Prehospital emergency obstetric and neonatal care train‐the‐trainers program in Rwanda

Autor: Ignace Kabagema, Luke G. Wolfe, Jeanne D’Arc Nyinawankusi, Jean Marie Uwitonze, Basil Asay, Ashley Rosenberg, Amanda Ritter, David Ntirushwa, Emmanuel E Ndikuryayo, Sudha Jayaraman, Theophile Dushime, Kenneth L. Williams
Rok vydání: 2020
Předmět:
Zdroj: International Journal of Gynecology & Obstetrics. 153:503-507
ISSN: 1879-3479
0020-7292
DOI: 10.1002/ijgo.13491
Popis: Objective Nearly 830 women die every day due to complications during pregnancy and childbirth, many are preventable. In Rwanda, to improve maternal mortality rates, our collaboration developed and implemented a context-specific, prehospital Emergency Obstetrics and Neonatal Course (EONC) and train-the-trainers program. Methods Two cohorts of staff participated in the program--SAMU EMS and staff from district hospitals. A two-day course was developed, consisting of skills stations, simulations and didactics. A 50-question assessment was administered to both cohorts before and after the courses. Student's t test and matched paired t-tests were used to evaluate the assessments through retrospective analysis of the data. Results EONC 1 median scores were 60% vs 92% (pre vs post), using matched-pair analysis of 20 participants. EONC 2 median scores were 52% vs 96% (pre vs post), using matched-pair analysis of participants. A one-way ANOVA mean square analysis showed that regardless of the baseline level of training for each participant, all trainees reached similar post-course assessment scores, F (1) = 8.35, p = 0.0059. Conclusion Optimal prehospital management of obstetric emergencies is essential to prevent needless mortality and morbidity. This study demonstrated that a context-appropriate prehospital obstetric and neonatal training program could be effectively developed and implemented for the SAMU team in Kigali, Rwanda.
Databáze: OpenAIRE
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