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    Tytuł:
    Professional experience of midwives is not sufficient to accurately assess the amount of blood loss during labor
    Autorzy:
    Kraśnianin, Elżbieta
    Raba, Grzegorz
    Kremska, Anna
    Wróbel, Romana
    Zych, Barbara
    Powiązania:
    https://bibliotekanauki.pl/articles/454856.pdf
    Data publikacji:
    2018
    Wydawca:
    Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
    Tematy:
    delivery
    education
    postpartum hemorrhage
    Opis:
    Introduction. Postpartum hemorrhage is still one of the causes of maternal mortality and morbidity. The purpose of investigation was an examination of practical skills in blood loss assessment during labor by midwives. Aim. To examine the practical skills of midwives that have different professional experience in blood loss assessment during labor. Materials and methods. A case-control prospective study of labour blood loss volume assessment with the use of a birthing simulator was conducted among midwives from 1 September 2016 to 30 May 2017. Midwives were divided in to 2 groups: Group I consisted of midwives who were recent university graduates without professional experience. Group II consisted of midwives with a minimum of two years of professional practice and assistance at more than 1000 births. This was a multicenter study. Outcome measures included visual evaluation of blood loss during simulation scenario. Results. Average evaluation of blood loss: Group I – 737 ml, Group II – 610 ml (p = 0.0002). There were no statistically significant differences between the groups in terms of diagnosing the cause of hemorrhage in the third stage of labor (p = 0.1503) neither in terms of identification of hemorrhage after perineal injury (p = 0.1503) . The examined midwives underestimated blood loss, however the midwives in Group I assessed blood loss statistically better. Conclusions. Subjective assessment of the amount of blood loss during labor is underestimated. Professional experience does not improve the accuracy of assessment of blood loss volume during labor.
    Źródło:
    European Journal of Clinical and Experimental Medicine; 2018, 3; 204-208
    2544-2406
    2544-1361
    Pojawia się w:
    European Journal of Clinical and Experimental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Stopping hemorrhages from the limbs: raising efficiency through training on unfixed human preparations
    Autorzy:
    Leszczyński, P.
    Klepacka, M.
    Bakalarski, P.
    Załęska-Marniche, S.
    Krusińska, K.
    Bojko, I.
    Sówka, K.
    Powiązania:
    https://bibliotekanauki.pl/articles/2088209.pdf
    Data publikacji:
    2019
    Wydawca:
    Uniwersytet Opolski. Instytut Nauk o Zdrowiu
    Tematy:
    cadavers
    bleeding
    hemorrhage
    paramedic
    learning
    education
    Opis:
    Background: Hemorrhages from the limbs are one of the most frequent injuries endangering human life. Immediate help from witnesses and the emergency services is necessary in such cases. Developing the skill of stopping the bleeding manually requires adequate training. One of the modern methods for such training is the use of cadavers, which accurately imitate real patients. Aim of the study: The aim of this research is to evaluate the effectiveness of learning to stop the bleeding manually on freshly frozen cadavers. Material and methods: Thirty-one people who had already trained on medical phantoms took part in the study. The participants stopped the hemorrhage on the cadavers twice and the time taken was recorded. The second attempt was performed after a short briefing from a teacher. After the training, the participants assessed their satisfaction with the course on a scale of 1 to 5. Results: On the first attempt, the average time of stopping the bleeding was 2.06 seconds (SD ± 1.61); the longest time was 10 seconds and the shortest was 0.7 seconds. On the second attempt, the average time was 1.52 seconds (SD ± 0.59); the longest time was 4.1 seconds and the shortest was 0.8 seconds. The average rating of course satisfaction among the respondents was 4.48 points (SD ± 0.88). Conclusions: This research showed that training on cadavers increased the quickness of reaction while stopping a hemorrhaging. Moreover, it indicated that training on medical phantoms does not assure optimal ability to perform rescue procedures.
    Źródło:
    Medical Science Pulse; 2019, 13, 4; 23-26
    2544-1558
    2544-1620
    Pojawia się w:
    Medical Science Pulse
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-2 z 2

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