{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:53:28Z","timestamp":1768265608907,"version":"3.49.0"},"reference-count":10,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,2,17]],"date-time":"2020-02-17T00:00:00Z","timestamp":1581897600000},"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":[[2020,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Following the Term Breech Trial, vaginal breech deliveries are rarely undertaken in Australia. Some women choose to have a breech delivery following counselling, while others will present in labour with an undiagnosed breech. Clinicians need to be skilled in vaginal breech delivery despite this being a rare clinical situation. Simulation training provides a means by which uncommon clinical situations can be practised.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aims to determine if the introduction of a simulation\u2010based training course is associated with an improvement in the management of vaginal breech delivery and neonatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cases of term vaginal breech delivery five years prior to introduction of In Time training (2001\u20132005) and five years after In Time training (2007\u20132011) were identified in a tertiary obstetric hospital (King Edward Memorial Hospital, Perth). There were 136 women identified in the pre\u2010training (2001\u20132005, <jats:italic>n<\/jats:italic>\u00a0=\u00a056) and post\u2010training (2007\u20132011, <jats:italic>n<\/jats:italic>\u00a0=\u00a080) groups. Case note review was undertaken to gather information.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Apgar scores of &lt;7 at five minutes were higher in the post\u2010training cohort (8.8% vs 0%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.041). Arterial and venous pH readings were similar between cohorts, with a non\u2010significant trend toward improvement in the post\u2010training cohort. Special care nursery admissions and length of hospital stay were unchanged. The primary accoucheur was more likely to be a consultant (35.0% vs 16.4%) in the post\u2010training cohort. Appropriate manoeuvres were more likely to be used in the post\u2010training cohort (52.5% vs 44.6%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Obstetric In Time simulation training improved seniority of accoucheur and documented appropriate manoeuvres in the management of term vaginal breech delivery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13132","type":"journal-article","created":{"date-parts":[[2020,2,18]],"date-time":"2020-02-18T03:29:11Z","timestamp":1581996551000},"page":"704-708","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["A retrospective cohort study of the impact of In Time obstetric simulation training on management of vaginal breech deliveries"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2329-7663","authenticated-orcid":false,"given":"Liesel","family":"Hardy","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayna\u2010Lee","family":"Garratt","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brendan","family":"Crossley","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Copson","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Nathan","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynaecology University of Western Australia Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrina","family":"Calvert","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathias","family":"Epee\u2010Bekima","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology King Edward Memorial Hospital Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,2,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02840-3"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14465"},{"key":"e_1_2_6_4_1","unstructured":"Royal Australian and New Zealand College of Obstetricians and Gynaecologists Management of Breech Presentation at Term 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