Internal Podalic Version and Breech Extraction: Enhancing Realistic Sensations in a Simulation Model.
Jérôme M J Cornette1, Jan S Erkamp
1Departments of Obstetrics and Gynaecology, Pediatrics, and Epidemiology, Erasmus Medical Center, Rotterdam, and Managing Obstetrical Emergencies and Trauma (MOET), Stichting MOET, Tilburg, the Netherlands.
Obstetrics and Gynecology
|January 12, 2018
Summary
This study introduces a novel simulation model for internal podalic version and breech extraction. The realistic training method enhances obstetricians' skills in managing complex breech presentations.
Area of Science:
- Obstetrics and Gynecology
- Medical Simulation
- Surgical Training
Background:
- Proficiency in internal podalic version and breech extraction is declining among obstetricians.
- Effective simulation training is crucial for skill acquisition and maintenance in these procedures.
Purpose of the Study:
- To present a novel mannequin-based simulation method for internal podalic version and breech extraction.
- To enhance the realism and didactic value of obstetric simulation training.
Main Methods:
- A fetal mannequin was placed within a thin plastic bag filled with water.
- This setup aimed to replicate the tactile sensations of manipulating fetal feet through intact membranes.
Main Results:
- The simulation provides a realistic sensation of palpating, grasping, and extracting fetal feet.
- The model effectively mimics the conditions encountered during internal podalic version and breech extraction.
Conclusions:
- The developed simulation model offers a fun, memorable, and effective training experience.
- This approach can help preserve and improve essential obstetric skills for managing breech births.
Related Concept Videos
01:21Sensation
1.5K
Sensory receptors are specialized neurons that respond to specific types of external stimuli, initiating the process known as sensation. This occurs when sensory input, such as light entering the eye, is detected by these receptors, causing chemical changes in the cells of the retina. These cells then convert the sensory stimulus into action potentials that are transmitted to the central nervous system, a process termed transduction.
Absolute thresholds can quantify the sensitivity of sensory...
Absolute thresholds can quantify the sensitivity of sensory...
1.5K
02:00Internal Energy
36.9K
The total of all possible kinds of energy present in a substance is called the internal energy (U), sometimes symbolized as E. Suppose a system with initial internal energy, Uinitial, undergoes a change in energy (transfer of work or heat), and the final internal energy of the system is Ufinal. Change in internal energy equals the difference between Ufinal and Uinitial.
36.9K
01:29Internal Energy
7.2K
The internal energy of a thermodynamic system is the sum of the kinetic and potential energies of all the molecules or entities in the system. The kinetic energy of an individual molecule includes contributions due to its rotation and vibration, as well as its translational energy. The potential energy is associated only with the interactions between one molecule and the other molecules of the system. Neither the system's location nor its motion is of any consequence as far as the internal...
7.2K
03:00Self-Evaluation: Self-Enhancement and Self-Verification
5.8K
Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
5.8K
01:31Internal Receptors
74.8K
Many cellular signals are hydrophilic and therefore cannot pass through the plasma membrane. However, small or hydrophobic signaling molecules can cross the hydrophobic core of the plasma membrane and bind to internal, or intracellular, receptors that reside within the cell. Many mammalian steroid hormones use this mechanism of cell signaling, as does nitric oxide (NO) gas.
74.8K
02:00Molecular Models
44.0K
Physical models representing molecular architectures of chemical compounds play essential roles in understanding chemistry. The use of molecular models makes it easier to visualize the structures and shapes of atoms and molecules.
44.0K