Simulation training and resident performance of singleton vaginal breech delivery.
| Autor: | Deering S; Madigan Army Medical Center, Tacoma, Washington, USA. deering95@hotmail.com, Brown J, Hodor J, Satin AJ |
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| Jazyk: | angličtina |
| Zdroj: | Obstetrics and gynecology [Obstet Gynecol] 2006 Jan; Vol. 107 (1), pp. 86-9. |
| DOI: | 10.1097/01.AOG.0000192168.48738.77 |
| Abstrakt: | Objective: To determine whether simulation training improves resident competency in the management of a simulated vaginal breech delivery. Methods: Without advance notice or training, residents from 2 obstetrics and gynecology residency programs participated in a standardized simulation scenario of management of an imminent term vaginal breech delivery. The scenario used an obstetric birth simulator and human actors, with the encounters digitally recorded. Residents then received a training session with the simulator on the proper techniques for vaginal breech delivery. Two weeks later they were retested using a similar simulation scenario. A physician, blinded to training status, graded the residents' performance using a standardized evaluation sheet. Statistical analysis included the Wilcoxon signed rank test, McNemar chi2, regression analysis, and paired t test as appropriate with a P value of less than .05 considered significant. Results: Twenty residents from 2 institutions completed all parts of the study protocol. Trained residents had significantly higher scores in 8 of 12 critical delivery components (P < .05). Overall performance of the delivery and safety in performing the delivery also improved significantly (P = .001 for both). Conclusion: Simulation training improved resident performance in the management of a simulated vaginal breech delivery. Performance of a term breech vaginal delivery is well suited for simulation training, because it is uncommon and inevitable, and improper technique may result in significant injury. Level of Evidence: II-2. |
| Databáze: | MEDLINE |
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