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A Simulation Model for External Cephalic Version

Breech presentation complicates as many as 4% of all deliveries. External cephalic version (ECV) is a procedure that involves the external rotation of the fetus through the mother’s abdomen from a breech position into a cephalic position. It provides a beneficial alternative to cesarean section (CS)...

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Detalles Bibliográficos
Autores principales: Baaklini, Carla, Menassa, Natalie, Larios, Jalen T, Ballas, Derek A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7842254/
https://www.ncbi.nlm.nih.gov/pubmed/33527060
http://dx.doi.org/10.7759/cureus.12382
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author Baaklini, Carla
Menassa, Natalie
Larios, Jalen T
Ballas, Derek A
author_facet Baaklini, Carla
Menassa, Natalie
Larios, Jalen T
Ballas, Derek A
author_sort Baaklini, Carla
collection PubMed
description Breech presentation complicates as many as 4% of all deliveries. External cephalic version (ECV) is a procedure that involves the external rotation of the fetus through the mother’s abdomen from a breech position into a cephalic position. It provides a beneficial alternative to cesarean section (CS) as it is less invasive, more cost-effective, and mitigates many of the maternal health risks associated with CS. Though ECV has become more widely used in recent years, studies have shown that a large percentage of residency programs lack proper training pertaining to ECV, increasing the need for additional educational intervention. A well-supported method of procedural training that has demonstrated efficacy among trainees is the incorporation of simulation models. While many models have already been developed for various obstetrical procedures, few easily reproducible models currently exist for ECV. The purpose of this study was to develop a reconstructible ECV model that could be utilized for practice by trainees in the field of obstetrics. This study’s proposed ECV model along with a lecture that was presented to residents and data on the effectiveness of the model and comfort with performing the procedure was collected and analyzed. The results demonstrated that when compared to baseline prior to training, levels of comfort with performing an ECV increased amongst trainees after practicing on the model.
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spelling pubmed-78422542021-01-31 A Simulation Model for External Cephalic Version Baaklini, Carla Menassa, Natalie Larios, Jalen T Ballas, Derek A Cureus Medical Education Breech presentation complicates as many as 4% of all deliveries. External cephalic version (ECV) is a procedure that involves the external rotation of the fetus through the mother’s abdomen from a breech position into a cephalic position. It provides a beneficial alternative to cesarean section (CS) as it is less invasive, more cost-effective, and mitigates many of the maternal health risks associated with CS. Though ECV has become more widely used in recent years, studies have shown that a large percentage of residency programs lack proper training pertaining to ECV, increasing the need for additional educational intervention. A well-supported method of procedural training that has demonstrated efficacy among trainees is the incorporation of simulation models. While many models have already been developed for various obstetrical procedures, few easily reproducible models currently exist for ECV. The purpose of this study was to develop a reconstructible ECV model that could be utilized for practice by trainees in the field of obstetrics. This study’s proposed ECV model along with a lecture that was presented to residents and data on the effectiveness of the model and comfort with performing the procedure was collected and analyzed. The results demonstrated that when compared to baseline prior to training, levels of comfort with performing an ECV increased amongst trainees after practicing on the model. Cureus 2020-12-30 /pmc/articles/PMC7842254/ /pubmed/33527060 http://dx.doi.org/10.7759/cureus.12382 Text en Copyright © 2020, Baaklini et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Medical Education
Baaklini, Carla
Menassa, Natalie
Larios, Jalen T
Ballas, Derek A
A Simulation Model for External Cephalic Version
title A Simulation Model for External Cephalic Version
title_full A Simulation Model for External Cephalic Version
title_fullStr A Simulation Model for External Cephalic Version
title_full_unstemmed A Simulation Model for External Cephalic Version
title_short A Simulation Model for External Cephalic Version
title_sort simulation model for external cephalic version
topic Medical Education
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7842254/
https://www.ncbi.nlm.nih.gov/pubmed/33527060
http://dx.doi.org/10.7759/cureus.12382
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