1. Ultrasound working group
W. Motlolometsi
K. Makhathini
R. Motete

2. Scope of practice – Basic Midwife R2598
Chapter 3 - Acts and procedures
Diagnosing of a health need and the facilitation of the attainment of optimum physical and mental health for the mother and child
The monitoring of the progress of pregnancy , labour and puerperium
Monitor the reaction of the mother and child to disease conditions, trauma, stress, anxiety, medication and treatment

3. Competencies of a midwife Specialist by SANC
Assesses and screens streams of health care users of Reproductive Health Services – during ANC …..
Detects high risk factors and/ or complications of pregnancy….
Diagnoses problems…
Diagnose high risk factors
Ensure implementation of appropriate packages of care to ensure good outcomes in MNCWH (BANC….)
Appropriate referral if needed

4. ICM competency 3 Knowledge and understanding of …..
principles of dating pregnancy by menstrual history, size of uterus, fundal growth patterns and use of ultrasound (if available)
implications of deviation from expected fundal growth patterns, including intrauterine growth retardation/restriction, oligo- and polyhydramnios, multiple foetuses
how to determine foetal well-being during pregnancy including foetal heart rate and activity patterns

5. Questions
Do we need Midwives trained on Ultrasound ?If so why give reasons
Who should be targeted for training and why
Which training model should be taken
what specific issues should be included in ultrasound ( basic ultrasound v/s diagnostic
4. Accreditation
how should the process be taken forward
Protection against litigation
5. How should the training be rolled out
Centralized
Decentralized
Pilot

6. Task shifting Implication of Ultrasound in relation to task shifting
Cannot be considered as task shifting as it is part of practice ( BM &ADMs) and ICM competencies.

7. Way forward Develop the curriculum SANC Accreditation
Training as per agreed model