Does training in obstetric emergencies improve neonatal outcome?
Does training in obstetric emergencies improve neonatal outcome?
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DOI：
10.1111/j.1471-0528.2006.00800.x
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发表时间：
2006-02-01
影响因子：
5.8
通讯作者：
Whitelaw, A
中科院分区：
文献类型：
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作者：
Draycott, T;Sibanda, T;Whitelaw, A
目的：确定根据信托临床过失计划 (CNST) 的建议引入产科急诊培训是否与围产期窒息和新生儿缺氧缺血性脑病 (HIE) 的减少相关。设计：一项回顾性队列观察研究。地点：教学医院的三级转诊产科病房。人群：在 Southmead 医院出生的足月、头先露、单胎婴儿1998 年至 2003 年期间已确定；排除选择性剖腹产出生的婴儿。方法：回顾五分钟阿普加评分。在此期间，前瞻性地发现了发生 HIE 的婴儿。该研究比较了“训练前”时期（1998-1999）和“训练后”时期（2001-2003）。主要结果测量：五分钟阿普加评分和 HIE。结果：包括婴儿（19,460 名）。出生时 5 分钟阿普加得分为
Objective: To determine whether the introduction of Obstetrics Emergency Training in line with the recommendations of the Clinical Negligence Scheme for Trusts (CNST) was associated with a reduction in perinatal asphyxia and neonatal hypoxic-ischaemic encephalopathy (HIE).Design: A retrospective cohort observational study.Setting: A tertiary referral maternity unit in a teaching hospital.Population: Term, cephalic presenting, singleton infants born at Southmead Hospital between 1998 and 2003 were identified; those born by elective Caesarean sections were excluded.Method: Five-minute Apgar scores were reviewed. Infants that developed HIE were prospectively identified throughout this period. The study compared the period 'pre-training' (1998-1999), with the period 'post-training' (2001-2003).Main outcome measure: Five-minute Apgar scores and HIE.Results: Infants (19,460) were included. Infants born with 5-minute Apgar scores of