Shoulder dystocia training using a new birth training mannequin

BJOG. 2005 Jul;112(7):997-9. doi: 10.1111/j.1471-0528.2005.00559.x.


Shoulder dystocia 'skill drills' are a requirement for the Maternity CNST standards. However, there is, as yet, no evidence that training in the management of shoulder dystocia improves outcome. We developed a mannequin for training and investigated its effectiveness. The management of shoulder dystocia improved following training with the mannequin. There was a reduction in the head-to-body delivery duration, and the maximum applied delivery force, following training; however, these did not reach statistical significance. After training no subject applied a delivery force of greater than 100 N, a level above which fetal injury has been shown to occur.

Publication types

  • Evaluation Study

MeSH terms

  • Clinical Competence / standards
  • Delivery, Obstetric / education
  • Dystocia / therapy*
  • Equipment Design
  • Female
  • Humans
  • Manikins*
  • Obstetrics / education*
  • Pregnancy
  • Pregnancy Outcome