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Targeted obstetric haemorrhage programme improves incoming resident confidence and knowledge.

H L Straub1, G Morgan, P Ochoa

  • 1Department of Obstetrics and Gynecology.

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
|November 14, 2013
PubMed
Summary

High-fidelity simulation training significantly improved medical residents' confidence and knowledge in managing postpartum hemorrhage, a critical obstetrical emergency. This educational approach enhances preparedness for life-threatening obstetric events.

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Area of Science:

  • Obstetrics and Gynecology
  • Medical Education
  • Simulation Training

Background:

  • Postpartum hemorrhage (PPH) is a rare but severe obstetric emergency.
  • Effective management requires specialized knowledge and skills.
  • Simulation offers a safe environment for training in managing obstetric emergencies.

Purpose of the Study:

  • To evaluate the effectiveness of an educational program using lecture and high-fidelity simulation for PPH management.
  • To assess the impact on resident confidence and knowledge in diagnosing and managing PPH.
  • To determine the correlation between confidence and knowledge improvement.

Main Methods:

  • An educational program combining lecture and high-fidelity simulation was delivered to incoming Obstetrics/Gynecology (OB) and Family Medicine (FM) residents.
  • Residents' confidence levels were measured using pre- and post-intervention Likert scale surveys.
  • A subset of residents completed a PPH knowledge assessment before and after the intervention.

Main Results:

  • Residents reported significant improvements in confidence regarding PPH diagnosis and management.
  • Mean scores on the PPH knowledge assessment significantly increased from 57.4% to 77.1% (p < 0.01).
  • Confidence scores showed a significant positive correlation with knowledge assessment scores (Spearman's coefficient = 0.651, p < 0.001).

Conclusions:

  • An educational program incorporating high-fidelity simulation effectively enhances resident confidence in managing postpartum hemorrhage.
  • The simulation-based approach demonstrably improves resident knowledge of PPH diagnosis and management.
  • This educational strategy appears to be a valuable tool for preparing residents to handle critical obstetric emergencies.