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Updated: Aug 26, 2025

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A blended learning perineal suturing programme for midwifery students: An evaluative descriptive study.

Siobhan Brereton1, Mary Curtin1, Elizabeth Greene1

  • 1School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin 4 D04V1W8, Ireland.

Nurse Education in Practice
|October 6, 2022
PubMed
Summary

Midwifery students found blended learning effective for mastering perineal suturing skills. A "suture at home kit" boosted confidence and preparedness for clinical practice and assessment.

Keywords:
Blended learningClinical skillsMidwifery studentsPerineal suturingSimulation training

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Area of Science:

  • Medical Education
  • Nursing and Midwifery
  • Surgical Skills Training

Background:

  • Midwifery students often lack sufficient perineal trauma and suturing experience for registration competency.
  • Current training may not adequately prepare students for essential intrapartum care skills.

Purpose of the Study:

  • To evaluate midwifery students' perspectives on learning perineal suturing via a blended learning approach.
  • To assess the effectiveness of a novel 'suture at home kit' in skill acquisition.

Main Methods:

  • A qualitative descriptive study involving 22 midwifery students.
  • Blended learning included lectures, a home suture kit, online resources, and optional in-person clinics.
  • Skills were assessed via video submission, lab practice, and a final competency evaluation.

Main Results:

  • Two main themes emerged: 'learning at home' (deliberate practice, mistake tolerance) and 'achieving competency' (equipment, integration of skills).
  • Students reported increased confidence and preparedness due to the 'suture at home kit'.
  • The blended approach positively influenced skill acquisition and readiness for practice placements.

Conclusions:

  • The blended learning program, particularly the home suture kit, significantly enhanced midwifery students' perineal suturing skills and confidence.
  • This approach is validated by students and recommended for perineal suturing and other clinical skills training.
  • The study supports the integration of online and face-to-face methods for vital intrapartum care education.