ABSTRACT
Background. Good consultation skills help physicians to diagnose the problems of the patient more accurately, and foster a therapeutic relationship. We describe a pilot study that used role-play with peers as a method to sensitize first clinical year medical students to consultation skills. Methods. Students were divided into groups of three where one acted as a doctor, the second as a patient and the third as an observer. Students were asked to perform a role-play of a prepared clinical scenario where the patient had a hidden fear of malignancy. Observations were recorded in a simplified Calgary– Cambridge consultation checklist. Students’ feedback and their emotions written after the role-play were analysed and discussed. Assessment of their learning was done with an objective structured clinical examination. Results. Students’ feedback revealed that they were sensitized to the importance of starting the consultation with an open question, listening to the opening statement, non-verbal
ABSTRACT
Background. We report the short-term maternal and neonatal outcomes for all deliveries conducted in a midwiferun labour room located at an urban health centre serving an urban population of Vellore, Tamil Nadu. Methods. This 5-year (2005–10) retrospective study included all birth records including those of women and neonates transferred to our tertiary care referral centre. Maternal and neonatal outcomes were analysed among deliveries in the urban health centre and at the tertiary care referral centre. Results. There were 1873 deliveries during the study period. One-third of women (679, 36.3%) were referred to the tertiary care centre. Seven (0.6%) women had postpartum haemorrhage. There were neither any maternal deaths nor any women with postpartum sepsis. Among the neonates, there were 20 (1.7%) stillbirths, 4 (0.3%) early neonatal deaths and 56 (4.7%) born with an Apgar score of <8. Conclusion. Skilled midwife care during the antenatal period and during labour leads to good maternal and neonatal health outcomes. Implementing similar programmes could immensely improve the maternal and neonatal health indicators of India.