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    Outreach obstetrics training in Western Australia improves neonatal outcome and decreases caesarean sections

    152203_152203.pdf (55.15Kb)
    Access Status
    Open access
    Authors
    Maouris, P.
    Jennings, B.
    Ford, J.
    Karczub, A.
    Kohan, R.
    Butt, Janice
    Evans, S.
    Gee, V.
    Date
    2010
    Type
    Journal Article
    
    Metadata
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    Citation
    Maouris, P. and Jennings, B. and Ford, J. and Karczub, A. and Kohan, R. and Butt, J. and Evans, S. and Gee, V. 2010. Outreach obstetrics training in Western Australia improves neonatal outcome and decreases caesarean sections. Journal of Obstetrics and Gynaecology. 30 (1): pp. 6-9.
    Source Title
    Journal of Obstetrics and Gynaecology
    DOI
    10.3109/01443610903276409
    ISSN
    0144-3615
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/32339
    Collection
    • Curtin Research Publications
    Abstract

    The objective of this study was to determine the effect of a multi-professional outreach obstetric training programme on perinatal and neonatal outcomes. This was a retrospective comparison of 5-min low Apgar scores, stillbirth, perinatal death and moderate/severe hypoxic ischaemic encephalopathy rates in 127,753 infants born in Western Australia before and after the introduction of training in rural and remote areas. Following the introduction of the training programme, there was a highly significant (p0.003) decrease in the rate of infants born with low 5-min Apgar scores (from 20.4 to 15.4/1,000 live births). While the changes in the other three outcomes were not significant, all three demonstrated a trend for improvement in the intervention area. This is the second study of an educational intervention in obstetrics to demonstrate improvement in neonatal outcome and the first to be associated with a decrease in caesarean sections.

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