Assessment of a Simulation Training Exercise to Teach Intrauterine Tamponade for the Treatment of Postpartum Hemorrhage
Article first published online: 11 AUG 2011
© 2011 by the American College of Nurse-Midwives
Journal of Midwifery & Womens Health
Volume 56, Issue 5, pages 503–506, September/October 2011
How to Cite
Stitely, M. L., Cerbone, L., Nixon, A. and Bringman, J. J. (2011), Assessment of a Simulation Training Exercise to Teach Intrauterine Tamponade for the Treatment of Postpartum Hemorrhage. Journal of Midwifery & Womens Health, 56: 503–506. doi: 10.1111/j.1542-2011.2011.00046.x
- Issue published online: 25 AUG 2011
- Article first published online: 11 AUG 2011
- intrauterine tamponade;
- midwifery education;
- postpartum hemorrhage;
- simulation training
Introduction: 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.