Design and implementation of a low-cost birth simulator.

During spontaneous and operative deliveries it is important to correctly estimate the position and orientation of the fetus in the birth canal. In fact, incorrect evaluations can lead to errors in ventouse extraction, forceps application, and increased use of cesarean section. In this scenario, simulation is an appropriate tool for training and evaluating the abilities of gynecologists and midwives, because it allows student to practice both common situations and unlikely or risky events.Here we present eBSim, a prototype of a low-cost birth simulator that allows for precise identification of the fetal position, orientation, and station. The simulator consists on a sensorized physical model of the fetus and the pelvis, a corresponding virtual model, and an application, which allows students, instructors, and doctors to use the simulator for training and assessment of gynecological skills.