. Masoumeh Kordi; . Farzaneh Rashidi Fakari; . Seyed Reza Mazloum; . Talaat Khadivzadeh; . Farideh Akhlaghi; . Mahmoud Tara
Volume 6, Issue 1 , 2016, , Pages 1-7
Abstract
Introduction: Delay in diagnosis of bleeding can be due to underestimation of the actualamount of blood loss during delivery. Therefore, this research aimed to compare the efficacyof ...
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Introduction: Delay in diagnosis of bleeding can be due to underestimation of the actualamount of blood loss during delivery. Therefore, this research aimed to compare the efficacyof web‑based, simulation‑based, and conventional training on the accuracy of visual estimationof postpartum hemorrhage volume. Materials and Methods: This three‑group randomizedclinical trial study was performed on 105 midwifery students in Mashhad School of Nursing andMidwifery in 2013. The samples were selected by the convenience method and were randomlydivided into three groups of web‑based, simulation‑based, and conventional training. The threegroups participated before and 1 week after the training course in eight station practical tests,then, the students of the web‑based group were trained on‑line for 1 week, the students of thesimulation‑based group were trained in the Clinical Skills Centre for 4 h, and the students ofthe conventional group were trained for 4 h presentation by researchers. The data gatheringtool was a demographic questionnaire designed by the researchers and objective structuredclinical examination. Data were analyzed by software version 11.5. Results: The accuracy ofvisual estimation of postpartum hemorrhage volume after training increased significantly inthe three groups at all stations (1, 2, 4, 5, 6 and 7 (P = 0.001), 8 (P = 0.027)) except station3 (blood loss of 20 cc, P = 0.095), but the mean score of blood loss estimation after training didnot significantly different between the three groups (P = 0.95). Conclusion: Training increasedthe accuracy of estimation of postpartum hemorrhage, but no significant difference was foundamong the three training groups. We can use web‑based training as a substitute or supplementof training along with two other more common simulation and conventional methods.
