title: Shoulder dystocia training using a new birth training mannequin.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynaecology, Southmead Hospital, Bristol, UK.
authors.forename: Joanna F
authors.initials: JF
authors.lastname: Crofts
authors.forename: Georgios
authors.initials: G
authors.lastname: Attilakos
authors.forename: Mike
authors.initials: M
authors.lastname: Read
authors.forename: Thabani
authors.initials: T
authors.lastname: Sibanda
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Draycott
mesh_terms: 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