"A stitch in time saves nine": the impact of video-based training for surgical procedures in low-resource settings

Am J Obstet Gynecol MFM. 2023 Jun;5(6):100967. doi: 10.1016/j.ajogmf.2023.100967. Epub 2023 Apr 13.

Abstract

Access to training and education in novel surgical and medical techniques is challenging in low-and- middle income settings where the burden of maternal morbidity and mortality is highest. Video-based education tools are cost effective and sustainable, and enable clinicians, even those based in rural, remote settings, to develop new skills, to improve the quality of care delivered to their patients. This is illustrated by the case of a clinician in Tanzania who successfully performed a transabdominal cerclage on two patients, after studying a video our team developed describing the technique. Both women who underwent the procedure had successful pregnancy outcomes, despite poor obstetric histories. Video is a versatile medium for delivery of training and education to medical students and doctors, and should be further integrated into surgical training curricula globally.

Keywords: cervical cerclage; education; preterm birth; transabdominal cerclage.

MeSH terms

  • Cerclage, Cervical* / methods
  • Female
  • Gestational Age
  • Humans
  • Pregnancy
  • Pregnancy Outcome
  • Premature Birth*