Abstract

This technical report describes the making of cervical exam models that can be used to teach cervical dilation and effacement, with the versatility to teach additional obstetrical skills including artificial rupture of membranes (AROM) and fetal scalp electrode (FSE) placement. These models, primarily constructed from materials that are low cost and/or easily accessible within a healthcare setting, can be used to educate nurses, medical students, residents, and other healthcare professionals to improve the evaluation of the labor progress.

Highlights

  • A critical skill for providers working with obstetric patients is the ability to perform an efficient and accurate cervical exam, which is considered a cornerstone in the management of labor [1]

  • Plastic board models commonly used in healthcare settings typically have raised circles ranging in diameter from 1 to 10 centimeters, which represent the various stages of cervical dilation during labor

  • While the plastic board model is acceptable for teaching cervical dilation, it is ineffective in teaching effacement

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Summary

Introduction

A critical skill for providers working with obstetric patients is the ability to perform an efficient and accurate cervical exam, which is considered a cornerstone in the management of labor [1]. A model to teach cervical dilation and effacement was created using a standard-sized softball, orthopedic compression stockinette (or tubular bandage), a foam pool noodle, a rigid container, and other materials chosen for their low cost and/or easy accessibility within a healthcare setting (Figure 1). These include the smaller 9×9 cm foam piece covered in Ioban, the softball in the compression stockinette, and the assembled foam and pool noodle (forms the vaginal arch/walls). Shown in the top row, from left to right, is the smaller 9×9 cm foam piece covered in Ioban, the softball in the compression stockinette, and the assembled foam and pool noodle (forming the vaginal arch/walls). Additional absorbent material inside the box is recommended and this simulation could be performed without the stockinette

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Satin AJ
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