Birthing Simulator PROMPT Flex – Advanced

• 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

• 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

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
• Please note: PROMPT software is only supported on iOS and Windows devices
• User definable text in the software allows for intervention and birthing scenario names to be edited into the user’s native language

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

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

• Clean off excess lubricant from all mother and baby surfaces
• Wipe 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

• 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

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

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

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

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

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

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

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.

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

Both Standard and Advanced birthing simulators act as a base for the wider PROMPT Flex range. While both are suitable for basic obstetric training, they can support the additional modules that are designed to cover more complex obstetric procedures and enhance the training experience.

• Enhanced Caesarean Section module – suitable for the practice of routine and complex c-sections (this module requires the Standard PROMPT Flex Baby)
• Postpartum Haemorrhage module – give training in the management of postpartum bleeding
• Cervical Dilatation & 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, compression suture and ligating of the uterine artery
• Cervical Cerclage module – practice of elective or emergency cerclage to prevent pre-term birth
• Assisted Vaginal Birth module – practice of instrumental delivery procedures
• Lower Legs – with articulation, these offer increased realism when used with the birthing mother
  

When developing the PROMPT birthing simulator and modules, Limbs & Things knew it was important to represent a wide range of birthing scenarios, without creating a model that was too complicated to use in training.

The modular design means that one base unit can support 5 modules, and training with 4 independent trainers, as well as being a standalone birthing simulator.

Each of the PROMPT modules and trainers gives a platform dedicated to specific skills, allowing trainees to focus their training and gain confidence in procedures.

Limbs & Things expanded the PROMPT range to include dark skin tone models, an important step to represent the wider population, allowing for more open discussions around ethnic disparities in maternal outcomes, such as those identified by MBRRACE. Their report shows that a woman is three times more likely to die because she has black skin, and two times more likely to die because she’s of Asian descent.

One of Limbs & Things’ core principles is to improve patient outcomes, and this aligns with the PROMPT Maternity Foundation’s aim to reduce preventable harm to mothers and babies in maternity care. Through studies, such as SAFE, they’ve identified key points regarding training in the real world, to help target the needs of maternity patients and staff.

Their expertise & training has led to significant impact across the globe, including:

Maternal outcomes

• 30% reduction in caesarean sections in Kansas, USA
• 40% quicker deliveries via emergency caesarean section in Bristol, UK
• 34% reduction in maternal deaths in Mpilo Hospital, Zimbabwe
• 26% reduction in maternal deaths in hospitals in the Philippines

Foetal outcomes

• 100% reduction of permanent bracial plexus injury, Kansas, USA
• 30% reduction in APGAR scores under 7 at 5 minutes, Kansas, USA
• 50% reduction of hypoxic brain injury (HIE), Bristol, UK
• 45% reduction of school-aged cerebral palsy, Bristol, UK

The PROMPT Foundation’s ongoing work in maternity training gives a valuable insight into key skills to support with simulation training, and the needs of medical professionals and patients.

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.

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.

• Weight: 22.8 kg
• Width: 57 cm
• Height: 39 cm
• Length: 86 cm