[Simulation' benefits in obstetrical emergency: Which proof level?]

We present a literature review of the results published on the subject in shoulder dystocia, post-partum haemorrhage, eclampsia and cord prolaps with a selection of publications with high evidence level or positive impact of training on obstetrical emergencies. There are few publications with a positive impact of training on obstetrical emergencies. Some publications from 10years by the same obstetrical team for training and shoulder dystocia reveal a 75% reduction in brachial plexus injury after 4years of training, and 100% reduction in permanent injury after a decade of training. Only one publication is in accordance with a reduction of severe post-partum haemorrhage with training. For all obstetrical emergencies, crew resource management (communication, self-confidence…) and team training are improved. PMID: 27663913 [PubMed - as supplied by publisher]
Source: Gynecologie Obstetrique Fertilite - Category: OBGYN Tags: Gynecol Obstet Fertil Source Type: research