Mixed methods evaluation of simulation-based training for postpartum hemorrhage management in Guatemala

To assess if simulation-based training (SBT) of B-Lynch suture and uterine balloon tamponade (UBT) for the management of postpartum hemorrhage (PPH) impacted provider attitudes, practice patterns, and patient management in Guatemala, using a mixed-methods approach. We conducted an in-country SBT cou...

Full description

Saved in:
Bibliographic Details
Published in:BMC pregnancy and childbirth 2022-06, Vol.22 (1), p.513-513, Article 513
Main Authors: Parameshwar, Pooja S, Bianco, Katherine, Sherwin, Elizabeth B, Meza, Pamela K, Tolani, Alisha, Bates, Paige, Sie, Lillian, López Enríquez, Andrea Sofía, Sanchez, Diana E, Herrarte, Edgar R, Daniels, Kay
Format: Article
Language:English
Subjects:
Catheters
Data analysis
Female
Global health
Guatemala
Hemorrhage
Hospitals
Humans
Interviews
Knowledge
Maternal mortality
Medical education
Mixed methods research
Multiple choice
Obstetrics
Physicians
Postpartum Hemorrhage - therapy
Pregnancy
Program Evaluation
Questionnaires
Simulation
Simulation Training
Simulation-based training
Teaching
Uterine Balloon Tamponade - methods
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To assess if simulation-based training (SBT) of B-Lynch suture and uterine balloon tamponade (UBT) for the management of postpartum hemorrhage (PPH) impacted provider attitudes, practice patterns, and patient management in Guatemala, using a mixed-methods approach. We conducted an in-country SBT course on the management of PPH in a governmental teaching hospital in Guatemala City, Guatemala. Participants were OB/GYN providers (n = 39) who had or had not received SBT before. Surveys and qualitative interviews evaluated provider knowledge and experiences with B-Lynch and UBT to treat PPH. Multiple-choice surveys indicated that providers who received SBT were more comfortable performing and teaching B-Lynch compared to those who did not (p = 0.003 and 0.005). Qualitative interviews revealed increased provider comfort with B-Lynch compared to UBT and identified multiple barriers to uterine balloon tamponade implementation. Simulation-based training had a stronger impact on provider comfort with B-Lynch compared to uterine balloon tamponade. Qualitative interviews provided insight into the challenges that hinder uptake of uterine balloon tamponade, namely resource limitations and decision-making hierarchies. Capturing data through a mixed-methods approach allowed for more comprehensive program evaluation.
ISSN:1471-2393
1471-2393
DOI:10.1186/s12884-022-04845-2