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Internal Podalic Version and Breech Extraction: Enhancing Realistic Sensations in a Simulation Model

Cornette, Jérôme M. J. MD, PhD; Erkamp, Jan S. MD

doi: 10.1097/AOG.0000000000002424
Contents: Procedures and Instruments

BACKGROUND: Experience with internal podalic version and breech extraction is diminishing, especially in the younger generation of obstetricians. Simulation training is essential to teach and maintain these skills.

INSTRUMENT: We present a mannequin-based simulation method that enhances realistic sensations during training.

EXPERIENCE: By positioning the fetal mannequin into a thin plastic bag filled with water, the impression of palpating, grabbing, and pulling the fetal feet through the plastic bag is similar to reaching feet through intact membranes. The unique approach of this realistic simulation model makes the experience fun and memorable, which contributes to the didactic value and success of the model.

CONCLUSION: The simulation model we present mimics the situation and sensation obstetricians experience while performing internal podalic version and breech extraction.

A realistic simulation model mimics the situation and sensation obstetricians experience while performing internal podalic version and breech extraction.

Departments of Obstetrics and Gynaecology, Pediatrics, and Epidemiology, Erasmus Medical Center, Rotterdam, and Managing Obstetrical Emergencies and Trauma (MOET), Stichting MOET, Tilburg, the Netherlands.

Corresponding author: Jérôme M. J. Cornette, MD, PhD, Erasmus Medical Center, Wytemaweg 80, 3015CN Rotterdam, the Netherlands; email: j.cornette@erasmusmc.nl.

Financial Disclosure The authors did not report any potential conflicts of interest.

The authors thank Carolina van Hamont, from defilmdesigner.nl and Sophia TV, for her involvement in the creation of the videos, and sadly acknowledge the death of their colleague, Dr. Johan Creemers, obstetrician, who also greatly contributed to the realization of the videos.

Each author has indicated that he has met the journal's requirements for authorship.

© 2018 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.