Enhancing Obstetric Emergency Management Through Simulation-Based Training: A Focus on Shoulder Dystocia

Area of Science:

• Medical Education
• Obstetrics & Gynecology
• Simulation Technology

Background:

• Obstetric emergencies like shoulder dystocia require specialized training.
• Simulation provides a safe, controlled environment for practicing critical obstetric skills.
• Effective training is crucial for both initial and continuing professional development.

Purpose of the Study:

• To evaluate the effectiveness of simulation in enhancing practical skills for obstetric emergencies.
• To assess the impact of simulation on team management during critical obstetric events.
• To explore simulation's role in improving patient safety in obstetrics.

Main Methods:

• A structured training program involving 14 obstetrics-gynecology residents.
• Three monthly simulation sessions utilizing high-fidelity (SimMOM) and low-fidelity mannequins.
• Supervision by a specialized team and structured three-phase debriefings for shoulder dystocia management.

Main Results:

• Significant improvements observed in shoulder dystocia management post-simulation training.
• Positive impacts on clinical outcomes and maternal-fetal safety were noted.
• Challenges identified include financial costs and the need for expert trainers.

Conclusions:

• Simulation is a promising method for enhancing clinical skills in obstetrics.
• Interprofessional coordination during obstetric emergencies can be improved through simulation.
• Simulation contributes to higher quality care and reduction of preventable complications.