Evidence map›Paper›PMID 34622945›Full record

SynthesisActa obstetricia et gynecologica Scandinavica2022

The effects of obstetric emergency team training on patient outcome: A systematic review and meta-analysis.

Lise Brogaard, Kasper Glerup Lauridsen, Bo Løfgren, Kristian Krogh, Charlotte Paltved, Sidsel Boie, Lone Hvidman

Registry-linked trialOpen access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Acta obstetricia et gynecologica Scandinavica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07248605 (Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
5.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07248605 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effect of Applying Emergency Obstetric Care Protocol on Maternity Nurses' Practices

TypeinterventionalSponsorMansoura UniversityRan2026 to 2027Enrolled60ConditionsEmergency Care, ObstetricArmseducational booklet
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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  4. Video-assisted team debriefing for real-life management of major postpartum hemorrhage (DBRIEF trial): An interrupted time series analysis.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Lise BrogaardDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark.ORCID https://orcid.org/0000-0001-5136-9682
Kasper Glerup LauridsenResearch Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark.
Bo LøfgrenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Kristian KroghResearch Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark.
Charlotte PaltvedDepartment of Human Resources, Medical simulation in Central Denmark Region (MidtSim), Aarhus, Denmark.
Sidsel BoieDepartment of Obstetrics and Gynecology, Randers Regional Hospital, Randers, Denmark.
Lone HvidmanDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark.
Aarhus University · DKAarhus University Hospital · DKCentral Denmark Region · DKChildren's Hospital of Philadelphia · USRegional Hospital Randers · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLittle is known about the optimal simulation-based team training in obstetric emergencies. We aimed to review how simulation-based team training affects patient outcomes in obstetric emergencies. MATERIAL AND

methodsSearch Strategy: MEDLINE, Embase, Cochrane Library, and Cochrane Central Register of Controlled Trials were searched up to and including May 15, 2021. SELECTION CRITERIA: randomized controlled trials (RCTs) and cohort studies on obstetric teams in high-resource settings comparing the effect of simulation-based obstetric emergency team training with no training on the risk of Apgar scores less than 7 at 5 min, neonatal hypoxic ischemic encephalopathy, severe postpartum hemorrhage, blood transfusion of four or more units, and delay of emergency cesarean section by more than 30 min. DATA COLLECTION AND ANALYSIS: The included studies were assessed using PRISMA, EPCO, and GRADE.

resultsWe found 21 studies, four RCTs and 17 cohort studies, evaluating patient outcomes after obstetric team training compared with no training. Annual obstetric emergency team training may reduce brachial plexus injury (six cohort studies: odds ratio [OR] 0.47, 95% CI 0.33-0.68; one RCT: OR 1.30, 95 CI% 0.39-4.33, low certainty evidence) and suggest a positive effect; but it was not significant on Apgar score below 7 at 5 min (three cohort studies: OR 0.77, 95% CI 0.51-1.19; two RCT: OR 0.87, 95% CI 0.72-1.05, moderate certainty evidence). The effect was unclear for hypoxic ischemic encephalopathy, umbilical prolapse, decision to birth interval in emergency cesarean section, and for severe postpartum hemorrhage. Studies with in situ multi-professional simulation-based training demonstrated the best effect.

conclusionsEmerging evidence suggests an effect of obstetric team training on obstetric outcomes, but conflicting results call for controlled trials targeted to identify the optimal methodology for effective team training.

Indexed as

Emergency Service, HospitalOutcome Assessment, Health CarePatient Care TeamPrenatal CareSimulation TrainingFemaleHumansInfant, NewbornPostpartum HemorrhagePregnancyRandomized Controlled Trials as Topicbirthbrachial plexusdeliveryemergency teamsobstetricpostpartum hemorrhageshoulder dystociasimulation trainingsystematic review

Identifiers

PMID34622945
PMCPMC9564821
OpenAlexW3203810240

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.