Low-fidelity simulation for management of postpartum haemorrhage in a Ghanaian teaching hospital
), Catherine Craig(2), Jerry Coleman(3), Henry Kumi(4), Heather Scott(5),
(1) Department of Obstetrics and Gynaecology, IWK Health Centre, Halifax, Nova Scotia,
(2) Department of Obstetrics and Gynaecology, IWK Health Centre, Halifax, Nova Scotia, Canada; Dalhousie University South St, Halifax, Nova Scotia, Canada
(3) Department of Obstetrics and Gynecology, Korle Bu Teaching Hospital Guggisberg Avenue, Korle Bu Accra, Ghana
(4) Department of Obstetrics and Gynecology, Korle Bu Teaching Hospital Guggisberg Avenue, Korle Bu Accra, Ghana
(5) Department of Obstetrics and Gynaecology, IWK Health Centre, Halifax, Nova Scotia, Canada1; Dalhousie University South St, Halifax, Nova Scotia, Canada
Corresponding Author
Abstract
We conducted a pre/post study of a post-partum hemorrhage (PPH) simulation exercise at Korle Bu Hospital, using a low-fidelity birthing simulator and questionnaires. We aimed to evaluate low-fidelity simulation as a feasible and effective method of improving resident knowledge and confidence in a low-resource setting. Knowledge and confidence in PPH management were measured before and after using 5-point Likert scales and multiple-choice questions. A feedback survey was administered. Descriptive statistics were calculated to summarize demographics, confidence, and knowledge, with frequencies, means and standard deviations reported. Statistical significance of the change in scores was assessed using paired t tests. Statistically significant improvements in knowledge and confidence in managing PPH were evident following the simulation exercise. All participants agreed the simulation was educational, relevant and realistic, and 94% felt it could be incorporated into their training. (Afr J Reprod Health 2022; 26[4]: 57-64).
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