Characterisation of the learning curve of caesarean section
| Autor: | Philipp Soergel, L. Makowski, Peter Hillemanns, T. Jensen, C. S. von Kaisenberg |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Time Factors Singleton pregnancy medicine.medical_treatment Blood Loss Surgical Maternal blood Postoperative Complications Pregnancy Humans Medicine Operation time Caesarean section Cesarean Section business.industry Obstetrics Resident training Internship and Residency Obstetrics and Gynecology General Medicine Hydrogen-Ion Concentration Length of Stay Fetal Blood University hospital Learning curve Apgar Score Female Apgar score Clinical Competence business Learning Curve |
| Zdroj: | Archives of Gynecology and Obstetrics. 286:29-33 |
| ISSN: | 1432-0711 0932-0067 |
| Popis: | Caesarean section is one of the common operations in medicine. As almost all interventions, the quality of the operation depends on the training and skills of the surgeon. This study aims at characterising the learning curve of caesarean section. All patients with a singleton pregnancy who underwent a caesarean section between 2000 and 2009 in our university hospital were identified. We analysed datasets from beginners (no experience at all) and experienced surgeons (>300 caesarean sections, consultant) comparing the parameter incision–suture time (I–S time), incision–delivery time (I–D time), maternal blood loss, umbilical artery pH (ua-pH), APGAR score after 1, 5 and 10 min, mean time in hospital and postoperative complications. In addition, the first 100 caesarean sections of each beginner surgeon were divided in groups of 10 (1–10, 11–20, etc.) and analysed using the above-mentioned parameters. The learning curves were calculated. 2,515 of 3,844 operations were carried out by 23 experienced surgeons versus 1,329 operations by 22 beginners. The I–S time and I–D time was significantly higher in the beginners group than in the experienced surgeon’s group (45.9 vs. 41.3 min, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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