第四个学期的培训

在分娩之前，习惯于与医生进行定期考试的妇女可以提出问题，收集信息并获得放心，这可能会感到不知所措。婴儿出生后，妇女通常会在六周的标记下与医生进行一次随访，但more than half of women say they don’t receive enough information at this appointment.¹

With so many physical, emotional, and lifestyle changes happening at once, it can be difficult for a woman to notice when something is going terribly wrong. That is why the American College of Obstetricians and Gynecologists (ACOG) recommends that professionals closely assess:²

• Mood and emotional well-being
• Infant care and feeding
• Sleep and fatigue
• 从出生开始的身体恢复
• 慢性疾病管理
• Health maintenance

After giving birth, the mother and infant are no longer treated in tandem; rather, their care becomes individualized with separate care teams. But,出生后很长一段时间后，先选差和产前护理可能会影响两名患者的医疗保健。

Acute issues for the mother are often associated with underlying medical conditions like heart disease, high blood pressure, diabetes, depression, substance abuse and obesity.³而且，婴儿的认知和身体发育可能会受到母亲的健康，营养和行为的严重影响。由于这种母子的联系，任何患者的异常事件的早期认识对于两者的健康都至关重要。

Simulation can aid in a healthcare provider’s ability to recognize cause for alarm. High-fidelity simulation, specifically, provides learners with the opportunity to observe a patient and witness physiological changes in real-time. This can be something as simple as a spike in blood pressure for the new mother, or cyanosis on the infant.In simulation, these symptoms can be replicated on command to create realism in the scenario.

在美国，每年有近400万妇女分娩，估计有50,000名妇女受到威胁生命的分娩并发症的影响。⁵This means that most births will go according to “the plan”, but what about those that don’t?The significance of simulation training lies in these low-frequency, high-acuity events.

国家国家护理委员会（NCSBN）的一项研究得出的结论是，模拟是一种强大的学习方法，它可以代替多达50％的传统临床经验。⁴Compared with didactic learning, learners gain a much more realistic expectation of how to manage a crisis.

Healthcare professionals are the source of information, protection, and guidance for new mothers. Using simulation in training can ensure that they feel confident in their ability to educate, diagnose, and treat a woman at any stage of the continuum of care.