{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T19:29:53Z","timestamp":1791833393005,"version":"4.3.4"},"reference-count":49,"publisher":"BMJ","issue":"9","funder":[{"DOI":"10.13039\/501100004885","name":"Ume\u00e5 Universitet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004885","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002960","name":"V\u00e4sterbotten L\u00e4ns Landsting","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002960","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","award":["2014-2672"],"award-info":[{"award-number":["2014-2672"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"publisher","award":["2013-2699"],"award-info":[{"award-number":["2013-2699"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,8,29]]},"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Obstetric ultrasound is an important part of antenatal care in Vietnam, although there are great differences in access to antenatal care and ultrasound services across the country. The aim of this study was to explore Vietnamese health professionals\u2019 experiences and views of obstetric ultrasound in relation to clinical management, resources and skills.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional questionnaire study was performed as part of the CROss Country UltraSound study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Health facilities (n=29) in urban, semiurban and rural areas of Hanoi region in Vietnam.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Participants were 289 obstetricians\/gynaecologists and 535 midwives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A majority (88%) of participants agreed that \u2018every woman should undergo ultrasound examination\u2019 during pregnancy to determine gestational age. Participants reported an average of six ultrasound examinations as medically indicated during an uncomplicated pregnancy. Access to ultrasound at participants\u2019 workplaces was reported as always available regardless of health facility level. Most participants performing ultrasound reported high-level skills for fetal heart rate examination (70%), whereas few (23%) reported being skilled in examination of the anatomy of the fetal heart. Insufficient ultrasound training leading to suboptimal pregnancy management was reported by 37% of all participants. \u2018Better quality of ultrasound machines\u2019, \u2018more physicians trained in ultrasound\u2019 and \u2018more training for health professionals currently performing ultrasound\u2019 were reported as ways to improve the utilisation of ultrasound.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Obstetric ultrasound is used as an integral part of antenatal care at all selected health facility levels in the region of Hanoi, and access was reported as high. However, reports of insufficient ultrasound training resulting in suboptimal pregnancy management indicate a need for additional training of ultrasound operators to improve utilisation of ultrasound.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-031761","type":"journal-article","created":{"date-parts":[[2019,9,23]],"date-time":"2019-09-23T07:04:07Z","timestamp":1569222247000},"page":"e031761","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["Health professionals\u2019 experiences and views on obstetric ultrasound in Vietnam: a regional, cross-sectional study"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3391-2308","authenticated-orcid":false,"given":"Sophia","family":"Holmlund","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences, Obstetrics and Gynecology, Ume\u00e5 University, Ume\u00e5, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pham Thi","family":"Lan","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology, Hanoi Medical University, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Edvardsson","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Obstetrics and Gynecology, Ume\u00e5 University, Ume\u00e5, Sweden"},{"name":"Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ho Dang","family":"Phuc","sequence":"additional","affiliation":[{"name":"Department of Probability and Mathematical Statistics, Institute of Mathematics, Vietnam Academy of Science and Technology, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Ntaganira","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Rwanda, College of Medicine and Health Sciences, Kigali, Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhonda","family":"Small","sequence":"additional","affiliation":[{"name":"Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia"},{"name":"Department of Women's and Children's and Reproductive Health, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussein","family":"Kidanto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Aga Khan University - Tanzania, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matilda","family":"Ngarina","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Muhimbili National Hospital, Dar es Salaam, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Mogren","sequence":"additional","affiliation":[{"name":"Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,9,22]]},"reference":[{"key":"2025121508560694000_9.9.e031761.1","unstructured":"Ministry of Health Viet Nam, Partnership for Maternal, Newborn & Child Health, WHO, World Bank and Alliance for Health Policy and Systems Research . 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