Abstract:
Objective With the help of the national poverty alleviation policy, a stepped sub-specialist training model for the treatment of severely ill pregnant women was implemented in the Bijie Demonstration Area, and the clinical effect of this model on the treatment of local severely ill pregnant women was evaluated.
Methods In June 2020, with the support of the Third Affiliated Hospital of Guangzhou Medical University, a stepped sub-specialist training model for the treatment of severe pregnant and lying-in women was carried out in Bijie City, Guizhou Province. The backbone of the municipal obstetrics for severe treatment was cultivated. This model was continued to carried out at all midwifery institutions in all counties and towns. The changes of trainees′ assessment scores, clinical quality control indicators and obstetrical quality control indicators were compared before and after the training.
Results The average theoretical score of the trainees before the training was (62.9±3.2) points, and the theoretical score after the training was (81.8±4.0) points. The difference was statistically significant (t=-15.748, P<0.001). The skills scores before the training was (57.5±3.8) points, and the average skill score after training was (75.1±2.7) points. The difference was statistically significant (t=-16.292, P<0.001). The postpartum hemorrhage rate, severe postpartum hemorrhage rate, eclampsia rate, amniotic fluid embolism rate, and maternal mortality rate in Bijie City in the first half of 2020 were 34.66‰, 8.39‰, 8.58?, 7.22?, 1.455, respectively. In the second half of the year of training, the data was: 31.92‰, 4.65‰, 5.55?, 0.61?, 1.069, respectively. The postpartum hemorrhage rate, severe postpartum hemorrhage rate, eclampsia rate, amniotic fluid embolism rate, and maternal mortality rate in the second half of 2020 in Bijie City were significantly lower than in the first half of the year. The incidence of critically ill pregnant women in the second half of the year was not significantly lower than in of the first half.
Conclusions The stepped sub-specialty training model for the treatment of severely ill pregnant women may have a positive effect on improving the pregnancy outcome of severely ill pregnant women.
Key words:
Simulation training,
Maternal mortality,
Maternal health,
Preceptorship
Lin Yu, Jing Liu, Guixian Chen, Ye Li, Jin Li, Suyu Zhang, Songquan Wei, Min Luo, Dunjin Chen, Ning Yang. Effect evaluation of a stepped sub-specialist training model on the treatment of severely ill pregnant women[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2021, 10(04): 236-241.