The Nelson Mandela School of Medicine, Durban, South Africa, and The National Center for Fetal Medicine (NCFM), Trondheim, Norway, have collaborated in developing an educational program in the use of ultrasound technology in pregnancy care for advanced midwives in the province of KwaZulu-Natal, South Africa. The education is taking place on campus in Durban, and a follow-up Internet solution is developed. The educational program is evaluated in a Ph.D. project. The preliminary results are presented here. The first objective is to evaluate cross-cultural, communicative and didactic challenges related to the education of the advanced midwives, both when it comes to the education on campus and the education on the Internet. The second objective is to evaluate how the advanced midwives experience the match between the educational program on the one hand and their daily work on the other. Both quantitative and qualitative methods are applied in the collection of the empirical material. The material is analyzed through theories on language and communication, mainly Critical Discourse Analysis inspired by Norman Fairclough. The evaluations indicate that there is a complexity of aspects influencing the education of the advanced midwives. The relevance of the education depends on contextual aspects in their daily work. Similar educational programs should be developed in collaboration with the potential users, in order for the education to be relevant to their daily work, and consequently in order to improve the care for pregnant women and their fetuses.