Standardising Simulation-Based Obstetric Emergency Training: A Delphi Consensus Study

IF 4.3 1区医学 Q1 OBSTETRICS & GYNECOLOGY

Bjog-An International Journal of Obstetrics and Gynaecology Pub Date : 2025-08-27 DOI:10.1111/1471-0528.18332

Paolo Mannella, Chiara Benedetto, Emilie Canuto, Brigida Carducci, Ilma Floriana Carbone, Elena Cesari, Irene Cetin, Andrea Ciavattini, Nicola Colacurci, Antonella Cromi, Lorenza Driul, Nicoletta Di Simone, Sergio Ferrazzani, Tiziana Frusca, Serafina Garofalo, Tullio Ghi, Valentina Giardini, Pantaleo Greco, Annalisa Inversetti, Antonio Lanzone, Luca Marozio, Carmelinda Martino, Federico Mecacci, Maddalena Morlando, Caterina Neri, Gianluigi Pilu, Federico Prefumo, Giuseppe Rizzo, Giovanni Scambia, Tommaso Simoncini, Emanuela Taricco, Patrizia Vergani, Barbara Zaina, Rossella Nappi

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引用次数: 0

Abstract

Objective

To develop standardised Objective Structured Assessment of Technical Skills (OSATS) forms for major obstetric emergencies, thereby improving the quality and consistency of obstetric simulation training.

Design and Setting

A panel of national experts with extensive experience in teaching Gynaecology and Obstetrics, simulation training, and the clinical management of labour complications and peripartum emergencies.

Population and Methods

A Delphi process with four iterative rounds was conducted to create, evaluate, revise, and finalise OSATS checklists for 11 obstetric emergencies. Each OSATS form was rated using a Likert scale (0–9), refined according to expert feedback, and validated through structured discussions.

Main Outcome Measures

The creation and approval of OSATS forms for shoulder dystocia, vacuum delivery, assisted breech delivery, third- and fourth-degree laceration repair, external cephalic version, abnormal CTG management, postpartum haemorrhage, non-cephalic second twin delivery, reverse breech extraction at caesarean section, maternal collapse and forceps application.

Results

Consensus was achieved for all emergencies with good to excellent ratings: shoulder dystocia (82%), external cephalic version (94%), vacuum delivery (75%), abnormal CTG management (42%), postpartum haemorrhage (96%), reverse breech extraction (72%), maternal collapse (94%), forceps application (76%), non-cephalic second twin delivery (96%), assisted breech delivery (94%) and third- and fourth-degree laceration repair (82%).

Conclusion

The Delphi study successfully developed consensus-based OSATS forms, addressing the need for standardised assessments in obstetric simulation training. These tools enhance training quality, identify skill gaps and improve clinical preparedness. This study was supported by AGUI (Associazione Ginecologi Universitari Italiani).

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标准化基于模拟的产科急诊培训：德尔菲共识研究

目的制定面向重大产科急诊的标准化客观结构化技术技能评估（OSATS）表格，提高产科模拟培训的质量和一致性。设计和设置由在妇产科教学、模拟培训以及分娩并发症和围产期紧急情况的临床管理方面具有丰富经验的国家专家组成的小组。人口与方法进行了四轮德尔菲过程，以创建、评估、修订和最终确定11例产科急诊的OSATS检查清单。每个OSATS表格都使用李克特量表（0-9）进行评分，根据专家反馈进行改进，并通过结构化讨论进行验证。主要观察指标：肩难产、真空分娩、辅助臀位分娩、三度和四度撕裂伤修复、头外版本、异常CTG处理、产后出血、非头位二胎分娩、剖宫产反向臀位取出、产妇塌陷和产钳应用的OSATS表格的创建和批准。结果所有紧急情况均获得了良好到优异评分的共识：肩难产（82%）、头外胎位（94%）、真空分娩（75%）、异常CTG处理（42%）、产后出血（96%）、反向臀位取出（72%）、产妇崩溃（94%）、使用产钳（76%）、非头位二胎分娩（96%）、辅助臀位分娩（94%）和第三度和第四度撕裂伤修复（82%）。德尔菲研究成功开发了基于共识的OSATS表格，解决了产科模拟培训中标准化评估的需求。这些工具提高了培训质量，确定了技能差距并改善了临床准备。本研究得到了AGUI （Associazione ginecologii Universitari Italiani）的支持。

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来源期刊

Bjog-An International Journal of Obstetrics and Gynaecology 医学-妇产科学

CiteScore

10.90

自引率

5.20%

发文量

345

审稿时长

3-6 weeks

期刊介绍： BJOG is an editorially independent publication owned by the Royal College of Obstetricians and Gynaecologists (RCOG). The Journal publishes original, peer-reviewed work in all areas of obstetrics and gynaecology, including contraception, urogynaecology, fertility, oncology and clinical practice. Its aim is to publish the highest quality medical research in women''s health, worldwide.