Peer-reviewed veterinary case report
How simulation training improves birth outcomes for mothers and babies
By Raeymaekers L et al.·2026·Obstetrics and Gynecology·View original on Europe PMC →
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Original publication title: Impact of Simulation-Based Training on Maternal and Neonatal Outcomes in Delivery Rooms: A Systematic Review.
Plain-English summary
This review looks at how simulation-based training (SBT) in delivery rooms can improve outcomes for mothers and newborns in well-equipped hospitals. With high rates of complications during childbirth still a concern globally, SBT has shown promise in helping medical teams perform better during emergencies. The review included eight studies with over 177,000 deliveries and found that serious issues like heavy bleeding after birth and low scores for newborns improved significantly after SBT was implemented. However, the authors noted some problems, such as differences in how training was done and a lack of long-term data. They suggest that more research is needed to make SBT effective in all settings and to ensure safer births for everyone.
Abstract
This systematic review examines the impact of simulation-based training (SBT) in delivery rooms on maternal and neonatal outcomes in high-resource settings. Given the persistently high rates of maternal and neonatal mortality worldwide, SBT has emerged as a promising method to enhance clinical performance, decision-making, and teamwork in obstetric emergencies. Eight studies published between 2014 and 2023 were included, covering over 177,000 deliveries. The composite analysis showed a significant reduction in adverse outcomes, including postpartum hemorrhage requiring transfusion and neonatal Apgar scores <7 at five minutes, dropping from 6.9% pre-SBT to 3.8% post-SBT. The improvements were more pronounced in neonatal outcomes than maternal ones. Despite these encouraging findings, the review highlights several limitations: lack of standardization in training protocols, heterogeneity in study designs and outcome measures, and limited data on long-term effects. Additionally, generalizing results to low-resource settings remains a challenge. The authors call for future research using individual patient data, standardized training approaches, cost-effectiveness evaluations, and innovative methods to adapt SBT for broader global use, ultimately aiming to strengthen perinatal safety worldwide.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41664714