Cochrane · systematic review · CD011545
Multi‐professional simulation‐based team training in obstetric emergencies for improving patient outcomes and trainees' performance
Fransen, AF, van de Ven, J, Banga, FR, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 3 · 42.9%Moderate 3 · 42.9%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Simulation‐based obstetric team training versus no training
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Maternal and perinatal outcome (Kirkpatrick level 4: patient outcome) Simulation‐based obstetric team training vs no training | no estimate extracted | 3 studies · 79320 participants | Low Downgraded: risk of bias |
Performance of obstetric team in practice (Kirkpatrick level 3: behavioural change) Simulation‐based obstetric team training vs no training | no estimate extracted | 3 studies · 2398 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Maternal mortality (Kirkpatrick level 4: patient outcome) Simulation‐based obstetric team training vs no training | RR 0.82 [0.3, 2.27] | 2 studies · 79246 participants | Very low Downgraded: risk of bias |
Neonatal mortality (Kirkpatrick level 4: patient outcome) Simulation‐based obstetric team training vs no training | RR 0.7 [0.48, 1.01] | 2 studies · 79246 participants | Low Downgraded: risk of bias |
Low Apgar score (Kirkpatrick level 4: patient outcome) Simulation‐based obstetric team training vs no training | RR 0.99 [0.85, 1.15] | 2 studies · 115171 participants | Low Downgraded: risk of bias |
Trauma due to shoulder dystocia (Kirkpatrick level 4: patient outcome) Simulation‐based obstetric team training vs no training | RR 0.5 [0.25, 1] | 1 study · 28657 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Cesarean delivery (Kirkpatrick level 4: patient outcome) Simulation‐based obstetric team training vs no training | RR 0.79 [0.67, 0.93] | 1 study · 50589 participants | Moderate Downgraded: risk of bias |