Internal podalic version of second twin : Improving feet identification using a simulation model

Copyright © 2022 The Author(s). Published by Elsevier B.V. All rights reserved..

BACKGROUND: Podalic version and breech extraction require high obstetrical expertise. Identifying fetal extremities is the first crucial step for trainees. When this skill is not polished enough, it increases the inter-twin delivery interval and can even jeopardize the whole manoeuver.

MATERIAL AND METHODS: We present a model for simulating and training this specific skill, with obstetrical mannequin, and 3D printed hands and feet. Five feet and five hands (five rights and five lefts of each one) were printed in 3D after initial ultrasound acquisition of a near term fetus. Each foot and hand, was individually set in a condom filled with 100 cc of water and closed with a knot. A Sophie's Mum Birth Simulator Version 4.0 de MODEL-med was placed on the edge of the table. Each hand and foot was inserted into the pelvic mannequin. An evaluation of the students' skills using this model was performed. A significant reduction of the global mean to extract the first foot and all the feet was noticed at three month of interval.

CONCLUSION: This model is an option to train and assess a crucial skill for version and breech extraction.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:275

Enthalten in:

European journal of obstetrics, gynecology, and reproductive biology - 275(2022) vom: 15. Aug., Seite 9-11

Sprache:

Englisch

Beteiligte Personen:

Desseauve, David [VerfasserIn]
Daelemans, Caroline [VerfasserIn]
Farin, Alexandre [VerfasserIn]
Jauvion, Imane Ben M'Bareck [VerfasserIn]
Ceccaldi, Pierre-François [VerfasserIn]
Prise en charge des Accouchements à Risque eT des Urgences Maternelles PARTUM teaching program [VerfasserIn]

Links:

Volltext

Themen:

3D printings
Journal Article
Simulation
Technical skills
Twins

Anmerkungen:

Date Completed 18.07.2022

Date Revised 18.07.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ejogrb.2022.05.036

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM34212871X