Effectiveness of vaginal breech birth training strategies: An integrative review of the literature

Walker, Shawn; Breslin, Eamonn; Scamell, Mandie; Parker, Pamela

doi:10.1111/birt.12280

“…Simulation training in vaginal birth management is therefore important. Nonetheless, no conclusive practice recommendations are available, owing to the heterogeneity of studies 20 . Australia 21 and England 15 recommend annual drills for obstetrics skills including vaginal birth management.…”

Section: Discussionmentioning

confidence: 99%

Skill retention at 6 versus 12 months after simulation training in singleton vaginal breech delivery: a randomised controlled study

2019

Hong Kong J Gynaecol Obstet Midwifery

1

0

View full text Add to dashboard Cite

Introduction: Current evidence suggests that annual simulation training is adequate to maintain skills for management of vaginal breech delivery. This study aimed to investigate whether skill levels declined at 6 months and further declined at 12 months after training. Methods: In this randomised single-blinded study, 12 obstetricians and 42 midwives were assigned at random to attend a 1-hour training session (lecture and simulation on singleton vaginal breech delivery) conducted at month 0 (control group) and at month 6 (intervention group). Their skill score was assessed before training (pre-test), immediately after training (at-test), and 12 months after training (post-test). Results: Compared with the pre-test score, skill scores increased immediately after the simulation training (at-test) in the intervention group (7.98 vs 15.03, p<0.001) and in the control group (6.86 vs 14.92, p<0.001). Compared with the attest score, skill scores decreased 6 months after the training (post-test) in the intervention group (15.03 vs 9.57, p<0.001) and 12 months after the training in the control group (14.92 vs 9.74, p<0.001). However, post-test skill scores were better than pre-test skill scores. The two groups were comparable in terms of the decline in skill score from attest to post-test (-5.49 vs-4.90, p=0.606). Conclusions: Simulation training results in short-term and long-term improvements in vaginal birth delivery skills. However, skill scores degrade over time and ongoing training at a minimum of 12-month interval is suggested for obstetricians and midwives.

show abstract

“…A recent systematic review suggested that experienced mentorship in clinical practice is an important corollary to breech training, associated with higher rates of attendance at actual vaginal breech births . Models of specialist care provision have been explored with good results in areas such as twin pregnancy and birth and birth after cesarean delivery .…”

Section: Discussionmentioning

confidence: 99%

“…A recent systematic review suggested that experienced mentorship in clinical practice is an important corollary to breech training, associated with higher rates of attendance at actual vaginal breech births. 18 Models of specialist care provision have been explored with good results in areas such as twin pregnancy and birth 19 and birth after cesarean delivery. 20,21 While much work has been done on the benefits of models of continuity of caregiver provided by midwives, 22,23 less research has addressed the impact of continuity of obstetric caregiver, and trusting, stable relationships within the professional team.…”

Section: Discussionmentioning

confidence: 99%

Expertise in physiological breech birth: A mixed‐methods study

Walker

¹

,

Parker

²

,

Scamell

³

2017

Birth

Self Cite

View full text Add to dashboard Cite

show abstract

“…

Citation: Walker, S., Scamell, M. and Parker, P. M. (2017). Deliberate acquisition of competence in physiological breech birth: A grounded theory study.

…”

mentioning

confidence: 99%