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Development and validation of a pudendal nerve block simulation-based educational intervention.

Dhanalakshmi Thiyagarajan^1,2, Catherine Wheatley¹, Catherine R Salva³

¹Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, Illinois, USA.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics

|February 18, 2025

Summary

Simulation training significantly improved obstetric clinicians' competence and confidence in performing pudendal nerve blocks. This effective educational intervention addresses declining clinical exposure for this essential obstetric procedure.

Keywords:

labor analgesia obstetrics education pudendal nerve block simulation

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Area of Science:

Obstetrics and Gynecology
Medical Education
Pain Management

Background:

Pudendal nerve block is crucial in obstetric care.
Declining clinical exposure limits training opportunities.
Need for effective simulation-based education identified.

Purpose of the Study:

Develop and evaluate a simulation-based educational intervention for pudendal nerve block.
Assess its effectiveness in improving knowledge, comfort, and confidence.

Main Methods:

Intervention included pre/post-evaluation, lecture, and simulation practice.
Utilized a task trainer across four academic institutions.
Paired t-tests analyzed survey and performance data.

Main Results:

56 participants (residents, fellows, attendings, midwives) completed the intervention.
Significant increases in competence, comfort, and confidence observed (P < 0.001).
No significant difference in procedural competence between residents and practicing clinicians (P = 0.96).

Conclusions:

Simulation-based training enhances knowledge and skills for pudendal nerve blocks.
The intervention improves clinician confidence in candidate selection, procedure performance, and complication management.
This method offers a reproducible educational solution for obstetric providers.