Safety during instrument use
The simulator presents the haptics required in order to per-
form the instrument assisted delivery in a medically correct
manner: presentation data, placement of the forceps and
extraction, taking care of the head of the infant and the
maternal soft tissue. The monitoring software provides infor-
mation in interactive haptic response to the manipulation
of the foetal head in the context of force-feedback. The
speed and resistance shown during pulling correspond with
a real situation.
The birth simulator SIM
one
™ is a model of a female abdomen with a vulva and the ischial spines as landmarks. Inside the
model there is a foetal head with a sagittal suture and fontanelles. The monitor above the model displays an exact image of
the position and rotation of the foetal head within the maternal pelvis. Furthermore, the CTG and partogram, as well as
documentation (history, findings) and interventions, are displayed. Objective determination of the position of the foetal head
in relation to the maternal pelvis is now also possible. SIM
one
™ represents the complete clinical course including anamnesis,
diagnosis and intervention. A variety of delivery scenarios are presented and the cardiotocogram and partogram support the
assessment of the course of the delivery. The repositioning of the mother, the administration of medication and amniotomy
are all interventions that may be used in order to achieve the necessary progress during the delivery. In order for the physi-
cians that are carrying out the procedures to determine their level of proficiency, all the measures taken during the 'delivery'
can be reviewed afterwards. The internationality of mothers-to-be and the number of different scenarios are a true reflection
of the realities of the delivery room.
Lifel ike training in vaginal -operative
extraction –
the patented bir th simulator
from 3B Scientific
Unprogressive delivery despite the administration of oxytocin
Tocolysis for foetal distress
Professional feedback
SIM
one
™ was tested and evaluated by more than 50 doctors
with experience in obstetrics. The majority of those questio-
ned (83.0%) stated that the simulator was very highly or
highly realistic. Almost all of the participating doctors
(96.1%) would recommend other doctors to use SIM
one
™ for
obstetric training to prepare for all sorts of complications
effectively.*
*Wulf J, Lüdemann C, Lukutin W, Burgkart R: Expert assessment of a
high-fidelity audio and force feedback birthing simulator: a question-
naire-based validation study. Proceedings of the 14th Annual Meeting
of the Society in Europe for Simulation Applied to Medicine;
University of Herfortshire, Hatfield, UK, 19-21 June 2008
Recognising the right moment
During the delivery scenario, the user of the simulator asses-
ses the course of the delivery and considers all the necessa-
ry measures, such as the recognising the correct moment for
a forceps delivery. In this context questions concerning indi-
cations and conditions are always decisive:
Are the forceps necessary? Are the forceps feasible?
