IMPACT OF MEDICAL PROFESSIONAL TRAINING ON PRENATAL ASPHYXIA: A PRE AND POST TRAINING SINGLE CENTER RESEARCH
Main Article Content
Keywords
Neonatal Morbidity, Perinatal Asphyxia, Training, CTG
Abstract
Background: Birth asphyxia is a damage to the fetus or neonate that is brought on by insufficient or ineffective breathing, which lowers the amount of oxygen that reaches many organs. The World Health Organization estimates that birth asphyxia results in 4 million deaths annually, or 38% of all deaths in children under the age of five. Birth asphyxia accounted for 23% of all newborn deaths in low-income countries:
Objective: To determine impact of medical professional training on prenatal asphyxia
Study design: A retrospective comparative study.
Place and Duration: This study was conducted in Liaquat University of Medical and Health Sciences Jamshoro from November 2022 to November 2023
Methodology: A single center pre and post training study was conducted retrospectively to compare the pre and post training of CTG interpretation after the ethical approval. The inclusion criteria for the blood pH below 7.0 of the neonates at first hour after the birth and APGAR score less than 7 at 5 minutes of life however, neonates with prenatally diagnosed chromosomal anomalies, multiple pregnancies and preterm births were excluded from the study.
Results: There were 48(2.63%) and 74(3.38%) cases of birth asphyxia (BA) out of 1822 and 2187 total registered cases in Pre and Post training groups The highest proportion of cases of BA (56.25% and 58.11%) was observed in age group 20 to 34 years , there were 4(8.33%) and 9(12.16%) deaths in pre and post groups respectively.
Conclusion: Between the "pre and post training" groups, there was no discernible change. Perpartum asphyxia has been shown to be avoidable when obstetricians and midwives in delivery rooms underwent CTG analysis training.
References
2. Bryce J, Boschi-Pinto C, Shibuya K, Black RE: WHO estimates of the causes of death in children. Lancet. 2005, 365 (9465): 1147-1152. 10.1016/S0140-6736(05)71877-8.
3. .Lawn JE, Manandhar A, Haws RA, Darmstadt GL: Reducing one million child deaths from birth asphyxia–a survey of health systems gaps and priorities. Health Res Policy Syst. 2007, 5: 4-10.1186/1478-4505-5-4.
4. .Pitsawong C, Panichkul P: Risk factors associated with birth asphyxia in Phramongkutklao Hospital. Thai J Obstet Gynaecol. 2012, 19 (4): 165-171.
5. .Alfirevic Z, Devane D, Gyte GM. Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. Cochrane Database Syst Rev 2006;(3):CD006066. https://doi.org/10.1002/14651858. CD006066. Jul 19Update in: Cochrane Database Syst Rev. 2013;5:CD006066. PMID: 16856111.
6. Schiermeier S, Westhof G, Leven A, Hatzmann H, Reinhard J. Intra- and interobserver variability of intrapartum cardiotocography: a multicenter study
7. comparing the FIGO classification with computer analysis software. Gynecol Obstet Investig 2011;72(3):169–73. https://doi.org/10.1159/000327133. Epub 2011 Sep14. PMID: 21921568.
8. .National Collaborating Centre for Women’s and Children’s Health. Intrapartum Care Care of healthy women and their babies during childbirth (CG190). 2017. Available at https://www.nice.org.uk/guidance/ng235/evidence/full-guideline-d ecember-2014-pdf-13186815517.
9. .CNGOF. Recommandations pour la pratique clinique: modalites de surveillance fœtale pendant le travail. J Gynecol Obstet Biol Reprod 2008;37:1–100. Available: http://www.cngof.fr/pratiques-cliniques/recommandations-pour-la-pratique-clini que?folder RPC%2BCOLLEGE%252F2007
10. .Richmond H, Copsey B, Hall AM, Davies D, Lamb SE. A systematic review and meta-analysis of online versus alternative methods for training licensed health care professionals to deliver clinical interventions. BMC Med Educ 2017;17(1):227. Dec 23
11. Pappas Y, Vseteckova J, Poduval S, Tseng PC, Car J. Computer-assisted versus oral- and-written history taking for the prevention and management of cardiovascular disease: a systematic review of the literature. Acta Med 2017;60(3):97–107 (Hradec Kralove).
12. Lawn S, Zhi X, Morello A. An integrative review of e-learning in the delivery of self- management support training for health professionals. BMC Med Educ 2017;17(1):183. 10 oct.
13. Carbonne B, Sabri-Kaci I. Assessment of an e-learning training program for cardiotocography analysis: a multicentre randomized study. Eur J Obstet Gynecol Reprod Biol. 2016;197:111–5. f´evr.
14. Cordier C. E´vitabilit´e de l’asphyXie per-partum : revue multicentrique. Portail HAL DUMAS, 26 mai 2016;86. Available from: https://dumas.ccsd.cnrs.fr/dumas-01424932
15. Touvet B, Carbonne B, Vayssi`ere C, Simon A, Roth E, Bretones S, et al. Formation a` l’analyse du rythme cardiaque foetal (RCF). Int´erˆet d’un programme d’e-learning? Les Dossiers de l’Obst´etrique 2012;411:10–5.
16. Bouiller JP, Dreyfus M, Mortamet G, Guillois B, Benoist G. Intrapartum asphyXia:risk factors and short-term consequences. J Gynecol Obstet Biol Reprod 2016;45 (6):626–32. https://doi.org/10.1016/j.jgyn.2015.06.022 (Paris)juinEpub 2015 Aug 28. PMID: 26321609.
17. Locatelli A, Lambicchi L, Incerti M, Bonati F, Ferdico M, Malguzzi S, et al. Is perinatal asphyXia predictable? BMC Pregnancy Childbirth 2020;20(1):186. 30 mars.
18. Draycott T, Sibanda T, Owen L, Akande V, Winter C, Reading S, et al. Does training in obstetric emergencies improve neonatal outcome? BJOG Int J Obstet Gynaecol2006;113(2):177–82. Feb 1.
19. Pehrson C, Sorensen JL, Amer-Wåhlin I. Evaluation and impact of cardiotocography training programmes: a systematic review. BJOG Int J ObstetGynaecol. 2011;118(8):926–35. juill.
20. Tr´epanier MJ, Niday P, Davies B, Sprague A, Nimrod C, Dulberg C, et al. Evaluation of a fetal monitoring education program. J Obstet Gynecol Neonatal Nurs 1996;25(2):137–44. f´evr.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Sanoober Kazi
Sanoober Kazi, Senior Registrar Gynaecology, Liaquat Institute of Medical and Health Sciences Thatta Pakistan.
Kanta Bai Ahuja
Kanta Bai Ahuja, Associate Professor Gynaecology, Pir Abdul Qadir Shah Jillani Institute Of Medical Science Gambat Khairpur Mir’s Pakistan.
Misbah Harim
Misbah Harim, Senior Registrar Gynaecology, Liaquat Institute of Medical and Health Sciences Thatta Pakistan.
Afshan Memon
Afshan Memon, Consultant Gynaecologist, PPHI Badin Pakistan.
Sindhya Saba
Sindhya Saba, Senior Registrar Gynaecology, Liaquat Institute of Medical and Health Sciences Thatta Pakistan.
Saba Kalhoro
Saba Kalhoro, Senior Registrar Gynaecology, Liaquat Institute of Medical and Health Sciences Thatta Pakistan.