“…When these areas for improvements involved very rare situations (such as maternal cardiac arrest) or concerned rarely used material (cesarean kit in the emergency cart or memos about rarely used drugs), these changes have thus far almost never been made (in only 0 to 20% of cases). Even if many articles show an interest in simulation, and in particular in situ simulation, in many situations, and even recently in connection with COVID-19 [16], it is difficult to assess the impact of simulation on indicators health [17,18]. Nevertheless, according to the latest Inserm -Equipe EPOPé report on maternal deaths in France, published in January 2021 [19], while the postpartum hemorrhage was for many years the leading cause of maternal mortality, it is falling to 5th place, perhaps thanks to these numerous simulation sessions set up across the territory [20].…”