Educational efficacy of the simulation-based episiotomy training: a multi-center observational study
Zixing Zhong1,2, Yijuan Lu1, Yuqun Pu1
1Department of Obstetrics, Women's Hospital, School of Medicine, Zhejiang University, No. 1 Xueshi Road, Hangzhou, 310006, Zhejiang, China.
BMC Medical Education
|March 6, 2025
Summary
Obstetric simulation training significantly improved mediolateral episiotomy (MLE) skills for both junior and senior doctors and midwives. Senior midwives showed particular improvement in incision length and accuracy after the course.
Area of Science:
- Obstetrics and Gynecology
- Medical Education
- Surgical Simulation
Background:
- Interprofessional training is common for junior doctors and nurses.
- This study assesses an obstetric operative simulation program's effectiveness.
- The program targets junior and senior obstetricians and midwives.
Purpose of the Study:
- Evaluate the educational efficacy of an obstetric operative simulation program.
- Improve knowledge and techniques for mediolateral episiotomies (MLE).
- Compare skill improvements in junior and senior obstetricians and midwives.
Main Methods:
- A 30-minute obstetric simulation course on mediolateral episiotomies (MLE) was conducted.
- Participants included junior and senior obstetricians and midwives.
- Skills were evaluated via questionnaires and systematic analysis of MLE parameters before and after training.
Main Results:
- Eighty-two professionals (35 obstetricians, 47 midwives) participated.
- Midwives reported more MLE training and experience than obstetricians.
- Significant improvements in MLE skills (incision length, accuracy) were observed post-training, especially in senior midwives.
Conclusions:
- Obstetric operative simulation training is beneficial for perinatal care providers.
- Both junior and senior professionals showed skill enhancement.
- Senior midwives experienced notable improvements in MLE techniques.


