Cervical Dilatation & Effacement Module (CD&E) - PROMPT Flex (Light Skin Tone)
Part of the PROMPT Flex range, the Cervical Dilatation & Effacement Module allows for training in the assessment and management of both the latent, and active, early stages of labor.
This model can be used to create a wide variety of birthing scenarios to identify:
- Position/tilt of the cervix
- Consistency of the cervix
- Cervical effacement
- Cervical dilation – early/latent phase, active phase and transition phase
- Fetal station
- Normal and abnormal foetal presentation
- Moulding of the skull bones
- Caput formation
- Presence of membrane and amniotic fluid
This cervical dilation module can be purchased as an add-on to the Standard or Advanced PROMPT Flex simulators, and allows for the assessment of labor progression, likelihood of vaginal delivery, and suitability for induction.
Overview
- Trainees are able to practise the skills required to assess both normal and complicated births
- Palpable ischial spines allowing for accurate assessment of station
- Model accommodates a variety of training methods
Realism
- Rupturable membrane, with fluid, on flexed or deflexed head
- Dynamic Rig allows adjustment of dilation enabling scenario based, and communication skills, training
- Realistic representation of cervices, including anterior lip
Versatility
- Offers a large variety of presentations, including: stations, relative positions, and degrees of rotation
- Easy removal and replacement of presenting parts and cervices when using the Static Rig
- Presenting parts and cervix can be set up externally to the model for demonstration
Cleaning
- Remove excess lubricant from the component surfaces
- Clean components with a soft damp cloth, warm water and mild detergent
- Allow to dry before storing trainer
Safety
- This product is latex free
- Using alternative lubricants to that recommended, may weaken or damage components of the cervical dilation model
- Wear gloves while handling the simulator and during procedures, sharp surfaces (fingernails and jewellery) can lead to silicone damage
- To prolong the life of caputs, keep covered in the supplied plastic tray when not in use
Simulated Patient
- The PROMPT Flex range is suitable for use with a simulated patient
Anatomy
Cervices:
- 0cm dilation, unripe/firm, no effacement
- 1cm dilation, unripe, 40% effacement
- 2cm dilation, medium ripeness/firmness, 50% effacement
- 3cm dilation, ripe/soft, 65% effacement
- 4cm dilation, ripe/soft, 70% effacement
- 4cm dilation, ripe/soft, 100% effacement
- Anterior lip, approximately 10cm dilation
- Dynamic cervix for use with dynamic rig, allows for cervical dilation from 4cm to 10cm, ripe/soft, 100% effacement
Presenting parts:
- Flexed head
- Deflexed head
- Face presentation
- Brow presentation
- Breech presentation
Moulding and caput formation:
- Flexed or deflexed head
- Parietal bones, one fixed and two moveable to simulate variation of moulding
- 3 sizes of caput
Skills Gained
Vaginal examination to assess:
- Position of the cervix
- Foetal presenting part
- Moulding and caput formation
- Presence/absence of membrane
Calculation of Bishop’s Score (also known as Pelvic Score):
5 measurements of the pelvic examination:
- Centimetres dilated
- Effacement
- Foetal station
- Consistency
- Position
Other score modifiers:
- Pre-eclampsia
- Each previous vaginal delivery
- Postdate pregnancy
- Nulliparity
- Premature preterm rupture of membranes
Cervical Dilation and Effacement model contents |
Light | Dark |
|---|---|---|
| What's included | 80102 | 80202 |
| Perineum for PROMPT Flex CD&E Module | 80138 | 80238 |
| Pelvic Ring | 80139 | 80239 |
| Static Rig | 80140 | 80140 |
| Dynamic Rig | 80141 | 80141 |
| Set of 7 Latent Labour Cervices | 80142 | 80142 |
| Dynamic Cervix | 80143 | 80143 |
| Set of 5 Presenting Parts | 80144 | 80244 |
| Set of 2 Difficult Labour Heads (including parietal bones and 1 skin) | 80145 | 80245 |
| Amniotic Membrane Set (includes 25 membrane sheets, O ring, syringe and fluide tube) | 80146 | 80146 |
| Set of 6 Caputs (2 of each size suoolied in a plastic tray) | 80162 | 80262 |
References
Obstetric Training
ACGME OB/GYN Milestones (p. 8): Demonstrates basic knowledge of routine/uncomplicated intrapartum obstetrical care including, conduct of normal labor
Can the foetal orientation be changed on the cervical dilation model?
Yes, using the presenting pieces, the fetal station, orientation and tilt can be changed for different training scenarios. With the simple to use system, these can all be changed without removal of the head from the simulator.
Are you able to practice artificial membrane rupture with the module?
You are, the Cervical Dilatation & Effacement Module comes with 25 membrane sheets that can be secured over the Flexed or Deflexed Head. Using the syringe and tube included, warm water can be injected through the head piece to replicate the amniotic fluid. This can then be artificially ruptured using an amniotic hook or finger cot.
Why does the Cervical Dilation & Effacement module come with a different perineum to the PROMPT Flex?
This perineum has been specifically designed for use with this simulator. The vaginal opening is smaller and more durable than the birthing perineum, improving the realism when assessing the early progress of labour.
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