. Masoumeh Kordi; . Fatemeh Erfanian; . Farzaneh Rashidi Fakari; . Fatemeh Dastfan; . Keivan Shariati Nejad
Volume 7, Issue 3 , May and June 2017, , Pages 1-6
Abstract
INTRODUCTION: Shoulder dystocia is one of the obstetric emergencies that are accompanied toserious risks for mother and fetus. It necessitates making the method of training of shoulder ...
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INTRODUCTION: Shoulder dystocia is one of the obstetric emergencies that are accompanied toserious risks for mother and fetus. It necessitates making the method of training of shoulder dystociamanagement more efficient, i.e., better management and giving services with higher quality. Thus,this study was carried out to compare the impact of training by simulation and oral technique onthe skill of the employed midwives in obstetric clinics at Mashhad city (Iran) in shoulder dystociamanagement during 2012.METHODS: The current research is a double‑group clinical trial that was conducted on 51 members ofthe employed midwives in the obstetric clinic at Mashhad city in 2012. The questionnaire of personalspecification and awareness about shoulder dystocia and practical examination (objective‑structuredclinical examination) were employed as tools for data collection. The learners were divided into twogroups by randomized allocation. Training was done by the presentation of lecture in the oral contentgroup and a short movie was displayed at the end of it. The shoulder dystocia management techniquewas simulated in another group and through role‑playing of instructor application of moulage (station)training was conducted. The period of the training course (4 h) and content of the educationalworkshop was identical for both groups. The practical examination was held for the learnersbefore and immediately after training course. The given data were analyzed by means of statisticaldescriptive tests including Mann–Whitney U‑test and Wilcoxon test via SPSS software (version 16).The significance level was considered as (P < 0.05) in all cases.RESULTS: The total mean score was significantly increased for the variable of shoulderdystocia management skill after intervention in both groups (P < 0.0001). Similarly, the results ofMann–Whitney U‑test statistical tests indicated that total mean score for the variable of shoulderdystocia management skill after the intervention was significantly greater in simulation group thanin an oral group (P = 0.040).CONCLUSION: Training in simulated delivery room by means of role‑playing is an efficient methodfor training shoulder dystocia management skill, so it is recommended to use this program in thetraining of this skill.