دورية أكاديمية
أعرض في EDS

Definition, management, and training in impacted fetal head at cesarean birth: a national survey of maternity professionals.

التفاصيل البيبلوغرافية
العنوان: Definition, management, and training in impacted fetal head at cesarean birth: a national survey of maternity professionals.
المؤلفون: Cornthwaite K; Royal College of Obstetricians & Gynaecologists, London, UK.; Translational Health Sciences, University of Bristol, Bristol, UK., Hewitt P; Royal College of Midwives, London, UK., van der Scheer JW; THIS Institute (The Healthcare Improvement Studies Institute), School of Clinical Medicine, University of Cambridge, Cambridge, UK., Brown IAF; THIS Institute (The Healthcare Improvement Studies Institute), School of Clinical Medicine, University of Cambridge, Cambridge, UK., Burt J; THIS Institute (The Healthcare Improvement Studies Institute), School of Clinical Medicine, University of Cambridge, Cambridge, UK., Dufresne E; RAND Europe, Cambridge, UK., Dixon-Woods M; THIS Institute (The Healthcare Improvement Studies Institute), School of Clinical Medicine, University of Cambridge, Cambridge, UK., Draycott T; Royal College of Obstetricians & Gynaecologists, London, UK.; North Bristol NHS Trust, Bristol, UK., Bahl R; Royal College of Obstetricians & Gynaecologists, London, UK.; University Hospitals Bristol and Weston, Bristol, UK.
مؤلفون مشاركون: ABC Contributor Group, Thiscovery Authorship Group
المصدر: Acta obstetricia et gynecologica Scandinavica [Acta Obstet Gynecol Scand] 2023 Sep; Vol. 102 (9), pp. 1219-1226. Date of Electronic Publication: 2023 Jul 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 0370343 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1600-0412 (Electronic) Linking ISSN: 00016349 NLM ISO Abbreviation: Acta Obstet Gynecol Scand Subsets: MEDLINE
أسماء مطبوعة: Publication: 2011- : Malden, MA : Wiley
Original Publication: Copenhagen : Munksgaard
مواضيع طبية MeSH: Cesarean Section* , Midwifery*, Humans ; Pregnancy ; Female ; Surveys and Questionnaires
مستخلص: Introduction: This study assessed views, understanding and current practices of maternity professionals in relation to impacted fetal head at cesarean birth, with the aim of informing a standardized definition, clinical management approaches and training.
Material and Methods: We conducted a survey consultation including the range of maternity professionals who attend emergency cesarean births in the UK. Thiscovery, an online research and development platform, was used to ask closed-ended and free-text questions. Simple descriptive analysis was undertaken for closed-ended responses, and content analysis for categorization and counting of free-text responses. Main outcome measures included the count and percentage of participants selecting predefined options on clinical definition, multi-professional team approach, communication, clinical management and training.
Results: In total, 419 professionals took part, including 144 midwives, 216 obstetricians and 59 other clinicians (eg anesthetists). We found high levels of agreement on the components of an impacted fetal head definition (79% of obstetricians) and the need for use of a multi-professional approach to management (95% of all participants). Over 70% of obstetricians deemed nine techniques acceptable for management of impacted fetal head, but some obstetricians also considered potentially unsafe practices appropriate. Access to professional training in management of impacted fetal head was highly variable, with over 80% of midwives reporting no training in vaginal disimpaction.
Conclusions: These findings demonstrate agreement on the components of a standardized definition for impacted fetal head, and a need and appetite for multi-professional training. These findings can inform a program of work to improve care, including use of structured management algorithms and simulation-based multi-professional training.
(© 2023 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG).)
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معلومات مُعتمدة: Avoiding Brain Injury in Child birth (ABC) programme Department of Health and Social Care; RHZF/001-RG88620 Health Foundation; Mary Dixon-Woods is an NIHR Senior Investigator National Institute for Health and Care Research; NF-SI-0617-10026 National Institute for Health and Care Research; Avoiding Brain Injury in Child birth (ABC) program Department of Health and Social Care
فهرسة مساهمة: Keywords: brain injury; cesarean birth; disimpaction; fetal pillow®; impacted fetal head; maternity; online; survey; training; vaginal push-up
تواريخ الأحداث: Date Created: 20230711 Date Completed: 20230809 Latest Revision: 20230810
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10407013
DOI: 10.1111/aogs.14600
PMID: 37430482
قاعدة البيانات: MEDLINE
الوصف
تدمد:1600-0412
DOI:10.1111/aogs.14600