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阴道分娩第二胎:某三级甲等医院妇产科住院医师模拟培训项目。

Vaginal delivery of the second twin: A simulation program for residents in obstetrics and gynecology in a type III university maternity hospital.

机构信息

Service de Gynécologie-Obstétrique, CHU de Nantes, Nantes, France.

Réseau de périnatalité des Pays de La Loire « Sécurité Naissance - Naître Ensemble, Nantes, France; Service de Gynécologie-Obstétrique, CHU d'Angers, Angers, France.

出版信息

J Gynecol Obstet Hum Reprod. 2022 Oct;51(8):102434. doi: 10.1016/j.jogoh.2022.102434. Epub 2022 Jun 26.

DOI:10.1016/j.jogoh.2022.102434
PMID:35768063
Abstract

OBJECTIVE

To implement a vaginal delivery of the second twin simulation program for obstetric and gynecology residents, to reduce maternal-fetal mortality in the management of twin pregnancies in the delivery room.

DESIGN

A prospective education program. The session consisted of a theoretical part, a practical part on a mannequin and an evaluation. The model was designed in a simple and reproducible way. The simulation evaluation was done at several levels according to the validated Kirkpatrick model.

SETTING

A tertiary level university maternity hospital.

PARTICIPANTS

Ten obstetric and gynecology residents participated.

RESULTS

The resident's personal feelings about their ability to perform the maneuvers increased significantly after participation in the simulation session. Their technical skills in performing the maneuvers were assessed in a second step. The majority of the participants considered the model realistic and the session useful. All agreed that the simulation was an essential part of their learning process.

CONCLUSION

A simulated vaginal delivery of the second twin session allows residents to be safely trained in these obstetrical maneuvers, which can be difficult to teach and perform.

摘要

目的

为妇产科住院医师实施阴道分娩第二胎模拟课程,以降低产房双胎妊娠管理中的母婴死亡率。

设计

前瞻性教育计划。课程包括理论部分、模型上的实践部分和评估。模型设计简单且可重复。根据经过验证的柯克帕特里克模型,在多个层面上进行模拟评估。

地点

三级大学妇产医院。

参与者

十名妇产科住院医师参加。

结果

住院医师对自己执行操作能力的个人感受在参加模拟课程后显著提高。他们在第二步评估了执行操作的技术技能。大多数参与者认为模型逼真,课程有用。所有人都认为模拟是他们学习过程的重要组成部分。

结论

模拟阴道分娩第二胎课程可让住院医师安全地接受这些产科操作的培训,这些操作可能难以教授和执行。

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