Shoulder dystocia training using a new birth training mannequin.
Shoulder dystocia 'skill drills' are a requirement for the Maternity CNST standards. However, there is, as yet, no evidence that training in the management of shoulder dystocia improves outcome. We developed a mannequin for training and investigated its effectiveness. The management of shoulder dystocia improved following training with the mannequin. There was a reduction in the head-to-body delivery duration, and the maximum applied delivery force, following training; however, these did not reach statistical significance. After training no subject applied a delivery force of greater than 100 N, a level above which fetal injury has been shown to occur.
Crofts
Joanna F
JF
Department of Obstetrics and Gynaecology, Southmead Hospital, Bristol, UK.
Attilakos
Georgios
G
Read
Mike
M
Sibanda
Thabani
T
Draycott
Timothy J
TJ
D002983:Clinical Competence / Q000592:standards; D036861:Delivery, Obstetric / Q000193:education; D004420:Dystocia / Q000628:therapy*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008348:Manikins; D009774:Obstetrics / Q000193:education*; D011247:Pregnancy; D011256:Pregnancy Outcome