Standards for midwife Practitioners of external cephalic version: A Delphi study

Walker, Shawn, Perilakalathil, Prasanth, Moore, Jenny, Gibbs, Claire, Reavell, Karen and Crozier, Kenda ORCID: (2015) Standards for midwife Practitioners of external cephalic version: A Delphi study. Midwifery, 31 (5). e79–e86. ISSN 0266-6138

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Introduction: Expansion of advanced and specialist midwifery practitioner roles across professional boundaries requires an evidence-based framework to evaluate achievement and maintenance of competency. In order to develop the role of Breech Specialist Midwife to include the autonomous performance of external cephalic version within one hospital, guidance was required on standards of training and skill development, particularly in the use of ultrasound. Methods: A three-round Delphi survey was used to determine consensus among an expert panel, including highly experienced obstetric and midwife practitioners, as well as sonographers. The first round used mostly open-ended questions to gather data, from which statements were formed and returned to the panel for evaluation in subsequent rounds. Results: Standards for achieving and maintaining competence to perform ECV, and in the use of basic third trimester ultrasound as part of this practice, should be the same for midwives and doctors. The maintenance of proficiency requires regular practice. Conclusions: Midwives can appropriately expand their sphere of practice to include ECV and basic third trimester ultrasound, according to internal guidelines, following the completion of a competency-based training programme roughly equivalent to those used to guide obstetric training. Ideally, ECV services should be offered in organised clinics where individual practitioners in either profession are able to perform approximately 30 or more ECVs per year in order to maintain an appropriate level of skill.

Item Type: Article
Uncontrolled Keywords: midwives,training,breech,cephalic version,ultrasound,health professions(all) ,/dk/atira/pure/subjectarea/asjc/3600
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Community and Family Health (former - to 2017)
Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
Depositing User: Pure Connector
Date Deposited: 02 Feb 2015 16:00
Last Modified: 19 Oct 2023 01:25
DOI: 10.1016/j.midw.2015.01.004


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