Obstetric emergencies: role of obstetric drill for a better maternal outcome

J Obstet Gynaecol India. 2012 Jun;62(3):291-6. doi: 10.1007/s13224-012-0218-9. Epub 2012 Aug 17.

Abstract

Objective: To evaluate factors contributing to obstetric emergencies, analyze the fetomaternal outcome and role of obstetric drill in facing these emergencies effectively.

Material and method: Out of 10,892 deliveries, a total of 520 women were included in this prospective study. Analysis of emergency obstetric conditions was done by evaluating incidence, various contributing factors, and fetomaternal outcome. Obstetric drill was conducted among residents repetitively. Pre drill and post drill assessment of confidence in clinical, knowledge, and team work skills were compared by χ(2) test. Impact of drill on severe obstetric morbidities was noted.

Observations: Incidence of obstetric emergencies was found to be 4.88 %. Maternal and perinatal mortality was seen in 4.23 and 37.11 %, respectively, of these emergency obstetric women. Impact of drill showed an increase in score in knowledge (p < 0.019), confidence (p, 0.001), and team work (p < 0.001).

Conclusion: Active implementation of emergency obstetric care and incorporation of obstetric drill lays a strong foundation for safe fetomaternal outcome.

Keywords: Maternal morbidity; Obstetric drill; Obstetric emergency.