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Dissertation
Obstetric Simulation Implementation for Postpartum Emergency in a Rural Hospital
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: Post-Partum Hemorrhage (PPH) is a leading cause of maternal mortality worldwide causing a quarter of all maternal deaths. Maternal morbidity and mortality is climbing in the U.S., especially in rural communities where access to hospitals with obstetric services is limited. In a prospective analysis of data from 2016 to 2019, maternal mortality has nearly double in rural compared to urban areas. Purpose: The purpose of this project was to implement evidence-based educational resources for maternal hemorrhage management using a team-based, multidisciplinary simulation in order to improve maternal morbidity and mortality in a rural Midwest hospital. Methods: Project was deemed not human subject's research. The post-partum hemorrhage checklist developed by The American College of Obstetricians and Gynecologists (ACOG) was utilized during simulation implantation. Team Emergency Assessment Measure (TEAM) Eval to evaluate teamwork. Participants self-reported improvement on signs and symptoms, treatment, and knowledge. Findings: The team-based simulation on postpartum hemorrhage demonstrated effective teamwork, leadership and management of obstetrical hemorrhage. Discussion: The use of the PPH Checklist during resuscitation for obstetrical hemorrhage management was effectively used to demonstrate a step-by-step process of treatment for postpartum hemorrhage. The project will be implemented again at this facility and other rural facilities to improve obstetrical care of hemorrhage in rural hospitals. The project focused on a high-risk population in order to ultimately improve maternal morbidity and mortality in obstetrical patients in a rural area.
Details
- Title: Subtitle
- Obstetric Simulation Implementation for Postpartum Emergency in a Rural Hospital
- Creators
- Jacob Douglas Vermeer - University of Iowa
- Contributors
- Heather Bair (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Nurse Anesthesia
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Jacob Douglas Vermeer
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627256202771
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