Espino-y-Sosa S, Martínez-Sánchez A, Padilla-Jasso PY

Language: Spanish
References: 7
Page: 131-134
PDF size: 121.26 Kb.

ABSTRACT

Introduction: Knowledge of the fetal weight is an essential part of the prenatal care and it directly influences the clinical decisions. Determining the fetal weight is a skill included in the academic training program of Ob-Gynecologist Speciality. In this moment, there are not studies that evaluate the learning time in this skill. Objective: is to evaluate the grade of agreement between the expert and the learner in determining the fetal weight in a period of one month. Material and methods: We design a prospective cohort study to evaluate the grade of agreement in the fetal weight determinations between the expert and the learner using a standardized maneuver. We used the Kolmogórov-Smirnov test to evaluate the variable distribution dividing the study in three phases. The grade of agreement was calculated using (CCI) for individual measures. Results: We included a total of 151 fetal weight determinations in a total of 86 patients. The study was divided in three phases of 10 days respectively, during the first 10 days we did not found any correlation (p = 0.97), between days 11-20 we found a good correlation (r = 0.67 p ‹ 0.001) with a relevant improvement n the last 10 days (r = 0.86 p‹ 0.001). At the end of the study we achieve an agreement grade of (CCI 0.86 CI 95%: 0.78-0.92). Conclusions: It is important to bring out the fact that it is possible to acquire this skill in a period of 30 days being the learner capable to determine the fetal weight after this maneuver.

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