Simulation-based training in obstetrics

Abstract

situations, and environments for realistically representing obstetric events. High-fidelity birthing simulators are equipped with motor-driven mechanics that move the mannequin fetus out of the birth canal. The most technologically advanced models are outfitted with wireless computer-based software attaining a high degree of realism. That allows a realistic approach to optimize teamwork behaviors and improve situation awareness for better error recognition and management. Depending on the goals and objectives of the curriculum, low-fidelity simulators are just as useful for teaching and practice. A birthing pelvis can also be held by a live person. The pairing of simulators with humans creates so-called “hybrid simulators”, is useful for more realistically simulating a patient or a clinical environment. Hybrid simulation techniques can augment realism at little-to-no extra cost. such techniques are especially useful where resources or storage capabilities are limited or where portability is essential. Typical scenarios for the application of obstetric simulators are managing obstetric emergencies and trauma, using forceps, determining fetal station, conducting breech birth, managing shoulder dystocia, peripartal bleeding, managing the obstetric airway and performing intubations. Obstetric simulation-based research has been increasingly used to address issues related to teamwork, team performance and the identification of clinical errors and the improvement of clinical outcomes.