Cervical Dilatation & Effacement Module (CD&E) – PROMPT Flex

• 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

• 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

• 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

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

• The PROMPT Flex range is suitable for use with a simulated patient

• 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

• 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

ACGME OB/GYN Milestones (p. 8): Demonstrates basic knowledge of routine/uncomplicated intrapartum obstetrical care including, conduct of normal labor

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: … Induction of labour, including use of appropriate cervical ripening agents; augmentation of labour with amniotomy and/or oxytocin;

NHS Obstetric Guidelines (p.48) Assessment of progress include: parity, rate of cervical dilatation, woman's emotional state, descent and rotation of baby's head, changes in strength, duration and frequency of uterine contractions

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.

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.

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.

• Weight: 6.8 kg
• Width: 48 cm
• Height: 29 cm
• Length: 54.9 cm