Training of Shoulder Dystocia Using Virtual Reality: A Feasibility Study

Background: Simulation training is an important aspect of obstetric education but high-fidelity simulation is resource-intensive.This study aimed to evaluate Virtual Reality (VR) technology for simulation training of shoulder dystocia (SD).Methods: Trainees were instructed on the technological aspects.Consequently, they managed a SD scenario in VR, following a standardized algorithm.Self-evaluation of nontechnical skills and task demands was conducted using the modified Human Factors Skills for Healthcare Instrument and the NASA Task Load Index questionnaire.Results: We included 44 participants, who completed the scenario within a five minute time-limit.There was a significant decrease in time-to-delivery, from 136 (106-181) seconds on the first to 88 (69-135) seconds on the second attempt.Qualitative analysis indicated a high self-perceived initial human skills level and a high degree of effort with 11 (7-13) points, mental (12 [7-15]), and temporal (11.5 [9-15]) demands during training.Conclusions: VR is a modern, feasible, and effective option for simulation training for SD.Randomized controlled trials are required to further evaluate this training modality in obstetric medical education.