Evaluation and impact of fetal physiology training on fetal heart rate analysis

Dupuis, Hippolyte; Ghesquière, Louise; Pierache, Adeline; Subtil, Damien; Debarge, Veronique; Garabedian, Charles

Document type :

Article dans une revue scientifique: Article original

DOI :

10.1016/j.jogoh.2021.102185

PMID :

34129991

Permalink :

http://hdl.handle.net/20.500.12210/90325

Title :

Evaluation and impact of fetal physiology training on fetal heart rate analysis

Author(s) :

Dupuis, Hippolyte [Auteur]
Ghesquière, Louise [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Pierache, Adeline [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Subtil, Damien [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Debarge, Veronique [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Garabedian, Charles [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Journal title :

Journal of Gynecology Obstetrics and Human Reproduction

Abbreviated title :

J Gynecol Obstet Hum Reprod

Volume number :

Pages :

102185

Publication date :

2021-12

ISSN :

2468-7847

English keyword(s) :

Training
Fetal physiology
Fetal heart rate
Resident
Fetal scalp blood sampling

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Introduction Evaluation of fetal well-being during labor is based on fetal heart rate (FHR) analysis, which requires physiology expertise. The aim of the present study was to assess medical residents’ fetal physiology ...
Show more >Introduction Evaluation of fetal well-being during labor is based on fetal heart rate (FHR) analysis, which requires physiology expertise. The aim of the present study was to assess medical residents’ fetal physiology training in terms of theoretical knowledge, FHR interpretation, and use of second-line examinations. Methods This single-center, prospective study of obstetrics and gynecology residents (N = 34) at CHU de Lille Hospital (Lille, France) was conducted from November 2017 to November 2018. Evaluation and training were conducted in three stages. First, residents’ pre-training knowledge of FHR interpretation and use of fetal scalp blood sampling (FBS) was assessed using clinical cases. Second, a didactic training session on fetal physiology was delivered. Finally, post-training knowledge was evaluated using the same cases presented during pre-training. i Pre-training, 3%, 11.8%, and 14.7% of residents considered their training on fetal physiology, FHR analysis, and second-line examinations, respectively, to be sufficient. Training significantly improved their theoretical knowledge, which was assessed using multiple-choice questions (median [interquartile range]: 1.5 [1.0–2.0] vs. 4.0 [3.0–4.5], p<0.001), and reduced the number of FBS requested (36.3% vs. 29.5%, p = 0.002). Krippendorff's alpha coefficient for the reproducibility of residents’ responses improved significantly, reflecting greater homogenization of clinical practice decisions (alpha [95% confidence interval]: 0.60 [0.55–0.65] vs. 0.72 [0.67–0.76]). Conclusion Improved fetal physiology knowledge promotes more accurate FHR interpretation, better indications for second-line examinations, and greater homogenization of clinical practice decisions. Future studies should evaluate the impact of fetal physiology training on clinical practice.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CHU Lille

Collections :

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2023-11-15T06:23:15Z
2024-03-26T11:00:18Z

Version	Link	Modification date
2	20.500.12210/90325*	2024-03-26T10:45:40Z
1	20.500.12210/90325.1	2023-11-15T06:23:15Z

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