Recurrent Obstetric Management Mistakes Identified by Simulation

unit for labor and delivery teams involved in obstetric emergencies to detect and address common mistakes. METHODS: A simulation-based curricular unit for hands-on training of four obstetric emergency scenarios was developed using high-tech mannequins and low-tech simulators. The scenarios were eclamptic seizure, postpartum hemorrhage, shoulder dystocia, and breech extraction. The obstetric teams consisted of at least one resident and two midwives. Checklists of actions ex-pected from the teams were handed out to the course’s tutors who observed the “event. ” All sessions were videotaped and then reviewed and analyzed by the trainees themselves, who were guided by two experi-enced tutors. We identified the most commonly occur-ring mistakes by summing up checklists and by watching the recorded sessions.