News Reader.info

ABSTRACT OBJECTIVE: We documented time to key milestones and determined reasons for transport-related delays during simulated emergency cesarean. STUDY DESIGN: Prospective, observational

investigation of delivery of care processes by multidisciplinary teams of obstetric providers on the labor and delivery unit at Lucile Packard Children’s Hospital, Stanford, CA, USA, during

14 simulated uterine rupture scenarios. The primary outcome measure was the total time from recognition of the emergency (time zero) to that of surgical incision. RESULT: The median

(interquartile range) from time zero until incision was 9 min 27 s (8:55 to 10:27 min:s). CONCLUSION: In this series of emergency cesarean drills, our teams required approximately nine and a

half minutes to move from the labor room to the nearby operating room (OR) and make the surgical incision. Multiple barriers to efficient transport were identified. This study demonstrates

the utility of simulation to identify and correct institution-specific barriers that delay transport to the OR and initiation of emergency cesarean delivery. Access through your institution

Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through your institution Subscribe to this journal Receive 12 print issues and

online access $259.00 per year only $21.58 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes

which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY

OTHERS CHILDBIRTH SIMULATION TO ASSESS CEPHALOPELVIC DISPROPORTION AND CHANCES FOR FAILED LABOR IN A FRENCH POPULATION Article Open access 20 January 2023 STRUCTURED PRE-DELIVERY HUDDLES

ENHANCE CONFIDENCE IN MANAGING NEWBORNS WITH CRITICAL CONGENITAL HEART DISEASE IN THE DELIVERY ROOM Article 10 December 2024 TELENEONATAL OR ROUTINE RESUSCITATION IN EXTREMELY PRETERM

INFANTS: A RANDOMIZED SIMULATION TRIAL Article Open access 28 September 2024 REFERENCES * Pallasmaa N, Ekblad U, Aitokallio-Tallberg A, Uotila J, Raudaskoski T, Ulander VM _et al_. Cesarean

delivery in Finland: maternal complications and obstetric risk factors. _Acta Obstet Gynecol Scand_ 2010; 89: 896–902. Article  Google Scholar  * Shields L . Postpartum hemorrhage: lessons

learned from other states. CMQCC Obstetric Hemorrhage Toolkit, Obstetric Hemorrhage Care Guidelines and Compendium of Best Practices Reviewed by CADPH-MCAH: 12/21/09 California Maternal

Quality Care Collaborative 2009. * Al-Foudri H, Kevelighan E, Catling S . CEMACH 2003–5 Saving Mothers’ Lives: lessons for anaesthetists. _Contin Educ Anaesth Crit Care Pain_ 2010; 10:

81–87. Article  Google Scholar  * Sentinel event alert issue 30. Preventing infant death and injury during delivery. The Joint Commission 2004. * Sentinel event alert issue 44. Preventing

maternal death. The Joint Commission 2010. * ACOG practice bulletin no. 115: vaginal birth after previous cesarean delivery. _Obstet Gynecol_ 2010; 116: 450–463. * Draycott TJ, Crofts JF,

Ash JP, Wilson LV, Yard E, Sibanda T _et al_. Improving neonatal outcome through practical shoulder dystocia training. _Obstet Gynecol_ 2008; 112: 14–20. Article  Google Scholar  * Lipman

SS, Daniels KI, Carvalho B, Arafeh J, Harney K, Puck A _et al_. Deficits in the provision of cardiopulmonary resuscitation during simulated obstetric crises. _Am J Obstet Gynecol_ 2010; 203:

