Emergency scenarios simulations in the obstetrics maternity ward-“training together, treating together”

AbstractBackground Obstetric emergencies pose significant risks to maternal and fetal health. Enhancing maternity nurses' abilities to manage such situations is critical for improving outcomes. Methods A prospective cohort study was conducted among maternity ward nurses at a high-volume tertiary center. A two-day, 12-hour obstetric emergency training program, combining lectures with realistic simulation scenarios, was implemented. Knowledge and competencies were assessed before and after the training using multiple-choice questions and Likert scale evaluations. Results Participants demonstrated significant improvement in self-assessed confidence (from 3.98 to 4.38, +10.05%), professional self-conception (4.29-4.58, +6.76%), and theoretical knowledge (4.13-4.31, +4.36%). The greatest improvements were seen in managing postpartum hemorrhage (4.27-4.73, +10.77%) and seizures (3.49-4.04, +15.76%). Correct identification of preeclampsia criteria rose by 73.27% (33.3%-57.7%), with 100% accuracy achieved in eclampsia prevention and severe preeclampsia management post-training. Conclusion Simulation-based training significantly enhances maternity nurses' emergency preparedness, suggesting its essential role in improving clinical competence and optimizing obstetric care during emergencies.