BMC medical education · 2026
Bridging the gap in pre-hospital maternity care: emergency personnel's knowledge and clinical skills in managing obstetric emergencies.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Shahbazi Sighaldeh Shirin, Norollahpour Zeinab, Nekoolaltak Maryam, Khosravi Shahla, Saberian Peyman, Rahimi Foroushani Abbas, Shateranni Fatemeh
Аннотация
INTRODUCTION: Pre-hospital obstetric emergencies are unpredictable and time-sensitive, requiring competent and well-trained emergency personnel. Limited preparedness in managing such events can lead to preventable maternal and neonatal complications. This study aimed to investigate the knowledge and clinical skills of pre-hospital emergency personnel in providing obstetric services, offering an integrated overview of the current state at the Tehran Emergency Center.
METHODS: This cross-sectional study was conducted in March 2022 at the Tehran Emergency Center. A total of 97 pre-hospital emergency personnel were selected through simple random sampling from the operational staff list. Data were collected using a self-reporting knowledge and clinical skill (SRKCS) questionnaire, a knowledge test, and four objective structured clinical examination (OSCE) checklists. Data were analyzed using SPSS version 26 with Pearson's correlation, independent t-test, repeated measures, and Kruskal-Wallis tests.
RESULTS: Participants demonstrated moderate knowledge (mean ± SD = 46.6 ± 10.9%) and clinical skill levels (mean ± SD = 58.4 ± 8.7%). Among the OSCE stations, personnel performed best in managing cardiac arrest in pregnant women (mean ± SD = 83.2 ± 11.1%) and weakest in handling childbirth and postpartum hemorrhage (mean ± SD = 33.3 ± 14.0%). A significant positive correlation (P < 0.05) was observed between OSCE performance and both actual and self-reported knowledge and skill levels.
CONCLUSION: The findings highlight critical gaps in pre-hospital readiness for obstetric emergencies, particularly in childbirth and postpartum bleeding management. Incorporating structured, simulation-based training and interdisciplinary collaboration with midwifery educators into emergency personnel education programs could substantially enhance preparedness and improve maternal outcomes in pre-hospital settings.
METHODS: This cross-sectional study was conducted in March 2022 at the Tehran Emergency Center. A total of 97 pre-hospital emergency personnel were selected through simple random sampling from the operational staff list. Data were collected using a self-reporting knowledge and clinical skill (SRKCS) questionnaire, a knowledge test, and four objective structured clinical examination (OSCE) checklists. Data were analyzed using SPSS version 26 with Pearson's correlation, independent t-test, repeated measures, and Kruskal-Wallis tests.
RESULTS: Participants demonstrated moderate knowledge (mean ± SD = 46.6 ± 10.9%) and clinical skill levels (mean ± SD = 58.4 ± 8.7%). Among the OSCE stations, personnel performed best in managing cardiac arrest in pregnant women (mean ± SD = 83.2 ± 11.1%) and weakest in handling childbirth and postpartum hemorrhage (mean ± SD = 33.3 ± 14.0%). A significant positive correlation (P < 0.05) was observed between OSCE performance and both actual and self-reported knowledge and skill levels.
CONCLUSION: The findings highlight critical gaps in pre-hospital readiness for obstetric emergencies, particularly in childbirth and postpartum bleeding management. Incorporating structured, simulation-based training and interdisciplinary collaboration with midwifery educators into emergency personnel education programs could substantially enhance preparedness and improve maternal outcomes in pre-hospital settings.