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Assessment of Knowledge of Cardiopulmonary Resuscitation of Pregnant Women among Physician Obstetric Care Givers in the South-South of Nigeria
Abstract
Background: Obstetricians are usually well prepared for and knowledgeable about the challenges of the birthing process. Cardiac arrest during pregnancy is uncommon, and many never encounter it throughout their practice.
Objectives: The aim of this study was to evaluate the knowledge of maternal cardiopulmonary resuscitation of various cadres of physician obstetric care givers in five tertiary institutions in the south-south of Nigeria.
Methodology: Questionnaires detailing years of experience of the physician caregivers, level of care involved in, previous experience with pregnant women requiring cardiopulmonary resuscitation, as well as formal training in cardiopulmonary resuscitation were distributed during Obstetrics Clinical Meetings in 5 tertiary hospitals. The questionnaire also evaluated knowledge of maternal resuscitation following cardiac arrest and awareness of Advanced Life Support in Obstetrics (ALSO) as well as International Liaison Committee on Resuscitation (ILCOR) guidelines. Data obtained were entered into Microsoft Excel and results expressed in simple percentages.
Results: Out of 260 questionnaires distributed, 253 were returned (response rate 97.31%). There were 78 Consultant Obstetricians, 63 Senior Registrars, 70 Registrars and 42 House-Officers. Although 76% of the respondents have participated in the resuscitation of the pregnant woman, only 3 (1.19%) had formal training in cardiopulmonary resuscitation. Only 5 (1.98%) physician obstetric care givers were able to rank correctly the steps taken during maternal cardiopulmonary resuscitation following a cardiac arrest. The correlation between the knowledge of maternal resuscitation and the years of experience was not significant (r= - 0.314; p=0.143). Conclusion: Majority of Physician Obstetric care givers in tertiary hospitals in the south-south of Nigeria do not have
appropriate knowledge of cardiopulmonary resuscitation of the pregnant woman following cardiac arrest.
Keywords: Cardiopulmonary resuscitation, pregnant women, Physician Obstetric Care Givers, Knowledge
Objectives: The aim of this study was to evaluate the knowledge of maternal cardiopulmonary resuscitation of various cadres of physician obstetric care givers in five tertiary institutions in the south-south of Nigeria.
Methodology: Questionnaires detailing years of experience of the physician caregivers, level of care involved in, previous experience with pregnant women requiring cardiopulmonary resuscitation, as well as formal training in cardiopulmonary resuscitation were distributed during Obstetrics Clinical Meetings in 5 tertiary hospitals. The questionnaire also evaluated knowledge of maternal resuscitation following cardiac arrest and awareness of Advanced Life Support in Obstetrics (ALSO) as well as International Liaison Committee on Resuscitation (ILCOR) guidelines. Data obtained were entered into Microsoft Excel and results expressed in simple percentages.
Results: Out of 260 questionnaires distributed, 253 were returned (response rate 97.31%). There were 78 Consultant Obstetricians, 63 Senior Registrars, 70 Registrars and 42 House-Officers. Although 76% of the respondents have participated in the resuscitation of the pregnant woman, only 3 (1.19%) had formal training in cardiopulmonary resuscitation. Only 5 (1.98%) physician obstetric care givers were able to rank correctly the steps taken during maternal cardiopulmonary resuscitation following a cardiac arrest. The correlation between the knowledge of maternal resuscitation and the years of experience was not significant (r= - 0.314; p=0.143). Conclusion: Majority of Physician Obstetric care givers in tertiary hospitals in the south-south of Nigeria do not have
appropriate knowledge of cardiopulmonary resuscitation of the pregnant woman following cardiac arrest.
Keywords: Cardiopulmonary resuscitation, pregnant women, Physician Obstetric Care Givers, Knowledge
