{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T02:34:17Z","timestamp":1773023657106,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T00:00:00Z","timestamp":1726099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T00:00:00Z","timestamp":1726099200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The purpose of the present study was to assess the benefits of simulation for advancing knowledge and assisting healthcare staff in optimization of procedures when managing severe pre\u2010eclampsia\/eclampsia (sPE\/E).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A randomized educational trial was conducted with two groups: Group I received theoretical training, while group II received the same training along with simulation scenarios based on the management of sPE\/E. The study involved 199 healthcare providers, including physicians, midwives, skilled birth attendants, and nurses. The study analyzed the percentage of correct answers on both the multiple\u2010choice questions (MCQ) and the objective structured clinical examinations (OSCE) to evaluate theoretical knowledge and clinical skills objectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Statistically significant differences were found immediately after training between groups I and II, whose mean percentages were 65.0% (\u00b111.2) versus 71.0% (\u00b19.8) (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). A statistically significant reduction in the percentage of correct answers was found in both groups and demonstrated a discrepancy between immediate post\u2010training test and post\u2010training test at 3\u2009months scores of 11.6% (\u00b11.3) in group I versus 7.2% (\u00b10.6) in group II. OSCE1 and OSCE2 scores were significantly higher in group II than in group I (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Simulation combined with theoretical training would appear to be an interesting method of training for advancing knowledge and improving skills of healthcare providers in their management of sPE\/E. Our goal is for this method to be used to reduce real\u2010life maternal mortality in the South Kivu region of the Democratic Republic of Congo.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15893","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T10:21:19Z","timestamp":1726136479000},"page":"762-773","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Benefits of simulation on multidisciplinary management of severe pre\u2010eclampsia\/severe eclampsia in 15 health districts in eastern Democratic Republic of Congo: A randomized educational trial"],"prefix":"10.1002","volume":"168","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9434-8512","authenticated-orcid":false,"given":"Jean Paul Buhendwa","family":"Cikwanine","sequence":"first","affiliation":[{"name":"All'Sims Healthcare Simulation Center Angers University Hospital  Angers France"},{"name":"Healthcare Simulation Center of the Evangelical University in Africa, Panzi  Bukavu Democratic Republic of Congo"},{"name":"International Center for Advanced Research and Training  Bukavu Democratic Republic of Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0312-2458","authenticated-orcid":false,"given":"Jonathan Tunangoya","family":"Yoyu","sequence":"additional","affiliation":[{"name":"Healthcare Simulation Center of the Evangelical University in Africa, Panzi  Bukavu Democratic Republic of Congo"},{"name":"International Center for Advanced Research and Training  Bukavu Democratic Republic of Congo"},{"name":"Department of Medical Research Studies, Progressive Medical Systems Church of Christ in the Congo  Goma Democratic Republic of Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emile Shalamba","family":"Mapatano","sequence":"additional","affiliation":[{"name":"Healthcare Simulation Center of the Evangelical University in Africa, Panzi  Bukavu Democratic Republic of Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Souhil","family":"Lebdai","sequence":"additional","affiliation":[{"name":"All'Sims Healthcare Simulation Center Angers University Hospital  Angers France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denis","family":"Mukwege","sequence":"additional","affiliation":[{"name":"Healthcare Simulation Center of the Evangelical University in Africa, Panzi  Bukavu Democratic Republic of Congo"},{"name":"International Center for Advanced Research and Training  Bukavu Democratic Republic of Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludovic","family":"Martin","sequence":"additional","affiliation":[{"name":"All'Sims Healthcare Simulation Center Angers University Hospital  Angers France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9,12]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Trends in maternal mortality: 2000\u20132017. 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