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How often will midwives and obstetricians experience obstetric emergencies or high-risk deliveries: a national cross-sectional study

OBJECTIVE: To estimate how often midwives, specialty trainees and doctors specialised in obstetrics and gynaecology are attending to specific obstetric emergencies or high-risk deliveries (obstetric events). DESIGN: A national cross-sectional study. SETTING: All hospital labour wards in Denmark. PAR...

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Autores principales: Høgh, Stinne, Thellesen, Line, Bergholt, Thomas, Rom, Ane Lilleøre, Johansen, Marianne, Sorensen, Jette Led
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8587359/
https://www.ncbi.nlm.nih.gov/pubmed/34758994
http://dx.doi.org/10.1136/bmjopen-2021-050790
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author Høgh, Stinne
Thellesen, Line
Bergholt, Thomas
Rom, Ane Lilleøre
Johansen, Marianne
Sorensen, Jette Led
author_facet Høgh, Stinne
Thellesen, Line
Bergholt, Thomas
Rom, Ane Lilleøre
Johansen, Marianne
Sorensen, Jette Led
author_sort Høgh, Stinne
collection PubMed
description OBJECTIVE: To estimate how often midwives, specialty trainees and doctors specialised in obstetrics and gynaecology are attending to specific obstetric emergencies or high-risk deliveries (obstetric events). DESIGN: A national cross-sectional study. SETTING: All hospital labour wards in Denmark. PARTICIPANTS: Midwives (n=1303), specialty trainees (n=179) and doctors specialised in obstetrics and gynaecology (n=343) working in hospital labour wards (n=21) in Denmark in 2018. METHODS: Categories of obstetric events comprised of Apgar score <7/5 min, eclampsia, emergency caesarean sections, severe postpartum haemorrhage, shoulder dystocia, umbilical cord prolapse, vaginal breech deliveries, vaginal twin deliveries and vacuum extraction. Data on number of healthcare professionals were obtained through the Danish maternity wards, the Danish Health Authority and the Danish Society of Obstetricians and Gynaecologists. We calculated the time interval between attending each obstetric event by dividing the number of events occurred with the number of healthcare professionals. OUTCOME MEASURES: The time interval between attending a specific obstetric event. RESULTS: The average time between experiencing obstetric events ranged from days to years. Emergency caesarean sections, which occur relatively frequent, were attended on average every other month by midwives, every 9 days for specialty trainees and every 17 days by specialist doctors. On average, rare events like eclampsia were experienced by midwives only every 42 years, every 6 years by specialty trainees and every 11 years by specialist doctors. CONCLUSIONS: Some obstetric events occur extremely rarely, hindering the ability to obtain and maintain the clinical skills to manage them through clinical practice alone. By assessing the frequency of a healthcare professionals attending an obstetric emergency, our study contributes to assessing the need for supplementary educational initiatives and interventions to learn and maintain clinical skills.
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spelling pubmed-85873592021-11-15 How often will midwives and obstetricians experience obstetric emergencies or high-risk deliveries: a national cross-sectional study Høgh, Stinne Thellesen, Line Bergholt, Thomas Rom, Ane Lilleøre Johansen, Marianne Sorensen, Jette Led BMJ Open Obstetrics and Gynaecology OBJECTIVE: To estimate how often midwives, specialty trainees and doctors specialised in obstetrics and gynaecology are attending to specific obstetric emergencies or high-risk deliveries (obstetric events). DESIGN: A national cross-sectional study. SETTING: All hospital labour wards in Denmark. PARTICIPANTS: Midwives (n=1303), specialty trainees (n=179) and doctors specialised in obstetrics and gynaecology (n=343) working in hospital labour wards (n=21) in Denmark in 2018. METHODS: Categories of obstetric events comprised of Apgar score <7/5 min, eclampsia, emergency caesarean sections, severe postpartum haemorrhage, shoulder dystocia, umbilical cord prolapse, vaginal breech deliveries, vaginal twin deliveries and vacuum extraction. Data on number of healthcare professionals were obtained through the Danish maternity wards, the Danish Health Authority and the Danish Society of Obstetricians and Gynaecologists. We calculated the time interval between attending each obstetric event by dividing the number of events occurred with the number of healthcare professionals. OUTCOME MEASURES: The time interval between attending a specific obstetric event. RESULTS: The average time between experiencing obstetric events ranged from days to years. Emergency caesarean sections, which occur relatively frequent, were attended on average every other month by midwives, every 9 days for specialty trainees and every 17 days by specialist doctors. On average, rare events like eclampsia were experienced by midwives only every 42 years, every 6 years by specialty trainees and every 11 years by specialist doctors. CONCLUSIONS: Some obstetric events occur extremely rarely, hindering the ability to obtain and maintain the clinical skills to manage them through clinical practice alone. By assessing the frequency of a healthcare professionals attending an obstetric emergency, our study contributes to assessing the need for supplementary educational initiatives and interventions to learn and maintain clinical skills. BMJ Publishing Group 2021-11-10 /pmc/articles/PMC8587359/ /pubmed/34758994 http://dx.doi.org/10.1136/bmjopen-2021-050790 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Obstetrics and Gynaecology
Høgh, Stinne
Thellesen, Line
Bergholt, Thomas
Rom, Ane Lilleøre
Johansen, Marianne
Sorensen, Jette Led
How often will midwives and obstetricians experience obstetric emergencies or high-risk deliveries: a national cross-sectional study
title How often will midwives and obstetricians experience obstetric emergencies or high-risk deliveries: a national cross-sectional study
title_full How often will midwives and obstetricians experience obstetric emergencies or high-risk deliveries: a national cross-sectional study
title_fullStr How often will midwives and obstetricians experience obstetric emergencies or high-risk deliveries: a national cross-sectional study
title_full_unstemmed How often will midwives and obstetricians experience obstetric emergencies or high-risk deliveries: a national cross-sectional study
title_short How often will midwives and obstetricians experience obstetric emergencies or high-risk deliveries: a national cross-sectional study
title_sort how often will midwives and obstetricians experience obstetric emergencies or high-risk deliveries: a national cross-sectional study
topic Obstetrics and Gynaecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8587359/
https://www.ncbi.nlm.nih.gov/pubmed/34758994
http://dx.doi.org/10.1136/bmjopen-2021-050790
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