Department of Medicine and Surgery, University of Parma, Parma, Italy.
Division of Maternal Fetal Medicine, Ospedale Cristo Re, University of Rome Tor Vergata, Rome, Italy; Department of Obstetrics and Gynecology, The First I.M. Sechenov Moscow State Medical University, Moscow, Russia.
Am J Obstet Gynecol. 2020 Jan;222(1):41-47. doi: 10.1016/j.ajog.2019.07.023. Epub 2019 Jul 16.
Regular training in the management of intrapartum emergencies has been demonstrated to yield measurable benefits in terms of maternal and perinatal outcomes. Thanks to technologic advances, computerized, full-body mannequins have been created and made available for high-fidelity simulation in obstetrics. The technical skills subjected to training are conventionally represented by classical manual maneuvers, which are recommended in the case of instrumental vaginal delivery, shoulder dystocia, or postpartum hemorrhage. During the past few years, manual skills in the labor ward have been increasingly supported by the use of ultrasound, and this has substantially altered the practical management of intrapartum emergencies in real life. Based on this, a new generation of mannequins suitable for both clinical maneuvers and ultrasound examination seems to be the most appropriate tool for the modern high-fidelity simulation in the management of intrapartum complications. The use of these new hybrid clinical ultrasound mannequins may usher in a new era in high-fidelity obstetric simulation and can hopefully optimize the competencies and technical skills of labor ward professionals in the management of obstetric emergencies. It is from this background that at the beginning of 2018, the Ecografia Gestione Emergenze Ostetriche group was founded in Italy. This group has aggregated a multiprofessional labor ward team including obstetricians, midwives, and anesthesiologists under the common philosophy that ultrasound provides an essential added value in the management of obstetric emergencies. Thanks to the use of these mannequins, the multiprofessional Italian Ecografia Gestione Emergenze Ostetriche group has started to run practical workshops to promote the culture of extraordinary synergy of ultrasound and clinical skills as the best approach to handle intrapartum complications.
常规的分娩期急症管理培训已被证明在母婴围产结局方面具有可衡量的益处。得益于技术进步，已经开发出了计算机控制的全身模拟假人，并可用于高保真度的产科模拟。传统上，接受培训的技术技能通常代表经典的手动操作，这些操作在器械性阴道分娩、肩难产或产后出血的情况下是被推荐的。在过去的几年中，分娩室中的手动技能越来越多地得到了超声的支持，这实质上改变了分娩期急症的实际管理。基于此，新一代适合临床操作和超声检查的假人似乎是分娩期并发症管理中现代高保真模拟的最合适工具。这些新型混合临床超声假人的使用可能会开创高保真产科模拟的新纪元，并有望优化产房专业人员在处理产科急症方面的能力和技术技能。正是出于这种背景，2018 年初，意大利成立了 EcografiaGestioneEmergenzeOstetriche 小组。该小组聚集了一支多专业的产房团队，包括产科医生、助产士和麻醉师，他们的共同理念是超声在处理产科急症方面提供了重要的附加价值。得益于这些假人的使用，意大利多专业的 EcografiaGestioneEmergenzeOstetriche 小组已经开始举办实践研讨会，以推广超声与临床技能非凡协同作用的文化，这是处理分娩期并发症的最佳方法。
