Midwives' experiences of performing obstetric ultrasounds in maternity care: a systematic review

Abstract

Background/aims Ultrasound scans, often performed by midwives, play a vital role in the management of pregnancy, but there is a lack of literature on midwives' experience of this task. This study aimed to systematically review the experiences of midwives when performing obstetrical ultrasounds in maternity care. Methods Online databases, journals and cited references were searched, with no date limit. Thematic analysis was used to synthesise the findings. Results A total of eight studies were included. The five themes identified were 1) the benefits of ultrasound in maternity care, 2) access to and performing an obstetric ultrasound, 3) the relationship between midwives and ultrasound experts, 4) ethical and legal issues and 5) education and training for midwives. Midwives' positive experiences were usually a result of access to obstetric ultrasound and adequate support from obstetricians and radiologists. Negative experiences were caused by ethical and legal complications, as well as a lack of ultrasound equipment and training. Conclusions There is a need to support midwives in performing basic obstetric ultrasounds, through education and training, to improve maternity care.