![]() ![]() Initiate warming and drying of depressed infantĮxamine cervix & perineum for lacerations ![]() The following checklist may be used as a component of the training session and/or as a component of a performance assessment as part of an objective structured clinical examination.ĭescribe the steps of a normal vaginal delivery After completing the delivery, complete a delivery note.Examine the cervix and perineum for lacerations.Perform a vaginal exam to determine initial fetal station and position.She has had 2 vaginal deliveries of 3.6-kg (8 lb) infants. She has had an uncomplicated prenatal course. The women states she has a strong desire to push and is leaking clear fluid. The estimated fetal weight is 3.15 kg (7 lb). The fetal heart rate is 150 beats per minute. For the purpose of medical student training, a low-fidelity simulator is expected to produce equivalent learning outcomes to high-fidelity simulators.įollowing completion of appropriate didactic or self-directed background learning, students should participate in a mentored hands-on practice session/lab.Ī 26-year-old gravida 3 para 2 40 2/7 weeks has presented to the triage room on Labor and Delivery. Therefore, the selection of an appropriate simulation model should be based on the scope of the learning objectives. It is important to note that more realistic (high-fidelity) simulators do not necessarily provide better skills attainment as compared to less-realistic (low-fidelity) simulators (1). Therefore we suggest that birth simulators be used to teach vaginal delivery skills to medical students.Ī number of models for training in vaginal delivery can be purchased from commercial vendors. Although investigations describing the efficacy of these models are limited, available evidence suggests that training novices with these models results in better overall performance and higher levels of confidence in their skills to perform vaginal deliveries (3,4). Simulation allows students to learn, make mistakes, and receive feedback in a safe setting (1,2). The alternative to clinical practice is structured skills training using an obstetrical birth simulator. Reliance upon clinical experience as a “gold-standard” for training in vaginal delivery can be limited by several factors, namely, inadequate patient availability, unpredictable emergencies, and lack of standardization of training.
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