This paper describes the evidence for high quality training within maternity services using the example of training for managing shoulder dystocia using the PROMPT approach. It identifies key features of excellent training such as understanding underlying concepts, practising manual skills and training as a team rather than individuals and demonstrates how implementing such training can deliver a real impact on patient, especially neonatal, outcomes.
This retrospective, observational study compared the management and neonatal outcome of births complicated by shoulder dystocia before (January 1996 to December 1999) and after (January 2001 to December 2004) the introduction of shoulder dystocia training at Southmead Hospital, Bristol, United Kingdom. The study found the introduction of shoulder dystocia training for all maternity staff was associated with improved management and neonatal outcomes of births complicated by shoulder dystocia.
Change in knowledge of midwives and obstetricians following obstetric emergency training: a randomised controlled trial of local hospital, simulation centre and teamwork training
This paper explores the effect of obstetric emergency training on knowledge. Furthermore, it assess if acquisition of knowledge is influenced by the training setting or teamwork training.
Confidential enquiries into poor perinatal outcomes have identified deficiencies in team working as a common factor and have recommended team training in the management of obstetric emergencies.