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AORN journal·2026
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Preparing Perinatal Nurses for Obstetric OR Emergencies by Using Simulations.
AORN Journal
|July 30, 2019
Summary
Cesarean hysterectomy (CH) is an emergency surgery for postpartum hemorrhage. A simulation program improved nurses' understanding and skills for this critical procedure, enhancing patient safety.
Area of Science:
- Obstetrics and Gynecology
- Surgical Nursing
- Medical Simulation
Background:
- Cesarean hysterectomy (CH) is a life-saving emergency procedure for severe postpartum hemorrhage.
- Increasingly complex cesarean deliveries lead to unanticipated CHs in the obstetric operating room.
- Perinatal nurses report inadequate training for the specialized care required during CH.
Purpose of the Study:
- To evaluate the effectiveness of a perinatal perioperative simulation program.
- To address the knowledge and skills gap in perinatal nurses regarding CH care.
- To improve the quality and safety of care during emergent CH procedures.
Main Methods:
- Implementation of a perinatal perioperative simulation program.
- Training focused on CH procedure flow and instrumentation.
- Assessment of nurse knowledge, communication, and leadership skills post-simulation.
Main Results:
- Nurses reported enhanced understanding of CH procedure and necessary instrumentation.
- Simulation improved nurses' communication and leadership abilities in the obstetric OR.
- Positive feedback indicated increased confidence in managing high-risk operative procedures.
Conclusions:
- Perinatal perioperative simulation effectively bridges the knowledge gap for CH care.
- Simulation training can enhance nurses' preparedness for emergent, high-risk obstetric surgeries.
- This program has the potential to improve patient safety and care quality during CH.