179.e1–179.e5. Article  Google Scholar  * Lipman SS, Daniels K, Cohen SE, Carvalho B . Labor room setting compared with the operating room for simulated perimortem cesarean delivery: a

randomized controlled trial. _Obstet Gynecol_ 2011; 118: 1090–1094. Article  Google Scholar  * Maslovitz S, Barkai G, Lessing JB, Ziv A, Many A . Recurrent obstetric management mistakes

identified by simulation. _Obstet Gynecol_ 2007; 109: 1295–1300. Article  Google Scholar  * Siassakos D, Hasafa Z, Sibanda T, Fox R, Donald F, Winter C _et al_. Retrospective cohort study of

diagnosis-delivery interval with umbilical cord prolapse: the effect of team training. _BJOG_ 2009; 116: 1089–1096. Article  CAS  Google Scholar  * ACOG practice bulletin no. 116:

management of intrapartum fetal heart rate tracings. _Obstet Gynecol_ 2010; 116: 1232–1240. * Leung AS, Leung EK, Paul RH . Uterine rupture after previous cesarean delivery: maternal and

fetal consequences. _Am J Obstet Gynecol_ 1993; 169: 945–950. Article  CAS  Google Scholar  * Part 12.3: cardiac arrest associated with pregnancy. _Circulation_ 2010; 122: S833–S838. * Part

10.8: cardiac arrest associated with pregnancy. _Circulation_ 2005; 112: IV-150–I53. * Preston P, Lopez C, Corbett N . How to integrate findings from simulation exercises to improve

obstetrics care in the institution. _Semin Perinatol_ 2011; 35: 84–88. Article  Google Scholar  * Smith-Coggins R, Rosekind MR, Buccino KR, Dinges DF, Moser RP . Rotating shiftwork

schedules: can we enhance physician adaptation to night shifts? _Acad Emerg Med_ 1997; 4: 951–961. Article  CAS  Google Scholar  Download references ACKNOWLEDGEMENTS We would like to thank

Andrea Puck, RN, Nurse Education Specialist, Lucile Packard Children’s Hospital, for creating the OB Stat Nursing Roles cognitive aid included in the Supplementary Appendix, the leadership

of Anne Marie Oakeson, Nurse Manager of the labor and delivery unit, Lucile Packard Children’s Hospital and the vision of Risk Management (The Alliance Group) at Stanford and Lucile Packard

Children’s Hospital. No financial or other compensation was provided to any of the individuals or groups listed. No funding was received by any of the authors for this study. AUTHOR

INFORMATION AUTHORS AND AFFILIATIONS * Division of Obstetric Anesthesia, Department of Anesthesiology, Stanford University School of Medicine, Lucile Packard Children’s Hospital, Stanford,

CA, USA S S Lipman, B Carvalho & S E Cohen * Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA, USA M L Druzin & K Daniels Authors * S S

Lipman View author publications You can also search for this author inPubMed Google Scholar * B Carvalho View author publications You can also search for this author inPubMed Google Scholar

* S E Cohen View author publications You can also search for this author inPubMed Google Scholar * M L Druzin View author publications You can also search for this author inPubMed Google

Scholar * K Daniels View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to S S Lipman. ETHICS DECLARATIONS COMPETING

INTERESTS The authors declare no conflict of interest. ADDITIONAL INFORMATION Portions of this data were presented at the annual meetings of the Society for Obstetric Anesthesia and

Perinatology (May 2009, Washington, DC) and the American Society of Anesthesiologists (October 2009, New Orleans, L.A). Simulated _in situ_ drills identified and led to remediation of

institution-specific delays in initiating emergency cesarean delivery. Supplementary Information accompanies the paper on the Journal of Perinatology website SUPPLEMENTARY INFORMATION

SUPPLEMENTARY INFORMATION (DOC 73 KB) RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Lipman, S., Carvalho, B., Cohen, S. _et al._ Response times for

emergency cesarean delivery: use of simulation drills to assess and improve obstetric team performance. _J Perinatol_ 33, 259–263 (2013). https://doi.org/10.1038/jp.2012.98 Download citation

* Received: 14 February 2012 * Revised: 30 May 2012 * Accepted: 04 June 2012 * Published: 02 August 2012 * Issue Date: April 2013 * DOI: https://doi.org/10.1038/jp.2012.98 SHARE THIS

ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard

Provided by the Springer Nature SharedIt content-sharing initiative KEYWORDS * delays in transport to the OR * emergency cesarean delivery * quality improvement * simulated obstetric crises

* uterine rupture