关键词: Breech presentation External cephalic version Medical simulation Training Transverse lie

来  源:   DOI:10.1016/j.ejogrb.2024.07.071

Abstract:
OBJECTIVE: To compare the success and complication rates of external cephalic version before and after the implementation of a simulator-based training program at a tertiary care university centre with a dedicated external cephalic version team.
METHODS: In this single-center intervention study, the success rate and the complication rates of external cephalic version in the two years before the implementation of a simulation-based training program for all specialists and residents, were compared with the two years following the event. T- student, Mann-Whitney, and Chi-square tests were used. All data were extracted from the hospital\'s electronic patient records.
RESULTS: A total of 96 external cephalic versions were performed in the 2 years before the training program, and 74 after the training program. The overall success rates were similar between the two groups: 44.8 % before training and 43.2 % after training (p = 0.824). No major complications occurred, and no emergency cesarean deliveries were performed in either period.
CONCLUSIONS: In a tertiary care university training center with a dedicated team in external cephalic version, a structured simulation-based training program did not impact the success rate or the complication rates of the procedure.
摘要:
目的:比较在拥有专门的外部头部版本团队的高等教育中心实施基于模拟器的培训计划前后,外部头部版本的成功率和并发症发生率。
方法:在这项单中心干预研究中,在对所有专家和居民实施基于模拟的培训计划之前的两年中,外头版本的成功率和并发症发生率,与事件发生后的两年进行了比较。T-学生,Mann-Whitney,并采用卡方检验。所有数据均从医院的电子病历中提取。
结果:在培训计划之前的2年中,共进行了96次外部头部版本,培训计划后的74。两组的总体成功率相似:训练前44.8%,训练后43.2%(p=0.824)。无重大并发症发生,在这两个时期都没有进行紧急剖宫产。
结论:在一个拥有专门的外头版本团队的三级护理大学培训中心,基于模拟的结构化训练计划不会影响手术的成功率或并发症发生率.
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