Enhancing Obstetric Emergency Management Through Simulation-Based Training: A Focus on Shoulder Dystocia

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Published Mar 2, 2025
https://doi.org/10.62438/tunismed.v103i3.5342
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Vol. 103 No. 3 (2025): Tunis Med Mar 2025

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Dhekra Toumi
Obstetrics and gynaecology department of the maternity and neonatology centre of Monastir. University of Monastir, Faculty of Medicine of Monastir, Monastir, Tunisia.
Haifa Bergaoui
Obstetrics and gynaecology department of the maternity and neonatology centre of Monastir. University of Monastir, Faculty of Medicine of Monastir, Monastir, Tunisia.
Imen Ben Farhat
Obstetrics and gynaecology department of the maternity and neonatology centre of Monastir. University of Monastir, Faculty of Medicine of Monastir, Monastir, Tunisia.
Imen Ghaddab
Obstetrics and gynaecology department of the maternity and neonatology centre of Monastir. University of Monastir, Faculty of Medicine of Monastir, Monastir, Tunisia.
Ikram Aribi
Obstetrics and gynaecology department of the maternity and neonatology centre of Monastir. University of Monastir, Faculty of Medicine of Monastir, Monastir, Tunisia.
Nedra Gharbi
Obstetrics and gynaecology department of the maternity and neonatology centre of Monastir. University of Monastir, Faculty of Medicine of Monastir, Monastir, Tunisia.
Ahmed Hajji
Obstetrics and gynaecology department of the maternity and neonatology centre of Monastir. University of Monastir, Faculty of Medicine of Monastir, Monastir, Tunisia.
Ines Zouari
Obstetrics and gynaecology department of the maternity and neonatology centre of Monastir. University of Monastir, Faculty of Medicine of Monastir, Monastir, Tunisia.
Olfa Zoukar
Obstetrics and gynaecology department of the maternity and neonatology centre of Monastir. University of Monastir, Faculty of Medicine of Monastir, Monastir, Tunisia.
Raja Faleh
Obstetrics and gynaecology department of the maternity and neonatology centre of Monastir. University of Monastir, Faculty of Medicine of Monastir, Monastir, Tunisia.

Abstract

Introduction: Modern obstetrics faces the challenge of effectively training practitioners for the management of rare but critical obstetric emergencies, such as shoulder dystocia. Simulation has become an essential educational tool, allowing healthcare professionals in initial and continuing education to practice in a controlled environment, thereby promoting learning without risk to patients.


Aim: This article explores the effectiveness of simulation in improving practical skills and team management during obstetric emergencies.


Methods: A structured training program was implemented for 14 first-year obstetrics-gynecology residents, consisting of three monthly simulation sessions using both high-fidelity (SimMOM) and low-fidelity mannequins for shoulder dystocia management, supervised by a specialized 5-member team and followed by structured three-phase debriefings.


Results: Our study demonstrates a significant improvement in the management of shoulder dystocia following simulation training, with positive impacts on clinical outcomes and maternal-fetal safety. Despite its advantages, obstetric simulation presents challenges such as financial costs and the need for adequate expertise among trainers.


Conclusion: Simulation offers a promising solution to enhance clinical skills and interprofessional coordination in obstetrics, thereby contributing to better quality of care and the reduction of preventable complications.

Keywords:

simulation training, shoulder dystocia, safety patient

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