Abstract
Objectives To assess the impact of scientific and technical training on midwives' abilities in collecting and recording the key performance indicators for fetal growth chart development in limited-resource settings. Methods A descriptive design was used to describe midwives' abilities in timely collecting and recording the minimum data required to estimate fetal weight and develop fetal growth chart. The study was conducted among 19 urban and rural midwives in South Kalimantan, Indonesia, between April 2016 and October 2017. The training provided access to antenatal care information on 4,946 women (retrospective cohort study) and 381 women (prospective cohort study). Results The average amount of recorded antenatal care data on the key performance indicators of fetal growth assessment has been significantly improved (from 33.4% to 89.1%, p-value < 0.0005) through scientific and technical training. Conclusions Scientific knowledge and technical abilities have enabled midwives to timely record routine data of the key performance indicators for fetal growth surveillance. Access to this information is vital during different stages of pregnancy. The information can be utilised as evidence-based guidelines to assess fetal risks through fetal weight estimation and to develop fetal growth chart that is currently not available in Indonesian primary healthcare systems.
Highlights
Fetal growth assessment during antenatal care (ANC) is fundamental in preventing potentially adverse pregnancy outcomes
The primary aim was to study retrospectively and prospectively the process of ANC services in Indonesian primary healthcare (PHC) centres, in documenting routine maternal, foetal, and neonatal data that are required for fetal weight estimation [25, 26] and fetal growth chart development [27,28,29,30] (Table 1)
In the developed electronic register, new columns to record these characteristics were created. We proposed that these characteristics should be included in the current ANC data recording and reporting systems in Indonesia
Summary
Fetal growth assessment during antenatal care (ANC) is fundamental in preventing potentially adverse pregnancy outcomes. It has been well documented that one of the main objectives of ANC services is to detect the risk of intergrowth abnormalities [1, 2]. The information can facilitate timely evidence-based interventions and ensure safe pregnancy outcomes [2,3,4,5]. Adequate use of, and systematic analysis of fetal growth information is crucial for monitoring, detecting, and assessing risks linked to neonatal mortality. The access to reliable, complete, and timely information on pregnancyrelated outcomes and interventions remains challenging in Indonesia. Leading to non-evidence-based decisions for program planning and allocating resources [6, 7]
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