Twin vaginal delivery: To maintain skill - simulation is required.
Internal version
Simulation
Twin delivery
Vaginal delivery
Journal
European journal of obstetrics, gynecology, and reproductive biology
ISSN: 1872-7654
Titre abrégé: Eur J Obstet Gynecol Reprod Biol
Pays: Ireland
ID NLM: 0375672
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
02
10
2018
revised:
29
11
2018
accepted:
28
12
2018
pubmed:
4
2
2019
medline:
6
6
2019
entrez:
4
2
2019
Statut:
ppublish
Résumé
Although most societies of obstetrics advocate vaginal delivery of twins, there has been a steady rise in the rate of twin cesarean sections. We risk perhaps losing in a single generation our obstetrical learning and skills because of medicolegal and emotionally charged issues. We have therefore designed a realistic as possible simulation model of second twin delivery and tested it on residents in obstetrics. Between two trials, we noted a significant improvement in the time required for internal podalic version and breech extraction. We also observed a significant improvement in the confidence score between the two trials. We have designed a simulation device that improves obstetrical skills for second twin delivery and which we hope will participate in the comeback of vaginal delivery for this indication and contribute to the fight against the dangerous trend of rising rates of cesarean delivery for twins. Our model completely fits the paradigm of simulation in medical pedagogy.
Sections du résumé
BACKGROUND
BACKGROUND
Although most societies of obstetrics advocate vaginal delivery of twins, there has been a steady rise in the rate of twin cesarean sections. We risk perhaps losing in a single generation our obstetrical learning and skills because of medicolegal and emotionally charged issues.
METHODS
METHODS
We have therefore designed a realistic as possible simulation model of second twin delivery and tested it on residents in obstetrics.
FINDINGS
RESULTS
Between two trials, we noted a significant improvement in the time required for internal podalic version and breech extraction. We also observed a significant improvement in the confidence score between the two trials.
INTERPRETATION
CONCLUSIONS
We have designed a simulation device that improves obstetrical skills for second twin delivery and which we hope will participate in the comeback of vaginal delivery for this indication and contribute to the fight against the dangerous trend of rising rates of cesarean delivery for twins. Our model completely fits the paradigm of simulation in medical pedagogy.
Identifiants
pubmed: 30711812
pii: S0301-2115(19)30025-9
doi: 10.1016/j.ejogrb.2018.12.038
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
195-199Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.