Fetal physiology cardiotocography training, a regional evaluation

Autor: Blanche Graesslin, Michele Marcot, Caroline Peyronel, Li-Anne Zhu, Sophie Tardieu, Florence Bretelle, Julie Blanc, Hélène Heckenroth
Přispěvatelé: Centre d'études et de recherche sur les services de santé et la qualité de vie (CEReSS), Aix Marseille Université (AMU), Microbes évolution phylogénie et infections (MEPHI), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS)
Jazyk: angličtina
Rok vydání: 2021
Předmět:
congenital
hereditary
and neonatal diseases and abnormalities
Fetal acidosis
medicine.medical_specialty
Cardiotocography
Audit
03 medical and health sciences
Education
Nursing
Continuing
0302 clinical medicine
Continuing medical education
[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
Pregnancy
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Perinatal network
Humans
Medicine
[SDV.MP.PAR]Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology
Training programme
ComputingMilieux_MISCELLANEOUS
[SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases
030219 obstetrics & reproductive medicine
medicine.diagnostic_test
business.industry
Obstetrics and Gynecology
Heart Rate
Fetal
Fetal physiology
[SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology
Reproductive Medicine
030220 oncology & carcinogenesis
[SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology
Physical therapy
Education
Medical
Continuing
Female
Clinical Competence
Educational Measurement
business
Intrapartum asphyxia
Zdroj: Journal of Gynecology Obstetrics and Human Reproduction
Journal of Gynecology Obstetrics and Human Reproduction, 2021, 50 (6), pp.102039. ⟨10.1016/j.jogoh.2020.102039⟩
ISSN: 2468-7847
DOI: 10.1016/j.jogoh.2020.102039⟩
Popis: Cardiotocography (CTG) has its limits in detecting fetal acidosis and intrapartum asphyxia. Our aim was to evaluate a CTG training programme based on fetal physiology in the Mediterranean perinatal network.Professionals from 41 maternity units of the Mediterranean network were invited to participate in a CTG masterclass based on fetal physiology in March 2019 and October 2019. They were asked to react to three practical cases by a physiological approach before the training course (T0), one month after (T1) and six to seven months after (T2). The mean scores were compared by using a mixed model including lapse of time to evaluation, profession of participants and level of the maternity unit as fixed effects.A total of 248 professionals from 32 maternity units finally participated in the organizational audit. By using a mixed model, we found a significant improvement of the mean score at T1=6.44/10 compared to T0=4.97/10 (p0.0001), and a significant improvement of the mean score obtained at T2=6.17/10 compared to T0 (p0.0001). T2 scores were not significantly different from T1 scores (p=0.143).A CTG training programme based on fetal physiology showed a significant improvement in the professionals' interpretation of CTG at short term and stable results at long term. Continuing medical education could help maintain and improve knowledge to ensure neonatal safety.
Databáze: OpenAIRE
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