title: Design of a Serious Game for Handling Obstetrical Emergencies.
abstract: BACKGROUND
  The emergence of new technologies in the obstetrical field should lead to the development of learning applications, specifically for obstetrical emergencies. Many childbirth simulations have been recently developed. However, to date none of them have been integrated into a serious game.
  
  
  OBJECTIVE
  Our objective was to design a new type of immersive serious game, using virtual glasses to facilitate the learning of pregnancy and childbirth pathologies. We have elaborated a new game engine, placing the student in some maternity emergency situations and delivery room simulations.
  
  
  METHODS
  A gynecologist initially wrote a scenario based on a real clinical situation. He also designed, along with an educational engineer, a tree diagram, which served as a guide for dialogues and actions. A game engine, especially developed for this case, enabled us to connect actions to the graphic universe (fully 3D modeled and based on photographic references). We used the Oculus Rift in order to immerse the player in virtual reality. Each action in the game was linked to a certain number of score points, which could either be positive or negative.
  
  
  RESULTS
  Different pathological pregnancy situations have been targeted and are as follows: care of spontaneous miscarriage, threat of preterm birth, forceps operative delivery for fetal abnormal heart rate, and reduction of a shoulder dystocia. The first phase immerses the learner into an action scene, as a doctor. The second phase ask the student to make a diagnosis. Once the diagnosis is made, different treatments are suggested.
  
  
  CONCLUSIONS
  Our serious game offers a new perspective for obstetrical emergency management trainings and provides students with active learning by immersing them into an environment, which recreates all or part of the real obstetrical world of emergency. It is consistent with the latest recommendations, which clarify the importance of simulation in teaching and in ongoing professional development.
authors.affiliation: Department of Gynecology Surgery, Hopital Jeanne de Flandre, University of Lille, Lille cedex, France.
authors.forename: Estelle
authors.identifier: http://orcid.org/0000-0002-0043-2810
authors.initials: E
authors.lastname: Jean Dit Gautier
authors.affiliation: Department of Gynecology, Centre hospitalier de Seclin, Seclin, France.
authors.forename: Virginie
authors.identifier: http://orcid.org/0000-0003-3991-0979
authors.initials: V
authors.lastname: Bot-Robin
authors.affiliation: 3DDUO, Tourcoing, France.
authors.forename: Aurélien
authors.identifier: http://orcid.org/0000-0001-8876-2031
authors.initials: A
authors.lastname: Libessart
authors.affiliation: Department of Gynecology Surgery, Hopital Jeanne de Flandre, University of Lille, Lille cedex, France.
authors.forename: Guillaume
authors.identifier: http://orcid.org/0000-0002-2386-3373
authors.initials: G
authors.lastname: Doucède
authors.affiliation: Department of Gynecology Surgery, Hopital Jeanne de Flandre, University of Lille, Lille cedex, France.
authors.forename: Michel
authors.identifier: http://orcid.org/0000-0002-2285-8492
authors.initials: M
authors.lastname: Cosson
authors.affiliation: Department of Gynecology Surgery, Hopital Jeanne de Flandre, University of Lille, Lille cedex, France.
authors.forename: Chrystèle
authors.identifier: http://orcid.org/0000-0002-6242-0014
authors.initials: C
authors.lastname: Rubod
keywords: gynecology; obstetric emergencies; serious game