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Войти в исследования Journal of gynecology obstetrics and human reproduction · 2022
Vaginal delivery of the second twin: A simulation program for residents in obstetrics and gynecology in a type III university maternity hospital.
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Gauthier Solène, Jeanneteau Pauline, Legendre Guillaume, Boulvais Estelle, Collin Rozenn, Malo Laëtitia, Rolland Delphine, Courtin Olivier, Thubert Thibault, Winer Norbert, Dochez Vincent
Аннотация
OBJECTIVE: To implement a vaginal delivery of the second twin simulation program for obstetric and gynecology residents, to reduce maternal-fetal mortality in the management of twin pregnancies in the delivery room.
DESIGN: A prospective education program. The session consisted of a theoretical part, a practical part on a mannequin and an evaluation. The model was designed in a simple and reproducible way. The simulation evaluation was done at several levels according to the validated Kirkpatrick model.
SETTING: A tertiary level university maternity hospital.
PARTICIPANTS: Ten obstetric and gynecology residents participated.
RESULTS: The resident's personal feelings about their ability to perform the maneuvers increased significantly after participation in the simulation session. Their technical skills in performing the maneuvers were assessed in a second step. The majority of the participants considered the model realistic and the session useful. All agreed that the simulation was an essential part of their learning process.
CONCLUSION: A simulated vaginal delivery of the second twin session allows residents to be safely trained in these obstetrical maneuvers, which can be difficult to teach and perform.
DESIGN: A prospective education program. The session consisted of a theoretical part, a practical part on a mannequin and an evaluation. The model was designed in a simple and reproducible way. The simulation evaluation was done at several levels according to the validated Kirkpatrick model.
SETTING: A tertiary level university maternity hospital.
PARTICIPANTS: Ten obstetric and gynecology residents participated.
RESULTS: The resident's personal feelings about their ability to perform the maneuvers increased significantly after participation in the simulation session. Their technical skills in performing the maneuvers were assessed in a second step. The majority of the participants considered the model realistic and the session useful. All agreed that the simulation was an essential part of their learning process.
CONCLUSION: A simulated vaginal delivery of the second twin session allows residents to be safely trained in these obstetrical maneuvers, which can be difficult to teach and perform.