Related Experiment Video
Updated: Jul 19, 2025
Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
Interprofessional obstetric simulation training improves postpartum haemorrhage management and decreases maternal
Monica A Lutgendorf1,2, Christopher S Ennen3, Andrea McGlynn4
1Department of Gynecologic Surgery and Obstetrics, Uniformed Services University of Health Sciences, Bethesda, Maryland, USA.
Objective:
To determine the impact of the Obstetric Simulation Training and Teamwork (OB-STaT) curriculum on postpartum haemorrhage (PPH) rates and outcomes.
Design:
Before-and-after study.
Setting:
Maternity care hospitals within the USA.
Population:
Patients who delivered between February 2018 and November 2019.
Methods:
Interprofessional obstetric teamwork training (OB-STaT) conducted at each hospital. Electronic medical records for deliveries were reviewed for 6 months before and after conducting OB-STaT at participating hospitals.
Main Outcome Measures:
The PPH rate (blood loss of ≥1000 ml), uterotonic medications used, tranexamic acid use, blood product transfusion, hysterectomy, length of stay and composite maternal morbidity (postpartum haemorrhage, hysterectomy, transfusion of ≥4 units of blood products and intensive care unit admission for PPH).
Results:
A total of 9980 deliveries were analysed: 5059 before and 4921 after OB-STaT. The PPH rates did not change significantly (5.48% before vs 5.14% after, p = 0.46). Composite maternal morbidity decreased significantly by 1.1% (6.35%-5.28%, p = 0.03), massive transfusions decreased by 57% (0.42%-0.18%, p = 0.04) and the mean postpartum length of stay decreased from 2.05 days (1.05 days SD) to 2.01 days (0.91 days SD) (p = 0.04). Following OB-STaT, haemorrhage medication use increased by 36% (14.8%-51.2%, p = 0.03), the use of tranexamic acid for PPH treatment almost doubled (2.7%-4.8%, p < 0.001) and the rate of hysterectomy significantly increased (0%-0.1%, p = 0.03).
Conclusions:
Although the PPH rates did not decrease, OB-STaT significantly improved maternal morbidity, decreased massive transfusions, and improved PPH management by increasing the utilization of uterotonic medications, tranexamic acid and hysterectomy.
More Related Videos
09:51Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
Published on: March 21, 2018
11:45Creation of a High-Fidelity, Low-Cost, Intraosseous Line Placement Task Trainer via 3D Printing
Published on: August 17, 2022
