INEB
INEB
TitleA model for educational simulation of the evolution of uterine contractions during labor
Publication TypeJournal Article
2012
AuthorsBastos, LF, van Meurs, W, Ayres-de-Campos, D
JournalComputer Methods and Programs in BiomedicineComput. Methods Programs Biomed.
Volume107
Issue2
Pagination242 - 247
Date Published2012///
01692607 (ISSN)
article, clinical competence, computer memory, computer program, Computer simulation, Computer-Assisted Instruction, controlled study, Educational simulations, Essential component, Female, Fetal heart rate, Fetal monitoring, Health care, Health care providers, High-fidelity simulators, Humans, labor, Labor and delivery, medical education, Medical educational simulation, Models, Biological, Neonatal monitoring, Obstetric Labor Complications, Obstetrics, Pregnancy, Script-controlled simulation, signal detection, Signal generators, Simulated signals, User-Computer Interface, Uterine activities, Uterine activity, Uterine Contraction, Uterine Monitoring, uterus contraction
Electronic fetal monitoring remains an important tool in labor ward settings, providing continuous information on fetal heart rate and maternal uterine contractions. A prompt detection of abnormalities in these signals is essential for the timely resolution of situations that may put both mother and fetus at risk. Uterine contraction signals provide information that is important to evaluate the onset and progress of labor, as well as the significance of certain fetal heart rate abnormalities. We present a model for educational simulation of the spontaneous evolution of uterine contractions during labor, which combines a previously published signal generator with literature-based pre-programmed scripts for educationally relevant scenarios. This model is an essential component of a high-fidelity simulator of intrapartum emergencies, aimed to improve the competency of healthcare providers. Real and simulated tracings were presented to three independent clinical experts who judged simulated signals to be indistinguishable or negligibly different from real tracings. © 2011 Elsevier Ireland Ltd.
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