{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T12:58:17Z","timestamp":1762865897792},"reference-count":9,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2011,8,11]],"date-time":"2011-08-11T00:00:00Z","timestamp":1313020800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:p><jats:bold>Introduction:<\/jats:bold> Postpartum hemorrhage is a common complication of vaginal birth. Few midwives have experience in the performance of procedures to manage hemorrhage that fails to respond to initial management with medications and bimanual compression.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> A simulation model was constructed by using a half\u2010pelvis birth simulator and a hollowed out cantaloupe. Practicing midwives and students participated in a simulation exercise by using uterine packing and placement of a uterine tamponade balloon. Pre\u2010exercise and post\u2010exercise self\u2010assessments were performed. Data were analyzed by using the Wilcoxon matched pairs signed rank test.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> A total of 25 learners participated in the training session. All 25 participants showed improvement in their self\u2010assessed competency level for the placement of the Bakri Postpartum Balloon (<jats:italic>P<\/jats:italic> &lt; .001), and 24 of 25 showed improvement in self\u2010assessed competency levels for uterine packing (<jats:italic>P<\/jats:italic> &lt; .001).<\/jats:p><jats:p><jats:bold>Discussion:<\/jats:bold> An inexpensive simulation model can be used to effectively train midwives to treat postpartum hemorrhage by using methods of exerting direct pressure to the uterine cavity.<\/jats:p>","DOI":"10.1111\/j.1542-2011.2011.00046.x","type":"journal-article","created":{"date-parts":[[2011,11,10]],"date-time":"2011-11-10T12:58:52Z","timestamp":1320929932000},"page":"503-506","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Assessment of a Simulation Training Exercise to Teach Intrauterine Tamponade for the Treatment of Postpartum Hemorrhage"],"prefix":"10.1111","volume":"56","author":[{"given":"Michael L.","family":"Stitely","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lena","family":"Cerbone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelita","family":"Nixon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay J.","family":"Bringman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,8,11]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181d74898"},{"key":"e_1_2_7_3_2","first-page":"925","volume-title":"Varney's Midwifery","author":"Varney H","year":"2004"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016340802087660"},{"key":"e_1_2_7_5_2","first-page":"69","article-title":"Use of packing in obstetric hemorrhage of uterine origin","volume":"48","author":"Hsu S","year":"2003","journal-title":"J Reprod Med."},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(93)90082-T"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(01)00395-2"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02113.x"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2007.01.006"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2010.03.003"}],"container-title":["Journal of Midwifery &amp; Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1542-2011.2011.00046.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1542-2011.2011.00046.x","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/j.1542-2011.2011.00046.x","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1542-2011.2011.00046.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T23:39:40Z","timestamp":1693957180000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1542-2011.2011.00046.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,8,11]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2011,9]]}},"alternative-id":["10.1111\/j.1542-2011.2011.00046.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1542-2011.2011.00046.x","archive":["Portico"],"relation":{},"ISSN":["1526-9523","1542-2011"],"issn-type":[{"value":"1526-9523","type":"print"},{"value":"1542-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,8,11]]},"assertion":[{"value":"2011-08-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}