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215 posters, 5 topics, 22 sessions, 596 authors, 283 institutions

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Obstetric Anaesthesia Annual Scientific Meeting 2025

May 15 - 16, 2025 | ICC, 2 Lanyon Place, Belfast BT1 3WH

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6780487

Maternal life support in Lusaka: An interprofessional collaborative education project.

Part of Topic

Quality Improvement

Maternal Life Support in Lusaka: An interprofessional collaborative education project

•Maternal mortality rates in Zambia have improved significantly over the last 20 years, however the current rate of 201 per 100,000 live births is still above the Sustainable Development Goal target of <70 per 100,000.
•University Teaching Hospital, Women and Newborn is a tertiary referral hospital in Lusaka, Zambia. 
•Obstetric Anaesthesia is a very new sub-specialty in Zambia with only 2 specialist obstetric anaesthetists across the country.
•This project aims to improve resuscitation skills amongst midwifery staff and develop the teamworking relationship between Anaesthesia and Midwifery.

•At local morbidity & mortality reviews we identified the initial management of the collapsed patient as an area for improvement
•Human resources are stretched, limiting interdisciplinary collaboration in obstetric care
•Obstetric Intensive Care (OICU) treats the highest acuity patients, so was chosen to pilot an education project between midwives and physician anaesthetists
 

Needs Assessment

•An initial needs assessment surveyed midwives working in OICU to identify baseline knowledge and areas to focus education.
•63% of midwifery staff had never been trained in CPR and 88% had not received training in the last five years.
 
•Anaesthesia Residents received training onfacilitating clinical skills teaching
•They then ran short teaching sessions with small group scenario practice for OICU midwives. Sessions finished with time for informal discussion and snacks!
•Topics included: assessment of collapsed patient, maintaining an airway, CPR and adaptions for pregnant patients. 
•20 midwives and nurses received training delivered by 3 anaesthesia residents. 
•After training 18 participants completed a follow-up quiz. 100% of participants found the session helpful, 61% felt ‘very confident’ and 33% felt ‘confident’ in providing CPR after training.
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