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Assessment of an e-learning training program for cardiotocography analysis: a multicentre randomized study.

Bruno Carbonne1, Imène Sabri-Kaci2

  • 1Department of Obstetrics - Maternité, Hôpital Trousseau, Assistance Publique - Hôpitaux de Paris, Université Pierre et Marie Curie, Paris 6, France; Department of Obstetrics and Gynecology, Centre Hospitalier Princesse Grace, Monaco.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|January 1, 2016
PubMed
Summary
This summary is machine-generated.

E-learning programs significantly enhance cardiotocography (CTG) analysis knowledge for obstetric staff. This training improves performance and reduces errors, offering flexible learning for maternity professionals.

Keywords:
CardiotocographyE-learningFetal heart rate monitoringIntrapartum careRandomized studyTraining

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Area of Science:

  • Perinatal Medicine
  • Medical Education Technology
  • Obstetrics and Gynecology

Background:

  • Cardiotocography (CTG) is crucial for fetal monitoring during labor.
  • Effective CTG interpretation requires continuous training and knowledge updates for healthcare professionals.
  • Existing training methods may have limitations in accessibility and standardization.

Purpose of the Study:

  • To evaluate the effectiveness of a dedicated e-learning program in improving cardiotocography (CTG) analysis skills.
  • To assess the impact of e-learning on the knowledge and performance of midwives and obstetricians in CTG interpretation.
  • To determine if e-learning can standardize and enhance the quality of obstetric staff training.

Main Methods:

  • A multicentre randomized controlled trial was conducted across 5 maternity departments.
  • Midwives and obstetricians were recruited and initially tested on CTG interpretation and labor management.
  • Participants were randomized into a training group (e-learning program) or a control group (no training), with post-intervention testing after three months.

Main Results:

  • The e-learning group showed significantly higher mean scores in CTG analysis after the training period compared to the control group (37.1 vs. 32.6, p=0.0026).
  • The proportion of participants in the bottom quartile of performance decreased substantially in the training group (12.6%) compared to the no-training group (36.0%, p=0.032).
  • Initial performance differences between doctors and midwives were not significant in the second test among the trained group.

Conclusions:

  • E-learning-based training effectively improves cardiotocography interpretation skills among obstetric staff.
  • The flexibility of e-learning, allowing access anytime and anywhere, supports its adoption in busy maternity settings.
  • This technology offers a scalable solution for enhancing the competency of healthcare providers in fetal monitoring.