Medical simulation training as a modern medical education has been used for decades in developed countries. Simulation based team training for obstetric emergency provides opportunities to re-hearse without risks to patients and helps overcome some limitations of the current medical education to improve the ability of medical staff to deal with obstetric emergencies, and improve adverse pregnancy out-comes. Simulation training is still at early stage in China. The Simulation Training Center of Beijing Ob-stetrics&Gynecology Hospital was established in June 2013. There are 100 medical staffs from our hospital and 406 from other hospitals who are trained using simulations to respond to acute obstetrical emergencies, including postpartum hemorrhage, neonatal recovery, shoulder dystocia and amniotic fluid embolism. Through introduction—on-scene simulation training—task report, we focus on learning, practical operation, emer-gency team and multidisciplinary coordination and communication skills training and through training, help learners understand the medical simulation training mode, and improve personal and team's ability to deal with the obstetric emergency. There is no doubt that simulation training will be further developed in China. Further research is required to investigate the application significance and feasibility of simulation training and access effectiveness of it.

Objective To investigate the current status and influencing factors of job burnout and self efficacy of midwives in Beijing, and to explore the correlation between job burnout and self efficacy in midwives. Methods We selected 335 midwives in wards of obstetrics department from 20 hospitals ( 13 general hospitals+ 7 women-children special hospitals ) in Beijing as respondents by convenient sampling. And then, we investigated the job burnout, self efficacy and the influencing factors. Results The total average score of job burnout of 335 midwives was (70.0±16.1). There were 5 (1.5%) with zero burnout, 73 (21.8%) with mild burnout, 178 (53.1%) with moderate burnout, 79 (23.6%) with severe burnout among 335 midwives. The total average score of self efficacy of 335 midwives was (26.4±5.9). The major influencing factors of job burnout and self efficacy were the age, working hours in clinic, working hours in delivery room (P<0.05). The regression showed that there was significant correlation between each dimension of job burnout and self efficacy. Conclusions The degree of job burnout is high and the self efficacy is the medium level in the midwife. The effective measures should be taken to enhance the midwives′self efficacy and improve their job burnout.

Delayed umbilical cord clamping has good effects on newborns and their mothers,however, it is doubted that it would cause the risk of polycythemia and overmuch bilirubin. The delay time is different,and there is no standard for the best delay time. This paper reviewed the effects of delayed umbilical cord clamping on full-term babies,prematures and mothers,so as to provide references for clinical practice.

Objective? To investigate the childbirth experience of vaginal delivery and provide a theoretical basis for improving the quality of midwifery services. Methods? From August to December in 2017, puerpera were selected from a ClassⅢ Grade A obstetrics and gynecology hospital in Beijing and a ClassⅢ Grade A general hospital using the convenient sampling method. General information questionnaire and Childbirth Experience Questionnaire 2.0 (CEQ 2.0) were used to survey the participants within 72 hours after delivery. SPSS 23.0 was used for analysis. A total of 250 questionnaires were distributed, and 240 valid questionnaires were returned. The response rate was 96.0%. Results? The total score of childbirth experience was (78.30±9.21), with perceived safety score of (17.52±3.21), participation score of (12.06±2.24), professional support score of (16.21±2.0), own capability score of(20.44±3.47) . There was a statistically significant impact of expectation of childbirth method, being multipara, taking prenatal course, understanding of vaginal birth, fear or anxiety during delivery on the total score of childbirth experiences (P＜ 0.05). Conclusions? Overall, the childbirth experience is good. Hospital staff should promote prenatal courses, provide maternity knowledge for patients, foster better understanding of delivery process, help establish appropriate childbirth expectations, reduce fear and anxiety associated with childbirth, and improve the childbirth experience.

Objective To describe experiences of childbirth among spouses of primiparas.Methods Both questionnaire and semi-structured interviews were utilized in this study.Totally 135 expectant fathers were recruited from one tertiary obstetrics and gynecology hospital.Fathers' Experiences of Childbirth Questionnaire developed by Katri was used to collect data.Eighteen fathers were invited to participate the interviews.Results The mean scores of childbirth experiences were (4.36±0.32) for feelings about the staff and the environment,(4.32±0.37) for feelings about the birth of his child,(3.74±0.43) for feelings concerning his wife,and (3.58±0.58) for father's own feelings.Four themes were extracted from the interviews,including concern about wife and child,information and support,feelings about the care and the environment,self-consciousness.Conclusion Fathers' feelings about the staff and the environment are the most satisfactory dimension in childbirth experiences.The helpless feelings caused by labor pain should be responded by medical stuff.

Objective To investigate midwives human resource and accouched delivery mode, and analyze the midwives personnel structure and manning level status, so as to provide reference for the construction and reasonable allocation of midwifery team. Methods Self-designed scale was used to comprehend accouched delivery mode and midwives human resource status in 20 hospitals which owned obstetric room and were selected by convenient sampling method form May to June 2014 in Beijing, and the results of scale were analyzed and compared. Results The characteristics of midwifery team were almost aged from 25 to 34 (59. 5%), and highest education levels were associated degree (50. 2%) and bachelor degree (41. 7%), and non professional midwifery graduation was 62. 6%, and primary occupational title accounting for 69. 8%. The accompanied delivery rate in 20 hospitals was 90. 0%, 72. 2% of labor was whole process companion, and 27. 8% people chose to accompany at first or second labor stage. 45% one shift of midwives lasted 12 to 16 h, and just 25% of them was 8 h working length for one shift, and 20% of them worked lasted 24 h, and 10% of midwives had uncertain length work shift. Different accouched delivery mode had similar midwifery allocation, and one delivery bed averagely disposed ( 3. 75 ± 1. 21 ) midwives, and one midwife should take responsibility for (137. 92 ± 73. 09) neonatus in one year. Conclusions The educational level and occupational title of midwives require to improve in Beijing region, the midwives proportioning should research and allocate combined with accouched delivery mode and woke load. Nursing management and training tutor should actively explore and regulate midwives continuing education and training system bonded with national situation.

Objective:To construct a standard index system for the outpatient job competency of midwife, and to clarify the midwives' abilities when providing outpatient services, so as to improve the midwives' core competencies and service satisfaction.Methods:A research group was established in December 2018. On the basis of literature review and survey of midwives' outpatient needs in the early stage, referring to expert opinions, and taking job competency theory as the theoretical framework, the standard index system for the outpatient job competency of midwife were initially constructed. From December 2018 to March 2019, convenience sampling was used to select 24 experts from different ClassⅢ Grade A hospitals of Beijing, and the Delphi method was used to conduct 2 rounds of expert consultations.Results:Among 2 rounds of expert consultations, the effective recovery rates of the questionnaires were all 100.0% (24/24) , the positive coefficient of experts was 100.0%, and the coefficient of authority of experts was 0.786. The Kendall coordination coefficients of the 2 rounds of correspondence were 0.030 and 0.400, respectively ( P<0.05) . The final construction of standard index system for the outpatient job competency of midwife included 4 first-level indicators, 9 second-level indicators and 24 third-level indicators of knowledge and skills, professional quality, health education ability, and ability to improve the quality of professional services. Conclusions:The standard index system for the outpatient job competency of midwife is scientific and reasonable, comprehensive in content, and strong in specialty, which can provide a reference for the training and assessment of midwife.