Outreach obstetrics training in Western Australia improves neonatal outcome and decreases caesarean sections

The objective of this study was to determine the effect of a multi-professional outreach obstetric training programme on perinatal and neonatal outcomes. This was a retrospective comparison of 5-min low Apgar scores, stillbirth, perinatal death and moderate/severe hypoxic ischaemic encephalopathy ra...

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Main Authors: Maouris, P., Jennings, B., Ford, J., Karczub, A., Kohan, R., Butt, Janice, Evans, S., Gee, V.
Format: Journal Article
Published: Informa Healthcare 2010
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/32339
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author Maouris, P.
Jennings, B.
Ford, J.
Karczub, A.
Kohan, R.
Butt, Janice
Evans, S.
Gee, V.
author_facet Maouris, P.
Jennings, B.
Ford, J.
Karczub, A.
Kohan, R.
Butt, Janice
Evans, S.
Gee, V.
author_sort Maouris, P.
building Curtin Institutional Repository
collection Online Access
description The objective of this study was to determine the effect of a multi-professional outreach obstetric training programme on perinatal and neonatal outcomes. This was a retrospective comparison of 5-min low Apgar scores, stillbirth, perinatal death and moderate/severe hypoxic ischaemic encephalopathy rates in 127,753 infants born in Western Australia before and after the introduction of training in rural and remote areas. Following the introduction of the training programme, there was a highly significant (p0.003) decrease in the rate of infants born with low 5-min Apgar scores (from 20.4 to 15.4/1,000 live births). While the changes in the other three outcomes were not significant, all three demonstrated a trend for improvement in the intervention area. This is the second study of an educational intervention in obstetrics to demonstrate improvement in neonatal outcome and the first to be associated with a decrease in caesarean sections.
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spelling curtin-20.500.11937-323392017-09-13T15:52:05Z Outreach obstetrics training in Western Australia improves neonatal outcome and decreases caesarean sections Maouris, P. Jennings, B. Ford, J. Karczub, A. Kohan, R. Butt, Janice Evans, S. Gee, V. obstetric training caesarean section perinatal death Apgar scores stillbirth The objective of this study was to determine the effect of a multi-professional outreach obstetric training programme on perinatal and neonatal outcomes. This was a retrospective comparison of 5-min low Apgar scores, stillbirth, perinatal death and moderate/severe hypoxic ischaemic encephalopathy rates in 127,753 infants born in Western Australia before and after the introduction of training in rural and remote areas. Following the introduction of the training programme, there was a highly significant (p0.003) decrease in the rate of infants born with low 5-min Apgar scores (from 20.4 to 15.4/1,000 live births). While the changes in the other three outcomes were not significant, all three demonstrated a trend for improvement in the intervention area. This is the second study of an educational intervention in obstetrics to demonstrate improvement in neonatal outcome and the first to be associated with a decrease in caesarean sections. 2010 Journal Article http://hdl.handle.net/20.500.11937/32339 10.3109/01443610903276409 Informa Healthcare fulltext
spellingShingle obstetric training
caesarean section
perinatal death
Apgar scores
stillbirth
Maouris, P.
Jennings, B.
Ford, J.
Karczub, A.
Kohan, R.
Butt, Janice
Evans, S.
Gee, V.
Outreach obstetrics training in Western Australia improves neonatal outcome and decreases caesarean sections
title Outreach obstetrics training in Western Australia improves neonatal outcome and decreases caesarean sections
title_full Outreach obstetrics training in Western Australia improves neonatal outcome and decreases caesarean sections
title_fullStr Outreach obstetrics training in Western Australia improves neonatal outcome and decreases caesarean sections
title_full_unstemmed Outreach obstetrics training in Western Australia improves neonatal outcome and decreases caesarean sections
title_short Outreach obstetrics training in Western Australia improves neonatal outcome and decreases caesarean sections
title_sort outreach obstetrics training in western australia improves neonatal outcome and decreases caesarean sections
topic obstetric training
caesarean section
perinatal death
Apgar scores
stillbirth
url http://hdl.handle.net/20.500.11937/32339