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Paramedics' Experiences in Managing Obstetric Emergencies: A Qualitative Study Based on Reason's Swiss Cheese Model
1Department of Medical Services and Techniques, Izmir Konak Vocational School, Izmir, Turkey.
The Journal of Obstetrics and Gynaecology Research
|June 15, 2026
Summary
Paramedics face system-level challenges in obstetric emergencies due to training gaps and equipment shortages. Improving prehospital obstetric care requires enhanced safety measures and simulation-based training.
Area of Science:
- Emergency medicine
- Prehospital care
- Obstetrics
Background:
- Childbirth emergencies present unique prehospital challenges.
- Paramedic management is critical but often hindered by systemic factors.
Purpose of the Study:
- To explore paramedics' experiences in managing childbirth emergencies.
- To examine challenges using Reason's Swiss Cheese Model.
Main Methods:
- Qualitative phenomenological design.
- Semi-structured interviews with 18 paramedics.
- Thematic analysis of verbatim transcripts.
Main Results:
- Key themes: experiences, emergency management challenges, patient transport issues.
- Identified latent conditions: insufficient training, equipment shortages, unclear protocols.
- Cultural differences and transport barriers impacted care quality and safety.
Conclusions:
- Systemic weaknesses, not individual errors, impede paramedic effectiveness in obstetric emergencies.
- Enhanced safety layers through training and equipment are crucial for quality prehospital obstetric care.
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