CONFERENCE PROCEEDING
Equipping student midwives clinical independency and decision-making during obstetric emergencies
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University College Copenhagen, Copenhagen, Denmark
Publication date: 2025-10-24
Eur J Midwifery 2025;9(Supplement 1):A4
ABSTRACT
Abstract Οverview:
Student midwives struggle to achieve adequate experiences handling expected emergencies
in childbirth during their clinical education in large and specialized obstetric departments,
where senior midwives, obstetricians and pediatricians often take over and the student
midwives tend to withdraw from the situation.
Aims and Objectives:
The course will strengthen the student’s self-efficacy and competencies in handling obstetric
emergencies. The course has also strengthened the collaboration between lecturers from the
faculty and the clinical practice.
Method:
20 student midwives 8 weeks prior to their final authorization are participating in a 1-day
course situated in the faculty’s simulation center. The course begins with a workshop in
clinical leadership followed by three acute simulation-scenarios in a homebirth environment:
postpartum hemorrhage and shoulder dystocia in a domestic bedroom and neonatal
resuscitation in a domestic kitchen. The simulation is followed by debriefing with focus on the
students experienced embodied leadership knowledge. The concluding of the day are two
real case reviews regarding a uterine rupture and a semi-pathological CTG, where the
students participate in the discussion of the potential required actions during the childbirth.
Results:
The course has been evaluated by the students with an open-ended questionnaire and by the
involved lecturers, facilitators and figurants together sharing the experiences from the various
simulations and workshops. The student’s evaluation showed an overall satisfaction and profit
with the course, with nuances in the individual experiences of the various elements. The
faculty’s evaluation resulted in an adjustment in the facilitation during the PPH simulation and
strengthen the focus on the experienced embodied knowledge of clinical leadership.
Conclusion:
The course has inspired a discussion in the group of chief midwifery leaders to offer this
course to all midwifery students prior to their authorization.