Simulation for intrapartum care: from training to novel device innovation

Area of Science:

• Medical Education
• Obstetrics & Gynecology
• Patient Safety

Background:

• Improving maternal and perinatal care is a global health priority.
• Simulation training offers a promising approach to reduce preventable deaths in obstetric emergencies.
• Existing studies evaluate simulation's effectiveness on clinical and non-clinical factors and patient outcomes.

Purpose of the Study:

• To summarize the diverse applications of simulation in obstetric emergencies, from training to assessment.
• To review the adaptation of simulation training for low-resource settings and evidence-based equipment recommendations.
• To explore novel simulation uses, including device development and Cesarean section training, and analyze financial implications.

Main Methods:

• Systematic review of evaluation studies on simulation training for obstetric emergencies.
• Analysis of clinical and non-clinical factors influencing simulation effectiveness.
• Exploration of simulation's role in innovation and product development for intrapartum care.

Main Results:

• Simulation training is effective for obstetric emergencies, impacting both maternal and neonatal outcomes.
• Adaptations for low-resource settings and evidence for recommended equipment are discussed.
• Novel applications include assisted vaginal birth device development and Cesarean section training, with financial implications considered.

Conclusions:

• Simulation is a key tool for developing safe intrapartum care in both emergency and non-emergency settings.
• It plays a vital role in innovation and product development for obstetric interventions.
• Simulation training's financial implications require careful consideration for widespread implementation.