Effects of Systematic Cervical Exam Training on Labor and Delivery Care

Wake Forest University (WFU)

Status: Enrolling

Conditions: Pregnancy Related; Cervix; Pregnancy; Delivery Problem

Treatments: Behavioral: cervical exam training

Study type: Interventional

Funder types: Other

Identifiers

NCT04421768

IRB00064273

Details and patient eligibility

About

All physicians, nurses, and nurse midwives working on Labor and Delivery will be required to complete cervical exam simulation training. Data before and after institution of the training will be compared to determine if the training leads to less cervical exams during labor and increases consistency between examiners

Full description

The labor cervical exam is the cornerstone of the management of labor as the accurate assessment of cervical dilation and effacement are crucial in recognizing a normal labor from and abnormal one. To enhance accuracy and precision among healthcare providers working on Labor and Delivery we have created a high fidelity cervical exam simulator. All providers working on Labor and Delivery Repetitive will be required to practice on the simulators until a pre-specified level or accuracy is achieved. We will prospectively and retrospectively assess the number of cervical exams a women receives and the discrepancy between exams performed by 2 different providers both before and after the training is instituted.

Enrollment: 1,125 estimated patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Healthcare providers:

• physicians, midwives, and labor and delivery nurses working on the Labor and Delivery unit within the Wake Forest Baptist Birth Center

Patients:

• any pregnant women receiving care on the Labor and Delivery unit of Wake Forest Baptist Birth Center

Exclusion criteria

Healthcare providers:

• none

Patients:

• placenta previa
• vasa previa
• any other contraindication to cervical exam

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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1,125 participants in 2 patient groups

systematic cervical exam training--retrospective measures

Experimental group

Description:

Effects of systematic cervical exam training on Labor and Delivery Care The total number of exams per hour of labor or triage stay and exam discrepancy between 2 examiners who performed exams less than 30 minutes apart will be compared between the 6 month time period before the unit wide training and 6 months after completing training

Treatment:

Behavioral: cervical exam training

systematic cervical exam training--prospective measures

Experimental group

Description:

Effects of systematic cervical exam training on Labor and Delivery care Patient will be approached to obtain consent for them to have 2 cervical exams performed one after the other when an exam is clinically indicated. The discrepancy between the 2 examiners will be compared between the 6 month time period before the unit wide training and 6 months after completion of the training.

Treatment:

Behavioral: cervical exam training