Objective:

To present the results of the application of the training program in obstetric emergencies. Eleven years of experience in Venezuela.

Methods:

Observational, retrospective and descriptive study. 72 simulation courses in obstetric emergencies carried out in Venezuela between 2013 and 2024 were evaluated with the participation of 2124 health providers. The characteristics and results of the intervention at each level of the Kirkpatrick model (reaction, learning, behavior and results) are reported before, during and after the educational intervention that consists of 14 hours of theoretical and practical practice, based on simulation on topics related to the main causes of maternal mortality.

Results:

Among the participants, 32.56% were specialists, 50.66% residents and 8.67% nursing staff. Nineteen states of Venezuela have been visited. There was an increase in the quality of medical care. The perception of security in the face of emergency increased (54.87% to 74.35%). The fear when confronted with the crisis situation was reduced (p < 0.05), immediately and 6 months after training. There was an increase in quantitative performance between the pre-test and post-test (9.05 %) and between the pre-test and the final evaluation (26.51 %; p: 0.0078) and an improvement in performance before and after the simulation (p 0.0001). Maternal mortality from postpartum hemorrhage, hypertensive pregnancy disorder, and obstetric sepsis fell by 22.1% between 2018 and 2024.

Conclusion:

A significant improvement in the quality of medical care was observed, positively impacting the reduction of maternal mortality in the country.