Shoulder dystocia workshop with high-fidelity simulation and fetal head force-monitoring
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Midwifery Department, School of Health Sciences, University of Western Macedonia, Ptolemaida, Greece
Midwifery Department, School of Health Sciences, International Hellenic University, Thessaloniki, Greece
Publication date: 2023-10-24
Corresponding author
Dimitrios Papoutsis   

Midwifery Department, School of Health Sciences, University of Western Macedonia, Ptolemaida, Greece
Eur J Midwifery 2023;7(Supplement 1):A212
Shoulder dystocia is an obstetric emergency at childbirth that can lead to significant neonatal morbidity and mortality. The aim of this workshop is to improve the knowledge and skills on shoulder dystocia management of the participating Midwives with use of high-fidelity simulation and with integrated force-monitoring systems. A high-fidelity simulator that consists of a pelvic model and a computerised neonatal mannequin with an embedded force-monitoring system will be utilised for the purposes of shoulder dystocia management in this workshop. In specific, the high-technology simulator to be used will be the ‘PROMPT Flex Birthing Simulator – Advanced, product No. 80106 ( as it offers the capacity for high-fidelity simulation and applied fetal head force feedback via computer software and advanced sensors. This is the simulator that is also proposed by the Royal College of Midwives and the Royal College of Obstetricians Gynaecologists in the United Kingdom and can be used both as a training and as an assessment tool. This will be a standardised 90-minute workshop with a group of 15 participants. During the 90 minutes of this workshop, there will be a 30 minute theoretical and hands-on demonstration of a shoulder dystocia scenario by the accredited instructors on the pelvic model and neonatal mannequin. For the next 60 minutes, the participants will have the chance to practice and train on the maneuvers on the high-fidelity simulator and to have immediate visual and numerical feedback of the forces they apply on the fetal head so as to acquire efficiency in head delivery and improve safety at childbirth. The primary objective of this workshop is for the participants to improve the performance of the obstetrical maneuvers needed to manage a shoulder dystocia, to make fetal head delivery safer as they master the ability to control the maximum force applied to the fetal head, to improve their communication skills and to build high levels of confidence. The high-fidelity simulator to be used in this workshop has been tested in Greek settings and has been utilised in the SAFE study, which is a research project that was funded by the Hellenic Foundation for Research and Innovation (H.F.R.I.) under the “2nd Call for H.F.R.I. Research Projects to support Post-Doctoral Researchers” (Project Number: 153; PI: D. Papoutsis). This workshop serves both training and assessment purposes and forms part of the SAFE study strategy for dissemination of its results and enhancement of its scientific and societal impact to relative stakeholders.
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