Abstract
Objective
The objective of this study was to develop a synthetic high-fidelity simulator for
teaching chorionic villus sampling.
Methods
Working with a medical sculptor, the authors developed a simulator, constructed from
various synthetic rubber materials, of a gravid female pelvis, including the vulva,
vagina, cervix, and a 13-week-sized uterus with a gestational sac.
Results
This simulator is high fidelity and durable, and it does not require any organic materials.
Maternal-fetal medicine trainees valued this educational tool.
Conclusion
This novel, high-fidelity simulator is an additional tool for educators involved in
teaching chorionic villus sampling.
Résumé
Objectif
Cette étude avait pour but de concevoir un simulateur synthétique de haute fidélité
aux fins d'enseignement du prélèvement de villosités choriales.
Méthodologie
Les auteurs ont conçu, avec l'aide d'un sculpteur médical, un simulateur, construit
à partir de divers matériaux en caoutchouc synthétique, représentant le pelvis d'une
femme enceinte; la vulve, le vagin, le col utérin et un utérus contenant un sac gestationnel
de 13 semaines y sont notamment reproduits.
Résultats
Durable et de haute fidélité, ce simulateur n'a besoin d'aucune matière biologique.
Cet outil éducatif a d'ailleurs été apprécié par les stagiaires en médecine fœto-maternelle.
Conclusion
Ce simulateur de haute fidélité novateur est un outil de plus à l'arsenal des éducateurs
chargés d'enseigner le prélèvement de villosités choriales.
Key Words
Abbreviations:
CVS (chorionic villus sampling), NIPT (non-invasive prenatal testing), TACVS (transabdominal chorionic villus sampling), TCCVS (transcervical chorionic villus sampling)To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Obstetrics and Gynaecology CanadaAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Teaching invasive perinatal procedures: assessment of a high fidelity simulator-based curriculum.Ultrasound Obstet Gynecol. 2002; 19: 478-483
- Chorionic villus sampling, early amniocentesis, and termination of pregnancy without diagnostic testing: comparison of fetal risk following positive non-invasive prenatal testing.J Obstet Gynaecol Can. 2016; 38: 441-445
- Discordant noninvasive prenatal testing and cytogenetic results: a study of 109 consecutive cases.Genet Med. 2015; 17: 234-236
- Improving the positive predictive value of non-invasive prenatal screening (NIPS).PLoS ONE. 2017; 12: e0167130
- Procedure-related risk of miscarriage following amniocentesis and chorionic villus sampling: a systematic review and meta-analysis.Ultrasound Obstet Gynecol. 2015; 45: 16-26
- Outcome of 1,355 consecutive transabdominal chorionic villus samplings in 1,351 patients.Chin Med J. 2005; 118: 1675-1681
- Prenatal diagnosis procedures and techniques to obtain a diagnostic fetal specimen or tissue: maternal and fetal risks and benefits.J Obstet Gynaecol Can. 2015; 37: 656-668
- Total pregnancy loss after chorionic villus sampling and amniocentesis: a cohort study.Ultrasound Obstet Gynecol. 2017; 49: 599-606
- Transabdominal and transcervical chorionic villus sampling: efficiency and risk evaluation of 2,411 cases.Am J Med Genet. 1990; 35: 160-164
- Simulation in healthcare education: an extensive history.Springer, Cham, Switzerland2016
- Training and assessment in obstetrics: the role of simulation.Best Pract Res Clin Obstet Gynaecol. 2010; 24: 747-758
- How to safeguard competency and training in invasive prenatal diagnosis: “the elephant in the room”.Ultrasound Obstet Gynecol. 2016; 47: 8-13
- A novel amniocentesis model for learning stereotactic skills.Am J Obstet Gynecol. 2006; 194: 846-848
- A cervical cerclage task trainer for maternal-fetal medicine fellows and obstetrics/gynecology residents.Simul Healthc. 2012; 7: 321-325
- Simulation training in the obstetrics and gynecology clerkship.Am J Obstet Gynecol. 2006; 195: 1489-1492
- Teaching invasive prenatal procedures: effectiveness of two simple simulators in training.Prenat Diagn. 2016; 36: 905-910
- Importance of complete follow-up of spontaneous fetal loss after amniocentesis and chorion villus sampling.Lancet. 1992; 340: 886-890
- Fetal loss rate after chorionic villus sampling and amniocentesis: an 11-year national registry study.Ultrasound Obstet Gynecol. 2009; 34: 19-24
- Amniocentesis and chorionic villus sampling. Green-top guideline No. 8.Royal College of Obstetricians & Gynaecologists, London2010 (Available at)https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg8/Date accessed: June 6, 2017
- Learning in medicine: chorionic villus sampling.Prenat Diagn. 2000; 20: 241-246
- In-utero stenting: development of a low-cost high-fidelity task trainer.Ultrasound Obstet Gynecol. 2009; 34: 720-723
Article info
Publication history
Published online: July 18, 2018
Accepted:
October 20,
2017
Received:
August 14,
2017
Footnotes
Competing interests: See Acknowledgements.
Identification
Copyright
Copyright © 2018 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.