INTRODUCTION: Eclampsia is an obstetrical emergency of hypertensive disorders in pregnancy, which can lead to significant morbidity and mortality. The objective of this study was to demonstrate and quantify the effect of simulation training on knowledge, performance and confidence levels of providers in managing eclampsia. METHODS: A 3 month study was performed using 6 obstetrics and gynecology residents and a standardized simulation program with a high-fidelity manikin. Pre- and post-testing were performed using knowledge tests, validated performance checklists and confidence surveys. An interval performance assessment was conducted at three months to quantify retention of skills. Statistical analysis was performed using chi-squared analyses. RESULTS: Significant improvement was noted in all domains. Knowledge scores increased from 36.67% to 96.67% post simulation, p less than 0.0004. Performance assessment increased from 31.75% to 94.67%, p less than 000.1. Confidence levels demonstrated statistically significant improvements in all areas with the greatest in managing an eclamptic seizure, ordering eclampsia medications and managing magnesium sulfate toxicity, p less than 0.0001. Retention scores at 3 months indicated that performance remained strong at 91.67%, p less than 0.0001. Participant comments included the benefit of practicing this rare event in simulation which then occurred in real life the next day. CONCLUSION: Simulation-based training for eclampsia management improves knowledge, performance and confidence levels. Repeated simulation training demonstrates retention of learning. Simulation is a valuable tool in preparing physicians for managing eclampsia and maintaining knowledge and skills for when these rare emergencies occur in reality.
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