[Simulation' benefits in obstetrical emergency: Which proof level?]
Simulation in obstetrical emergency is in expansion. The important economic and human cost in simulation needs a real evaluation about enhancement in technical and non-technical skills, maternal and neonatal morbidity and mortality. We present a literature review of the results published on the subject in shoulder dystocia, post-partum haemorrhage, eclampsia and cord prolaps with a selection of publications with high evidence level or positive impact of training on obstetrical emergencies. There are few publications with a positive impact of training on obstetrical emergencies. Some publications from 10years by the same obstetrical team for training and shoulder dystocia reveal a 75% reduction in brachial plexus injury after 4years of training, and 100% reduction in permanent injury after a decade of training. Only one publication is in accordance with a reduction of severe post-partum haemorrhage with training. For all obstetrical emergencies, crew resource management (communication, self-confidence…) and team training are improved.
Service de gynécologie-obstétrique, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France. Electronic address: praynal@ch-versailles.fr.
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D004420:Dystocia / Q000628:therapy; D004461:Eclampsia / Q000628:therapy; D004630:Emergencies; D005260:Female; D006801:Humans; D009774:Obstetrics / Q000193:education*; D006473:Postpartum Hemorrhage / Q000517:prevention & control / Q000628:therapy; D011225:Pre-Eclampsia / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011391:Prolapse; D012782:Shoulder; D000070599:Shoulder Injuries / Q000517:prevention & control; D014470:Umbilical Cord
Dystocie des épaules; Eclampsia; Evaluation; Hémorragie du post-partum; Post-partum haemorrhage; Shoulder dystocia; Simulation; Éclampsie; Évaluation