Scientific article
Open access

Internal podalic version of second twin : improving feet identification using a simulation model

ContributorsDesseauve, David; Daelemans, Caroline; Farin, Alexandre; Jauvion, Imane Ben M'Bareck; Ceccaldi, Pierre-François; Prise en charge des Accouchements à Risque eT des Urgences Maternelles PARTUM teaching program
Publication date2022-08
First online date2022-06-06

Background: Podalic version and breech extraction require high obstetrical expertise. Identifying fetal extremities is the first crucial step for trainees. When this skill is not polished enough, it increases the inter-twin delivery interval and can even jeopardize the whole manoeuver.

Material and methods: We present a model for simulating and training this specific skill, with obstetrical mannequin, and 3D printed hands and feet. Five feet and five hands (five rights and five lefts of each one) were printed in 3D after initial ultrasound acquisition of a near term fetus. Each foot and hand, was individually set in a condom filled with 100 cc of water and closed with a knot. A Sophie's Mum Birth Simulator Version 4.0 de MODEL-med was placed on the edge of the table. Each hand and foot was inserted into the pelvic mannequin. An evaluation of the students' skills using this model was performed. A significant reduction of the global mean to extract the first foot and all the feet was noticed at three month of interval.

Conclusion: This model is an option to train and assess a crucial skill for version and breech extraction.

  • 3D printings
  • Simulation
  • Technical skills
  • Twins
  • Breech Presentation
  • Delivery, Obstetric / education
  • Female
  • Humans
  • Pregnancy
  • Pregnancy, Twin
  • Version, Fetal / education
Citation (ISO format)
DESSEAUVE, David et al. Internal podalic version of second twin : improving feet identification using a simulation model. In: European journal of obstetrics & gynecology and reproductive biology, 2022, vol. 275, p. 9–11. doi: 10.1016/j.ejogrb.2022.05.036
Main files (1)
Article (Published version)
ISSN of the journal0301-2115

Technical informations

Creation10/16/2023 6:43:11 AM
First validation02/05/2024 10:17:36 AM
Update time02/05/2024 10:17:36 AM
Status update02/05/2024 10:17:36 AM
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