Arunaz Kumar1, Debra Nestel2, Sally Stoyles3, Christine East4, Euan M Wallace5, Colleen White3. 1. Monash Women's Maternity Services, Monash Health, Victoria, Australia; The Ritchie Centre, Department of Obstetrics and Gynaecology, Monash University, Victoria, Australia. Electronic address: arunaz.kumar@monash.edu. 2. School of Rural Health, HealthPEER, Monash University, Victoria, Australia. 3. Monash Women's Maternity Services, Monash Health, Victoria, Australia. 4. Monash Women's Maternity Services, Monash Health, Victoria, Australia; School of Nursing and Midwifery, Monash University, Victoria, Australia. 5. Monash Women's Maternity Services, Monash Health, Victoria, Australia; The Ritchie Centre, Department of Obstetrics and Gynaecology, Monash University, Victoria, Australia.
Abstract
BACKGROUND: Birth at home is a safe and appropriate choice for healthy women with a low risk pregnancy. However there is a small risk of emergencies requiring immediate, skilled management to optimise maternal and neonatal outcomes. We developed and implemented a simulation workshop designed to run in a home based setting to assist with emergency training for midwives and paramedical staff. The workshop was evaluated by assessing participants' satisfaction and response to key learning issues. METHODS: Midwifery and emergency paramedical staff attending home births participated in a simulation workshop where they were required to manage birth emergencies in real time with limited availability of resources to suit the setting. They completed a pre-test and post-test evaluation form exploring the content and utility of the workshops. Content analysis was performed on qualitative data regarding the most important learning from the simulation activity. RESULTS: A total of 73 participants attended the workshop (midwifery=46, and paramedical=27). There were 110 comments, made by 49 participants. The most frequently identified key learning elements were related to communication (among midwives, paramedical and hospital staff and with the woman's partner), followed by recognising the role of other health care professionals, developing an understanding of the process and the importance of planning ahead. CONCLUSION: Home birth simulation workshop was found to be a useful tool by staff that provide care to women who are having a planned home birth. Developing clear communication and teamwork were found to be the key learning principles guiding their practice.
BACKGROUND: Birth at home is a safe and appropriate choice for healthy women with a low risk pregnancy. However there is a small risk of emergencies requiring immediate, skilled management to optimise maternal and neonatal outcomes. We developed and implemented a simulation workshop designed to run in a home based setting to assist with emergency training for midwives and paramedical staff. The workshop was evaluated by assessing participants' satisfaction and response to key learning issues. METHODS: Midwifery and emergency paramedical staff attending home births participated in a simulation workshop where they were required to manage birth emergencies in real time with limited availability of resources to suit the setting. They completed a pre-test and post-test evaluation form exploring the content and utility of the workshops. Content analysis was performed on qualitative data regarding the most important learning from the simulation activity. RESULTS: A total of 73 participants attended the workshop (midwifery=46, and paramedical=27). There were 110 comments, made by 49 participants. The most frequently identified key learning elements were related to communication (among midwives, paramedical and hospital staff and with the woman's partner), followed by recognising the role of other health care professionals, developing an understanding of the process and the importance of planning ahead. CONCLUSION: Home birth simulation workshop was found to be a useful tool by staff that provide care to women who are having a planned home birth. Developing clear communication and teamwork were found to be the key learning principles guiding their practice.
Authors: Arunaz Kumar; Sam Sturrock; Euan M Wallace; Debra Nestel; Donna Lucey; Sally Stoyles; Jenny Morgan; Peter Neil; Michelle Schlipalius; Philip Dekoninck Journal: BMJ Open Date: 2018-02-17 Impact factor: 2.692
Authors: Sonia Lippke; Christina Derksen; Franziska Maria Keller; Lukas Kötting; Martina Schmiedhofer; Annalena Welp Journal: Int J Environ Res Public Health Date: 2021-03-05 Impact factor: 3.390