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- W2897322664 abstract "Growth restricted infants face the greatest risk of death and disability and detection of in-utero growth restriction can aid in early intervention. Accurate gestational dating, through a combination of last menstrual period and ultrasound (U/S), is the foundation of successful monitoring. However, few low-resource facilities or providers are equipped with the tools to successfully determine gestational age and accurately assess fetal growth. The recent INTERGROWTH-21st project produced a set of screening tools to combat these challenges. The tools include methods for accurate gestational dating, and detection of fetal/newborn growth disturbances by utilising routine prenatal U/S. Our study explores the acceptability and feasibility of implementing the INTERGROWTH-21st U/S standards over a one-year period at Jacaranda Health, a hospital that serves low and middle-income women in peri-urban Nairobi providing high quality affordable maternity care. Our implementation study included a six-month preimplementation phase which entailed procurement of supplies, updating ANC protocols to include gestational dating U/S, updating U/S forms to capture new parameters and training providers in U/S techniques. This was followed by a one-year implementation/observation phase. The acceptability and feasibility of implementation was assessed by using qualitative and quantitative clinical indicators. We will report on nurse/sonographer perceptions of the feasibility and acceptability of introducing new U/S techniques and tools for gestational dating. We will also report quantitative indicators of fidelity to the new protocol based on uptake of gestational dating U/S and completeness of documentation. As we navigate the successes and challenges related to implementing the INTERGROWTH-21st U/S tools into JH, we hope to contribute to a wider discussion regarding improvements in accurate gestational dating and fetal and newborn growth, specifically in other low resource settings. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
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- W2897322664 date "2018-10-01" @default.
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- W2897322664 title "P08.02: Implementing INTERGROWTH-21st standards in peri-urban Nairobi, Kenya: translating global guidelines into clinical practice in a low-resource setting" @default.
- W2897322664 doi "https://doi.org/10.1002/uog.19677" @default.
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