Validation of a novel birth simulator for impacted fetal head at cesarean section: An observational simulation study

Cornthwaite, Katie; Winter, Cathy; Lenguerrand, Erik; Hewitt, Pauline; Bahl, Rachna

doi:10.1111/aogs.14432

Cited by 7 publications

(5 citation statements)

References 33 publications

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“…During the workshops, participants obtained hands-on training of all disimpaction techniques using the management algorithms, augmented reality tool and validated birth simulation trainer ( figure 1 ). 15 34 …”

Section: Methodsmentioning

confidence: 99%

“…[30][31][32][33] Current training is also limited by a tendency to focus exclusively on obstetricians. [30][31][32][33] This neglects the key role of midwives in performing vaginal disimpaction 15 and misses opportunities to foster multiprofessional teamwork, communication with those in labour and their birth partners, and other non-technical skills for managing obstetric emergencies. [23][24][25][26] In this article, we report an evaluation of a multiprofessional training package for managing IFH at caesarean birth as part of the Avoiding Brain Injury in Childbirth (ABC) programme, which was commissioned by the UK's Department of Health and Social Care in 2021.…”

Section: How This Study Might Affect Research Practice or Policymentioning

confidence: 99%

“…We developed a training package, informed by national surveys on IFH practice and training, 12 14 development and validation of a novel birth simulator, 15 and systematic review and appraisal of literature on IFH management. 22 34 Development included codesign, [35][36][37] with maternity professionals and service users, of an evidencebased lecture, hands-on workshops and simulated scenarios.…”

Section: Training Packagementioning

confidence: 99%

“… 30–33 Current training is also limited by a tendency to focus exclusively on obstetricians. 30–33 This neglects the key role of midwives in performing vaginal disimpaction 15 and misses opportunities to foster multiprofessional teamwork, communication with those in labour and their birth partners, and other non-technical skills for managing obstetric emergencies. 23–26 …”

Section: Introductionmentioning

confidence: 99%

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Training for managing impacted fetal head at caesarean birth: multimethod evaluation of a pilot

van der Scheer,

Cornthwaite,

Hewitt

et al. 2023

BMJ Open Qual

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BackgroundImplementation of national multiprofessional training for managing the obstetric emergency of impacted fetal head (IFH) at caesarean birth has potential to improve quality and safety in maternity care, but is currently lacking in the UK.ObjectivesTo evaluate a training package for managing IFH at caesarean birth with multiprofessional maternity teams.MethodsThe training included an evidence-based lecture supported by an animated video showing management of IFH, followed by hands-on workshops and real-time simulations with use of a birth simulation trainer, augmented reality and management algorithms. Guided by the Kirkpatrick framework, we conducted a multimethod evaluation of the training with multiprofessional maternity teams. Participants rated post-training statements about relevance and helpfulness of the training and pre-training and post-training confidence in their knowledge and skills relating to IFH (7-point Likert scales, strongly disagree to strongly agree). An ethnographer recorded sociotechnical observations during the training. Participants provided feedback in post-training focus groups.ResultsParticipants (N=57) included 21 midwives, 25 obstetricians, 7 anaesthetists and 4 other professionals from five maternity units. Over 95% of participants agreed that the training was relevant and helpful for their clinical practice and improving outcomes following IFH. Confidence in technical and non-technical skills relating to managing IFH was variable before the training (5%–92% agreement with the pre-training statements), but improved in nearly all participants after the training (71%–100% agreement with the post-training statements). Participants and ethnographers reported that the training helped to: (i) better understand the complexity of IFH, (ii) recognise the need for multiprofessional training and management and (iii) optimise communication with those in labour and their birth partners.ConclusionsThe evaluated training package can improve self-reported knowledge, skills and confidence of multiprofessional teams involved in management of IFH at caesarean birth. A larger-scale evaluation is required to validate these findings and establish how best to scale and implement the training.

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Section: Methodsmentioning

confidence: 99%

Section: How This Study Might Affect Research Practice or Policymentioning

confidence: 99%

Section: Training Packagementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Training for managing impacted fetal head at caesarean birth: multimethod evaluation of a pilot

van der Scheer,

Cornthwaite,

Hewitt

et al. 2023

BMJ Open Qual

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“… 68 Simulation should be multiprofessional and use a validated, high-fidelity birth simulator that realistically simulates impacted fetal head and facilitates rehearsal of all disimpaction techniques. 69 , 70 , 71 There is no single panacea for the management of impacted fetal head, and in difficult cases, multiple and escalating strategies may be required to resolve the impaction. 7 Therefore, maternity staff should be trained in a range of strategies so that they have a “toolbox” of techniques to turn to.…”

Section: Trainingmentioning

confidence: 99%

Management of impacted fetal head at cesarean delivery

Cornthwaite,

Bahl,

Lattey

et al. 2024

American Journal of Obstetrics and Gynecology

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Usefulness of low‐cost simulation models to learning surgical techniques for placenta accreta spectrum: An observational educational study

Nieto‐Calvache,

Palacios‐Jaraquemada,

Fox

et al. 2024

Intl J Gynecology & Obste

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ObjectiveTo evaluate the utility of low‐cost simulation models to teach surgical techniques for placenta accreta spectrum (PAS), included in a multimodal education workshop for PAS.MethodsThis was an observational, survey‐based study. Participants were surveyed before and after the use of low‐fidelity mannequins to simulate two surgical techniques for PAS (one‐step conservative surgery [OSCS] and modified subtotal hysterectomy [MSTH]), within a multimodal educational workshop. The workshops included pre‐course preparation, didactics, simulated practice of the techniques using low‐cost models, and viewing live surgery.ResultsSix OSCS/MSTH training workshops occurred across six countries and a total of 270 participants were surveyed. The responses of 127 certified obstetricians and gynecologists (OB–GYNs) were analyzed. Participants expressed favorable impressions of all components of the simulated session. Perceived anatomical simulator fidelity, scenario realism, educational component effectiveness, and self‐assessed performance improvement received ratings of 4–5 (positive end of the Likert scale) from over 90% of respondents. When asked about simulation's role in technique comprehension, comfort level in technique performance, and likelihood of recommending this workshop to others, more than 75% of participants rated these aspects with a score of 4–5 (positively) on the five‐point scale.ConclusionLow‐cost simulation, within a multimodal education strategy, is a well‐accepted intervention for teaching surgical techniques for PAS.

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Validation of a novel birth simulator for impacted fetal head at cesarean section: An observational simulation study

Cited by 7 publications

References 33 publications

Training for managing impacted fetal head at caesarean birth: multimethod evaluation of a pilot

Training for managing impacted fetal head at caesarean birth: multimethod evaluation of a pilot

Management of impacted fetal head at cesarean delivery

Usefulness of low‐cost simulation models to learning surgical techniques for placenta accreta spectrum: An observational educational study

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