Training program for the management of two obstetric emergencies within a French perinatal care network

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

“…Nine of the programs evaluated included vaginal breech birth within a general obstetric emergencies course . Six programs evaluated taught vaginal breech birth as an advanced clinical skill, either on its own or along with a small number of other advanced skills . Two programs evaluated included one‐to‐one support in clinical practice as an explicit part of the training, after theoretical and practical training .…”

“…Eight studies reported outcomes related to objective assessments of skill and/or knowledge . Change in knowledge was assessed using scenario‐related or multiple choice questions.…”

“…Two evaluations demonstrated improvement that eroded within a short period of time or was minimal compared with other topics on the training program . Three studies demonstrated significant and sustained improvement in objectively assessed learning . In each of the three demonstrating significant objective improvement, vaginal breech birth training was delivered either on its own or as part of a training package, including only a few obstetric/midwifery skills, each of which provided multiple opportunities for reflection on performance and repetition.…”

“…An attempt was made to obtain the complete study behind the conference report to evaluate methodological rigor; this was not provided, but the conference report contained a clear table of relevant information which was included. The studies reviewed included two randomized controlled trials, four standardized observational assessments, five self‐evaluation surveys, two exploratory analyses using scenario‐based structured questions, two before‐and‐after outcomes studies, a mixed methods process evaluation with the predominant methodology being qualitative, and a descriptive report . Several of the studies used more than one method of evaluation, and gathered both quantitative and qualitative data.…”

Effectiveness of Vaginal Breech Birth Training Strategies: An Integrative Review of the Literature

“…An attempt was made to obtain the complete study behind the conference report in order to evaluate methodological rigour; this was not provided, but the conference report contained a clear table of relevant information which was included. The studies reviewed included two randomised controlled trials (15,16), four standardised observational assessments (17)(18)(19)(20), five self-evaluation surveys (21)(22)(23)(24)(25), two exploratory analyses using scenario based structured questions (26,27), two before-and-after outcomes studies (28,29), a mixed methods process evaluation with the predominate methodology being qualitative (30), and descriptive report (31). Several of the studies used more than one method of evaluation, and gathered both quantitative and qualitative data.…”