The Application of Rapid Response Team in Category 1 Emergency Caesarean Section Teaching for OBGYN Residents in the Delivery Room

Abstract

Abstract Background Category 1 caesarean section (CS) can be a life-saving procedure when there is immediate threat to the life of the woman or fetus. However, category 1 CS is an challenge for OBGYN residents, and it is necessary to establish a effective and straightforward teaching strategy. This study aimed to evaluate the efficiency of rapid response team (RRT) oncategory 1 CS teachingfor OBGYN residents in the delivery room. Methods A total of 142 residents who underwent standardized residency training programs in the delivery room were divided into a RRT teaching group and a traditional response (TR) teaching group. In the RRT teaching group, Category 1 emergency CS teaching was started and explored by rapid response team. The training included both theoretical and practical components. After the training, decision-to-delivery interval (DDI) , neonatal Apgar score , operation time and rate of postpartum hemorrhage (PPH) were compared. A questionnaire on the subjective assessment of various aspects of the program was conducted at the end of the training period. Results The decision-to-delivery internal (DDI) in minutes in the RRT teaching group (n=72) was significantly shorter than that of the TR teaching group (n=70) (11.83±4.16 vs 13.56±5.47, p = 0.0364). The score of satisfaction from residents in the RRT teaching group was significantly higher than that of the TR group [7 (6, 9) vs 9 (7, 10), p =0.0154 ). Compared wtih the TR teaching group , more residents thought their clinical skills have been improved (94.29% vs 100%, p=0.0396) and willing to recommend their training method to others (91.43% vs 100%, p=0.0399) in the RRT teaching group . However, no significant differences were observed in the incidence of postpartum hemorrhage between the two groups. Conclusions RRT teaching is beneficial in the standardized training and teaching of residents in the delivery room. It improves the DDI of category 1 emergency caesarean section and the degree of satisfaction.