EP01.64: What the clinicians think: the use of a growth parameter decision tool to help standardise care for women having ultrasounds

To ascertain the acceptability of a decision aid amongst clinicians who interpret growth scans. A retrospective semi-qualitative survey of maternity staff in a UK tertiary maternity unit expected to interpret growth scans in their role. Prior to tool introduction, clinicians interpreted a guideline describing growth parameters and Doppler readings and acted upon these. After introduction, an algorithm output was used. This decision tool quantifies women into high/moderate/low risk, and provides a time for repeat scan/delivery. Of 41 responders to the questionnaire (46% midwives, 7% sonographers, 26% junior doctors, 20% consultants), most felt they understood what Cerebral-Placental Ratio Multiples of the Median was describing, and found it useful to make management decisions (see figure 1). Most participants followed the decision aid advice: 25 (61.0%) ‘always’, 16 (39.0%) ‘often did’, three (7.3%) ‘sometimes’ or ‘never’ (2.4%) did. In a semi quantitative review, comments were favourable: ‘There has been one occasion where I have not followed the guidance as it did not make clinical sense. On the whole the CPR MoM has agreed with the management plan I would have put in place, or it has made the decision making process easier’. Clinicians have found this decision aid helpful for standardising and guiding the management plans for women following growth scans. 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.