Training of Shoulder Dystocia Using Virtual Reality: A Feasibility Study

This is the authors' abstract. We don't add key points for this paper.

Background Simulation training is an important aspect of obstetric education but high-fidelity simulation is resource-intensive. This study aimed to evaluate Virtual Reality (VR) technology for simulation training of shoulder dystocia (SD). Methods Trainees were instructed on the technological aspects. Consequently, they managed a SD scenario in VR, following a standardized algorithm. Self-evaluation of nontechnical skills and task demands was conducted using the modified Human Factors Skills for Healthcare Instrument and the NASA Task Load Index questionnaire. Results We included 44 participants, who completed the scenario within a five minute time-limit. There was a significant decrease in time-to-delivery, from 136 (106-181) seconds on the first to 88 (69-135) seconds on the second attempt. Qualitative analysis indicated a high self-perceived initial human skills level and a high degree of effort with 11 (7-13) points, mental (12 [7-15]), and temporal (11.5 [9-15]) demands during training. Conclusions VR is a modern, feasible, and effective option for simulation training for SD. Randomized controlled trials are required to further evaluate this training modality in obstetric medical education.