[Competent Management of Postpartum Haemorrhage: A Review on Effective Training Methods]

Area of Science:

• Obstetrics and Gynecology
• Medical Education
• Emergency Medicine

Background:

• Postpartum hemorrhage (PPH) is a leading cause of maternal mortality globally.
• Effective management of PPH relies on skilled interdisciplinary teams.
• Management errors contribute significantly to PPH-related maternal deaths, highlighting the need for professional training.

Purpose of the Study:

• To systematically review evidence on the effectiveness of different training methods for PPH management.
• To identify training approaches that enhance professional competence in obstetric emergencies.

Main Methods:

• A systematic literature review was conducted across multiple databases (Cochrane Library, Embase, Medline, CINAHL complete, MIDIRS).
• Hand searching supplemented the database search.
• Included studies were analyzed for content and quality.

Main Results:

• Eleven studies support the effectiveness of simulation training for PPH management.
• Simulation training improved subjective indicators (confidence, knowledge, competence, stress, teamwork, communication) and objective indicators (team performance, knowledge).
• Sustainable effects were observed up to 6 months post-training in 3 studies, but clinical effectiveness remains unknown as studies did not test outcomes in a clinical context.

Conclusions:

• Regular interdisciplinary training is recommended for obstetrics professionals.
• Further research is urgently needed to determine the optimal type and frequency of training.
• Evidence on the clinical effectiveness and influencing factors of simulation-based training for PPH management requires more investigation.