Overview
All physicians, nurses, and nurse midwives working on Labor and Delivery will be required to complete cervical exam simulation training. Data before and after institution of the training will be compared to determine if the training leads to less cervical exams during labor and increases consistency between examiners
Description
The labor cervical exam is the cornerstone of the management of labor as the accurate assessment of cervical dilation and effacement are crucial in recognizing a normal labor from and abnormal one. To enhance accuracy and precision among healthcare providers working on Labor and Delivery we have created a high fidelity cervical exam simulator. All providers working on Labor and Delivery Repetitive will be required to practice on the simulators until a pre-specified level or accuracy is achieved. We will prospectively and retrospectively assess the number of cervical exams a women receives and the discrepancy between exams performed by 2 different providers both before and after the training is instituted.
Eligibility
Inclusion Criteria:
Healthcare providers:
• physicians, midwives, and labor and delivery nurses working on the Labor and Delivery
unit within the Wake Forest Baptist Birth Center
Patients:
• any pregnant women receiving care on the Labor and Delivery unit of Wake Forest Baptist
Birth Center
Exclusion Criteria:
Healthcare providers:
• none
Patients:
- placenta previa
- vasa previa
- any other contraindication to cervical exam