Abstract
Objectiveevaluation of technical skills of the operators during the obstetrical device application for operative vaginal delivery, named kiwi-cup in a simulation training program.MethodsThirty-five residents in obstetrics and gynecology of the University of Pisa, Italy were recruited and evaluated with an assessment scale on technical skills from 0 to 55 points. They performed various operative vaginal delivery simulations with kiwi-cup and were evaluated at time 0 by a tutor. After 8 weeks, simulation training was repeated and trainees were re-evaluated by the same tutor.Resultsafter 8 weeks from the first simulation session, trainees have been shown to increase technical skills (46.27 ± 4.6 with p-value < 0.0001), the successful application rate (85.71% with p-value 0.0161).) and to reduce the time to complete the procedure (86.2 ± 29.9 s with p-value < 0.0001).Conclusionsimulation training on operational vaginal delivery significantly increases technical skills, improves successful rate, and reduces the time taken to complete the procedure.Clinical trial registrationNot applicable.
Highlights
Operative vaginal delivery (OVD) is an obstetrical procedure used to expedite birth after full cervical dilatation when a rapid expulsion of the fetus is required
In this study, we tested the correct application of the obstetric vacuum called kiwi-cup with a specific assessment scale
We demonstrated that the use of simulation for the application of this instrument is pivotal in the process of learning and acquisition of technical skills
Summary
Operative vaginal delivery (OVD) is an obstetrical procedure used to expedite birth after full cervical dilatation when a rapid expulsion of the fetus is required. The experience of trainees is directly proportional to the number of operative deliveries that take place on patients in the structure where the training takes place This is ethically unacceptable and Mannella et al BMC Pregnancy and Childbirth (2021) 21:338 this teaching system was such standardized in the past that some guidelines had to insert training as “relative contraindication to execute OVD”. According to a recent survey carried out in Germany, even senior obstetricians still require specific and continuous training on performing OVD which obviously goes beyond just on-site professional experience [[7]9449]. For this reason, the French College of Gynaecologist and Onstetricias, supports the use of simuation for training in OVD [8]
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