Abstract
Objective: To assess the impact of simulation for labor and delivery on the knowledge and skills of undergraduate medical students. Methodology: A cross-sectional study was conducted at Railway General Hospital from June to December 2016. This study involved undergraduate medical students. Students of fourth year MBBS were divided into two groups; Group A was taught normal delivery through powerpoint interactive lecture, whereas group B was taught normal delivery on medium fidelity simulator. Both groups undertook a pretest comprising of MCQs and OSCE. After being taught labor through two different methods both groups had a post-test comprising of MCQs and OSCE. Pre-test and post-test consisted of questions related to knowledge component of normal labor and delivery mechanism. The two groups were compared on their knowledge and skills. Results: Total of 44 students participated. There were 14(31.8%) students in group A and 30(68.1%) students in group B. The overall mean age of the students was 21.57 ± 2.17years in group A and 21.40 ± 1.84 years in the group B (p=0.14). Group B performed much better in skill of delivery having a mean OSCE score of 8.87 ± 0.10 compared to group A which had mean OSCE score of 5.54 ± 0.13 (p= 0.004). Conclusion: Simulation based teaching showed significantly better results.There is dire need for the development of modern teaching and learning strategies considering the changing milieu of clinical practice in Pakistan.

Fareesa Waqar, Wajiha Shadab, Beenish Riaz, Safia Khalil. (2019) Simulation for Labor and Delivery: What is the Impact on Undergraduates?, Journal of the Society of Obstetrics and Gynaecologists of Pakistan , Volume-09, Issue-3.
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