作者
D Siassakos, Z Hasafa, T Sibanda, R Fox, F Donald, C Winter, T Draycott
发表日期
2009/7
期刊
BJOG: An International Journal of Obstetrics & Gynaecology
卷号
116
期号
8
页码范围
1089-1096
出版商
Blackwell Publishing Ltd
简介
Objective To determine whether the introduction of multi‐professional simulation training was associated with improvements in the management of cord prolapse, in particular, the diagnosis–delivery interval (DDI).
Design Retrospective cohort study.
Setting Large tertiary maternity unit within a University Hospital in the United Kingdom.
Sample All cases of cord prolapse with informative case record: 34 pre‐training, 28 post‐training.
Methods Review of hospital notes and software system entries; comparison of quality of management for umbilical cord prolapse pre‐training (1993–99) and post‐training (2001–07).
Main outcome measures Diagnosis–delivery interval; proportion of caesarean section (CS) in whom actions were taken to reduce cord compression; type of anaesthesia for CS births; rate of low (<7) 5‐minute Apgar scores; rate of admission to neonatal intensive care unit (NICU) (if birthweight …
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