Improved performance of maternal-fetal medicine staff after maternal cardiac arrest simulation-based training

Nelli Fisher, Lewis A. Eisen, Jyothshna V. Bayya, Alina Dulu, Peter S. Bernstein, Irwin R. Merkatz, Dena Goffman

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

Objective: To determine the impact of simulation-based maternal cardiac arrest training on performance, knowledge, and confidence among Maternal-Fetal Medicine staff. Study Design: Maternal-Fetal Medicine staff (n = 19) participated in a maternal arrest simulation program. Based on evaluation of performance during initial simulations, an intervention was designed including: basic life support course, advanced cardiac life suppport pregnancy modification lecture, and simulation practice. Postintervention evaluative simulations were performed. All simulations included a knowledge test, confidence survey, and debriefing. A checklist with 9 pregnancy modification (maternal) and 16 critical care (25 total) tasks was used for scoring. Results: Postintervention scores reflected statistically significant improvement. Maternal-Fetal Medicine staff demonstrated statistically significant improvement in timely initiation of cardiopulmonary resuscitation (120 vs 32 seconds, P =.042) and cesarean delivery (240 vs 159 seconds, P =.017). Conclusion: Prompt cardiopulmonary resuscitation initiation and pregnancy modifications application are critical in maternal and fetal survival during cardiac arrest. Simulation is a useful tool for Maternal-Fetal Medicine staff to improve skills, knowledge, and confidence in the management of this catastrophic event.

Original languageEnglish (US)
Pages (from-to)239.e1-239.e5
JournalAmerican Journal of Obstetrics and Gynecology
Volume205
Issue number3
DOIs
Publication statusPublished - Sep 2011

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Keywords

  • maternal cardiac arrest
  • obstetric simulation training
  • simulation education

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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