Obstetric Emergencies: Role of Obstetric Drill for a Better Maternal Outcome
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To evaluate factors contributing to obstetric emergencies, analyze the fetomaternal outcome and role of obstetric drill in facing these emergencies effectively.
Material and Method
Out of 10,892 deliveries, a total of 520 women were included in this prospective study. Analysis of emergency obstetric conditions was done by evaluating incidence, various contributing factors, and fetomaternal outcome. Obstetric drill was conducted among residents repetitively. Pre drill and post drill assessment of confidence in clinical, knowledge, and team work skills were compared by χ2 test. Impact of drill on severe obstetric morbidities was noted.
Incidence of obstetric emergencies was found to be 4.88 %. Maternal and perinatal mortality was seen in 4.23 and 37.11 %, respectively, of these emergency obstetric women. Impact of drill showed an increase in score in knowledge (p < 0.019), confidence (p, 0.001), and team work (p < 0.001).
Active implementation of emergency obstetric care and incorporation of obstetric drill lays a strong foundation for safe fetomaternal outcome.
- WHO, UNICEF, UNFPA, Maternal mortality in 2005. Estimates developed by WHO, UNICEF and UNFPA (2005).
- Govt. of India (Sample Registration system) maternal mortality in India: 1997–2003. Trends, causes and risk factors. New Delhi: Registrar General, India; 1997–2003.
- Say L, Pattinson RC, Gulmezoglu AM. WHO systemic review of maternal mortality and morbidity: the prevalence of severe acute maternal morbidity (near miss). Reprod Health. 2004;1:3. CrossRef
- Oladapo OT, Sule-Odu AO, Olatunji AO, et al. Near-miss obstetric events and maternal heaths in Sagamu, Nigeria: a retrospective study. Reprod Health. 2005;2:1–7. CrossRef
- Waterston M, Bewley S, Wolf C. Incidence and predictors of severe obstetric morbidity: case–control study. BMJ. 2001;322:1089–94. CrossRef
- Bang RA, Bang AT, Reddy MH, et al. Maternal morbidity during labour and the puerperium in rural homes and the need for medical attention: a prospective observational study in Gadchiroli. India BJOG. 2004;111:231–8. CrossRef
- Khosla A, Nehra R, Dua D, et al. Maternal morbidity and mortality: an assessment of prevalence and etiological factors. Obstet Gynecol Today. 2006;11:447–9.
- Chhabra P, Guleria K, Saini NK, et al. Pattern of severe maternal morbidity a tertiary hospital of Delhi India: a pilot study. Trop Doct. 2008;38:201–4. CrossRef
- Khan SK, Say L, Gulmezoglu AM, et al. WHO analysis of causes of maternal death: a systematic review. The Lancet. 2006;367:1066–74. CrossRef
- Crofts JF, Elis D, Draycott TJ, et al. Change in knowledge of midwives and obstetricians following obstetric emergency training: a randomized controlled trial of local hospital, simulation centre and teamwork training. BJOG. 2007;114:1534–41. CrossRef
- Johanson RB, Menon V, Burns E, et al. Managing obstetric emergencies and trauma (MOET) structured skills training in Armenia, utilising models and reality based scenarios. BMC Med Educ. 2002;2:1–7. CrossRef
- Pratt SD, Mann S, Salisbury M, et al. Impact of CRM-based team training on obstetric outcomes and clinicians’ patient safety attitudes. Jt Comm J Qual Patient Saf. 2007;33:720–5.
- Prural A, Bouvier-Colle MH, Bernis L, et al. Severe maternal morbidity from direct obstetric causes in West Africa: incidence and case fatality rates. Bull World Health Organ. 2000;78:593–601.
- Zhang WH, Alexander S, Bouvier-Colle MH, et al. Incidence of severe pre-eclampsia, postpartum hemorrhage and sepsis as a surrogate marker for severe maternal morbidity in a European population-based study: the MOMS-survey. BJOG. 2005;112:89–96.
- Obstetric Emergencies: Role of Obstetric Drill for a Better Maternal Outcome
The Journal of Obstetrics and Gynecology of India
Volume 62, Issue 3 , pp 291-296
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- Obstetric emergency
- Obstetric drill
- Maternal morbidity