Observations from 450 shoulder dystocia simulations: lessons for skills training.

Poor neonatal outcomes after shoulder dystocia have been associated with inappropriate management. Until there are significant developments in the prediction and subsequent prevention of shoulder dystocia, improving shoulder dystocia management through practical training may be the most effective method of reducing the associated morbidity and mortality. Four hundred fifty simulated shoulder dystocia scenarios, managed by 95 midwives and 45 doctors from six U.

Hospital, simulation center, and teamwork training for eclampsia management: a randomized controlled trial.

Objective: To compare the effectiveness of training for eclampsia in local hospitals and a regional simulation center, with and without teamwork theory.

Methods: This study is a randomized controlled trial of training in local hospitals and in a simulation center in the United Kingdom. Midwives and obstetricians working at participating hospitals were randomly assigned to 24 teams.

Management of shoulder dystocia: skill retention 6 and 12 months after training.

Objective: To assess skill retention 6 and 12 months after shoulder dystocia training.

Methods: Midwives and doctors from six United Kingdom hospitals attended a 40-minute workshop on shoulder dystocia management. Participants managed a standardized simulation before and 3 weeks, 6 months, and 12 months afterward.

Pattern and degree of forces applied during simulation of shoulder dystocia.

Objective: The objective of the study was to determine the level and pattern of forces applied during simulated shoulder dystocia.

Study Design: One hundred forty staff (95 midwives, 45 obstetricians) were randomized from 6 UK hospitals. Applied delivery force was measured during a standardized simulated shoulder dystocia.

Training for shoulder dystocia: a trial of simulation using low-fidelity and high-fidelity mannequins.

Objective: To evaluate the effectiveness of simulation training for shoulder dystocia management and compare training using a high-fidelity mannequin with that using traditional devices.

Methods: Training was undertaken in six hospitals and a medical simulation center in the United Kingdom. Midwives and obstetricians working for participating hospitals were eligible for inclusion.