title: Change in knowledge of midwives and obstetricians following obstetric emergency training: a randomised controlled trial of local hospital, simulation centre and teamwork training.
abstract: OBJECTIVE
  To explore the effect of obstetric emergency training on knowledge. Furthermore, to assess if acquisition of knowledge is influenced by the training setting or teamwork training.
  
  
  METHODS
  A prospective randomised controlled trial.
  
  
  METHODS
  Training was completed in six hospitals in the South West of England, UK and at the Bristol Medical Simulation Centre, UK.
  
  
  METHODS
  Midwives and obstetric doctors working for the participating hospitals were eligible for inclusion in the study. A total of 140 participants (22 junior and 23 senior doctors, 47 junior and 48 senior midwives) were studied.
  
  
  METHODS
  Participants were randomised to one of four obstetric emergency training interventions: (1) 1-day course at local hospital, (2) 1-day course at simulation centre, (3) 2-day course with teamwork training at local hospital and (4) 2-day course with teamwork training at simulation centre.
  
  
  METHODS
  Change in knowledge was assessed by a 185 question Multiple-Choice Questionnaire (MCQ) completed up to 3 weeks before and 3 weeks after the training intervention.
  
  
  RESULTS
  There was a significant increase in knowledge following training; mean MCQ score increased by 20.6 points (95% CI 18.1-23.1, P < 0.001). Overall, 123/133 (92.5%) participants increased their MCQ score. There was no significant effect on the MCQ score of either the location of training (two-way analysis of variants P = 0.785) or the inclusion of teamwork training (P = 0.965).
  
  
  CONCLUSIONS
  Practical, multiprofessional, obstetric emergency training increased midwives' and doctors' knowledge of obstetric emergency management. Furthermore, neither the location of training, in a simulation centre or in local hospitals, nor the inclusion of teamwork training made any significant difference to the acquisition of knowledge in obstetric emergencies.
authors: The SaFE Study, Department of Obstetrics and Gynaecology, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
authors: J F
authors: JF
authors: Crofts
authors: D
authors: D
authors: Ellis
authors: T J
authors: TJ
authors: Draycott
authors: C
authors: C
authors: Winter
authors: L P
authors: LP
authors: Hunt
authors: V A
authors: VA
authors: Akande
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D004635:Emergency Medicine / Q000193:education*; D004739:England; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008880:Midwifery / Q000193:education*; D009721:Nurse Midwives / Q000193:education / Q000592:standards*; D009774:Obstetrics / Q000193:education* / Q000592:standards; D010348:Patient Care Team; D011446:Prospective Studies