Observational studyBJOG : an international journal of obstetrics and gynaecology2023
Impact of simulation training on the management of shoulder dystocia and incidence of permanent brachial plexus birth injury: An observational study.
Observational study in BJOG : an international journal of obstetrics and gynaecology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 24 citations in OpenAlex.
- Characterising Forces Applied During the Simulated Management of Impacted Fetal Head: Pre-Clinical Methods Study.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- Preparing Nursing Students for Obstetric Emergencies: Effects of High-Fidelity Simulation on Knowledge, Confidence and Learning.Nursing reports (Pavia, Italy) · 2026Article
- Risk factors for shoulder dystocia-related brachial plexus injuries: A case-control study.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Stuck in transition - admission to the neonatal intensive care unit after shoulder dystocia: analysis of risk factors and assessment of postnatal care.Maternal health, neonatology and perinatology · 2026Article
- Article
- Are racial and ethnic disparities in brachial plexus birth injuries explained by known risk factors?Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Experiences and Educational Needs of Hospital Staff Providing Care to Tracheostomy-Dependent Pediatric Patients.Children (Basel, Switzerland) · 2025Article
- S-ketamine facilitates motor function recovery after brachial plexus root avulsion and reimplantation in mice.Frontiers in pharmacology · 2025Article
- Newborn clavicle fractures: 5 year-review of a tertiary-care hospital.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025Article
- Maternal and neonatal complications of shoulder dystocia with a focus on obstetric maneuvers: A case-control study of 1103 deliveries.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Ethnic background as a risk factor for permanent brachial plexus birth injury: A population-based study.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Pitfalls in the diagnostics of shoulder dystocia: an analysis based on the scrutiny of 2274 deliveries.Archives of gynecology and obstetrics · 2024Article
- Permanent Brachial Plexus Birth Injury: Helsinki Shoulder Protocol.Seminars in plastic surgery · 2023Review
- Impact of simulation training on the management of shoulder dystocia and incidence of permanent brachial plexus birth injury: An observational study.BJOG : an international journal of obstetrics and gynaecology · 2023Observational
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
Abstract
objectiveTo study the impact of shoulder dystocia (SD) simulation training on the management of SD and the incidence of permanent brachial plexus birth injury (BPBI).
designRetrospective observational study.
settingHelsinki University Women's Hospital, Finland. SAMPLE: Deliveries with SD.
methodsMulti-professional, regular and systematic simulation training for obstetric emergencies began in 2015, and SD was one of the main themes. A study was conducted to assess changes in SD management and the incidence of permanent BPBI. The study period was from 2010 to 2019; years 2010-2014 were considered the pre-training period and years 2015-2019 were considered the post-training period.
main outcome measuresThe primary outcome measure was the incidence of permanent BPBI after the implementation of systematic simulation training. Changes in the management of SD were also analysed.
resultsDuring the study period, 113 085 vertex deliveries were recorded. The incidence of major SD risk factors (gestational diabetes, induction of labour, vacuum extraction) increased and was significantly higher for each of these factors during the post-training period (p < 0.001). The incidence of SD also increased significantly (0.01% vs 0.3%, p < 0.001) during the study period, but the number of children with permanent BPBI decreased by 55% after the implementation of systematic simulation training (0.05% vs 0.02%, p < 0.001). The most significant change in the management of SD was the increased incidence of successful delivery of the posterior arm.
conclusionsSystematic simulation-based training of midwives and doctors can translate into improved individual and team performance and can significantly reduce the incidence of permanent BPBI.
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