Debra Enhanced® Impacted Fetal Head Simulator - Realistic Birth Training Model for Obstetric Emergencies | Perfect for Medical Students, Midwives & OBGYN Practitioners
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DESCRIPTION
Debra Enhanced® - Impacted Fetal Head Simulator
Adam,Rouilly has worked with leading clinicians to develop an improved late-stage emergency caesarean simulation model to enable clinical teams to learn and practice what to do when a baby’s head becomes lodged deep in the mother’s pelvis during labour. Debra Enhanced® – Impacted Fetal Head Simulator has been designed to teach vital skills which can help reduce the risk to mothers and babies during caesarean births. It has been designed as a multi-disciplinary teaching tool to ensure the whole team is equipped with the skills, knowledge and confidence to release an Impacted Fetal Head (IFH).
Debra Enhanced® – Impacted Fetal Head (IFH) simulator was initially invented 10 years ago in collaboration with Dr Graham Tydeman, Consultant in Obstetrics and Gynaecology – NHS Fife, Professor Andy Shennan OBE – Tommy’s Chair in Maternal and Fetal Health and Dr Annette Briley – Professor of Women’s Health & Midwifery Research, Flinders University and Northern Adelaide Local Health Network, South Australia. The original trainer ignited the topic of IFH to inspire global conversations about training for this emergency, best practice techniques and devices to ensure positive maternal and neonatal outcomes. The model was the first teaching aid of its kind and allowed for the realistic simulation of IFH. Now, we have collaborated again with the clinical team to enhance the model so that it is compatible with the latest prescribed techniques and fetal head elevation devices whilst providing an even more lifelike training experience.
Skills
Encourages multi-disciplinary team scenario training (obstetricians, midwives, anaesthetists) in the management of an impacted fetal head at full dilation caesarean section
Highly realistic vaginal examination in advanced labour
Identification of fetal head position with palpable fontanelles and suture lines
Use of manual push up techniques
Supports the use of fetal head elevation devices, e.g. Tydeman® Tube or balloon inflation devices
Use of inflatable fetal head elevation type delivery assistance devices
Enables training in the use of forceps insertion and failed forceps delivery simulation (Vaginal delivery of the head is not possible)
Successful delivery of an impacted fetal head at caesarean section with adjustable degrees of difficulty
General introduction to caesarean section and fetal head delivery
Features Debra Enhanced® simulates a realistic pregnant abdomen with a pre-cut caesarean incision, uterus and fetal head of a birthing mother with a unique mechanism to replicate fetal head impaction:
Enhanced, more realistic vaginal examination
Enhanced, palpable fontanelles and suture lines in fetal head
Variable degrees of fetal head impaction severity
Adjustable fetal head flexion and asynclitism
Enables training in the use of forceps insertion and failed forceps delivery simulation (Vaginal delivery of the head is not possible)
Compatible with manual push from below delivery methods
Supports the use of fetal head elevation devices, e.g. Tydeman® Tube or balloon inflation devices
Available in both dark and light skin tones
Designed and manufactured in the United Kingdom
Increasing Incedences
The rate of caesarean (CS) section has increased, with CS at full dilatation almost doubling in the last two decades. A comparison of techniques to disimpact the fetal head on a second stage caesarean Simulator – Anastasia Martin, Diane Nzelu, Annette Briley, Graham Tydeman and Andrew Shennan.
A 2019 study at one UK hospital found that 17% of births were by delivered emergency CS, with difficulty delivering the head affecting 20% of emergency CS and 63% and full dilatation. A comparison of techniques to disimpact the fetal head on a second stage caesarean Simulator – Anastasia Martin, Diane Nzelu, Annette Briley, Graham Tydeman and Andrew Shennan.
Improving Outcomes
Studies have demonstrated that training with a Debra simulator can reduce the force used for successful delivery, potentially improving outcomes for both mother and baby. Caesarean section at full dilatation: incidence, impact and current management – Nicola Vousden MBBS BSc,, Zillah Cargill BSc, Annette Briley MSc, Graham Tydeman MRCOG, Andrew H Shennan MD FRCOG.
Integral Training Simulator
Impacted Fetal Head now forms key parts of the of Royal College of Obstetricians and Gynaecologists Avoiding Brain Injuries in Childbirth (ABC) programme and RCOG Operative Birth Simulation Training Course (ROBuST)
93% of experienced participants and 94% of junior obstetricians deemed the Debra simulator “very useful” as a training device following use in a training group. Assessment of a Full Dilatation Caesarean Delivery Simulator – Nicola Vousden, MBBS, BSc, Zoya Hamakarim, MBBS, BSc, Annette Briley, PhD, MSc, Joanna Girling, FRCOG, Paul T. Seed, Msc, CSTAT, Graham Tydeman, FRCOG, and Andrew H. Shennan, MD, FRCOG.
2 Year Guarantee
This model, manufactured by Adam,Rouilly, comes with a 2 Year Guarantee
This guarantee applies to models which have been used correctly and covers durability and functionality
Includes
Debra Enhanced® simulator mounted on a base with straps
Extension strap set for wider hospital beds
Lubricant
Instruction Manual
Carry case with wheels for easy transportation
Cleaning
Once training is finished, wipe off any excess lubricant from the fetal head, uterus and birth canal
The model may be flushed with warm water to remove remaining ultrasound gel if required
Do not use soap, detergents or any other chemical cleaners to clean the model
Important
The model has been designed for use solely with ultrasound gel
Do not use any other lubricant as it may damage the model and invalidate your guarantee
Never use the model without first applying ultrasound gel to the fetal head, uterus and birth canal
Do not allow the model to dry out during use; re-apply lubricant as necessary
Non-lubricated use will damage the model
Note that the model weighs 15kg
Forceps may be inserted vaginally into the model to simulate a failed forceps delivery. Attempting to do so may damage the model and invalidate your guarantee
Vaginal delivery of the head is not possible. Attempting to do so may damage the model and invalidate your guarantee
After use, the fetal head must remain extracted and outside the caesarean opening
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