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Enhancing postpartum hemorrhage training by integrating case-problem based learning with simulation: a quasi

Yike Yang^1,2, Zhichao Guo^1,2, Xiaoyue Guo^1,2

¹Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China.

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology

|December 26, 2024

Summary

This summary is machine-generated.

Combining case-based learning (CBL) and problem-based learning (PBL) with simulation significantly improved midwifery trainees' skills in managing postpartum haemorrhage (PPH). This enhanced training method is more effective than traditional approaches for PPH management.

Keywords:

Case-based-learning continuing-education midwifery-training postpartum haemorrhag problem-based-learning scenario-simulation

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Published on: March 21, 2018

Area of Science:

Medical Education
Obstetrics & Gynecology
Simulation Training

Background:

Postpartum haemorrhage (PPH) is a primary cause of maternal mortality globally.
Effective training in PPH management is critical for improving outcomes.
Current training methods require enhancement to ensure proficiency in PPH rescue techniques.

Purpose of the Study:

To evaluate the effectiveness of a combined case-based learning (CBL) and problem-based learning (PBL) approach with simulation for PPH management training.
To compare this novel method against traditional simulation training for midwifery trainees.
To assess improvements in technical proficiency and knowledge in managing PPH.

Main Methods:

A quasi-experimental study involving 76 midwifery trainees at Peking University Third Hospital.
Participants were divided into a control group (traditional simulation) and a research group (CBL-PBL with simulation).
Post-training assessments included theoretical examinations and questionnaires on satisfaction and self-assessed skills.

Main Results:

The CBL-PBL combined with simulation group reported higher satisfaction and significantly enhanced self-assessed skills in clinical thinking, PPH operant skills, knowledge, and management abilities.
The research group scored significantly higher on PPH knowledge assessments compared to the control group (91.7 ± 6.0 vs. 76.0 ± 7.1, p < .01).
Trainees overwhelmingly preferred regular simulation exercises and detailed case discussions for future training.

Conclusions:

Combining CBL-PBL with simulation is a superior teaching method for postpartum haemorrhage management training.
This approach is particularly effective for maternity staff with existing clinical experience.
Further research should focus on implementing regular PPH rescue skill training in real clinical settings.