Simulation for intrapartum care - from training to novel device innovation.

Improving maternal and perinatal care is a global priority. Simulation training and novel applications of simulation for intrapartum care may help to reduce preventable deaths worldwide. Evaluation studies have published details of the effectiveness of simulation training for obstetric emergencies, exploring clinical and non-clinical factors as well as the impact on patient outcomes (both maternal and neonatal). This review summarises the many uses of simulation in obstetric emergencies from training to assessment. It also describes the adaption of training in low-resource settings and the evidence behind the equipment recommended to support simulation training. The review then discusses more novel applications for simulation such as its use in the development of a new device for assisted vaginal birth and its potential role in Caesarean section training. It further discusses the financial implications of simulation training and how this may impact the delivery of such training packages. It presents a concept that simulation should be developed and utilised as a key tool in the development of safe intrapartum care in both emergency and non-emergency settings, in innovation and product development.