Evidence map›Paper›PMID 40420075›Full record

Trial reportBMC medical education2025

An assessment of the effects of simulation training on management of postpartum hemorrhage: short- and long-term impact on knowledge retention, skills and teamwork in the Democratic Republic of Congo.

Jean Paul Buhendwa Cikwanine, Denis Mukwege, Justin Mongwa, Emile Mapatano Shalamba, Raha Maroyi, Jonathan Tunangoya Yoyu, Ludovic Martin

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05979701 (Use of Simulation Training Versus Theoretical Learning for the Retention of Knowledge and Skills in the Management of Postpartum Hemorrhage), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT05979701 naunknown statusnot on this map

Use of Simulation Training Versus Theoretical Learning for the Retention of Knowledge and Skills in the Management of Postpartum Hemorrhage: A Multicenter, Comparative Study in Eastern DRCongo.

TypeinterventionalSponsorUniversité Evangélique enAfriqueRan2023 to 2024Enrolled30ConditionsPostpartum Hemorrhage, Simulation Training, Healthcare ProvidersArmsSimulation training
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jean Paul Buhendwa CikwanineEvangelical University in Africa, Healthcare Simulation Center, Bukavu, Democratic Republic of Congo. jpcikwa1@gmail.com.
Denis MukwegeEvangelical University in Africa, Healthcare Simulation Center, Bukavu, Democratic Republic of Congo.
Justin MongwaEvangelical University in Africa, Healthcare Simulation Center, Bukavu, Democratic Republic of Congo.
Emile Mapatano ShalambaEvangelical University in Africa, Healthcare Simulation Center, Bukavu, Democratic Republic of Congo.
Raha MaroyiEvangelical University in Africa, Healthcare Simulation Center, Bukavu, Democratic Republic of Congo.
Jonathan Tunangoya YoyuEvangelical University in Africa, Healthcare Simulation Center, Bukavu, Democratic Republic of Congo.
Ludovic MartinAll'Sims Healthcare Simulation Center, Angers University Hospital, Angers, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMajor obstetric hemorrhage is the leading direct cause of maternal mortality throughout the world. To prevent maternal mortality, it is crucial to raise concerns regarding the knowledge and skill levels of the healthcare providers. The purpose of this study was to investigate the impact of simulation-based learning on the knowledge retention and skills of health professionals managing postpartum hemorrhage (PPH) in the maternity hospitals of a low-resource country.

methodsThis was a prospective randomized controlled study consisting of two groups: Control Group was made up of maternity hospital healthcare providers whose training was exclusively theory-based and Intervention Group healthcare providers who underwent simulation training in conjunction with theoretical instruction on diagnosing and managing PPH. The training modules were taken from the John Hopkins University Affiliate (JHPIEGO) Helping Mothers Survive version 2018 training program. The mean percentage of correct answers in MCQs and OSCEs was collected from pre-tests, immediate post-tests, and post-tests at 3- and 6-months post training.

resultsThe post-test immediately after the theoretical training showed an increase in the mean MCQ percentages for both groups. From 47.5 to 66.7% for intervention group versus 49.6-69.6% for control group; no significant difference between the two groups (p = 0.285). After simulation training, for the interventional group, the mean percentage increased from 66.7 to 79.2%, an increase of approximately 12%. There was a regression in the mean percentage in both groups in the post-test at 3- and 6-months after the training, but it was much more pronounced in the control group, p = 0.000. OSCE assessments revealed a statistically significant improvement in skills in interventional group compared to control group (p < 0.05). Knowledge and skills diminished over time in control group, bordering on pre-training levels at 6 months post training. The member team in the intervention group had maintained a high level of knowledge and skill 6 months after the training.

conclusionSimulation-based training has a part to play in training healthcare providers to manage post-partum hemorrhage. Training should be repeated after a period of 6 months to enhance knowledge and skill retention.

trial registrationNCT05979701.

Indexed as

Clinical CompetenceHealth PersonnelPostpartum HemorrhageSimulation TrainingAdultDemocratic Republic of the CongoFemaleHumansPatient Care TeamPregnancyProspective StudiesRetention, PsychologyKnowledge retentionLow-resource countryPostpartum hemorrhageSimulation

Identifiers

PMID40420075
PMCPMC12105165

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.