TY - JOUR
T1 - Simulation training is useful for shortening the decision-to-delivery interval in cases of emergent cesarean section
AU - Iitani, Yukako
AU - Tsuda, Hiroyuki
AU - Ito, Yumiko
AU - Moriyama, Yoshinori
AU - Nakano, Tomoko
AU - Imai, Kenji
AU - Kotani, Tomomi
AU - Kikkawa, Fumitaka
N1 - Publisher Copyright:
© 2017, © 2017 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2018/12/2
Y1 - 2018/12/2
N2 - Objective: We examined the effect of simulation training for medical staff on the decision-to-delivery interval (DDI) in cases of emergent cesarean delivery and the effect of a shortened DDI on maternal and neonatal outcomes. Material and methods: Our hospital is a tertiary perinatal center. As the simulation training was performed in March 2014, the study population was divided into two groups: pretraining group (November 2011–March 2014, 29 months: n = 15) and post-training group (April 2014–August 2016, 29 months: n = 35). Results: The DDI was significantly shorter in the post-training group than in the pretraining group (p =.009). In particular, the decision-to-entering the operating room interval was significantly shorter in the post-training group than in the pretraining group (p =.003). The umbilical artery pH was significantly better in post-training group than in the pretraining group (p =.019). Furthermore, the umbilical artery pH was significantly improved by simulation training only in “irreversible” cases (p =.012). Conclusions: The DDI was significantly shortened by introducing simulation training. We also demonstrated a beneficial effect of the simulation training on the umbilical artery pH, especially in “irreversible” cases, without increasing the rate of maternal adverse outcome.
AB - Objective: We examined the effect of simulation training for medical staff on the decision-to-delivery interval (DDI) in cases of emergent cesarean delivery and the effect of a shortened DDI on maternal and neonatal outcomes. Material and methods: Our hospital is a tertiary perinatal center. As the simulation training was performed in March 2014, the study population was divided into two groups: pretraining group (November 2011–March 2014, 29 months: n = 15) and post-training group (April 2014–August 2016, 29 months: n = 35). Results: The DDI was significantly shorter in the post-training group than in the pretraining group (p =.009). In particular, the decision-to-entering the operating room interval was significantly shorter in the post-training group than in the pretraining group (p =.003). The umbilical artery pH was significantly better in post-training group than in the pretraining group (p =.019). Furthermore, the umbilical artery pH was significantly improved by simulation training only in “irreversible” cases (p =.012). Conclusions: The DDI was significantly shortened by introducing simulation training. We also demonstrated a beneficial effect of the simulation training on the umbilical artery pH, especially in “irreversible” cases, without increasing the rate of maternal adverse outcome.
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U2 - 10.1080/14767058.2017.1365126
DO - 10.1080/14767058.2017.1365126
M3 - Article
C2 - 28782405
AN - SCOPUS:85027517087
VL - 31
SP - 3128
EP - 3132
JO - Journal of Maternal-Fetal and Neonatal Medicine
JF - Journal of Maternal-Fetal and Neonatal Medicine
SN - 1476-7058
IS - 23
ER -