{"id":7989,"date":"2024-04-19T09:41:33","date_gmt":"2024-04-19T08:41:33","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=7989"},"modified":"2024-04-19T09:41:33","modified_gmt":"2024-04-19T08:41:33","slug":"the-improvement-and-retention-of-skills-in-shoulder-dystocia-management-with-the-use-of-high-fidelity-simulation-the-safe-simulation-high-fidelity-study-2024","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2024\/04\/19\/the-improvement-and-retention-of-skills-in-shoulder-dystocia-management-with-the-use-of-high-fidelity-simulation-the-safe-simulation-high-fidelity-study-2024\/","title":{"rendered":"The improvement and retention of skills in shoulder dystocia management with the use of high-fidelity simulation: the SAFE (SimulAtion high-FidElity) study (2024)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nJournal article<\/p>\n<p><strong>Author(s):<\/strong><br \/>\n*Papoutsis, Dimitrios; Klazoglou, Paraskevi; Valasoulis, George; Tzavara, Chara.<\/p>\n<p><strong>Citation:<\/strong><br \/>\nWomen &amp; Birth: Journal of the Australian College of Midwives. 101590, 2024 Feb 16.<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nBACKGROUND: Shoulder dystocia is a relatively uncommon but serious childbirth-related emergency. AIM: To explore the improvement and retention of skills in shoulder dystocia management through high-fidelity simulation training. METHODS: The SAFE (SimulAtion high-FidElity) study was a prospective cohort study that utilised a high-fidelity birth simulator. Registered midwives and final year midwifery students were invited to participate in a one-day workshop at 6-monthly intervals. There was a 30-minute initial assessment, a 30-minute theoretical and hands-on training, and a 30-minute post-training assessment on shoulder dystocia management. Pre-training and post-training values for the predetermined outcomes were compared. In each workshop we assessed the proportion of successful simulated births, the performance of manoeuvres to manage shoulder dystocia, the head-to-body birth time, the fetal head traction force, the quality of communication, the perception of time-to-birth, and the self-reported confidence levels. FINDINGS: The baseline workshop recruited 101 participants that demonstrated a significant increase in the proportion of successful simulated births (8.9% vs 93.1%), and a two-fold to three-fold increase in the score of manoeuvres, communication, and confidence after training. Those with low pre-training levels of competency and confidence improved the most post-training at baseline. There was a retention of manoeuvres, communication skills and confidence at 6 months. There was no reduction in fetal head traction force over time. Those being proficient before initial training retained and performed best at the 6-month follow-up. CONCLUSION: The SAFE study found a significant improvement in skills and confidence after the initial high-fidelity simulation training that were retained after 6 months.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Journal article Author(s): *Papoutsis, Dimitrios; Klazoglou, Paraskevi; Valasoulis, George; Tzavara, Chara. Citation: Women &amp; Birth: Journal of the Australian College of Midwives. 101590, 2024 Feb 16. Abstract: BACKGROUND: Shoulder dystocia is a relatively uncommon but serious childbirth-related<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2024\/04\/19\/the-improvement-and-retention-of-skills-in-shoulder-dystocia-management-with-the-use-of-high-fidelity-simulation-the-safe-simulation-high-fidelity-study-2024\/\">Read more <span class=\"screen-reader-text\">The improvement and retention of skills in shoulder dystocia management with the use of high-fidelity simulation: the SAFE (SimulAtion high-FidElity) study (2024)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[1050,897,691,219],"class_list":["post-7989","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-1050","tag-midwifery","tag-obstetric-complications","tag-obstetrics"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7989","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=7989"}],"version-history":[{"count":1,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7989\/revisions"}],"predecessor-version":[{"id":7990,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7989\/revisions\/7990"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=7989"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=7989"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=7989"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}