Fallible pitfalls for novice obstetrician on application of Naegele forceps

Introduction: Simulation training is one of the choice to acquire a new technique. In our facility, we hold a simulation training program to acquire forceps delivery skill. However, even with the simulation training, the first experience may cause anxiety, and unforeseen event may occur. In this video, we demonstrate a forceps delivery by a novice obstetrician who finished the program, and highlight some important points. Case Report: The video shows a case of forceps delivery by a novice obstetrician. The forceps delivery was accomplished without any complications. However, there were some points to be improved: insertion of the forceps with the hands reversed, holding the blade instead of the handle, overly shallow placement of the blade, failing to insert the blade with assistance of the right thumb and forcibly inserting the blade with the left hand, overly shallow placement of the blade, adaptation angle is not vertical, failure to hold the end of the handle, and trial of traction force insufficient to confirm fetal head descent. Conclusion: This video is of use to both instructors and trainees. However, in addition to the video learning, we think that both repetitive simulation training and on-the-job training are important. Novice obstetricians tend to experience similar pitfalls. Thus, it is important for instructors to recognize the pitfalls of trainees. According to the video case, the novice obstetrician did not yet acquire the proper forceps delivery skill. Neither video alone nor simulation training is sufficient for instruction for novice obstetricians in forceps delivery.