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| Effect of simulation training on decision to delivery interval in high-risk pregnancy cesarean section |
| ZHAO Xinzhao DUAN Yanli▲ |
| Department of Emergency, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China |
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Abstract Objective To explore the effect of simulation training on decision to delivery interval (DDI) in high-risk pregnancy cesarean section, and to provide a basis for the promotion and improvement of obstetric simulation training. Methods A total of 50 cases with high-risk pregnancy cesarean section in Beijing Obstetrics and Gynecology Hospital,Capital Medical University from January 2019 to January 2020 were selected as the observation group; 50 case with high-risk pregnancy cesarean section from November 2017 to October 2018 were selected as the control group. The observation group was received emergency cesarean section simulation training process, and the control group was received emergency cesarean section with routine procedures. The time from determining surgery to admission, the time from admission to surgery, the time from surgery to delivery and DDI were compared between the two groups; the neonatal Apgar scores at one and five minutes after birth were compared between the two groups; and the adverse pregnancy outcomes (postpartum hemorrhage, neonatal asphyxia, neonatal death) were compared between the two groups. Results The time from determining surgery to admission, the time from admission to surgery, the time from surgery to delivery and DDI of the observation group were all shorter than the control group, the differences were all highly statistically significant (all P < 0.01); neonatal Apgar scores at one and five minutes after birth in the observation group were higher than those in the control group, the differences were all highly statistically significant (all P < 0.01). There were no significant differencs in the incidence of postpartum hemorrhage and neonatal death between the two groups (P > 0.05); and the incidence of neonatal asphyxia in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion Simulation training can improve the work efficiency of obstetric medical staff, and thus shorten the time from determining surgery to admission, the time from admission to surgery, the time from surgery to delivery and DDI of high-risk pregnancy cesarean section maternal, and it is conducive to improving neonatal health and reducing the incidence of neonatal asphyxia.
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