ArticleActa obstetricia et gynecologica Scandinavica2015
Can inter-professional simulation training influence the frequency of blood transfusions after birth?
Article in Acta obstetricia et gynecologica Scandinavica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- The effects of obstetric emergency team training on patient outcome: A systematic review and meta-analysis.Acta obstetricia et gynecologica Scandinavica · 2022Pooled it
- Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance.The Cochrane database of systematic reviews · 2020Pooled it
- Patient blood management in pregnancy, the peripartum, and the postpartum period.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026Article
- Simulation to improve trainee knowledge and comfort in managing maternal cardiac arrest.AJOG global reports · 2023Article
- Tools for establishing a sustainable safety culture within maternity services. A retrospective case study.SAGE open medicine · 2023Article
- Study protocol training for life: a stepped wedge cluster randomized trial about emergency obstetric simulation-based training in a low-income country.BMC pregnancy and childbirth · 2020Article
- "We do what we can do to save a woman" health workers' perceptions of health facility readiness for management of postpartum haemorrhage.Global health action · 2020Article
- Article
- Observational
- Impact of multi-professional, scenario-based training on postpartum hemorrhage in Tanzania: a quasi-experimental, pre- vs. post-intervention study.BMC pregnancy and childbirth · 2017Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate whether inter-professional simulation training influenced the rate of red blood cell (RBC) transfusions after birth.
designTwo cohorts were compared retrospectively using a pre-post design.
settingNorwegian university hospital with 4800 deliveries annually. POPULATION: Women with estimated blood loss >500 mL within 24 h after birth in 2009 and 2011.
methodsIn 2010, all maternity staff attended a 6-h, scenario-based training on emergency obstetrics including postpartum hemorrhage, using a birthing simulator. The simulation focused on prevention, identification, and treatment of postpartum hemorrhage and on communication and leadership. Debrief immediately after the scenarios involved reflection and self-assessment.
main outcome measuresThe frequency of women receiving RBC transfusions as a marker for blood loss. Secondary outcome was the frequency of surgical procedures in the management of postpartum hemorrhage.
resultsIn 2009, 111/534 (20.8%) women with estimated blood loss >500 mL after birth received RBC transfusions vs. 67/546 (12.3%) in 2011 (p < 0.01). The adjusted odds ratio for women receiving RBC transfusions in 2011 vs. 2009 was 0.53 (95% CI 0.38-0.74). Parity, oxytocin augmentation, duration of second stage, episiotomy, operative vaginal delivery, and sphincter injury were included in the final model. The odds ratio was stable in all combinations of possible confounders. We observed a significant reduction in the frequencies of curettage (p < 0.01) and uterine artery embolizations (p = 0.01).
conclusionWe found a significant reduction in RBC transfusions after birth, which might be associated with mandatory simulation training. A causal link cannot be documented because of complex interactions of several variables.
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