Shoulder dystocia: using simulation to train providers and teams.
Shoulder dystocia is an obstetric emergency that requires immediate recognition and a well-coordinated response. This response must include effective application of the maneuvers proven to relieve the impaction of the fetal shoulder and timely hand-off of the newborn to the neonatology team. The rare frequency of shoulder dystocia, coupled with patient safety concerns and the medico-legal environment, limits the opportunity of providers to learn and practice the management of shoulder dystocia. Training, especially simulation-based training, has been demonstrated to improve the management of shoulder dystocia. This article presents a review of the literature that supports simulation training for shoulder dystocia and provides guidance on creating and implementing shoulder dystocia training.
Fahey
Jenifer O
JO
Department of Obstetrics, Gynecology and Reproductive Sciences, University of Maryland School of Medicine, Baltimore, MD, USA. jfahey@upi.umaryland.edu
Mighty
Hugh E
HE
D001720:Birth Injuries / Q000517:prevention & control*; D004420:Dystocia / Q000451:nursing*; D004509:Education, Nursing, Continuing / Q000379:methods*; D005260:Female; D006284:Health Plan Implementation; D006801:Humans; D007231:Infant, Newborn; D008348:Manikins; D010348:Patient Care Team; D011247:Pregnancy; D012308:Risk Management; D012782:Shoulder / Q000294:innervation; D000070599:Shoulder Injuries