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oai:figshare.com:article/34021146 2026-09-29T04:32:37Z category_393 portal_316 item_type_3 month_year_09_2026

Table 1_Simulation-based education improves postpartum hemorrhage management knowledge and skills: a randomized controlled trial.docx Ömercan Aksoy (25135122) Ergül Aslan (7428173) Foetal Development and Medicine clinical skills knowledge retention midwifery education postpartum hemorrhage randomized controlled trial self-efficacy simulation-based education Background<p>Postpartum hemorrhage is a time-sensitive obstetric emergency that requires rapid assessment and coordinated management. This study evaluated the effects of simulation-based education on midwifery students' postpartum hemorrhage management knowledge, skill performance, and self-efficacy.</p>Methods<p>An assessor-blinded randomized controlled trial was conducted with 45 third-year midwifery students. Participants were randomly allocated to an intervention group that received traditional theoretical education followed by simulation-based education (n = 23) or a control group that received traditional theoretical education only (n = 22). Knowledge and self-efficacy were assessed before, immediately after, and four weeks after the intervention; skill performance was assessed immediately after and at four weeks.</p>Results<p>Knowledge scores increased in both groups. A significant between-group difference was observed immediately after the intervention (p = 0.047), whereas the between-group difference at four weeks was not statistically significant (p = 0.541). In the linear mixed-effects analysis, the overall group × time interaction for knowledge was not significant [Wald χ²(2) = 2.56, p = 0.279]. Skill performance was substantially higher in the intervention group at both post-intervention assessments (both p < 0.001); the post-test mean difference was 8.83 points (95% CI 4.85–12.81; Cohen's d = 1.358), and the group × time interaction from post-test to four weeks was not significant (p = 0.742), indicating stability of the between-group difference over follow-up. Self-efficacy increased in both groups, with no significant overall group × time interaction [Wald χ²(2) = 3.10, p = 0.212].</p>Conclusion<p>Simulation-based education was associated with a short-term between-group advantage in PPH-related knowledge and with a large, stable post-intervention advantage in skill performance across four weeks. No clear additional effect on self-efficacy was demonstrated. Because skill performance was not measured at baseline, the skill findings should be interpreted with appropriate caution.</p>Clinical trial registration<p>ClinicalTrials.gov NCT07618442, https://clinicaltrials.gov/study/NCT07618442.</p> 2026-09-29T04:32:37Z Dataset Dataset 10.3389/fmed.2026.1939595.s001 https://figshare.com/articles/dataset/Table_1_Simulation-based_education_improves_postpartum_hemorrhage_management_knowledge_and_skills_a_randomized_controlled_trial_docx/34021146 CC BY 4.0