Management strategies using non-technical skills to reduce maternal and perinatal morbidity and mortality
Abstract
Maternal and perinatal morbidity is a public health indicator of the level of equality in a country; actually, a decline in the number of maternal deaths is an indicator of the Millennium Development Goals (MDGs). Furthermore, the practice of obstetrics gives rise to a large number of lawsuits and malpractice penalties. It has been shown in medical care that in addition to the technical skills required to provide adequate patient care on a daily basis, the development of non-technical skills in simulation scenarios, including effective communication tools, exercise and respect of leadership, teamwork and proper resolution of conflicts in the group under critical situations, in this case obstetric emergencies, lower the rates of adverse outcomes for both mother and child. The purpose of this article is to consider from the anesthesiologist perspective, how the implementation of continuous education programs that impact public health policies, in addition to active involvement in the interdisciplinary team caring for the mother and child through public health surveillance activities, and the development of management guidelines in perinatology, may contribute to accomplish these national and world goals.
References
2. Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, et al. Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress toward Millennium Development Goal 5. Lancet. 2010;375:1609-23.
3. Tunc¸alp O, Hindin MJ, Souza JP, Chou D, Say L. The prevalence of maternal near miss: a systematic review. BJOG. 2012;119:653-61.
4. Colombia es ejemplo de salud materno-infantil en México consultado 15 Jul 2012. Disponible en: http://www.elhospital.com/eh/secciones/EH/ES/MAIN/N/NOTICIAS2/doc 88202 HTML.html?idDocumento=88202
5. Guise JM, Segel S. Teamwork in obstetric critical care. Best Pract Res Clin Obstet Gynaecol. 2008;22:937-51.
6. Chandraharan E, Arulkumaran S. Medico-legal problems in Obstetrics. Curr Obstet Gynecol. 2006;16:206-10.
7. Abuhamad A, Grobman WA. Patient safety and medical liability: current status and an agenda for the future. Obstet Gynecol. 2010;116:570-7.
8. Berkowitz RL. Of parachutes and patient care: a call to action. Am J Obstet Gynecol. 2011;205:7-9.
9. Deering S, Johnston LC, Colacchio K. Multidisciplinary teamwork and communication training. Semin Perinatol. 2011;35:89-96.
10. Zigmont JJ, Kappus LJ, Sudikoff SN. Theoretical foundations of learning through simulation. Semin Perinatol. 2011;35: 47-51.
11. Merién AE, van de Ven J, Mol BW, Houterman S, Oei SG. Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review. Obstet Gynecol. 2010;115:1021-31.
12. Van Lonkhuijzen L, Dijkman A, van Roosmalen J, Zeeman G, Scherpbier A. A systematic review of the effectiveness of training in emergency obstetric care in low-resource environments. BJOG. 2010;117:777-87.
13. Curso Colapso Materno. Mejoramiento de las competencias en el manejo de las emergencias Obstétricas consultado 15 Jul 2012. Disponible en: http://www.scare.org.co/Educacion/Profesionales/EventosPresenciales/CursosPermanentes/CursoMaternoLargo.aspx
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