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Performance Evaluation to Improve Training in Forceps-Assisted Delivery

Published: 02 October 2018 Publication History

Abstract

The World Health Organization recommends a rate of cesareans inferior than 15%. However, the actual rates in the US double this value, while the use of obstetrical instruments, a recommended alternative to cesareans but which requires high skill and experience, has significantly decreased in the latest years. In this context there is a clear demand for simulators, with special interest in learning the correct use of Kielland’s forceps. In this work we present a virtual instrumented simulator to improve training in the correct use of forceps proposing a three-step protocol which guides users along the process while evaluating their performance. We validate this protocol, following principles based on previously published guidelines, on two types of manikins. Our results show that the proposed solution successfully detects the incorrect positioning of the forceps in most steps, guiding the user during the training process and providing feedback on wrong maneuvers.

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Gibbons, L., Belizán, J.M., Lauer, J.A., Betrán, A.P., Merialdi, M., Althabe, F.: The Global Numbers and Costs of Additionally Needed and Unnecessary Caesarean Sections Performed per Year: Overuse as a Barrier to Universal Coverage. World Health Report. Background Papers, pp. 1–31 (2010).
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Simpson Andrea N., Gurau David, Secter Michael, Mocarski Eva, Pittini Richard, Snelgrove John, Hodges Ryan, Windrim Rory, and Higgins Mary Learning From Experience: Development of a Cognitive Task List to Perform a Safe and Successful Non-Rotational Forceps Delivery Journal of Obstetrics and Gynaecology Canada 2015 37 7 589-597
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Published In

cover image Guide Proceedings
OR 2.0 Context-Aware Operating Theaters, Computer Assisted Robotic Endoscopy, Clinical Image-Based Procedures, and Skin Image Analysis: First International Workshop, OR 2.0 2018, 5th International Workshop, CARE 2018, 7th International Workshop, CLIP 2018, Third International Workshop, ISIC 2018, Held in Conjunction with MICCAI 2018, Granada, Spain, September 16 and 20, 2018, Proceedings
Sep 2018
310 pages
ISBN:978-3-030-01200-7
DOI:10.1007/978-3-030-01201-4

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Springer-Verlag

Berlin, Heidelberg

Publication History

Published: 02 October 2018

Author Tags

  1. Training
  2. Forceps delivery
  3. Tracking system
  4. Performance evaluation
  5. Assessment

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