80106

Birthing Simulator PROMPT Flex - Advanced (Light Skin Tone)

£6,770.00

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Now supplied with Augmented Reality Training Mats.

The Advanced PROMPT Flex Birthing Simulator is an anatomically correct representation of a mother and baby. Its modular design allows for multiple training scenarios, and it forms the base for the complete PROMPT Flex range of birthing modules.

This birthing trainer offers a hybrid solution to your training needs. Quick and easy to set up straight from the box you are able to:

Use as a stand alone model for group learning
Secure to a bench top or bed for a more realistic bedside scenario to improve professional-patient communications

In addition to the functionality of the PROMPT Flex Standard model, this version of the PROMPT has a Bluetooth enabled Force Monitoring baby.

Overview

PROMPT Flex’s modular design allows for multiple training scenarios that you can tailor to your specific course needs
Additional modules include: Postpartum Hemorrhage (PPH), Enhanced C-Section, Cervical Dilatation & Effacement (CD&E), Cervical Cerclage, Lower Legs, Compression Suture Uterus
Baby model has improved shoulder and hip joints
Bluetooth enabled baby allows for Force Monitoring with a scenario-based software (downloadable from the website)
Drills run with the software can be recorded for later review
Comes with wheeled carry case for safe storage and transportation
The PROMPT Flex Range can offer a complete training solution for birth management

Realism

Gynaecoid shape pelvis with soft, flexible birth canal, dilatable cervix and pelvic floor musculature provides realism in normal and complicated births
Baby model represents a full term infant in weight and size, allowing for realistic handling
Force Monitoring software allows trainees to accurately learn the safe amount of force that can be administered during delivery

Versatility

Birthing Mother:

Stand alone or hybrid use, 3 straps are supplied to secure PROMPT simulator for bench top or bed mounting
Articulated thighs help to demonstrate Gaskin and McRobert’s procedures
Handle on the base of the mannikin for operator use during labor simulation
Can be used with additional modules to extend training simulations

Baby

Improved articulation of the joints offers enhanced realism for difficult birthing scenarios, such as shoulder dystocia
Software is compatible with Windows, Mac, iOS and Andriod, and can be run on tablets as well as PCs
User definable text in the software allows for intervention and birthing scenario names to be edited into the user’s native language

Cleaning

Clean off excess lubricant from all mother and baby surfaces
Wipe clean the product with a damp soft cloth, warm water and mild detergent
NOTE: Force Monitoring Baby module contains electronics and should not be immersed in water when cleaning
Allow the birthing trainer and its components to dry before storing

Safety

This product is latex free
A poorly lubricated baby or placenta may damage the birth canal or cervix when pushed through during a procedure
We recommend lubricating the cervix, birth canal and baby before each birth
We recommend using Limbs & Things lubricant, non-recommended fluid products may weaken or damage the trainer
Wear gloves at all times, and remove all sharp objects. Sharp surfaces (such as fingernails and rings) can lead to silicone damage
Force Monitoring Baby contains electronic components, do not immerse in water
EC Declaration of Conformity, in accordance with ISO IEC 17050-1:2010
UKCA Declaration of Conformity, in accordance with UK Government Guidance
FCC Declaration of Conformity, in accordance with standard 47CFR:2008 Part 15, Sub Part C, clauses 15.207 & 15.209

Simulated Patient

The PROMPT Flex range offers multiple scenarios that can include patient simulation training

Anatomy

Anatomy of the PROMPT Birthing Mother:

Birth canal and cervix
Ischial spines and pubic bone
Gynaecoid pelvis
Articulating Thighs, with injection pad
Abdomen

Anatomy of the PROMPT Baby:

Umbilical cord and placenta (detachable)
Clavicles
Suture lines and fontanelles

Skills Gained

Training and practice in the following types of birth:
- Normal
- Vaginal breech
- Shoulder dystocia with force feedback*
- Vaginal assisted (forceps and vacuum devices)
- Third stage of labour
Cord prolapse
Urinary catheter placement
IM injection
Communication and teamwork skills

*Force feedback is unique to this model and not available on the PROMPT Flex Standard

Evidence

"Training for Shoulder Dystocia: A Trial of Simulation Using Low-Fidelity and High-Fidelity Mannequins."

Crofts, J. F., C. Bartlett, et al. (2006). "Training for Shoulder Dystocia: A Trial of Simulation Using Low-Fidelity and High-Fidelity Mannequins." Obstet Gynecol 108(6): 1477-1485.

