A Prospective Study of the Benefits of Simulators in Improving Beginnersʼ Obstetric Vaginal Examination Skills | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 63, Volume 91, Issue 1, April 2023, Pages 4199-4203 PDF (590.25 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2023.295940 | ||
| Authors | ||
| Shaimaa Mostafa Elshemy* ; Ahmed M. El Minawi; Nadine A. Sherif; Mohamed Ezzat Yousef Abd El Rasoul | ||
| Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Kasr Alainy Street, Cairo, Egypt | ||
| Abstract | ||
| Background: Vaginal examination is a procedure used frequently during the management of labor, especially to assess its beginning and to evaluate its progress. Objective: The aim of the current work was to assess the benefits of the use of simulators in improving obstetric vaginal examination to house officers. Subjects and methods: A single-center, prospective study was performed at the Department of Obstetrics and Gynecology, Cairo University Hospitals, between June 2020 and March 2021. It enrolled 39 house officers spending their internship program and 70 women admitted for an uncomplicated delivery. All house officers attended orientation lectures and each student performed vaginal examinations for different conditions of the simulator followed by examination of different patients within emergency department. The overall accuracy score for simulators examination was calculated out of 90 for each participant and compared with the score of patient’s examination. Results: There was no statistically significant difference between simulator and patient’s examination accuracy score concerning cervical dilatation, presenting part, fetal station, and moulding. Participants were more accurate in assessing effacement after simulator examination compared to their accuracy after real patient’s examination. On the other hand, cervical position assessment accuracy was significantly higher after real patient’s examination compared to that shown after simulator examination. Overall, students’ examination accuracy was not significantly different when comparing both simulators versus real patients. Conclusion: Simulation training has achieved great results using one that is anatomically typical to human female pelvic structure. However, it did not show similarity with real patients when assessing the cervical effacement and position. | ||
| Keywords | ||
| Simulator; Vaginal examination; Labor | ||
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