[Impact of simulation to reduce neonatal and maternal morbidity of shoulder dystocia]

Abstract

Objective: To assess the role of simulation in reducing morbidity and mortality of shoulder dystocia.

Methods: A systematic literature review was conducted in the Medline database.

Results: Regarding the prevention of complications of shoulder dystocia, practical training using mannequin is associated with improvements in management shoulder dystocia than training using video tutorial (EL2). Practical training using simulation for shoulder dystocia allows an improvement for manoeuvres mainly for trainees, but simulation seems to benefit to all caregivers for the communication (EL3). The effect of training sessions using simulation for learning writing the medical observation allows only a modest improvement in the medical record transcription (EL3). The interest of a specific grid for reporting shoulder dystocia seems interesting to increase the amount of information transcribed by the caregiver (EL3). The establishment of a practical training using simulation and concerning all caregivers of the delivery room is associated with a significant reduction in neonatal injury (EL3). The establishment of a training program using simulation does not seem to decrease maternal morbidity in case of shoulder dystocia (EL3).

Conclusion: A teaching using simulation for the management of shoulder dystocia is encouraged for the initial and continuing formation of different actors in the delivery room (professional agreement).

Keywords: Brachial plexus palsy; Brachial plexus stretch; Dystocie des épaules; Enseignement; Internes; Lésion du plexus brachial; Residents; Shoulder dystocia; Simulation; Training.