Percorrer por autor "Gomes, Tatiana M."
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- Capacity building in obstetric and abdominal ultrasound for sickle cell disease pregnancies in Angola: a pre- and post-training evaluationPublication . Ribeiro, Ricardo Teresa; Hcini, Najeh; Vasconcelos, Jocelyne; Alves, Ligia; Mendes, Manuela; Gomes, Tatiana M.; Brito, Miguel; Pomar, LéoObjectives: Sickle cell disease (SCD) increases risks in pregnancy, affecting both maternal and fetal outcomes. Ultrasound (US) is essential for monitoring these high-risk pregnancies. However, in countries like Angola, where SCD affects nearly 3% of pregnancies, access to skilled professionals is limited. This study evaluated the impact of an intensive US training program in Luanda, focusing on obstetric and abdominal US for SCD pregnancies. Methods: A prospective pre-post intervention study was conducted with 24 healthcare professionals working in 2 maternity units. Participants completed a survey to assess confidence in performing US procedures before and after a 1-week intensive training program. The training consisted of didactic lectures, supervised hands-on practice with real patients, and case discussions. Statistical analysis included distribution analysis and frequency, Mann-Whitney U tests, and effect sizes. Results: Pre-training, participants demonstrated limited experience with both abdominal and obstetric US in SCD pregnancies. Post-training, improvements were observed in assessments of abdominal organs and obstetric evaluations, with significance in Doppler assessments. Conclusion: The program effectively improved US proficiency and confidence in assessing SCD pregnancies. Incorporating continuous mentorship and locally adapted protocols could sustain these gains, with potential long-term benefits in maternal and fetal outcomes. Future initiatives should incorporate digital mentorship and refresher training.