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This trial tests whether hands-on training is superior to expert demonstration regarding the management of shoulder dystocia (stuck shoulder) during delivery on a training model.
We prospectively randomize probands to a 30 min hands-on (group 1) and a 30 min demonstration (group 2) training session teaching a standardized SD algorithm scheme on a pelvic training model. Probands are tested with a 22 item Objective Structured Assessment of Technical Skills (OSATS) scoring system after training and 72 hours thereafter. OSATS scores are the primary outcome. Performance time (PT), self assessment (SA), confidence (CON), and global rating scale (GRS) are the secondary outcomes. Statistics will beperformed using Mann-Whitney U-test, chi-square test, and multivariable logistic regression analysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hands-On Training | Experimental | 30 minutes hands-on training of maneuvers to manage shoulder dystocia |
|
| Demonstration | Active Comparator | 30 minutes passive training by watching an expert instructor explain and perform maneuvers to manage shoulder dystocia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hands-On Training | Procedure | one-time, 30 minute hands-on training |
| |
| Measure | Description | Time Frame |
|---|---|---|
| OSATS Score | Probands are tested with a 22 item Objective Structured Assessment of Technical Skills (OSATS) scoring system after training and 72 hours thereafter. | 30 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Performance Time | Time probands need to perform all test tasks | 30 minutes |
| Global Rating Scale | Predefined score including confidence, speed, and manual capacity to perform test tasks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dept. OBGYN Ruhr University Bochum | Herne | 44625 | Germany | |||
| Dept. OBGYN, Ruhr University Bochum |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22996098 | Result | Buerkle B, Pueth J, Hefler LA, Tempfer-Bentz EK, Tempfer CB. Objective structured assessment of technical skills evaluation of theoretical compared with hands-on training of shoulder dystocia management: a randomized controlled trial. Obstet Gynecol. 2012 Oct;120(4):809-14. doi: 10.1097/AOG.0b013e31826af9a9. |
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| ID | Term |
|---|---|
| D000080883 | Shoulder Dystocia |
| ID | Term |
|---|---|
| D004420 | Dystocia |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| Demonstration |
| Procedure |
30 minutes passive training |
|
| 30 minutes |
| Herne |
| 44625 |
| Germany |
| D000091642 | Urogenital Diseases |