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Mbachu II, Udigwe GO, Ezeama CO, et al. Effect of on-site training on the accuracy of blood loss estimation in a simulated obstetrics environment. Int J Gynaecol Obstet. 2017;137(3):345-349doi: 10.1002/ijgo.12133.
Mbachu, I. I., Udigwe, G. O., Ezeama, C. O., Eleje, G. U., & Eke, A. C. (2017). Effect of on-site training on the accuracy of blood loss estimation in a simulated obstetrics environment. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 137(3), 345-349. https://doi.org/10.1002/ijgo.12133
Mbachu, Ikechukwu I, et al. "Effect of on-site training on the accuracy of blood loss estimation in a simulated obstetrics environment." International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics vol. 137,3 (2017): 345-349. doi: https://doi.org/10.1002/ijgo.12133
Mbachu II, Udigwe GO, Ezeama CO, Eleje GU, Eke AC. Effect of on-site training on the accuracy of blood loss estimation in a simulated obstetrics environment. Int J Gynaecol Obstet. 2017 Jun;137(3):345-349. doi: 10.1002/ijgo.12133. Epub 2017 Mar 31. PMID: 28236647.
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Int J Gynaecol Obstet. 2017 Jun;137(3):345-349. doi: 10.1002/ijgo.12133. Epub 2017 Mar 31.

Effect of on-site training on the accuracy of blood loss estimation in a simulated obstetrics environment.

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

Ikechukwu I Mbachu, Gerald O Udigwe, Chukwuemeka O Ezeama, George U Eleje, Ahizechukwu C Eke

Affiliations

  1. Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Nnewi, Nigeria.
  2. Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Johns Hopkins Medicine, Baltimore, MD, USA.

PMID: 28236647 DOI: 10.1002/ijgo.12133

Abstract

OBJECTIVE: To determine the effect of on-site training on the accuracy of blood loss estimation in a simulated obstetrics environment.

METHODS: In a tertiary hospital in Nigeria, clinical scenarios were created in April 2013 using known blood volumes in an objective structured clinical examination fashion. Doctors and nurses who worked in the obstetrics unit observed and recorded the blood volume at different clinical stations (first study stage). Subsequently, the actual amount of blood was revealed, followed by on-site training on the volume capacities of the study instruments. Three weeks later, the second stage of the study was performed like the first stage but using different amounts of blood for all stations. The differences in the mean errors of blood loss estimation between the two stages were determined.

RESULTS: The analysis included 144 healthcare providers who completed both stages of the study. There were significant differences in the mean error of blood loss estimation before and after the training session for the following stations: delivery bed (P<0.001), sanitary pad 1 (P=0.001), sanitary pad 2 (P=0.001), delivery pad (P=0.001), floor (P<0.001), and laparotomy pad (P=0.001).

CONCLUSION: Periodic education by simulation using clinical scenarios could improve the accuracy of visual blood loss estimation.

© 2017 International Federation of Gynecology and Obstetrics.

Keywords: Accuracy; Blood loss; Simulation; Training; Visual estimation

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