Simulation TRaining for Operative vaginal Birth Evaluation: study protocol for an observational stepped-wedge...

Area of Science:

• Obstetrics and Gynecology
• Medical Education
• Clinical Quality Improvement

Background:

• Operative vaginal birth is a common procedure, with junior obstetricians requiring supervised training.
• Skill acquisition for operative vaginal birth relies on direct learning opportunities.
• A structured training course for operative vaginal birth has been introduced by the Royal College of Obstetricians and Gynaecologists.

Purpose of the Study:

• To determine the clinical impact of a structured simulation training package for operative vaginal birth.
• To assess the effectiveness of locally-delivered simulation training for obstetricians.
• To provide evidence supporting regular, local training in operative vaginal birth for junior doctors.

Main Methods:

• The STROBE study is a quasi-experimental, before-after, interrupted time-series study.
• The intervention (simulation training) will be implemented in phases across participating units.
• Primary outcome: failed operative vaginal birth with the first instrument; secondary outcomes include maternal and neonatal complications.

Main Results:

• Analysis will be intention-to-treat (per unit) for primary and secondary outcomes.
• The study aims to establish understanding of the effectiveness of simulation training.
• Results will be published in an open-access peer-reviewed journal.

Conclusions:

• The STROBE study will provide crucial data on the effectiveness of simulation training in operative vaginal birth.
• Evidence from this study will support the implementation of regular, local training programs.
• This research aims to improve clinical outcomes for women and babies undergoing operative vaginal birth.