Publications by authors named "Claudio Meloni"
Digital vs formal teaching of vaginal breech delivery: Which is the residents' choice?
Eur J Obstet Gynecol Reprod Biol
December 2024
Article Synopsis
- The study focuses on improving residents' training in managing breech deliveries, a critical skill in obstetrics, especially as vaginal deliveries of breech cases decline in favor of cesarean sections.
- A randomized controlled trial was conducted where obstetrics residents were divided into two groups: one received a formal lecture while the other used digital materials for home learning, with both groups evaluated through a simulation test.
- Results showed no significant differences in performance based on the type of learning, although the digital group scored slightly higher in some questionnaire aspects, indicating that both learning methods are effective in training for vaginal breech deliveries.
Our report covers two cases of severe hypoxic-ischemic encephalopathy in newborns whose birth was complicated by shoulder dystocia. In both cases, there were inconsistencies observed among cardiotocographic traces, baby's clinical conditions at birth, and umbilical cord blood gases. Namely, normal cardiotocographic monitoring and cord pH > 7, in spite of the fact that the newborns were severely depressed at birth and their blood gases evaluated within 1 h from birth showed a severe metabolic acidosis.
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