Effect of Simulation-Based Education on Knowledge, Skills, and Self-Efficacy in Postpartum Hemorrhage Management

NCT07618442 | Completed

• 1 other identifier: E-22686390-050.99-24891
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Postpartum hemorrhage is an important obstetric emergency that requires early recognition and timely management. Midwifery students may have limited opportunities to practise postpartum hemorrhage management repeatedly in real clinical settings. Simulation-based education may help students practise assessment, decision-making, emergency interventions, communication, and documentation in a safe learning environment. This study evaluated the effect of simulation-based education on third-year midwifery students' knowledge, postpartum hemorrhage management skill performance, and self-efficacy. Participants were randomly assigned to either an intervention group or a control group. Both groups received traditional theoretical education on postpartum hemorrhage management. The intervention group additionally received simulation-based postpartum hemorrhage management education using a high-fidelity birthing simulator. Knowledge and self-efficacy were assessed before the intervention, immediately after the intervention, and four weeks later. Skill performance was assessed immediately after the intervention and again four weeks later using a structured skills checklist. The study aimed to determine whether simulation-based education improved students' learning outcomes compared with traditional theoretical education alone.

Conditions

Postpartum Hemorrhage; Obstetric Care; Simulation Based Medical Education

Keywords

Postpartum hemorrhage; Simulation-based education; High-fidelity simulation; Midwifery education; Postpartum hemorrhage management

Outcome Measures

Primary Outcomes (1)

• PPH Management Skill Performance Score

  PPH management skill performance was assessed using the Postpartum Hemorrhage Management Skills Checklist. The checklist includes 23 items scored as 0 = needs improvement, 1 = partially adequate, and 2 = adequate. Total scores range from 0 to 46, with higher scores indicating better PPH management skill performance.PPH management skill performance was assessed using the Postpartum Hemorrhage Management Skills Checklist. The checklist includes 23 items scored as 0 = needs improvement, 1 = partially adequate, and 2 = adequate. Total scores range from 0 to 46, with higher scores indicating better PPH management skill performance.

  Post-intervention and four-week follow-up

Secondary Outcomes (2)

• PPH Management Knowledge Score

  Baseline, post-intervention, and four-week follow-up

• PPH Management Self-Efficacy Score

  Baseline, post-intervention, and four-week follow-up

Study Arms (2)

Simulation-Based PPH Management Education Group

EXPERIMENTAL

Participants in this arm received traditional theoretical education on postpartum hemorrhage management followed by simulation-based postpartum hemorrhage management education using a high-fidelity birthing simulator. The simulation session included prebriefing, a postpartum hemorrhage scenario, and debriefing.

Behavioral: Simulation-Based Postpartum Hemorrhage Management Education; Behavioral: Traditional Theoretical Postpartum Hemorrhage Education

Traditional Theoretical PPH Education Group

ACTIVE COMPARATOR

Participants in this arm received traditional theoretical education on postpartum hemorrhage management only. They did not receive simulation-based education during the study period.

Behavioral: Traditional Theoretical Postpartum Hemorrhage Education

Interventions

Simulation-Based Postpartum Hemorrhage Management Education BEHAVIORAL

Simulation-based education was delivered using a high-fidelity birthing simulator in a simulation laboratory arranged as a postpartum patient room. The session included a 5-minute prebriefing, a 15-minute postpartum hemorrhage management scenario, and a 30-minute debriefing. The scenario required learners to assess vital signs, lochia, fundus, pain, and IV catheter status; recognize postpartum hemorrhage; communicate using SBAR; initiate emergency interventions; and document care.Simulation-based education was delivered using a high-fidelity birthing simulator in a simulation laboratory arranged as a postpartum patient room. The session included a 5-minute prebriefing, a 15-minute postpartum hemorrhage management scenario, and a 30-minute debriefing. The scenario required learners to assess vital signs, lochia, fundus, pain, and IV catheter status; recognize postpartum hemorrhage; communicate using SBAR; initiate emergency interventions; and document care.

Also known as: Simulation-based PPH management education

Simulation-Based PPH Management Education Group

Traditional Theoretical Postpartum Hemorrhage Education BEHAVIORAL

Traditional theoretical education was delivered face-to-face in a classroom setting and lasted approximately one hour. The session covered the definition, importance, etiology, risk factors, prevention, treatment, and management of postpartum hemorrhage. The education was supported by a PowerPoint presentation and included lecture, question-answer, discussion, and brainstorming methods.

Also known as: Traditional theoretical PPH education

Simulation-Based PPH Management Education Group; Traditional Theoretical PPH Education Group

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Third-year undergraduate midwifery students enrolled in the Department of Midwifery during the 2022-2023 academic year
• Completion of the Normal Birth and Midwifery Care course
• Enrollment in the High-Risk Birth and Midwifery Care course during the study period
• Voluntary agreement to participate in the study
• Ability to attend all study sessions and follow-up assessments

You may not qualify if:

• Previous participation in structured postpartum hemorrhage simulation-based training
• Absence from any part of the educational intervention or outcome assessments
• Withdrawal of consent during the study period

Sponsors & Collaborators

• Ömercan Aksoy: lead

Study Sites (1)

Istanbul University - Cerrahpasa

Istanbul, 34055, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Postpartum Hemorrhage

Condition Hierarchy (Ancestors)

Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Puerperal Disorders; Uterine Hemorrhage; Hemorrhage; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Skill performance was assessed by two external expert observers who were not affiliated with the study setting and were blinded to group allocation. Due to the educational nature of the intervention, participants and investigators were not blinded.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: May 24, 2026
• First Posted: June 1, 2026
• Study Start: May 1, 2023
• Primary Completion: June 15, 2023
• Study Completion: June 15, 2023
• Last Updated: June 2, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)