Obstetric Safety: The Security Apparatus Enhanced the Self-Efficiency of Medical Students in Vaginal Birth Practice in a Simulation Trial

Kitti Krungkraipetch

doi:10.5539/gjhs.v12n8p176

Abstract

Currently, the safety of patients is an integral part of clinical practice, especially within medical schools. The safety device and the environment had to be concerned when medical education modules were set up. One of the most worriers in obstetrical practice among undergraduates was vaginal birth training. The inadequate safety instrument in training made students loss of their self-reliance and competence. This study aimed to test the effect of a new safety apparatus on the self-confidence and clinical performance of undergraduates on vaginal birth training. The medical students were randomized to this sample and split into two groups for two vaginal birth simulation stations; convention and intervention. The participants&rsquo; self-confidence assessment was carried out at the end of trial. In addition, clinical performance ratings on vaginal birth simulation were analyzed by experts during the experiments. There was 40 medical students attended to this trial and found a significant statistical increment in GSE and CPAT scores in the intervention trial. All volunteers were satisfied with the new safety equipment and more confident to taking care of mothers in vaginal birth practices. We concluded that this innovation could boost the confidence of medical students in vaginal birth practices and increase their clinical performance in simulation. However, it needs to be checked again in the workplace.

Highlights

Back in the days when researchers and friends were medical students, we sometimes heard jokes about “Newborns dropping into the garbage” caused by undergraduates on vaginal delivery practices
This study aimed to test the effect of a new safety apparatus on the self-confidence and clinical performance of undergraduates on vaginal birth training
A systematic review showed that shift work, extended working hours, and sleep deprivation of physicians resulted in adverse patient outcomes. (Mansukhani, Kolla, Surani, Varon, & Ramar, 2012) While the Medical Council has introduced a policy that every physician should remain in duty for no longer than 24 consecutive hours, it is still impossible in practice, for newly graduated physicians

Summary

Introduction

Back in the days when researchers and friends were medical students, we sometimes heard jokes about “Newborns dropping into the garbage” caused by undergraduates on vaginal delivery practices. The issue of baby drops often occurred in the workplace, especially in the field of job training, but most of them were ignored and had no serious interest in solving the problem. While this concern was of low incidence, it may have caused significant health complications in certain cases, such as intracranial hemorrhage, fractures, and extreme laceration. There was no protocol to avoid such errors This meant that about 30% of the cases occurred in the birth room. Recent birth data from the office of the National Economic and Social Development Board in Thailand reported 702,755 births in 2017 (Marchetti et al, 2012) there could have been 37.25 newborn falls every year in the delivery room, or one baby fell in the birth room every 10 days

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