• Nelli Fisher, Lewis A Eisen, Jyothshna V Bayya, Alina Dulu, Peter S Bernstein, Irwin R Merkatz, and Dena Goffman.
• Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY, USA.
• Am. J. Obstet. Gynecol. 2011 Sep 1;205(3):239.e1-5.

ObjectiveTo determine the impact of simulation-based maternal cardiac arrest training on performance, knowledge, and confidence among Maternal-Fetal Medicine staff.Study DesignMaternal-Fetal Medicine staff (n = 19) participated in a maternal arrest simulation program. Based on evaluation of performance during initial simulations, an intervention was designed including: basic life support course, advanced cardiac life support pregnancy modification lecture, and simulation practice. Postintervention evaluative simulations were performed. All simulations included a knowledge test, confidence survey, and debriefing. A checklist with 9 pregnancy modification (maternal) and 16 critical care (25 total) tasks was used for scoring.ResultsPostintervention scores reflected statistically significant improvement. Maternal-Fetal Medicine staff demonstrated statistically significant improvement in timely initiation of cardiopulmonary resuscitation (120 vs 32 seconds, P = .042) and cesarean delivery (240 vs 159 seconds, P = .017).ConclusionPrompt cardiopulmonary resuscitation initiation and pregnancy modifications application are critical in maternal and fetal survival during cardiac arrest. Simulation is a useful tool for Maternal-Fetal Medicine staff to improve skills, knowledge, and confidence in the management of this catastrophic event.Published by Mosby, Inc.

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