Postpartum Hemorrhage Summary

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Postpartum hemorrhage is the cause of 27.1 percent of birth complications and maternal deaths worldwide. The midwives who care for patients in these type of obstetrical emergencies must be able to act quickly and make appropriate decisions in order to manage a postpartum hemorrhage. Most midwives do work alongside a trained obstetrician, however, early recognition of a maternal hemorrhage can make the difference of life or death. The researchers sought to prove that training midwives through simulation verses those midwives with no specialized training will increase their knowledge and skill levels which would decrease maternal morbidity and mortality rates.

The researchers cited 7 previous projects in the study and those topics included: comparing simulation training with ordinary lectures, comparing simulation training with no training, and comparing training with high fidelity manikins verses low fidelity manikins. The cited articles were published between 2004 and 2015.

This was a quantitative, randomized control trial. A total of 81 midwives were recruited and the study consisted of a pretest, an intervention and a posttest. Each
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The researchers analyzed the data using intention-to-treat (ITT) analysis. Since 5 participants withdrew from the study after randomization, ITT analysis was used in order to reduce bias. To analyze the change in knowledge scores between the pre and post-test of the two groups (control and intervention), a paired T-Test was utilized. A survey of the participant’s characteristics such as age, number of birth assists, workplace, and educational background was also performed and showed no differences that could have impacted the outcome. The researchers also sent a self assessment to those participants who, during the month before the post test, experienced the management of a hemorrhaging

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