Training for the surgical management of postpartum hemorrhage : a multicenter survey of resident physicians
BACKGROUND: To actively address maternal morbidity and mortality in Mexico, proficiency among obstetrics and gynecology (OBGYN) residents in the surgical management of postpartum hemorrhage (PPH) is a priority. However, the capacity of programs to provide this training is unknown.
OBJECTIVE: The self-reported knowledge, education, and proficiency of common surgical techniques for the management of PPH among OBGYN residents in Mexico was evaluated. Educational resources, perceived barriers to acquiring skills, and clinical decision-making were explored.
MATERIALS AND METHODS: In July of 2018, an anonymous electronic survey was sent to 86 residents at four hospitals throughout Mexico. Surgical techniques queried included uterine tamponade (UT), uterine compression sutures (UCS), uterine devascularization (UD), hypogastric artery ligation (HAL), and gravid hysterectomy (HT). Participants also answered case-based questions about a patient with PPH.
RESULTS: The survey response rate was 59.3% (51/86). Seventy-nine percent of residents reported understanding the rationale and techniques for the surgical intervention of PPH. However, 43.9% reported limited ability to perform these procedures with autonomy. Eighty-six percent of residents reported exposure to these techniques while performing a rescue procedure during PPH and 49% reported learning these procedures while performing prophylactic techniques in patients without PPH. Only 25.5% had been exposed to simulation training. Lack of a training module for these skills in their curriculum was noted by 74.5%. The majority of the participants chose UCS, UD, HAL, and HT as the first, second, third, and fourth rescue procedures to perform for PPH, respectively.
CONCLUSION: Most residents reported theoretical knowledge of surgical interventions for PPH, but their self-rated ability to independently perform such skills and a curriculum focused on PPH management was suboptimal.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:34 |
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| Enthalten in: |
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians - 34(2021), 21 vom: 11. Nov., Seite 3503-3509 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lumbreras-Marquez, Mario Isaac [VerfasserIn] |
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| Links: |
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| Themen: |
Graduate medical education |
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| Anmerkungen: |
Date Completed 20.09.2021 Date Revised 26.04.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1080/14767058.2019.1685974 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM303473479 |
|---|
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| 100 | 1 | |a Lumbreras-Marquez, Mario Isaac |e verfasserin |4 aut | |
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| 500 | |a Date Revised 26.04.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: To actively address maternal morbidity and mortality in Mexico, proficiency among obstetrics and gynecology (OBGYN) residents in the surgical management of postpartum hemorrhage (PPH) is a priority. However, the capacity of programs to provide this training is unknown | ||
| 520 | |a OBJECTIVE: The self-reported knowledge, education, and proficiency of common surgical techniques for the management of PPH among OBGYN residents in Mexico was evaluated. Educational resources, perceived barriers to acquiring skills, and clinical decision-making were explored | ||
| 520 | |a MATERIALS AND METHODS: In July of 2018, an anonymous electronic survey was sent to 86 residents at four hospitals throughout Mexico. Surgical techniques queried included uterine tamponade (UT), uterine compression sutures (UCS), uterine devascularization (UD), hypogastric artery ligation (HAL), and gravid hysterectomy (HT). Participants also answered case-based questions about a patient with PPH | ||
| 520 | |a RESULTS: The survey response rate was 59.3% (51/86). Seventy-nine percent of residents reported understanding the rationale and techniques for the surgical intervention of PPH. However, 43.9% reported limited ability to perform these procedures with autonomy. Eighty-six percent of residents reported exposure to these techniques while performing a rescue procedure during PPH and 49% reported learning these procedures while performing prophylactic techniques in patients without PPH. Only 25.5% had been exposed to simulation training. Lack of a training module for these skills in their curriculum was noted by 74.5%. The majority of the participants chose UCS, UD, HAL, and HT as the first, second, third, and fourth rescue procedures to perform for PPH, respectively | ||
| 520 | |a CONCLUSION: Most residents reported theoretical knowledge of surgical interventions for PPH, but their self-rated ability to independently perform such skills and a curriculum focused on PPH management was suboptimal | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Graduate medical education | |
| 650 | 4 | |a postpartum hemorrhage | |
| 650 | 4 | |a resident training | |
| 650 | 4 | |a surgery | |
| 700 | 1 | |a Campos-Zamora, Melissa |e verfasserin |4 aut | |
| 700 | 1 | |a Ramirez-De Avila, Ana Laura |e verfasserin |4 aut | |
| 700 | 1 | |a Soto-Galindo, Julio Cesar |e verfasserin |4 aut | |
| 700 | 1 | |a Olivas-Chavez, Juan Carlos |e verfasserin |4 aut | |
| 700 | 1 | |a Tecayehuatl-Delgado, Gabriela |e verfasserin |4 aut | |
| 700 | 1 | |a Hernandez-Rayon, Yessica Ivonne |e verfasserin |4 aut | |
| 700 | 1 | |a Ramirez-Calvo, Jose Antonio |e verfasserin |4 aut | |
| 700 | 1 | |a Farber, Michaela Kristina |e verfasserin |4 aut | |
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