Childbirth simulation to assess cephalopelvic disproportion and chances for failed labor in a French population

Abstract

Reducing failed labor and emergency cesarean section (CS) rates is an important goal. A childbirth simulation tool (PREDIBIRTH software and SIM37 platform) that evaluates a 5-min magnetic resonance imaging (MRI) assessment performed at 37 weeks of gestation was developed to enhance the consulting obstetrician’s ability to predict the optimal delivery mode. We aimed to determine the potential value of this childbirth simulation tool in facilitating the selection of an optimal delivery mode for both mother and infant. A retrospective cohort study was performed on all patients referred by their obstetricians to our level 2 maternity radiology department between December 15, 2015 and November 15, 2016, to undergo MRI pelvimetry at approximately 37 weeks of gestation. The childbirth simulation software was employed to predict the optimal delivery mode based on the assessment of cephalopelvic disproportion. The prediction was compared with the actual outcome for each case. Including childbirth simulations in the decision-making process had the potential to reduce emergency CSs, inappropriately scheduled CSs, and instrumental vaginal deliveries by up to 30.1%, 20.7%, and 20.0%, respectively. Although the use of the simulation tool might not have affected the overall CS rate, consideration of predicted birthing outcomes has the potential to improve the allocation between scheduled CS and trial of labor. The routine use of childbirth simulation software as a clinical support tool when choosing the optimal delivery mode for singleton pregnancies with a cephalic presentation could reduce the number of emergency CSs, insufficiently justified CSs, and instrumental deliveries.

BPM application in clinical process improvement: a women 'hospital case study

“…Children's birth simulations were used in a study (Ami et al, 2023) to determine when labor would fail due to cephalopelvic disproportions. Using PREDIBIRTH software and the SIM37 BPMJ 30,3 platform, they showed how childbirth simulation software can help reduce emergency CSs in singleton pregnancies with cephalic presentations.…”

“…This organization of labor is the organization of placental division and removal. (Kilpatrick and Laros, 1989) 2.2 Review of previous studies According to the field of our research, we have reviewed the articles, respectively, for BPM in health care in references (Pufahl et al, 2022;Kirikkayis et al, 2022;Basri et al, 2021;Sbayou et al, 2019), BPM in clinical processes including (Bianchi et al, 2021;Pereira et al, 2020;Combi et al, 2021;Becker et al, 2020;Pasichnyk et al, 2023;Combi et al, 2017;de Lima et al, 2023), and in the field of natural childbirth process in obstetrics and gynecology hospitals including articles (Shahveisi et al, 2023;Ami et al, 2023;Khodarahmi et al, 2023;Olza et al, 2020;Moridi et al, 2020;Vogel et al, 2021).…”

“…, 2023; Combi et al ., 2017; de Lima et al. , 2023), and in the field of natural childbirth process in obstetrics and gynecology hospitals including articles (Shahveisi et al ., 2023; Ami et al ., 2023; Khodarahmi et al. , 2023; Olza et al ., 2020; Moridi et al ., 2020; Vogel et al ., 2021).…”