[Retrospective study of the impact of training on the management of immediate post-partum hemorrhage].
Impact d'une formation sur la prise en charge de l'hémorragie du post-partum.
Formation
Hémorragie du post-partum immédiat
Post-partum hemorrhage
Professional practice evaluation
Recommandations pour la pratique clinique
Recommendations for clinical practice
Simulation
Simulation exercise
Training
Évaluation des pratiques professionnelles
Journal
Gynecologie, obstetrique, fertilite & senologie
ISSN: 2468-7189
Titre abrégé: Gynecol Obstet Fertil Senol
Pays: France
ID NLM: 101693805
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
received:
12
12
2018
pubmed:
16
3
2019
medline:
15
1
2020
entrez:
16
3
2019
Statut:
ppublish
Résumé
The aim of the study was to assess the impact of the introduction of training workshops on the quality of prevention and management of Post-Partum Hemorrhage (PPH) in a type III university center. A clinical audit was carried out in our type III university center before and after the introduction of training workshops on the prevention and management of PPH, in two periods between January 1st to December 31st 2011 and March 1st and August 1st, 2015. Training workshops were according to the recommendations for clinical practice of the National College of Gynecologists-Obstetricians French published in 2014, and included a theoretical portion and a simulation of low fidelity manikin. Data on the management of patients presenting with PPH after vaginal birth of a singleton were retrospectively collected consecutively from medical records. Data were collected using a standardized analytical grid. Between the two data collections, some improvement actions were implemented. After implementation of training workshops, the proportion of patients with active management of the third stage of labor (prophylactic uterotonic after delivery) has significantly improved (72% before, vs. 92% after, P=0.001); time to PPH diagnosis has been significantly higher notified (40% before, vs. 94% after, P<0.001), as well as the quantification of bleeding at diagnosis (46% before, vs. 72% after, P<0.003) and total bleeding (68% before, vs. 92%, P<0.001). PPH-specific monitoring sheet was found to be used significantly more frequently (3 before, vs. 30 after, P=0.00015). Additionally, the Physician Anesthesiologist has been contacted significantly more often (34% before, vs. 53% after, P=0.002). Our study highlights a significant improvement in professional practices between 2011 and 2015 on PPH prevention and management in our type III university center.
Identifiants
pubmed: 30872188
pii: S2468-7189(19)30108-4
doi: 10.1016/j.gofs.2019.03.005
pii:
doi:
Types de publication
Journal Article
Langues
fre
Sous-ensembles de citation
IM
Pagination
465-470Informations de copyright
Copyright © 2019 Elsevier Masson SAS. All rights reserved.