{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T07:35:09Z","timestamp":1792827309272,"version":"4.5.0"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2006,1,13]],"date-time":"2006-01-13T00:00:00Z","timestamp":1137110400000},"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":["BJOG"],"published-print":{"date-parts":[[2006,2]]},"abstract":"<jats:p><jats:bold>Objectives\u2002<\/jats:bold> To determine whether the introduction of Obstetrics Emergency Training in line with the recommendations of the Clinical Negligence Scheme for Trusts (CNST) was associated with a reduction in perinatal asphyxia and neonatal hypoxic\u2013ischaemic encephalopathy (HIE).<\/jats:p><jats:p><jats:bold>Design\u2002<\/jats:bold> A retrospective cohort observational study.<\/jats:p><jats:p><jats:bold>Setting\u2002<\/jats:bold> A tertiary referral maternity unit in a teaching hospital.<\/jats:p><jats:p><jats:bold>Population\u2002<\/jats:bold> Term, cephalic presenting, singleton infants born at Southmead Hospital between 1998 and 2003 were identified; those born by elective Caesarean sections were excluded.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> Five\u2010minute Apgar scores were reviewed. Infants that developed HIE were prospectively identified throughout this period. The study compared the period \u2018pre\u2010training\u2019 (1998\u20131999), with the period \u2018post\u2010training\u2019 (2001\u20132003).<\/jats:p><jats:p><jats:bold>Main outcome measures\u2002<\/jats:bold> Five\u2010minute Apgar scores and HIE.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Infants (19,460) were included. Infants born with 5\u2010minute Apgar scores of \u22646 decreased from 86.6 to 44.6 per 10,000 births (<jats:italic>P<\/jats:italic> &lt; 0.001) and those with HIE decreased from 27.3 to 13.6 per 10,000 births (<jats:italic>P<\/jats:italic>= 0.032) following the introduction of the training courses in 2000. Antepartum and intrapartum stillbirth at term rates remained unchanged, at about 15 and 4 per 10,000 births, respectively.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> The introduction of obstetric emergencies training courses was associated with a significant reduction in low 5\u2010minute Apgar scores and HIE. This improvement has been sustained as the training has continued. This is the first time an educational intervention has been shown to be associated with a clinically important, and sustained, improvement in perinatal outcome.<\/jats:p>","DOI":"10.1111\/j.1471-0528.2006.00800.x","type":"journal-article","created":{"date-parts":[[2006,1,13]],"date-time":"2006-01-13T09:37:02Z","timestamp":1137145022000},"page":"177-182","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":488,"title":["Does training in obstetric emergencies improve neonatal outcome?"],"prefix":"10.1111","volume":"113","author":[{"given":"Tim","family":"Draycott","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thabani","family":"Sibanda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Owen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentine","family":"Akande","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cathy","family":"Winter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Reading","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Whitelaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,1,13]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"53","volume-title":"CESDI 7th Annual Report\u2014CTG Education Survey","year":"2000"},{"key":"e_1_2_6_3_2","first-page":"331","volume-title":"Neurology of the Newborn","author":"Volpe JJ","year":"2001"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7249.1567"},{"key":"e_1_2_6_5_2","volume-title":"Report of an Expert Group on Learning from Adverse Events in the NHS","author":"Chief Medical Officer","year":"2000"},{"key":"e_1_2_6_6_2","volume-title":"Report on Confidential Enquiries into Maternal Deaths in the United Kingdom 1988\u20131990","author":"Department of Health","year":"1994"},{"key":"e_1_2_6_7_2","volume-title":"The Report of the Expert Maternity Group","author":"Department of Health","year":"1993"},{"key":"e_1_2_6_8_2","volume-title":"Clinical Risk Management Standards for Maternity Services","year":"2002"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2003.02488.x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-195301000-00041"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02840-3"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.311.7005.598"},{"key":"e_1_2_6_13_2","volume-title":"International Statistical Classification of Diseases and Related Health Problems","author":"World Health Organisation","year":"1992"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1976.00500100030012"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.103.6.1263"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/fn.81.1.F19"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.102.2.323"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7216.1054"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3016.2001.00337.x"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.106748"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/014107680109400507"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1576\/toag.1999.1.2.46"},{"key":"e_1_2_6_23_2","author":"Academy of Family Physicians","year":"1993","journal-title":"Advanced Life Support in Obstetrics"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; 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