The Erasmus+ DISH project

ONLINE TRAINING FOR OBSTETRICIANS AND MIDWIVES ON BREECH BIRTH

On March 8th 2021,the Department of Gynaecology and Obstetrics at Hospital Southern Jutland, Aabenraa, in collaboration with the Learning- and Research Centre, conducted a first training webinar on birth in breech presentation (upright position breech birth).

The maternity ward in Aabenraa has approximately 1650 births annually, with Denmark’s lowest cesarean section rate of 13.3% in 2019. The 65% of the breech deliveries in the unit are done by caesarean section, compared with the national level where 90% of all children in breech presentations are born by caesarean section.

At the end of 2016, an upright position breech birth was implemented in Aabenraa. The number of caesareans has dropped significantly in the Hospital of South Jutland’s Maternity Ward, because more women choosen to opt for a natural childbirth. The Department of Gynaecology and Obstetrics previously held courses with simulation training and teaching on their upright position breech birth experiences.

The webinar “ Online training in breech delivery for former participants in upright breech position birth teaching” had excellent attendance, with 30 participants caming from almost all Denmark and two cities in Norway. All participants had previously participated in simulation training at the Hospital of South Jutland.

The “brush-up” course and exchange of experiences was planned for the spring of 2021 as an offer for all participants. Due to the current COVID-19 situation, consultant Kamilla Gerhard Nielsen and resident Christine Ravn-Christensen chose to reorganize the training as an online webinar. In addition to presentations with an introduction to a newly revised flowchart,  to complete the hands-on training, each participating hospital enrolled groups of three people.

During the training sessions roll out, chief consultant at the Learning- and Research Centre Trine Ungermann Fredskild, DISH project’ coordinator, made use of the concepts developed within the Erasmus+ DISH project. To create a suiting framework, several meetings based on the principles of the Learning Innovation Unit were held. Furthermore, specifical staged On-the-Job training ensured the two doctors to achieve substantial knowledge and skills to use the online platform Cisco Webex Meeting for the webinar. All participants had access to an online Learning Management System. Besides the program and the presentation, the participants could retrieve the set-up for the hands-on training and guidelines about the virtual room’s different functionalities. All the trainig sessions attendees have received a diploma for their participation to the webinar.

Given the success of this first edition of the online training, an additional webinar has been already planned in the autumn of 2021.

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