Abstract
PurposeIn obstetrical emergency situations, optimal management requires the immediate coordinated actions of a multi-disciplinary and multi-professional team. This study investigated the influence of simulation training on four specific skills: self-confidence, handling of emergency situation, knowledge of algorithms and team communication.MethodsClinical algorithms were first presented to the participants. Training for six emergency situations (shoulder dystocia, postpartum haemorrhage, pre-eclampsia, maternal basic life support, neonatal resuscitation and operative vaginal birth) was performed using high- and low-fidelity simulation mannequins. General impression of the simulation training and the four above-mentioned skills were evaluated anonymously through a self-assessment questionnaire with a five-point Likert scale immediately after the training and 3 months later.ResultsFrom November 2010 to March 2012, 168 participants, distributed over six one-day courses, took part in the training. 156 participants returned the questionnaire directly after the course (92.9 %). The questionnaire return rate after 3 months was 36.3 %. The participants gave higher Likert scale answers for the questions on the four specific skills after 3 months compared to immediately after the course. The improvement was statistically significant (p ≤ 0.05) except for the question regarding team communication.ConclusionImplementation of simulation training strengthens the professional competency.
Highlights
Obstetrical emergencies induce intense stress and appropriate management of these situations requires immediate coordinated actions of a multi-disciplinary and multi-professional team.Simulation training in obstetrics is a promising method for improving safety during birth for women and their newborns
This study investigated the influence of simulation training on four specific skills: self-confidence, handling of emergency situation, knowledge of algorithms and team communication
The purpose of this study was to determine the influence of a one-day multi-disciplinary and multi-professional simulation training course for obstetrical emergencies based on the self-assessment of four specific skills: selfconfidence, handling of the emergency situation, knowledge of algorithms and team communication
Summary
Obstetrical emergencies induce intense stress and appropriate management of these situations requires immediate coordinated actions of a multi-disciplinary and multi-professional team. Simulation training in obstetrics is a promising method for improving safety during birth for women and their newborns. Several authors have shown evidence of efficacy of simulation training in obstetrical management. Reynolds et al [3] observed an improvement in self-perceived knowledge and skills after participation in a 1-day simulation course for obstetrical emergencies and Draycott et al [4, 5] described even a significant reduction of neonatal morbidity after introducing a compulsory training programme. Nowadays, increased alertness is directed towards communication and team training as an essential
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