查看文章

Objectives  To determine whether the introduction of Obstetrics Emergency Training in line with the recommendations of the Clinical Negligence Scheme for Trusts (CNST) was associated with a reduction in perinatal asphyxia and neonatal hypoxic–ischaemic encephalopathy (HIE).

Design  A retrospective cohort observational study.

Setting  A tertiary referral maternity unit in a teaching hospital.

Population  Term, cephalic presenting, singleton infants born at Southmead Hospital between 1998 and 2003 were identified; those born by elective Caesarean sections were excluded.

Method  Five‐minute Apgar scores were reviewed. Infants that developed HIE were prospectively identified throughout this period. The study compared the period ‘pre‐training’ (1998–1999), with the period ‘post‐training’ (2001–2003).

Main outcome measures  Five‐minute Apgar scores and HIE.

Results  Infants (19,460) were …