两个独特的患者意味着对模拟的需求两倍

与其他任何发达国家相比，美国在分娩期间或与怀孕有关的原因更可能死于与怀孕有关的妇女。¹实际上，由于怀孕和分娩并发症，美国每年有700名妇女死亡。²And,这些死亡中有60％是可以预防的。³

The most common factors contributing to a new mother’s death are:⁴

• 患者/家庭因素（例如，缺乏有关警告信号的知识）
• 提供者因素（例如误诊和无效治疗）
• 护理因素系统（例如，提供者之间缺乏协调）

Also, just as a woman’s age and lifestyle can affect her ability to get pregnant and have a healthy pregnancy, they can also influence how smoothly the delivery goes. For example, even though smoking has decreased overall, 1 out of every 14 women in the United States still smokes during their pregnancy.⁵这可能导致出生缺陷，并可能导致婴儿出生时过早或低出生体重 - 所有这些都使母亲和婴儿处于危险之中。The lack of proper prenatal care can ultimately exacerbate a high-risk pregnancy and leave both patients vulnerable during the delivery.

In the U.S., approximately 25% of women do not receive any prenatal care in the first trimester.⁶当妇女开始接受产前护理时，她的种族，种族，经济状况和孕产妇教育水平的影响很大。⁷这种延迟或完全缺乏产前护理可以直接转化为急诊护理的需求。

仿真培训可以更好地准备医疗保健专业人员在发生产科紧急情况的情况下做出反应。⁸一项研究发现，基于模拟的eclampsia管理培训提高了知识，绩效和信心水平。⁹这种类型的培训对于产科医生，劳工和送货护士特别有益，可以在紧急情况下微调他们的团队合作技能。另一项研究发现simulation training for interdisciplinary team members improved inter-team communication as well as the communication with the family during actual deliveries。¹⁰

对于医疗保健专业人员团队而言，培训进行分娩至关重要，因为与其他医疗领域不同，有两名（或有时是更多）患者可以同时密切监视。母亲健康的任何下降都会影响婴儿，反之亦然。模拟可以帮助学习者准备安全分娩，并降低孕产妇死亡率的风险。

阅读本系列的下一篇文章要了解某些风险因素如何也可以参与产后模拟方案。