Publications by authors named "Doris Kayambo"
Midwife-Led Ultrasound Scanning to Date Pregnancy in Malawi: Development of a Novel Training Program.
J Midwifery Womens Health
November 2022
Article Synopsis
- The use of ultrasound for determining gestational age is crucial for managing pregnancies, but it's often inaccessible in low-income countries due to a lack of trained practitioners.
- A new training course was developed to teach midwives essential skills in ultrasound scanning within a more practical timeframe of 10 days, instead of longer, traditional programs.
- This program has already seen success in Malawi, with 28 midwives becoming competent in ultrasound skills, highlighting the importance of adaptive approaches in medical training amid various challenges.
Introduction: Although ultrasound to determine gestational age is fundamental to the optimum management of pregnancy and is recommended for all women by the World Health Organisation, it remains unavailable to many women in low-income countries where trained practitioners are scarce. This study aimed to evaluate a novel, context-specific education package to teach midwives basic obstetric ultrasound, including the determination of gestational age by measurement of fetal femur length.
Methods: The study was conducted across six sites in Malawi in January 2021.
Background: Neonates born to women infected with HIV are at increased risk for invasive group B streptococcus (GBS) disease. We aimed to compare safety and immunogenicity of trivalent glycoconjugate GBS vaccine in pregnant women with and without HIV in Malawi and South Africa.
Methods: In our non-randomised phase 2, open-label, multicentre study, we recruited pregnant women attending two antenatal clinics, one in Blantyre, Malawi, and one in Soweto, Johannesburg, South Africa.