Using Simulation to Improve Management of a Shoulder Dystocia Delivery by Experienced Nurse Midwives Utilisation de la simulation pour améliorer la prise en charge de la dystocie de l’épaule assurée par des infirmières sages-femmes expérimentées

Abstract

Objective: To assess the impact of a standardized shoulder dystocia simulation experience on the management of a complicated delivery by experienced midwives at an academic institution.
Method: Experienced midwives from a single institution underwent a standardized simulated shoulder dystocia delivery. The simulation was conducted four times for each midwife. The first simulation occurred prior to

any educational intervention, and the subsequent three deliveries were performed after a standardized didactic. Performance was scored based on standardized criteria to assess for accuracy and comprehensiveness of the delivery.
Results: Seven midwives were included. The lowest and highest scores for the first drill were 11 and 15 respectively, and for the fourth drill, 19 and 21 respectively.

Conclusion: Simulation training of experienced midwives with a standardized shoulder dystocia scenario results in improved communication and leadership skills.