE

COURSE UNITS

  • Tutorial 1: Introduction to ultrasound
  • Tutorial 2: Fetal Presentation
  • Tutorial 3: Amniotic Fluid Volume - Biophysical Profile
  • Tutorial 4: Umbilical Artery Doppler
  • Tutorial 5: Middle Cerebral Artery Doppler

KNOWLEDGE AND SKILLS

  • Determination of fetal presentation and lie, including understanding when and why assessment of fetal presentation is indicated
  • Recognition of the fetal skull, spine and trunk, in longitudinal and transverse sections
  • Ability to assess amniotic fluid volume, and understanding of how it relates to fetal wellbeing
  • Understanding the most common causes of oligohydramnios and polyhydramnios
  • Ability to assess a fetal biophysical profile
  • Understanding of the basic physics and safety considerations of Doppler ultrasound
  • Ability to assess and quantify umbilical artery and fetal middle cerebral artery resistance
  • Understanding of how umbilical artery and fetal middle cerebral artery Doppler results relate to placental function at different gestations

ASSESSMENT

A Certificate of Completion is issued upon satisfactory completion of the course assessment requirements: 5 tutorial unit self-assessments, 10 case studies and one end of course examination.

DELIVERY MODE

Course completion requires approximately 13 hours of elearning (2 hours each tutorial, 2 hours for all case studies and 1 hour for the exam). Students have the flexibility to study in their own time and location. Program material can be accessed through the eLearning Education App on mobiles and tablets with iOS, Android or Windows systems. Program material can also be accessed on a PC using a web browser.

COURSE LEADERS

COURSE DIRECTORS

Professor Sue Walker AO, MBBS, FRANZCOG, MD, DDU, CMFM

Sheila Handbury Chair of Maternal Fetal Medicine

Head of Department, Obstetrics and Gynaecology, The University of Melbourne

Director Perinatal Medicine, Mercy Hospital for Women

Co-Director Mercy Perinatal

Sue Walker is a maternal-fetal medicine sub-specialist and an academic clinical researcher. She founded and continues to lead the Mercy Hospital for Women’s Perinatal Department. Sue is a national leader in her field, frequently invited to speak at international and national conferences and was recently awarded an Order of Australia. One of her primary research priorities is reducing preventable stillbirth. Her work has, and continues to focus upon, better assessment of fetal wellbeing and placental function. Sue has fostered a strong educational program through Mercy Perinatal, delivering the Fetal Medicine at Twilight Seminar series, and the hugely successful, annually sold-out conference, the Global Obstetric Update. This ultrasound course is the newest educational initiative that Sue has championed in her quest to bring babies safely home.

Dr Teresa MacDonald MBBS (Hons), BMedSci, FRANZCOG, PhD

Obstetrician and Gynaecologist, Mercy Hospital for Women

Clinician Scientist Research Fellow, Department of Obstetrics and Gynaecology, University of Melbourne

Teresa MacDonald is an obstetrician, gynaecologist and academic researcher. Her PhD investigated ways to improve the detection of poor placental function, under the guidance of Prof Walker as her primary supervisor. There was a major ultrasound focus to this work, interrogating both fetal growth velocity and Doppler ultrasound parameters.

Ms Rachel L Worboys BN, GDipMid

Nurse Unit Manager, Fetal Monitoring Unit, Mercy Hospital for Women

Rachel Worboys is a midwife providing both clinical and organisational leadership in her role in managing the Mercy’s Fetal Monitoring Unit. This essential part of the hospital’s antenatal landscape performs over 600 ultrasound assessments each month. Rachel performs these assessments as well as trains other midwives working in the unit. She sees the need first-hand for greater access for midwives to training in bedside ultrasound scanning for the assessment of fetal presentation and wellbeing and believes this course will fill the gap.

Sue, Teresa and Rachel are delighted to be co-directing this ultrasound course, delivering the education required to enable greater access for women to point of care ultrasound assessment in their pregnancies.

AUTHORS

Ms Nadia Bardien RN, RM, MMID

Dr Lindsay Bridgford CSM, MBBS, DRANZCOG, DCH, FACEM, DDU (EM), DDU (CC), MCU, ASCeXAM, FASE

Dr Teresa M MacDonald MBBS (Hons), BMedSci, FRANZCOG, PhD

Ms Rachel L Worboys BN, GDipMid

Prof Susan P Walker AO, MBBS, FRANZCOG, MD, DDU, CMFM

ACCREDITATION

This activity is approved for the period of 25/09/2020 to 24/09/2021 for RANZCOG CPD of 15 hours

RANZCOG Accreditation

Australian College of Midwives CPD Recognised Activity

ACM_accreditation

Course Information

Fees

For doctors (specialists/ GPs): AUD $385 (incl. GST)

For midwives/ trainees/ students: AUD $250 (incl. GST)

Location

Online

Entry requirements

Participants of this course should be either enrolled in, or have graduated from, a midwifery or medical degree.

Assessment

Course completion requires approximately 13 hours of elearning (2 hours each tutorial, 2 hours for all case studies and 1 hour for the exam). Students have the flexibility to study in their own time and location. Program material can be accessed through the eLearning Education App on mobiles and tablets with iOS, Android or Windows systems. Program material can also be accessed on a PC using a web browser.