The quality of routine examinations of the newborn performed by midwives and SHOs; an evaluation using video recordings

Bloomfield, Linda; Rogers, Catherine A.; Townsend, Joy; Wolke, Dieter; Quist-Therson, E.

doi:10.1258/096914103771773267

Cited by 27 publications

(22 citation statements)

References 16 publications

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“…Study limitations include a single centre design, and the absence of a validated method for assessment of newborn examination skills 26. While we demonstrated that the provision of additional learning material had a positive impact on the newborn examination skills of medical students, a randomised controlled trial comparison of the module with another additional learning resource would provide stronger evidence for the benefit of the module itself.…”

Section: Discussionmentioning

confidence: 75%

A randomised controlled trial of blended learning to improve the newborn examination skills of medical students

Stewart

Inglis

Jardine

et al. 2012

Arch Dis Child Fetal Neonatal Ed

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Section: Discussionmentioning

confidence: 75%

A randomised controlled trial of blended learning to improve the newborn examination skills of medical students

Stewart

Inglis

Jardine

et al. 2012

Arch Dis Child Fetal Neonatal Ed

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“…In another study, midwives specifically trained in the newborn examination were compared with SHOs given no specific training using video recordings to evaluate the quality of the newborn examination. 249 When rated by a consultant paediatrician masked to the identity of the examiner, a similar percentage of cardiac screening examinations performed by midwives and SHOs were rated as appropriately completed. When rated by a senior midwife, SHOs performed significantly worse than midwives.…”

Section: Effectiveness Of Current Uk Policymentioning

confidence: 99%

Newborn screening for congenital heart defects: a systematic review and cost-effectiveness analysis

Knowles¹,

Griebsch²,

Dezateux

et al. 2005

Health Technol Assess

214

143

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“…Clinical screening for DDH relies on detection of hip subluxation or dislocation soon after birth using Barlow or Ortolani methods and is experience-dependent with skilled, trained and experienced operators more reliably performing the procedure [6, 7]. As few as 31% of cases of DDH diagnosed on Graf ultrasound have a history of recognised risk factors or positive findings on clinical examination [8, 9].…”

Section: Introductionmentioning

confidence: 99%

Early dynamic ultrasound for neonatal hip instability: implications for rural Australia

Schoo

Walters

2017

BMC Pediatr

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BackgroundNeonatal instability of the hip (NIH), where the femoral head can move away from the acetabulum, in the first weeks of life, is an important risk factor for developmental dysplasia of the hip (DDH). In rural areas in Australia, there is a recent trend to increased late diagnosis of DDH. Clinical screening of infant hips, a common practice in Australia, is experience dependent. Best practice early screening techniques are still debated with different techniques and timing used internationally. This systematic review examines early dynamic ultrasound (eDUS) screening for hip instability in the first 6 weeks after birth, and the early interventions informed by these findings and considers the findings for the context of rural Australia.MethodsThe Cochrane Library, Medline, CINAHL and PEDro were searched for original research or systematic reviews, and clinical studies 1998 to 2015 involving dynamic ultrasound. Critical Appraisal Skills Programme tools were used to appraise the studies.ResultNineteen studies were included. Early Dynamic Ultrasound (DUS) is consistently described as a reliable assessment of NIH. Early DUS is recommended for risk factors including geographical areas of high prevalence. Approaches to early intervention of hips with excessive movement are somewhat discipline-related and include: primary prevention (advice), secondary prevention (abduction supports), and conservative management (removable splints).ConclusionsIn the context of increased prevalence of DDH in rural Australia, contemporary evidence suggests that introduction of early DUS could provide rural infants with more effective screening than clinical examination alone. Targeted early advice about posturing and simple removable supports to abduct infant hips could prevent some cases of DDH in rural Australia.

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The quality of routine examinations of the newborn performed by midwives and SHOs; an evaluation using video recordings

Cited by 27 publications

References 16 publications

A randomised controlled trial of blended learning to improve the newborn examination skills of medical students

A randomised controlled trial of blended learning to improve the newborn examination skills of medical students

Newborn screening for congenital heart defects: a systematic review and cost-effectiveness analysis

Early dynamic ultrasound for neonatal hip instability: implications for rural Australia

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