High-Fidelity Simulation-Based Breech Birth Education in Midwifery Students

NCT07635667 | Completed

• 1 other identifier: KBU-EBE-MAKAT-2024-2020
• Study Type: interventional
• Target: 102
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this randomized controlled clinical trial is to evaluate whether high-fidelity simulation-based breech birth management education improves knowledge, clinical skill performance, and satisfaction among midwifery students. The main questions this study aims to answer are: Does high-fidelity simulation-based breech birth education improve midwifery students' knowledge levels compared with low-fidelity mannequin-based practice? Does high-fidelity simulation-based breech birth education improve midwifery students' clinical skill performance compared with low-fidelity mannequin-based practice? Researchers will compare midwifery students receiving high-fidelity simulation-based breech birth education with students receiving low-fidelity mannequin-based practice to determine whether the high-fidelity simulation method is more effective in improving breech birth management knowledge and skills. Participants will: Complete a pre-test assessing breech birth knowledge before the educational intervention. Receive theoretical education on breech birth management. Be randomly assigned to either the high-fidelity simulation group or the low-fidelity mannequin-based practice group. Complete a post-test assessing breech birth knowledge after the intervention. Be evaluated for breech birth management skills using a structured skill assessment form. Complete a simulation satisfaction scale after the simulation-based education.

Conditions

Breech Presentation in Pregnancy; Midwifery Education; Simulation Training

Keywords

Breech birth; High-fidelity simulation; Midwifery students; Simulation-based education

Outcome Measures

Primary Outcomes (2)

• Change in Breech Birth Knowledge Score

  Breech birth knowledge was assessed using a structured knowledge test developed for the study. The test evaluated students' knowledge of breech presentation, intrapartum management principles, possible complications, and basic maneuvers used in breech birth management. Higher scores indicate a higher level of knowledge.

  Baseline and immediately after the educational intervention

• Breech Birth Skill Performance Score

  Breech birth management skill performance was assessed using a structured skill assessment form. The form evaluated students' ability to perform the required steps of breech birth management and obstetric maneuvers in an appropriate sequence. Higher scores indicate better clinical skill performance.

  Immediately after the practical training session

Secondary Outcomes (1)

• Simulation Experience Satisfaction Score

  Immediately after the simulation-based education

Study Arms (2)

High-Fidelity Simulation Group

EXPERIMENTAL

Participants in this group received theoretical education on breech birth management followed by high-fidelity simulation-based breech birth management training. The training included orientation to the simulation environment, scenario-based practice, and feedback/debriefing.

Behavioral: High-Fidelity Simulation-Based Breech Birth Education

Low-Fidelity Mannequin Practice Group

ACTIVE COMPARATOR

Participants in this group received the same theoretical education on breech birth management followed by low-fidelity mannequin-based practice. The practice focused on the basic procedural steps and obstetric maneuvers used in breech birth management.

Behavioral: Low-Fidelity Mannequin-Based Breech Birth Practice

Interventions

High-Fidelity Simulation-Based Breech Birth Education BEHAVIORAL

This educational intervention consisted of theoretical education followed by high-fidelity simulation-based breech birth management training. The simulation scenario was designed to support students' knowledge, clinical skill performance, decision-making, and preparedness for breech birth management.

High-Fidelity Simulation Group

Low-Fidelity Mannequin-Based Breech Birth Practice BEHAVIORAL

This educational intervention consisted of theoretical education followed by low-fidelity mannequin-based practice. The practice allowed students to perform the basic steps and obstetric maneuvers of breech birth management using a low-fidelity training model.

Low-Fidelity Mannequin Practice Group

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Undergraduate midwifery students enrolled in the midwifery program.
• Students who had completed the normal birth course.
• Students who had not yet taken the high-risk birth course.
• Students who had no previous clinical or simulation experience related to breech birth management.
• Students who agreed to participate in the study voluntarily.

You may not qualify if:

• Students who had previously received training or had clinical experience related to breech birth management.
• Students who had taken the high-risk birth course before the study.
• Students who did not attend the theoretical education or practical training session.
• Students who did not complete the data collection forms.
• Students who withdrew from the study at any stage.

Sponsors & Collaborators

• Karabuk University: lead

Study Sites (1)

Karabuk University

Karabük, Karabük Province, 78050, Turkey (Türkiye)

Location

Study Officials

• Sebahat Hüseyinoğlu, Assistant Professor

  Karabuk University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MSc Student

Model Details: Participants were randomly assigned to two parallel groups. The experimental group received theoretical education followed by high-fidelity simulation-based breech birth management training, while the control group received the same theoretical education followed by low-fidelity mannequin-based practice.

Study Record Dates

• First Submitted: June 3, 2026
• First Posted: June 9, 2026
• Study Start: February 15, 2025
• Primary Completion: April 1, 2025
• Study Completion: May 30, 2025
• Last Updated: June 9, 2026

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)