Obstetric Simulation Training to Breech Delivery, Shoulder Dystocia, Forceps, and Vacuum Experience

Abstract

OBJECTIVES: This study aimed to create a simulation model in shoulder dystocia, breech delivery, and vacuum forceps applications, and to show the effect of education on the knowledge-skill level of the individuals involved.

STUDY DESIGN: This prospective cohort research was conducted among assistant doctors and midwives. The course was held in the simulation center by creating 4 different scenarios. The steps of each maneuver were determined separately. Performance was evaluated on a five-point Likert-type scale between 1-5 points before and after training. A higher score was considered higher proficiency in the subject.

RESULTS: Of the participants in the study, 51.4% (n=19) of 37 were doctors. The post-training scores obtained from each step of the shoulder dystocia maneuvers, breech birth maneuver, forceps application, and vacuum application were statistically significantly higher than the pre-training scores (p<0.001). The change in the post-training skill scores of the physicians was significantly higher than that of the midwives (p<0.001). Post-training, 67.9% of the participants thought that the simulation training was a great help in transforming their theoretical knowledge into practice.

CONCLUSION: Breech delivery, shoulder dystocia, forceps, and vacuum applications are difficult subjects to education in obstetrics. In these pieces of training, simulation should be used as a training method in obstetric education and integrated into the curriculum. We believe that giving and disseminating an effective and accessible simulation protocol to healthcare professionals can reduce birth complications.