Validation of a simulation based training program for emergency cesarean delivery

Drexel Univeristy
Organization Location: 
Philadelphia, Pennyslvania

A major cause of maternal and neonatal death and severe disability in developing countries is the lack of trained medical providers to perform timely or emergent cesarean deliveries. Our solution is a simulation-based method using operative models to rapidly train non Obstetrician physicians and non-physician providers to do a safe cesarean delivery (CD) to significantly increase the competence and number of trained providers. The operative models on which the training curriculum is based were developed under an earlier Saving Lives at Birth seed grant. Under the proposed validation grant, the training curriculum will be validated in a representative environment (Kamuzu Central Hospital in Lilongwe, Malawi). The near term objective is to prove that local trainers can use the training system to quickly train local providers to a high level of competence. Our long term objective follows the progress of the trainees into the field to empirically prove our hypothesis that this training results in significant reductions in maternal and neonatal death. Training of surgical skills has traditionally been accomplished by mentored clinical experience. Observation of procedures is followed by supervised operations on patients. The process often takes years and cannot provide the number of trained medical providers required. Simulation-based training offers a way to dramatically accelerate task shifting for surgical services while reducing training costs and improving quality.

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