Practical Guide to Simulation in Delivery Room Emergencies

Part I. Fundamentals of Simulation
1. Simulation in Obstetric: From the History to the Modern Applications
2. The Role of Simulation in Obstetric Schools in the UK
3. Ontologies, Machine Learning and Deep Learning in Obstetrics
Part II. Simulation and Management of Pathologic Pregnancy
4. Assisted Reproductive Technologies: Complications, Skill, Triage, and Simulation
5. Acute Abdomen of Non-obstetric Origin in Pregnancy
6. Eclampsia: Skill, Triage, and Simulation
7. Renal Failure in Pregnancy
8. Simulation in Obstetric Patients with Cardiovascular Disorders
9. Cardiac Arrest in Pregnancy: Simulation and Skills
10. Aortic Dissection in Pregnancy
Part III. Simulation and Management of Pathological Fetus
11. Twin-Twin Transfusion Syndrome: Complications and Management
12. Intrauterine Fetal Death: Management and Complications
13. Abortion an Obstetric and Anesthesiologic Emergency: Skills and Simulation
Part IV. Simulation of Normal and Abnormal Labour
14. Labor Simulations: “Hard Drill Makes an Easy Battle”
15. Intrapartum Ultrasonographic Simulation in Dystocic Labor
16. Simulation and Learning Curve of the Traditional and Sonographic Pelvimetry
17. Simulation of Urgent Obstructed Delivery: Scenario and Triage
18. Twin Vaginal Delivery
19. Emergency Delivery in Patients with Obesity
Part V. Simulation and Management of Pathologic Delivery
20. Breech Delivery and Updates in Simulation for Breech Vaginal Delivery
21. Umbilical Cord Prolapse: Simulation, Skills and Triage
22. Unexpected Placental Invasion: Scenario, Management, and Simulation
23. Abnormal Invasive Placentation Simulation of Emergency Scenario: Low- and Full-Resource Setting
24. Uterine Rupture: A Rare Event But Terrible to Know How to Face
Part VI. Operative Delivery Simulation
25. Urgent Cesarean Section with Misgav Ladach (Stark’) Method: Simple Cesarean Delivery and Learning Curve
26. Simulation of Urgent Cesarean Delivery: Scenario and Triage
27. Forceps Application: Training, Simulation, and Learning Curve
28. Vacuum Extractor: Skills, Education, Simulation, and Learning
Part VII. Postpartum Haemorrhage Simulation
29. Abruptio Placentae: Simulation and Scenario
30. Skills Training and Multi-Professional Simulation Training on Postpartum Haemorrhage
31. Combined Management of Postpartum Obstetric Bleeding Using Zhukovsky Balloon Tamponade
32. PPH: Triage, Scenario, and Simulation
33. Postpartum Hemorrhage: Conservative Treatments
34. The Role of Noninvasive Uterine Mechanical Compression in the Golden Hour of Postpartum Hemorrhage
Part VIII. Management of Puerperium and Simulation
35. Complicated Cesarean Hysterectomy
36. Postpartum Uterine Inversion: Skill, Simulation and Learning Curve
37. Emergency and Urgency in Puerperium: Scenario and Complications
Part IX. Obstetric Anesthesia Emergencies
38. Fundamentals of Emergencies in Obstetrics: Training and Simulation
39. Simulation of Difficult Airway Management in Obstetric Emergencies
40. Sonographic Locating of the Lumbar Space in the Difficult Spine and Obese Parturient: Simulation and Skills
41. Amniotic Fluid Embolism and the Role of Thromboelastometry. And What About Simulation?
42. Septic Shock in Obstetric Emergency
43. Transfusional Optimization Using Viscoelastic Test Guided Therapy in Major Obstetric Hemorrhage: Simulation and Skills
44. Thromboelastography (TEG): Point of Care Test of Hemostasis for Emergency Postpartum Hemorrhage
45. Improving of Hemodynamic and Hemostatic in the Golden Hour
Part X. Neonatal Emergencies
46. Neonatal Resuscitation
47. Premature Neonatal Life Support
48. Umbilical Venous Catheter Placement: A Step-by-Step Guide for Neonatologists
49. Simulation of Newborn Thermoregulation and Temperature Preservation After Birth
50. Role of Training in Neonatal Encephalopathy Prevention
Part XI. Covid 19 Pandemy and Obstetric Simulation
51. Voluntary Termination of Pregnancy, Therapeutic, and Spontaneous Abortion: What Is Happening in Coronavirus Era? An Italian Experience
52. SARS-CoV-2-Related Acute Respiratory Failure in Pregnant Women: What Role Can Simulation Play?
53. Acute Abdomen in Pregnancy: Triage, Skills, and Simulator during COVID-19 Pandemic Situation
54. Postpartum Hemorrhage in COVID-19 Patients: Instruction for Use
55. Urgent Cesarean Delivery in COVID-19 Patients: Simulation, Skill, and Triage
56. Cardiopulmonary Resuscitation of a Pregnant Woman During COVID-19 Pandemic
Part XII. Complications, Medico-Legal Issues and Importance of Simulation
57. Can the Simulation of Delivery Prevent Perineal Trauma?
58. Shoulder Dystocia and Simulation
59. The Role of Episiotomy in Emergency Delivery
60. Obstetric Errors: Sepsis and Shoulder Dystocia as Examples of Heuristic Thinking in Obstetrics
61. Importance of Simulation to Avoid Childbirth Trauma
Part XIII. Appendix
62. The Role of Images in Obstetric Teaching: Past, Present, and Future
63. Importance of Skill, Learning Curve, and Simulation in Endoscopy
64. Fibroids in Obstetric and Gynecology: Training and Skill in Myomectomy
65. Rupture of the Uterus: A Dramatic Condition in a Genital Organ
66. Skills, Learning Curve and Simulation in an Italian University Clinic

In this book the use of hybrid simulation in delivery room emergencies is described and shown. The use of a patient actor combined with a task trainer within the same session substantially improve the training for practical management of intrapartum emergencies in real life, reducing the risk of failure of operative vaginal delivery and of related adverse events, including perinatal or maternal complications. Furthermore, simulation with high reality computerized mannequin and scenography of emergency situation can improve technical and manual skills of the participants. For this book and the related videos, a new generation of mannequins suitable for both clinical manoeuvres and ultrasound examination is used to simulate all clinical scenarios of emergency that can happen in the delivery room for both the mother and the child. This unique book is a useful tool for medical students, residents, practicing pediatricians, anesthetists, obstetricians and all health care professionals working in the delivery room in their ability to deal with critical and emergency situations with safety and good medical practice.