An empirical model for educational simulation of cervical dilation in first-stage labor

Silvano R. Gefferie, Anouk W.J. Scholten, Kim A.E. Wijlens, M. Luísa Ferreira Bastos, M. Beatrijs van der Hout-van der Jagt, Hans Zwart, Willem J. van Meurs

Onderzoeksoutput: Bijdrage aan tijdschriftTijdschriftartikelAcademicpeer review

Uittreksel

Background: Several models for educational simulation of labor and delivery were published in the literature and incorporated into a commercially available training simulator (CAE Healthcare Lucina). However, the engine of this simulator does not include a model for the clinically relevant indicators: uterine contraction amplitude and frequency, and cervical dilation. In this paper, such a model is presented for the primigravida in normal labor.

Methods: The conceptual and mathematical models represent oxytocin release by the hypothalamus, oxytocin pharmacokinetics, and oxytocin effect on uterine contractions, cervical dilation, and (positive) feedback from cervical dilation to oxytocin release by the hypothalamus.

Results: Simulation results for cervical dilation are presented, together with target data for a normal primigravida. Corresponding oxytocin concentrations and amplitude and frequency of uterine contractions are also presented.

Conclusion: An original empirical model for educational simulation of oxytocin concentration, uterine contractions, and cervical dilation in first-stage labor is presented. Simulation results for cervical dilation match target data for a normal patient. The model forms a basis for taking into account more independent variables and patient profiles and can thereby considerably expand the range of training scenarios that can be simulated.

TaalEngels
Artikelnummer9
Aantal pagina's4
TijdschriftAdvances in Simulation
Volume3
Nummer van het tijdschrift1
DOI's
StatusGepubliceerd - 15 jun 2018

Vingerafdruk

Educational Models
First Labor Stage
Oxytocin
Dilatation
Uterine Contraction
Hypothalamus
Theoretical Models
Pharmacokinetics
Delivery of Health Care

Citeer dit

Gefferie, S. R., Scholten, A. W. J., Wijlens, K. A. E., Ferreira Bastos, M. L., van der Hout-van der Jagt, M. B., Zwart, H., & van Meurs, W. J. (2018). An empirical model for educational simulation of cervical dilation in first-stage labor. Advances in Simulation, 3(1), [9]. DOI: 10.1186/s41077-018-0068-3
Gefferie, Silvano R. ; Scholten, Anouk W.J. ; Wijlens, Kim A.E. ; Ferreira Bastos, M. Luísa ; van der Hout-van der Jagt, M. Beatrijs ; Zwart, Hans ; van Meurs, Willem J./ An empirical model for educational simulation of cervical dilation in first-stage labor. In: Advances in Simulation. 2018 ; Vol. 3, Nr. 1.
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abstract = "Background: Several models for educational simulation of labor and delivery were published in the literature and incorporated into a commercially available training simulator (CAE Healthcare Lucina). However, the engine of this simulator does not include a model for the clinically relevant indicators: uterine contraction amplitude and frequency, and cervical dilation. In this paper, such a model is presented for the primigravida in normal labor.Methods: The conceptual and mathematical models represent oxytocin release by the hypothalamus, oxytocin pharmacokinetics, and oxytocin effect on uterine contractions, cervical dilation, and (positive) feedback from cervical dilation to oxytocin release by the hypothalamus.Results: Simulation results for cervical dilation are presented, together with target data for a normal primigravida. Corresponding oxytocin concentrations and amplitude and frequency of uterine contractions are also presented.Conclusion: An original empirical model for educational simulation of oxytocin concentration, uterine contractions, and cervical dilation in first-stage labor is presented. Simulation results for cervical dilation match target data for a normal patient. The model forms a basis for taking into account more independent variables and patient profiles and can thereby considerably expand the range of training scenarios that can be simulated.",
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An empirical model for educational simulation of cervical dilation in first-stage labor. / Gefferie, Silvano R.; Scholten, Anouk W.J.; Wijlens, Kim A.E.; Ferreira Bastos, M. Luísa; van der Hout-van der Jagt, M. Beatrijs; Zwart, Hans; van Meurs, Willem J.

In: Advances in Simulation, Vol. 3, Nr. 1, 9, 15.06.2018.

Onderzoeksoutput: Bijdrage aan tijdschriftTijdschriftartikelAcademicpeer review

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T1 - An empirical model for educational simulation of cervical dilation in first-stage labor

AU - Gefferie,Silvano R.

AU - Scholten,Anouk W.J.

AU - Wijlens,Kim A.E.

AU - Ferreira Bastos,M. Luísa

AU - van der Hout-van der Jagt,M. Beatrijs

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AU - van Meurs,Willem J.

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N2 - Background: Several models for educational simulation of labor and delivery were published in the literature and incorporated into a commercially available training simulator (CAE Healthcare Lucina). However, the engine of this simulator does not include a model for the clinically relevant indicators: uterine contraction amplitude and frequency, and cervical dilation. In this paper, such a model is presented for the primigravida in normal labor.Methods: The conceptual and mathematical models represent oxytocin release by the hypothalamus, oxytocin pharmacokinetics, and oxytocin effect on uterine contractions, cervical dilation, and (positive) feedback from cervical dilation to oxytocin release by the hypothalamus.Results: Simulation results for cervical dilation are presented, together with target data for a normal primigravida. Corresponding oxytocin concentrations and amplitude and frequency of uterine contractions are also presented.Conclusion: An original empirical model for educational simulation of oxytocin concentration, uterine contractions, and cervical dilation in first-stage labor is presented. Simulation results for cervical dilation match target data for a normal patient. The model forms a basis for taking into account more independent variables and patient profiles and can thereby considerably expand the range of training scenarios that can be simulated.

AB - Background: Several models for educational simulation of labor and delivery were published in the literature and incorporated into a commercially available training simulator (CAE Healthcare Lucina). However, the engine of this simulator does not include a model for the clinically relevant indicators: uterine contraction amplitude and frequency, and cervical dilation. In this paper, such a model is presented for the primigravida in normal labor.Methods: The conceptual and mathematical models represent oxytocin release by the hypothalamus, oxytocin pharmacokinetics, and oxytocin effect on uterine contractions, cervical dilation, and (positive) feedback from cervical dilation to oxytocin release by the hypothalamus.Results: Simulation results for cervical dilation are presented, together with target data for a normal primigravida. Corresponding oxytocin concentrations and amplitude and frequency of uterine contractions are also presented.Conclusion: An original empirical model for educational simulation of oxytocin concentration, uterine contractions, and cervical dilation in first-stage labor is presented. Simulation results for cervical dilation match target data for a normal patient. The model forms a basis for taking into account more independent variables and patient profiles and can thereby considerably expand the range of training scenarios that can be simulated.

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