The Application of Rapid Response Team in Category 1 Emergency Caesarean Section Teaching for OBGYN Residents in the Delivery Room

Background: Category 1 caesarean section (CS) can be a life-saving procedure when there is immediate threat to the life of the woman or fetus. However, category 1 CS is an challenge for OBGYN residents, and it is necessary to establish a effective and straightforward teaching strategy. This study aimed to evaluate the efficiency of rapid response team (RRT) oncategory 1 CS teachingfor OBGYN residents in the delivery room. Methods: A total of 142 residents who underwent standardized residency training programs in the delivery room were divided into a RRT teaching group and a traditional response (TR) teaching group. In the RRT teaching group, Category 1 emergency CS teaching was started and explored by rapid response team. The training included both theoretical and practical components. After the training, decision-to-delivery interval (DDI) , neonatal Apgar score , operation time and rate of postpartum hemorrhage (PPH) were compared. A questionnaire on the subjective assessment of various aspects of the program was conducted at the end of the training period. Results: The decision-to-delivery internal (DDI) in minutes in the RRT teaching group (n=72) was significantly shorter than that of the TR teaching group (n=70) (11.83±4.16 vs 13.56±5.47, p = 0.0364). The score of satisfaction from residents in the RRT teaching group was significantly higher than that of the TR group [7 (6, 9) vs 9 (7, 10), p =0.0154 ). Compared wtih the TR teaching group , more residents thought their clinical skills have been improved (94.29% vs 100%, p=0.0396) and willing to recommend their training method to others (91.43% vs 100%, p=0.0399) in the RRT teaching group . However, no significant differences were observed in the incidence of postpartum hemorrhage between the two groups. Conclusions: RRT teaching is beneficial in the standardized training and teaching of residents in the delivery room. It improves the DDI of category 1 emergency caesarean section and the degree of satisfaction.