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Assessment of a Simulation Training Exercise to Teach Intrauterine Tamponade for the Treatment of Postpartum Hemorrhage
Author(s) -
Stitely Michael L.,
Cerbone Lena,
Nixon Angelita,
Bringman Jay J.
Publication year - 2011
Publication title -
journal of midwifery and women's health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.543
H-Index - 62
eISSN - 1542-2011
pISSN - 1526-9523
DOI - 10.1111/j.1542-2011.2011.00046.x
Subject(s) - medicine , uterine cavity , balloon , tamponade , obstetrics , wilcoxon signed rank test , physical therapy , surgery , uterus , mann–whitney u test
Postpartum hemorrhage is a common complication of vaginal birth. Few midwives have experience in the performance of procedures to manage hemorrhage that fails to respond to initial management with medications and bimanual compression. Methods: A simulation model was constructed by using a half‐pelvis birth simulator and a hollowed out cantaloupe. Practicing midwives and students participated in a simulation exercise by using uterine packing and placement of a uterine tamponade balloon. Pre‐exercise and post‐exercise self‐assessments were performed. Data were analyzed by using the Wilcoxon matched pairs signed rank test. Results: A total of 25 learners participated in the training session. All 25 participants showed improvement in their self‐assessed competency level for the placement of the Bakri Postpartum Balloon ( P < .001), and 24 of 25 showed improvement in self‐assessed competency levels for uterine packing ( P < .001). Discussion: An inexpensive simulation model can be used to effectively train midwives to treat postpartum hemorrhage by using methods of exerting direct pressure to the uterine cavity.