Effects of high fidelity simulation model on midwives' shoulder dystocia management skills: An educational İntervention study.

Abstract

Shoulder dystocia is an emergency and risky situation that most likely directly involves midwives. The aim of this study is to determine the effects of simulation training with a high fidelity mannequin on midwives' shoulder dystocia management. This study utilized a quantitative, quasi-experimental research design. No sample selection was made. The study included all midwives (n:16) working in the maternity unit of Manisa Province Hospital, Turkey. Management of shoulder dystocia was lectured both theoretically and practically, using a high fidelity simulation. Midwives' shoulder dystocia management skills and knowledge were evaluated before and after training using shoulder dystocia knowledge form and management skill checklist. There was a statistically significant increase in their shoulder dystocia management knowledge scores and management skills after simulation-based shoulder dystocia training (P < 0.05). Before the training, the midwives (62.5%) mostly used the McRoberts maneuver and suprapubic pressure as the primary interventions in shoulder dystocia management. After training, all the midwives were able to apply secondary maneuvers (Wood's or Rubin's maneuvres or posterior arm delivery) along with the primary maneuvers, in accordance with the shoulder dystocia management algorithm. Using a high fidelity simulation model in training increased midwives' shoulder dystocia management skills and knowledge.