Cesarean Section Clinical Trial
Official title:
Morbidity of Second Stage Cesarean Sections Before and After Provider Completion of Simulation Education at Regions Hospital
This study is an evaluation of a Quality Improvement (QI) project addressing delivery of the impacted fetal head being conducted at Regions Hospital. This study aims to determine the morbidity of second stage cesarean deliveries before and after implementation of simulation protocols that address delivery of the impacted fetal head for Ob/gyn surgeons, nursing staff, and surgical technicians at Regions Hospital.
Cesarean deliveries performed during the second stage of labor can be difficult due to
impaction of the fetal head deep in the maternal pelvis and is associated with increased risk
of both maternal and perinatal complications. There is little existing data to inform
management of deeply impacted fetal heads, therefore these situations can be difficult for
surgeons and other healthcare staff when they arise. Team simulations for obstetric
emergencies have been shown to assist with provider comfort, improved clarity of thinking,
and quicker action during emergency situations resulting in improved outcomes.
This study aims to show that a simulation education project for the entire obstetric team can
decrease morbidity of difficult fetal head extraction associated with second stage cesarean
deliveries and improve provider and nursing staff confidence regarding anticipation and
management of this emergency. The simulation education project is not being conducted for the
purpose of research, but is a department-wide educational activity and Quality Improvement
project.
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