Observational studyInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2016
Impact of a low-technology simulation-based obstetric and newborn care training scheme on non-emergency delivery practices in Guatemala.
Observational study in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06509113 (Reducing Stigmatizing Attitudes and Behaviors of Nursing Students in Simulated Clinical Visits of Patients Living With HIV in Iran), which is not on this map. Cited by 20 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Reducing Stigmatizing Attitudes and Behaviors of Nursing Students in Simulated Clinical Visits of Patients Living With HIV in Iran
Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Simulation-Based Education of Health Workers in Low- and Middle-Income Countries: A Systematic Review.Global health, science and practice · 2024Pooled it
- Effectiveness of Communication Interventions in Obstetrics-A Systematic Review.International journal of environmental research and public health · 2021Pooled 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
- The effectiveness of training in emergency obstetric care: a systematic literature review.Health policy and planning · 2019Pooled it
- Effect of a quality improvement intervention for management of preterm births on outcomes of all births in Kenya and Uganda: A secondary analysis from a facility-based cluster randomized trial.Journal of global health · 2022Trial
- Trial
- Navigating strategies for intercultural maternal and newborn care in Latin America and the Caribbean: a scoping review.Health promotion international · 2026Article
- Training nurse simulation educators at scale to improve maternal and newborn health: a case study from Bihar, India.BMC medical education · 2022Article
- Off-site simulation-based training on management of postpartum hemorrhage amongst final-year medical students.Medical journal, Armed Forces India · 2022Article
- A summative content analysis of how programmes to improve the right to sexual and reproductive health address power.BMJ global health · 2022Article
- Simulation and nurse-mentoring in a statewide nurse mentoring program in Bihar, India: diagnosis of postpartum hemorrhage and intrapartum asphyxia.Gates open research · 2022Article
- Access and use of oxytocin for postpartum haemorrhage prevention: a pre-post study targeting the poorest in six Mesoamerican countries.BMJ open · 2020Article
- Training and evaluating simulation debriefers in low-resource settings: lessons learned from Bihar, India.BMC medical education · 2020Article
- Interdisciplinary simulation scenario in nursing education: Humanized childbirth and birth.Revista latino-americana de enfermagem · 2020Article
- Ethical issues in the design and conduct of stepped-wedge cluster randomized trials in low-resource settings.Trials · 2019Article
- Perinatal and newborn care in a two years retrospective study in a first level peripheral hospital in Sicily (Italy).Italian journal of pediatrics · 2019Article
- Simulation-enhanced nurse mentoring to improve preeclampsia and eclampsia care: an education intervention study in Bihar, India.BMC pregnancy and childbirth · 2019Article
- Impact of Standardized Prenatal Clinical Training for Traditional Birth Attendants in Rural Guatemala.Healthcare (Basel, Switzerland) · 2018Article
- Article
- Clinical performance and patient outcome after simulation-based training in prevention and management of postpartum haemorrhage: an educational intervention study in a low-resource setting.BMC pregnancy and childbirth · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the effect of a low-technology simulation-based training scheme for obstetric and perinatal emergency management (PRONTO; Programa de Rescate Obstétrico y Neonatal: Tratamiento Óptimo y Oportuno) on non-emergency delivery practices at primary level clinics in Guatemala.
methodsA paired cross-sectional birth observation study was conducted with a convenience sample of 18 clinics (nine pairs of intervention and control clinics) from June 28 to August 7, 2013. Outcomes included implementation of practices known to decrease maternal and/or neonatal mortality and improve patient care.
resultsOverall, 25 and 17 births occurred in intervention and control clinics, respectively. Active management of the third stage of labor was appropriately performed by 20 (83%) of 24 intervention teams versus 7 (50%) of 14 control teams (P=0.015). Intervention teams implemented more practices to decrease neonatal mortality than did control teams (P<0.001). Intervention teams ensured patient privacy in 23 (92%) of 25 births versus 11 (65%) of 17 births for control teams (P=0.014). All 15 applicable intervention teams kept patients informed versus 6 (55%) of 11 control teams (P=0.001). Differences were also noted in teamwork; in particular, skill-based tools were used more often at intervention sites than control sites (P=0.012).
conclusionUse of PRONTO enhanced non-emergency delivery care by increasing evidence-based practice, patient-centered care, and teamwork.
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