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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >Simulation training is useful for shortening the decision-to-delivery interval in cases of emergent cesarean section
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Simulation training is useful for shortening the decision-to-delivery interval in cases of emergent cesarean section

机译：模拟培训可用于缩短紧急剖宫产的情况下的决策间隔

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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.
机译：目的：我们审查了医务人员模拟培训对突发剖宫产的决定间隔（DDI）的影响，以及缩短DDI对孕产妇和新生儿结果的影响。材料和方法：我们的医院是一位围产期中心。随着模拟培训于2014年3月进行，研究人口分为两组：预押集团（2011年11月至2014年11月，29个月：N = 15）和培训后集团（2014年4月至2016年8月，29月： n = 35）。结果：培训后组DDI明显较短，比预先预测组（P - .009）。特别是，在训练后群体中，在训练组中的决定是较短的，而不是预先预测组（P - .003）。训练后组脐动脉pH显着优于预先预测组（P = .019）。此外，仅在“不可逆转”案件中，通过模拟训练（p-.012）的模拟训练显着改善了脐动脉pH值。结论：通过引入模拟培训，DDI大大缩短。我们还展示了模拟训练对脐动脉pH的有益效果，特别是在“不可逆转的”病例中，而不增加母体不良结果的速率。

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