The Effect of Chicken Model on Satisfaction, Self-Confidence, and Anxiety in Teaching Episiotomy Repair: A Randomized Controlled Trial

Objective: Midwives' knowledge and skills in performing episiotomy are crucial for maternal care. This study aimed to evaluate the effect of episiotomy training using a chicken simulator on midwifery students' satisfaction, self-confidence, self-sufficiency, and anxiety levels. Material and Methods: A randomized controlled study was conducted with 73 midwifery students, assigned to a chicken simulator group (n=38) and a sponge simulator group (n=35). Data were collected using an Introductory Information Form, a Visual Analog Scale (VAS) for self-sufficiency, the State Anxiety Inventory (STAI-S), and the Student Satisfaction and Self-confidence in Learning Scale (SCLS). Results: Post-training VAS scores on self-sufficiency-including competence in episiotomy repair, identifying and suturing the apex, suturing muscle and skin, adjusting suture intervals and tightness, and using intermittent and continuous sutures-were significantly higher in the chicken simulator group compared to the sponge group (p<0.05). However, there was no significant difference in anxiety levels between groups (p>0.05). The chicken simulator group also reported significantly higher satisfaction and self-confidence scores (p<0.05). Conclusion: Training with a chicken simulator effectively enhances students' perceived competence, satisfaction, and self-confidence in episiotomy skills. Given its affordability, accessibility, ease of preparation, and ability to model both muscle and skin structures, the use of a whole chicken leg is recommended as a valuable tool in episiotomy education.