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.
eISSN:2585-2906
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