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
{"title":"标准化基于模拟的产科急诊培训：德尔菲共识研究","authors":"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","doi":"10.1111/1471-0528.18332","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Design and Setting</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Population and Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Main Outcome Measures</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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%).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>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).</p>\n </section>\n </div>","PeriodicalId":50729,"journal":{"name":"Bjog-An International Journal of Obstetrics and Gynaecology","volume":"132 12","pages":"1875-1883"},"PeriodicalIF":4.3000,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Standardising Simulation-Based Obstetric Emergency Training: A Delphi Consensus Study\",\"authors\":\"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\",\"doi\":\"10.1111/1471-0528.18332\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design and Setting</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Population and Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Main Outcome Measures</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>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%).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The Delphi study successfully developed consensus-based OSATS forms, addressing the need for standardised assessments in obstetric simulation training. 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Standardising Simulation-Based Obstetric Emergency Training: A Delphi Consensus Study
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).
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.
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