gms | German Medical Science

Background: In Germany, ultrasound examinations are an important part of medical care for pregnant women by gynaecologists. Internationally, some midwives also perform ultrasound examinations, but in Germany this is rather unusual. German midwives are not prohibited from using ultrasound in their work. However, there is a lack of the necessary specialised knowledge and the possibility of billing in principle.

In order to increase the knowledge of ultrasound examinations in pregnancy, an elective course “Ultrasound” has been offered since 2021 in the study programme “Post-qualifying midwifery”, and an elective course on ultrasound can also be taken in the 7^th semester of the dual study programme “B.Sc. midwifery science”.

Aim/research question: How can midwives in Germany be trained to perform ultrasound examinations and how can it be integrated into education in further trainings?

Methods: The aspects of the ultrasound module include the practical performance of ultrasound examinations and theoretical knowledge in this field. The students learn sonographic theory from prenatal diagnosticians, gynaecologists and experienced midwives. The legal aspects are taken up and discussed by a lawyer. Exercises show what is important in communication during an ultrasound examination. The implementation of ultrasound examinations by midwives in Germany is also being examined, discussed and reflected with regard to possible applications and effects. In addition to the teachers, other experts are invited to discuss specific aspects such as the professional policy dimension. The students learn the practical handling of an ultrasound device using three ultrasound devices and various models. After becoming more confident in using the equipment and most of the theory had been covered, it was possible to ultrasound pregnant women with various gestational ages.

Results: The conclusion of the student group of already certified midwives was that midwives should learn ultrasound and perform it as a complementary element in professional settings. The student group felt that the module was very valuable, informative and were in favour of implementing the module for the whole cohort.

Relevancy: Since ultrasound examination is the imaging diagnostic procedure in pregnancy and the “gold standard” for calculating the duration of pregnancy, it is difficult to understand why midwives do not learn and use this technique as a matter of course. The “ICM – Essential competencies for Midwifery practice” includes the performance of ultrasound examinations. The implementation of ultrasound competence in the midwife’s field of activity would strengthen primary care by the midwife.

Recommendations/conclusion: Learning ultrasound examinations, interpreting the results and acquiring practical knowledge about sonography should be accessible to midwives. This would be an option in dual studies, advanced master’s programmes or as continuing education.

Ethics and conflicts of interest: A vote on ethics was not necessary. The research was financed by own resources. There are no conflicts of interest.

The PDF file of the poster submitted for the meeting is available in German as Attachment 1 [Attach. 1].