ArticleBMC medical education2026
Bridging the gap in pre-hospital maternity care: emergency personnel's knowledge and clinical skills in managing obstetric emergencies.
Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionPre-hospital obstetric emergencies are unpredictable and time-sensitive, requiring competent and well-trained emergency personnel. Limited preparedness in managing such events can lead to preventable maternal and neonatal complications. This study aimed to investigate the knowledge and clinical skills of pre-hospital emergency personnel in providing obstetric services, offering an integrated overview of the current state at the Tehran Emergency Center.
methodsThis cross-sectional study was conducted in March 2022 at the Tehran Emergency Center. A total of 97 pre-hospital emergency personnel were selected through simple random sampling from the operational staff list. Data were collected using a self-reporting knowledge and clinical skill (SRKCS) questionnaire, a knowledge test, and four objective structured clinical examination (OSCE) checklists. Data were analyzed using SPSS version 26 with Pearson's correlation, independent t-test, repeated measures, and Kruskal-Wallis tests.
resultsParticipants demonstrated moderate knowledge (mean ± SD = 46.6 ± 10.9%) and clinical skill levels (mean ± SD = 58.4 ± 8.7%). Among the OSCE stations, personnel performed best in managing cardiac arrest in pregnant women (mean ± SD = 83.2 ± 11.1%) and weakest in handling childbirth and postpartum hemorrhage (mean ± SD = 33.3 ± 14.0%). A significant positive correlation (P < 0.05) was observed between OSCE performance and both actual and self-reported knowledge and skill levels.
conclusionThe findings highlight critical gaps in pre-hospital readiness for obstetric emergencies, particularly in childbirth and postpartum bleeding management. Incorporating structured, simulation-based training and interdisciplinary collaboration with midwifery educators into emergency personnel education programs could substantially enhance preparedness and improve maternal outcomes in pre-hospital settings.
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