Abstract
Purpose
To assess the effectiveness of emergency training compared with no training or other types of training for medical staff in the obstetrics ward.
Methods
We reviewed literature from PubMed, CINAHL Plus with Full Text, The Cochrane Library, Maternity and Infant Care, and Ichushi Web based on the Cochrane Handbook for Systematic Reviews of Interventions.
Results
Five randomized controlled trials met the inclusion criteria. All studies were classified as having a low risk of bias. We compared high-fidelity simulation versus no training, low-fidelity simulation or lectures. High-fidelity simulation improved skill performance in acute obstetric situations compared with low-fidelity simulation or lectures. However, high-fidelity simulation did not further improve knowledge and communication skills compared with low-fidelity simulation.
Conclusion
High-fidelity simulation improved the skill performance for the management of eclampsia and shoulder dystocia compared with no training or lecture. In addition, the effectiveness of high-fidelity simulation on knowledge and communication skills is still unclear because our study did not yield any clear evidence. Furthermore, assessments of long-term effects on clinical outcomes are necessary for obstetric complications.
