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Simulation training program for midwives to manage postpartum hemorrhage: A randomized controlled trial.

Chiho Kato1, Yaeko Kataoka2

  • 1Nagasaki University School of Nursing Health Science, Division of Nursing, 1-7-1 Sakamoto Nagasaki-city, Nagasaki 852-8520, Japan.

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Summary

Simulation training significantly improved midwife performance and knowledge in managing postpartum hemorrhage (PPH). Further research is needed to assess long-term impacts and clinical outcomes.

Keywords:
MidwifeObstetricsPostpartum hemorrhageSimulation

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Area of Science:

  • Medical Education
  • Obstetrics and Gynecology
  • Simulation-Based Training

Background:

  • Postpartum hemorrhage (PPH) is a leading cause of maternal mortality worldwide.
  • Effective management of PPH requires skilled healthcare professionals, particularly midwives.
  • Current training methods may not adequately prepare midwives for PPH emergencies.

Purpose of the Study:

  • To evaluate the effectiveness of a simulation training program for midwives.
  • To assess improvements in performance and knowledge related to PPH management.
  • To determine the impact of simulation training on clinical skills.

Main Methods:

  • Randomized controlled trial involving 81 midwives.
  • Intervention group received e-learning and simulation training; control group received no training.
  • Performance assessed via PPH scenario test; knowledge assessed by multiple-choice questionnaire.

Main Results:

  • Simulation training group showed significantly better performance scores (23.85 vs 18.00).
  • Knowledge scores significantly increased in the training group (3.65 vs -0.02).
  • Both performance and knowledge gains were statistically significant (p<0.001).

Conclusions:

  • Simulation training is effective in enhancing midwife performance and knowledge for PPH management.
  • Long-term effects and impact on clinical outcomes require further investigation.
  • Simulation training offers a promising approach to improve obstetric care.