Attitudes towards clinical cases
The participants’ decisions towards the clinical cases are summarized inTable 2 . Among the ten medical records, the median number of recourses to a second-line method was significantly inferior for the training group (4 [2–6] second-line methods on 10 records) than for the control group (6 [4–7]; p = 0.040). The median number of decisions to continue labour without using a second-line method was significantly superior in the training group than in the control group (3 [2–5] vs. 2 [1–3]; p= 0.015). The median number of decisions to perform a caesarean section without using a second-line method was similar between groups (2 [1–4] vs. 2 [1–3.5]; p = 0.788).
Among the 4 records for which a caesarean section was in fact performed after the foetal scalp blood sampling, the median number of decisions of continuing labour without using a second-line method would have been significantly superior in the training group than in the control group (1 [0–1] decision of continuing labour on 4 records vs. 0 [0–1]; p = 0.032). Among the 6 records for which the patient actually delivered vaginally after the result of the foetal scalp blood sampling, the median number of decisions of performing a caesarean section without using a second-line method would have been the same between groups (0 [0–2] caesarean sections on 6 records vs. 1 [0–2]; p = 0.641). Among 4 records for which the result of foetal scalp blood sampling (pH) was superior to 7.30, the median number of decisions to perform a second-line method was the same for both groups (0 [0–1] vs. 0 [0–1]; p = 0.921).