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Year : 2014  |  Volume : 7  |  Issue : 2  |  Page : 140
Helping mothers in a low-resource setting survive bleeding after birth by simulation training

1 Sanitation 1 Medical Academic Center, Bangkok, Thailand
2 Hainan Medical University, Haikou, China; Faculty of Medicine, University of Nis, Nis, Serbia

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Date of Web Publication8-Dec-2014

How to cite this article:
Joob B, Wiwanitkit V. Helping mothers in a low-resource setting survive bleeding after birth by simulation training. Ann Trop Med Public Health 2014;7:140

How to cite this URL:
Joob B, Wiwanitkit V. Helping mothers in a low-resource setting survive bleeding after birth by simulation training. Ann Trop Med Public Health [serial online] 2014 [cited 2020 Feb 21];7:140. Available from:
Dear Sir,

Bleeding after birth (BAB) is an important problem in obstetrics, and it can lead to the postpartum death of mothers, an important world-wide public health concern. [1] According to a report by Wandabwa et al., "low socioeconomic background" is an important risk factor for such bleeding. [2] In low-resource settings, the problem is usually high due to the poor obstetric care system, and it is still a big public health problem to be considered. To help mother survive BAB is an interesting topic. A recent report on helping mothers in a low-resource setting survives BAB is very interesting. According to the concept of primary prevention, the health education is a real challenging activity to cope with the problem. Using simulation-based training is an interesting approach. Nelissen et al. noted that "the helping mothers survive BAB simulation-based training has potential to contribute to education of health care providers." [3] In fact, the use of simulation-based training has been recently mentioned for management of many basic obstetrical public health problem. Helping training for proper delivery might be an important usefulness. [4] However, there are many concerns on such program in the developing resource limited countries. The first question is whether the complex program is appropriate and feasible for using in the low-resource setting or not. The program might be well done during the trial period due to support to the researcher team, but the problem can be expected when there is no supporter in the future. Hence, it might not be a last long program. Second, the barrier in different low-resource setting can be different. In some Asian countries, talk about female and birth is considered taboo and the problem will be very difficult to be implemented. To manage the public health problem in developing countries, the use of complicated technology can be sometimes not appropriate.

   References Top

Haeri S, Dildy GA 3 rd . Maternal mortality from hemorrhage. Semin Perinatol 2012;36:48-55.  Back to cited text no. 1
Wandabwa J, Doyle P, Todd J, Ononge S, Kiondo P. Risk factors for severe postpartum haemorrhage in Mulago hospital, Kampala, Uganda. East Afr Med J 2008;85:64-71.  Back to cited text no. 2
Nelissen E, Ersdal H, Ostergaard D, Mduma E, Broerse J, Evjen-Olsen B, et al. Helping mothers survive bleeding after birth: An evaluation of simulation-based training in a low-resource setting. Acta Obstet Gynecol Scand 2014;93:287-95.  Back to cited text no. 3
Andreatta P, Gans-Larty F, Debpuur D, Ofosu A, Perosky J. Evaluation of simulation-based training on the ability of birth attendants to correctly perform bimanual compression as obstetric first aid. Int J Nurs Stud 2011;48:1275-80.  Back to cited text no. 4

Correspondence Address:
Beuy Joob
Sanitation 1 Medical Academic Center, Bangkok Thailand

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1755-6783.146432

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