{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T14:55:50Z","timestamp":1792508150847,"version":"4.5.0"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T00:00:00Z","timestamp":1745625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T00:00:00Z","timestamp":1745625600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,10]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n To provide a comprehensive nationwide overview of simulation\u2010based training on obstetric emergencies during residency.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A cross\u2010sectional study surveyed Ob\/Gyn residents in Portugal in 2023, using a self\u2010designed questionnaire on simulation\u2010based training. A snowball sampling method was used, and analysis included descriptive statistics with comparisons using\n \u03c7<\/jats:italic>\n 2<\/jats:sup>\n or Fisher exact test (\n P<\/jats:italic>\n \u2009<\u20090.05).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 97 residents participated (33.6% of the Portuguese residents). Participants dedicated an average (\u00b1 standard deviation) of 13.8\u2009h (\u00b1\u200911.3\u2009h) to simulation\u2010based training. Commonest (>90%) trained scenarios were eutocic delivery, vacuum and forceps extraction, and breech delivery. Underrepresented scenarios (<5%) were cesarean with impacted fetal head, disseminated intravascular coagulation, amniotic fluid embolism, and polytrauma in pregnancy. Less than 10% of residents experienced real\u2010life retention of the after\u2010coming head, amniotic fluid embolism, maternal cardiac arrest, maternal anaphylaxis, and polytrauma in pregnancy. Senior residents reported more frequent training in complex scenarios. Identified flaws in clinical practice were unfamiliarity with emergency guidelines, poor technical skills, and lack of teamwork strategies.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Based on nationwide data, critical gaps in simulation\u2010based training for obstetric emergencies in Ob\/Gyn residency programs were identified, and the authors propose strategies to improve training.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ijgo.70186","type":"journal-article","created":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T08:49:47Z","timestamp":1745657387000},"page":"256-263","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Obstetric emergencies simulation\u2010based training in Ob\/Gyn residency: A nationwide survey"],"prefix":"10.1002","volume":"171","author":[{"given":"Ant\u00f3nio","family":"De Pinho","sequence":"first","affiliation":[{"name":"Department of Gynecology\u2010Obstetrics and Pediatrics Faculty of Medicine, University of Porto Porto Portugal"},{"name":"Department of Gynecology\u2010Obstetrics Local Health Unit of T\u00e2mega and Sousa Penafiel Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o","family":"Bernardes","sequence":"additional","affiliation":[{"name":"Department of Gynecology\u2010Obstetrics and Pediatrics Faculty of Medicine, University of Porto Porto Portugal"},{"name":"CINTESIS@RISE, Faculty of Medicine University of Porto Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Department of Gynecology\u2010Obstetrics and Pediatrics Faculty of Medicine, University of Porto Porto Portugal"},{"name":"CINTESIS@RISE, Faculty of Medicine University of Porto Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0b013e3181cc4595"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/AMEP.S65451"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2017.05.007"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2017.07.022"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2014.04.014"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2015.03.019"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1770127"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2009.01.007"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2022.04.006"},{"key":"e_1_2_9_11_1","first-page":"223","article-title":"Use of simulation\u2010based methodologies for teaching and learning in Portuguese medical schools","volume":"24","author":"Reynolds A","year":"2011","journal-title":"Acta Medica Port"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2923.37.s1.7.x"},{"key":"e_1_2_9_13_1","volume-title":"Establishing a Simulation Center: Essentials and Guidelines","author":"Riabtseva N","year":"2015"},{"key":"e_1_2_9_14_1","unstructured":"ScheeleF van derAaJ GoverdeA eds.Project for achieving consensus in training by the European Board and College of Obstetrics and Gynaecology.https:\/\/www.ebcog.org\/education"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-014-1624-7"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005258"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2020-0463"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2019.12.002"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12767"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-014-0367-1"}],"container-title":["International Journal of Gynecology & Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70186","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.70186","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70186","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T12:01:22Z","timestamp":1772971282000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.70186"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,26]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1002\/ijgo.70186"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.70186","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,26]]},"assertion":[{"value":"2024-12-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}