{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T08:40:37Z","timestamp":1787992837870,"version":"build-2784847793"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,9,7]],"date-time":"2016-09-07T00:00:00Z","timestamp":1473206400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Cord prolapse is an uncommon obstetric emergency, with potentially fatal consequences for the baby if prompt action is not taken. Simulation training provides a means by which uncommon emergencies can be practised, with the aim of improving teamwork and clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study aimed to determine if the introduction of a simulation\u2010based training course was associated with an improvement in the management of cord prolapse, in particular the diagnosis to delivery interval. We also aimed to investigate if an improvement in perinatal outcomes could be demonstrated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>A retrospective cohort study was performed. All cases of cord prolapse in the designated time period were identified and reviewed and a comparison of outcome measures pre\u2010 and post\u2010training was undertaken.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010one cases were identified in the pre\u2010training period, and compared to 64 cases post\u2010training. Documentation improved significantly post\u2010training. There were non\u2010significant improvements in use of spinal anaesthetic, and in the length of stay in the special care neonatal unit. There was a significant increase in the number of babies with Apgar scores less than seven at 5\u00a0min. There were no differences in the diagnosis to delivery interval, or in perinatal mortality rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Obstetric emergency training was associated with improved teamwork, as evidenced by the improved documentation post\u2010training in this study, but not with improved diagnosis to delivery interval. Long\u2010term follow\u2010up studies are required to ascertain whether training has an impact on longer\u2010term paediatric outcomes, such as cerebral palsy rates.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12530","type":"journal-article","created":{"date-parts":[[2016,9,8]],"date-time":"2016-09-08T03:06:48Z","timestamp":1473304008000},"page":"327-333","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["The effect of a multidisciplinary obstetric emergency team training program, the In Time course, on diagnosis to delivery interval following umbilical cord prolapse \u2013 A retrospective cohort study"],"prefix":"10.1111","volume":"57","author":[{"given":"Sean","family":"Copson","sequence":"first","affiliation":[{"name":"King Edward Memorial Hospital Subiaco Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina","family":"Calvert","sequence":"additional","affiliation":[{"name":"King Edward Memorial Hospital Subiaco Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puvaneswary","family":"Raman","sequence":"additional","affiliation":[{"name":"King Edward Memorial Hospital Subiaco Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Nathan","sequence":"additional","affiliation":[{"name":"King Edward Memorial Hospital Subiaco Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias","family":"Epee","sequence":"additional","affiliation":[{"name":"King Edward Memorial Hospital Subiaco Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,9,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1995.tb10850.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)90207-X"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(94)70238-1"},{"key":"e_1_2_6_5_1","first-page":"303","article-title":"Umbilical cord prolapse in current obstetric practice","volume":"50","author":"Boyle JJ","year":"2005","journal-title":"J Reprod Med"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-006-0142-2"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.05.013"},{"key":"e_1_2_6_8_1","volume-title":"Cord Prolapse: Guideline No. 50","author":"Royal College of Obstetricians and Gynaecologists","year":"2014"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02179.x"},{"key":"e_1_2_6_10_1","unstructured":"Joint Commission on Accreditation of Healthcare Organizations.Preventing infant death and injury during delivery(Sentinel Event Alert Issue #30); [Cited 21 July 2004.] Available from URL:www.jointcommission.org\/SentinelEvents\/SentinelEventAlert\/sea_30.htm."},{"key":"e_1_2_6_11_1","volume-title":"Breech Presentation at Onset of Labour. 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