Evaluating a Training Package for Obstetric Emergencies.

Abstract

The Confidential Enquiries identified sub-optimal intrapartum care as a significant contributory factor in deaths of mothers and babies. National bodies have recommended annual, multi-professional training in the management of obstetric emergencies. The Clinical Negligence Scheme for Trusts has proposed a core content, however little evidence exists regarding the best method of training. The South West Obstetric Network received a DoH grant to evaluate the effectiveness of different types of training on abilities of labour ward staff to manage obstetric emergencies. The SaFE Study (Simulation and Fire drill Evaluation) commenced in 2004. 45 doctors and 96 midwives were randomly selected from six maternity units in the South West to participate in one of four training interventions; a one or two day obstetric emergency course run either locally or at a simulation centre. The clinical content of all courses was identical; the two day courses included teamwork training. Participants attended an evaluation assessment two weeks before and after training. The content of the courses was standardised using an ‘all inclusive’ multi-professional training package. It contained a course manual for participants, a trainers’ manual, fire drill scenarios and equipment lists, participant performance checklists and a CD of all lectures and videos. Each trainer attended a ‘Training the Trainers’ day. The training package was both deliverable and popular in all sites. All four training interventions were equally effective at improving knowledge and skills. An increased knowledge of local protocols and equipment was recognised as an additional benefit of local training.