"Management of Shoulder Dystocia: Skill Retention 6 and 12 Months After Training."

Crofts, J. F., C. Bartlett, et al. (2007). "Management of Shoulder Dystocia: Skill Retention 6 and 12 Months After Training." Obstet Gynecol 110(5): 1069-1074.

"Shoulder dystocia training using a new birth training mannequin."

Crofts, J. F. A., Georgios; Read, Mike; Sibanda, Thabani; Draycott, Timothy J. (2005). "Shoulder dystocia training using a new birth training mannequin." BJOG: An International Journal of Obstetrics & Gynaecology 112(7): 997-999.

"Patient-actor perception of care: a comparison of obstetric emergency training using manikins and patient-actors."

Crofts, J. F. B., C; Ellis, D; Winter, C; Donald, F; Hunt, L P; Draycott, T J (2008). "Patient-actor perception of care: a comparison of obstetric emergency training using manikins and patient-actors." Quality & Safety in Health Care 17(1): 20-24.

"Improving Neonatal Outcome Through Practical Shoulder Dystocia Training."

Draycott, T. J., J. F. Crofts, et al. (2008). "Improving Neonatal Outcome Through Practical Shoulder Dystocia Training." Obstet Gynecol 112(1): 14-20.

Objective: To compare the management of neonatal injury associated with shoulder dystocia before and after introduction of mandatory should dystocia simulation training.

Conclusion: The introduction of shoulder dystocia training for all maternity staff was associated with improved management and neonatal outcomes of births complicated by shoulder dystocia.

"Shoulder Dystocia: Using Simulation to Train Providers and Teams."

Fahey, J. O. M., MPH, CNM; Mighty, Hugh E. MD (2008). "Shoulder Dystocia: Using Simulation to Train Providers and Teams." Journal of Perinatal & Neonatal Nursing 22(2): 114-122.

Comparison	Product No.
Skills	80106	80100
Training and practice in the following types of birth:
Normal	Yes	Yes
Vaginal breech	Yes	Yes
Shoulder dystocia	Yes	Yes
Shoulder dystocia with force feedback	Yes	No
Vaginal assisted (forceps and vacuum devices)	Yes	Yes
Third stage of labor	Yes	Yes
Cord prolapse	Yes	Yes
Urinary catheter placement	Yes	Yes
IM injection	Yes	Yes
Communication and teamwork skills	Yes	Yes

Product Contains

Light
Dark

Birthing Mother PROMPT Flex - Standard/Advanced (Light Skin Tone)

Light
Dark

Baby - PROMPT Flex - Advanced

Placenta PROMPT Flex - Standard/Advanced

Light
Dark

Abdomen PROMPT Flex - Standard/Advanced (Light Skin Tone)

Light
Dark

Perineum & Birth Canal PROMPT Flex - Standard/Advanced (Light Skin Tone)

Wheeled Carry Case

Birthing Lubricant Gel (500ml)

NEW

ART Mat for PROMPT Flex Birthing Simulator

Comparison		Product No.
What's included		80100	80106
80120	Birthing Mother (with upper legs)	Yes	Yes
80121	Standard Baby	Yes	No
80122	Wireless Force Monitoring Baby (Bluetooth)	No	Yes
80123	Placenta	Yes	Yes
80124	Abdomen for PROMPT Flex	Yes	Yes
80125	Perineum and Birth Canal for PROMPT Flex	Yes	Yes
10199	PROMPT Birthing Lubricant (500ml)	Yes	Yes
01000	Wheeled Carry Case	Yes	Yes
-	Birthing simulator software downloadable from the downloads tab	No	Yes

References

Family Medicine

AAFP Residency Guidelines, Maternity Care (p.9): Shoulder dystocia: understand risk factors, prevention, recognition, and management using ALSO protocols; Assisted deliveries: understand indications for and appropriate use and application of a vacuum extractor; understand indications for forceps

Paramedic

National Association of State EMS Officials: National Model EMS Clinical Guidelines (page 146, 2016 - update 2018) Childbirth: Recognize imminent birth; assist with uncomplicated delivery situations; recognize complicated delivery situations; apply appropriate techniques when delivery complications exist; Shoulder Dystocia, Prolapsed Umbilical Cord, Breech Birth, Postpartum Hemorrhage

