Comparing hands-on and video training for postpartum hemorrhage management

The objective was to compare two teaching methods for postpartum hemorrhage management: interactive hands-on training and non- interactive videotraining. In a controlled intervention study at a secondary health care center in Kenya the two training methods based on the Advanced Life Supportin Obstetricscurriculum were evaluated utilizing structured observation of a standardized scenario before and after training. Both intervention groups significantly increased in performance scores after receiving hands-on training: 40% (95% CI 29.5-47.0) and video training: 34.5% (95% CI 25.0-42.0); likewise pass rates improved significantly. No significant differences in performance score or pass rates were found between the two methods. The findings indicate that postpartum hemorrhage management training by mobile mediamight be just as effective as conventional hands-on training and a feasible way to overcome the outreach gap in sub-Saharan Africas rural areas where peripheral health facilitiesare generally difficult to reach with conventional training programs. (c) 2014 Nordic Federation of Societies of Obstetrics and Gynecology.