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Current training in the management of obstetric emergencies in Australia and internationally focusses on utilising a multidisciplinary simulation\u2010based model. Arguments for and against this type of training exist, using both economic and clinical reasoning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>\n                      To identify the evidence base for the clinical impact of simulation training in obstetric emergencies and to address some of the concerns regarding appropriate delivery of obstetric emergency training in the\n                      <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                      ustralian setting.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A literature search was performed to identify research undertaken in the area of obstetric emergency training. The initial literature search using broad search terms identified 887 articles which were then reviewed and considered for inclusion if they provided original research with a specific emphasis on the impact of training on clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ninety\u2010two articles were identified, comprising evidence in the following clinical situations: eclampsia, shoulder dystocia, postpartum haemorrhage, maternal collapse, cord prolapse and teamwork training. Evidence exists for a benefit in knowledge or skills gained from simulation training and for the benefit of training in small units without access to high\u2010fidelity equipment or facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Evidence exists for a positive impact of training in obstetric emergencies, although the majority of the available evidence applies to evaluation at the level of participants\u2019 confidence, knowledge or skills rather than at the level of impact on clinical outcomes. The model of simulation\u2010based training is an appropriate one for the\n                      <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                      ustralian setting and should be further utilised in rural and remote settings.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.12120","type":"journal-article","created":{"date-parts":[[2013,9,13]],"date-time":"2013-09-13T07:10:29Z","timestamp":1379056229000},"page":"509-516","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Emergency obstetric simulation training: How do we know where we are going, if we don't know where we have been?"],"prefix":"10.1111","volume":"53","author":[{"given":"Katrina L.","family":"Calvert","sequence":"first","affiliation":[{"name":"Department of Postgraduate Medical Education King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul M.","family":"Mcgurgan","sequence":"additional","affiliation":[{"name":"School of Women's and Infants\u2019 Health The University of Western Australia Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward M.","family":"Debenham","sequence":"additional","affiliation":[{"name":"Department of Anaesthetics King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances J.","family":"Gratwick","sequence":"additional","affiliation":[{"name":"Department of Postgraduate Medical Education King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panos","family":"Maouris","sequence":"additional","affiliation":[{"name":"Obstetric and Gynaecology Clinical Care Unit King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,9,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02847.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b1775"},{"key":"e_1_2_7_4_1","volume-title":"A Global Review of the Key Interventions Related to Reproductive, Maternal, Newborn and Child Health","author":"The Partnership for Maternal, Newborn & Child Health","year":"2011"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2009.0423"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3182377bbc"},{"key":"e_1_2_7_7_1","unstructured":"SullivanEA HallB KingJF.Maternal deaths in Australia 2003\u20132005. 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