A Simulator for Breech Extraction of the Second Twin
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, St. Luke's University Health Network, Bethlehem, Pennsylvania.
Obstetrics and Gynecology
|May 10, 2018
Summary
A new, low-cost simulation model effectively trains healthcare providers in breech extraction of a second twin during vaginal twin delivery. This educational device enhances tactile skill development for improved patient outcomes.
Area of Science:
- Medical Simulation
- Obstetrics and Gynecology
- Surgical Training
Background:
- Breech extraction of a second twin is a critical skill for vaginal twin delivery.
- Training opportunities for this procedure may be limited for healthcare providers.
Purpose of the Study:
- To develop and evaluate a cost-effective, reusable simulation model for training breech extraction of a second twin.
Main Methods:
- Construction of a reusable neoprene uterus model with a balloon fetus in an amniotic cavity.
- Incorporation of a simulated vagina and hysterotomy for advanced simulation scenarios.
Main Results:
- The model successfully demonstrated expected trainee skills and was easy to construct.
- Simulated vaginal addition increased difficulty and amniotic sac rupture probability.
- Hysterotomy addition improved applicability for simulated cesarean delivery.
Conclusions:
- This educational device realistically simulates fetal presentation in an amniotic cavity for breech extraction training.
- The model challenges learners to develop tactile identification and grasping skills for fetal feet.
- It serves as a valuable tool for improving proficiency in a complex obstetric procedure.
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