Obstetric Training

ACGME, ABOG & ACOG Milestones project - The Obstetrics and Gynecology Milestones (2013) Obstetrical Technical Skills - Patient Care level 2 - Performs basic obstetrical skills, including spontaneous vaginal delivery Level 4 - Perfroms complex obstetical procedures, including operative vaginal delivery, breech vaginal delivery

OB/GYNAE

RANZCOG Curriculum, 3rd Ed. (Nov. 2017) Safely manage and conduct all obstetric procedures involved in intrapartum care when appropriate after consideration of indications, contraindications, technique and potential complications, including a detailed knowledge of the following procedures: Spontaneous vaginal birth; Management of cord prolapse; Vaginal breech birth; Instrumental vaginal birth, including safe and appropriate vacuum and forceps deliveries including instrumental delivery Shoulder dystocia management

Clinical Skills Development Service - MEP Foundation

Maternity Education Program (MEP) Foundation is a one day simulation workshop designed for medical and midwifery staff who are new to working in a maternity clinical environment. The session provides an introduction to the clinical management of pregnant women throughout labour, birth and the postnatal period, and dealing with complications along the way. The day is broken down into: • interactive case discussion and management • skills stations with application into a simulated environment • supported debrief to enable learners to improve their knowledge for clinical practice

Clinical Skills Development Service - MEP Advanced

Maternity Education Program (MEP) Advanced is a one day simulation workshop designed for medical and midwifery staff who are currently working in a maternity clinical environment. The session explores pregnancy related issues, intrapartum complexities and postnatal complications through simulation and case studies. The day is broken down into: • refresher on Human Factors in health care, Crisis Resource Management (CRM) principles and graded assertiveness • skills stations associated with the simulations • several immersive simulations (with supportive debrief) to enable learners to improve their knowledge and skills

Obstetric Training

RCOG Core Curriculum (2013, updated 2016) - Core Module 11, Management of Delivery Learning outcomes: To understand and demonstrate appropriate knowledge, skills and attitudes in relation to management of delivery including: Normal delivery, Vacuum extraction, Forceps delivery, Shoulder dystocia, cord prolapse, Rotational assisted delivery, Vaginal breech. RCOG Operative Birth Simulation Training - ROBuST (2016) The ROBuST package has been developed to provide guidance and materials for local trainers to deliver operative vaginal birth training within their own regions. SCOTTIE (2006) The aim of the course is to provide participants with the knowledge and skills to respond appropriately to emergencies in pregnancy and childbirth. Indicative content: Obstetric haemorrhage, Shoulder dystocia, Breech. MOET (2017) To provide the knowledge, practical skills and procedures necessary to save the mother and fetus in life-threatening circumstances.

Undergraduate Nursing

The European Union and Article 40 (training of midwives) of Directive 2005/36/EU (Pre-registration midwifery): the student should personally carry out at least 40 deliveries.... including active participation with breech deliveries. Where this is not possible because of lack of breech deliveries practice may be in a simulated situation

Interventional Radiology

Interventional Radiology Specialty Training Curriculum, The Royal College of Radiologists, 2019. Postpartum haemorrhage

The PROMPT birthing simulators are listed as being modular in design, what does this mean?

Standard and advanced birthing simulators are comprised of a birthing mother and baby model. The Limbs & Things PROMPT Flex range has several additional modules that can be used in combination with the birth simulator base.

Lower Legs – with articulation, these offer increased realism when used with the birthing mother
Enhanced Cesarean Section module – suitable for the practice of routine and complex c-sections
Postpartum Hemorrhage module – give training in the management of postpartum bleeding
Cervical Dilation & Effacement module – develop assessment and management skills required during latent and active first stages of labour
Compression Suture Uterus – additional module for practising common types of compression sutures and ligating the uterine artery
PPH Kit – this kit includes the postpartum haemorrhage module and compression suture uterus module for postpartum bleeding and compression suture and ligating of the uterine artery
Cervical Cerclage module – practice of elective or emergency cerclage to prevent pre-term birth

What does this childbirth simulator offer to medical students?

As part of a birth simulation, trainees will get hands-on experience with our realistic labour simulator. Simulated births offer the chance to develop their communication and teamwork skills, as well as practice fundamental skills required during labour.

Will using the PROMPT Flex Birthing Simulator during training improve neonatal outcomes?

A retrospective study undertaken by Southmead Hospital, UK, showed that after the introduction of simulation training, there was improvement seen in the management and outcomes of births complicated by shoulder dystocia. See the skills tab for more information on the study: Improving Neonatal Outcome Through Practical Shoulder Dystocia Training.