Simulation Training and Vaginal Delivery:  An Assessment

Simulation Training and Vaginal Delivery:  An Assessment

By Roxanne Blanford


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Vaginal delivery simulation training can have a positive influence on learner outcomes and be a determining factor in building the confidence of novice trainees in obstetrics.

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The prevailing literature firmly supports simulation training for improving management skills associated with maternal interventions and urgent obstetrical situations (such as shoulder dystocia, eclampsia, and obstetrical hemorrhage).

This article explores a recent study on the effectiveness of vaginal delivery simulation in novice trainees.*


Assessing the Value of Maternal Simulation-Based Training

Following initial didactic instruction on delivery basics (including lectures on pelvic anatomy, labor, and routine vaginal delivery maneuvers), third-year medical students who had performed a simulated vaginal delivery on a birthing manikin received exams which were scored by a blinded observer using a standardized checklist (shown here). 

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After correcting for multiple comparisons, the results indicated that students who were assessed in simulated vaginal delivery were "better prepared for their initial real-life vaginal deliveries," confirming simulation training as a satisfactory and effective way to improve vaginal delivery performance (as assessed by a simulated vaginal delivery). 

Simulated Delivery Practice Leads to Competence in Real-Life Procedures 

Clinical obstetrics training, in the classic sense, involves hours of learning during real-life settings. It is essential for OB/GYN trainees to experience substantive training opportunities in vaginal deliveries for the sake of patient safety.

Students trained on a manikin-based maternity simulator increase their confidence in routine deliveries. These learners are more apt to successfully transfer self-assessed competencies into live clinical experiences.

Simulation training in vaginal delivery offers medical students and obstetric trainees a safer and risk-free environment in which to practice with a purpose and gain comfort with clinical procedures so they enter their professions with a higher degree clinical competency.

Source:
*Shumard KM, Denney JM, Quinn K, Grandis S, Whitecar PW, Bailey J, Jijon-Knupp RJ, Huang, Kesty K, Brost BC, Nitsche JF. Effectiveness of Vaginal Delivery Simulation in Novice Trainees. Fam Med 2016;48(9):696-702