SimMom – An advanced full-body interactive birthing simulator

SimMom – An advanced full-body interactive birthing simulator


[Music] feeling slightly faint sir learning how to make quick decisions during childbirth can make the difference between life and death sin mom is the latest innovation in maternal simulation it combines computer technology with anatomical accuracy to reproduce realistic scenarios certainly in the UK up to 50% of poor outcomes after delivery thought to be avoidable with best possible care and there seems to be common themes for errors yeah main all emergencies particularly during pregnancy there was a failure to recognize the problem failure to respond appropriately to that problem and a failure to refer to the right level of medical staff we have a cord prolapse here Kathy can you call some help please simulation is really useful because although obstetric emergencies happen they also happen rarely and therefore the only way to be practiced in treating them is to actually train on a regular basis okay sim mom is a highly versatile simulator and it’s integrated computer software includes ten different birthing scenarios from normal deliveries to obstetric emergencies for the first time we’ve got a combined model which incorporates all the elements that we’ve had in an anaesthetic model of being able to simulate a difficult intubation combined with the obstetric modalities of postpartum hemorrhage retained products etc so we can incorporate the whole team okay so we’re just gonna turn you onto the left hand side Becky if you can get a pillow out for me please with the team at South Meade Hospital we have recreated three possible scenarios to illustrate sim mom’s versatility and innovations [Music] postpartum hemorrhage so bleeding after delivery of the baby is a really really important condition important both in the UK and also probably that the number one killer of mothers across the world well done there that’s a lovely baby there now that we’ve just got to deliver the placenta now okay it can be dangerous can be difficult to manage and therefore using simulation can really provide a platform to again to streamline our care and improve our management to get the best possible outcomes it’s a little bit of blood loss here just have a little feel inside in the past when we’ve simulated postpartum hemorrhage drills we’ve used sort of blood-stained sheets to give the impression that she’s losing blood and I think the difference with this mannequin is as soon as you see the blood actually trickling out quite profusely that does give you that anxious feeling as you would feel in real life I’m just gonna rub on your tummy Sarah because you don’t bleeding a little bit down below eh following delivery of the placenta when your help arise it’s very important that you state the problem straightaway so you need to clearly state that this is a postpartum hemorrhage so that everybody knows what the problem is so I’ve got a positive image can you get the pH box can you put a line in take some blood you need to be rubbing up the uterus and making the uterus contract down so to actually on the mannequin be able to simulate that you’re rubbing the uterus and feeling it go hard under your hand is a very useful thing you’re feeling slightly fainter as soon as they’re ready Kathy you can keep a note of everything we’ve given it from the point of view of an anesthetist not only can we practice and scenarios where we find it difficult to intubate our patient or to ventilate our patient which are of course the nightmare anesthetic scenarios but we also get a visual indication of the physiological variables of the patient their blood pressure their pulse rate the oxygen saturation of their blood which is what we would have in reality for a patient in the operating theater and that makes the whole situation much more realistic for us but she had a dose intimate room she’s had one dose so Ruth can you give a second dose into mentoring I am pleased the scenario can be changed on depending on how the team of working with the mannequin and actually you can change the scenarios to the patient getting better or getting worse depending on how the team are responding to the emergency sim one can also simulate a retained placenta lobe this is the first model I think where we can actually train people to pass a hand into the uterus and take out the little tiny bit of the center that’s causing all the problems okay got a little tiny bit of a center that’s a really important technique here in the UK but it’s vitally important in the developing world in particular because it’s such a easily treated cause of excessive bleeding that causes death so often come on Sarah you’re nearly there now another innovation of sim mom is that the mother has fully articulated limbs so can be used to replicate a range of birthing positions this is also a vital function in our second scenario cord prolapse [Music] core products is a really really important emergency in obstetrics where for whatever some reason the core drops below the baby’s head as during the labor itself now the main problem is that as the baby’s head descends through the birth canal you can imagine it completely compresses the cord and that stops any kind of oxygen transfer at all the woman’s waters would go and you maybe hear the baby’s heart rate decelerate if you’re monitoring it’s gonna have no look down below we’ll just see what’s happening down there okay Kathy we have a cool blue laughs can you call somehow hey if we couldn’t get to theater straight away we may feel the woman’s bladder the model that we’ve used and for the drill has been particularly good for that because you can actually fill the bladder and that’s something we talk about but actually you do need to practice having a go at we also need to get mums in particular positions that will also help to keep the presenting part of the cord and that’s particularly useful to practice because even if you have a home delivery where there was a cord prolapse you would need to put the mother into that position to get her into hospital in the ambulance and so it’s very good that we can practice on the mannequin with community midwives even paramedics one of the things we always sort of say in obstetrics and they said in a lot of places but a team is only as strong as a weakest link and that’s one of the reasons it’s really important to train your whole team in your hospital and that is everybody from your obstetricians to your anyth tests to your midwives and even your health care assistants everybody that works with that patient must be trained in that prompt sort of emergency response sym mom offers the possibility of training in not only technical skills but also crucial communication skills right now you still got to do some pushing this is very clear with our third scenario an instrumental delivery [Music] it’s not just pulling the baby out part of it is communicating with the mother communicating with the rest of the family making sure the whole team know what’s happening as well as the parents to make it the best experience it can be similar in really useful for this I don’t think any mother would like their baby experimented on and be used to train people who’d never ever undertaken any procedure like this before maternal simulation training also has very quantifiable benefits reducing risk for both baby and mother what we’ve managed to do is reduce the decision to delivery interval so when someone makes a decision to perform delivery to when the baby’s actually delivered from 23 minutes to 14 so in this department by using simulation and simulators we’ve been able to streamline care practice what we’re trying to do to get the best possible outcomes for mothers and their babies sim mom offers healthcare professionals the chance to train for everything from a straight forward delivery to life-threatening obstetric emergencies helping to ensure a joyful outcome for all births [Music] you

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