Actively Recruiting
Effects of Systematic Cervical Exam Training on Labor and Delivery Care
Led by Wake Forest University Health Sciences · Updated on 2025-12-18
1125
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
The trial investigates how systematic cervical exam training affects labor and delivery care by improving the accuracy and consistency of cervical exams performed by healthcare providers. Cervical exams are critical in assessing labor progression, and the study aims to see if training reduces the number of exams during labor and increases agreement between examiners. This research includes both retrospective and prospective comparisons before and after the training is introduced. Healthcare providers such as physicians, nurses, and midwives working in Labor and Delivery will undergo repetitive training using a high-fidelity cervical exam simulator. Each provider will practice on silicone task trainers multiple times until reaching a set competence level within a three-month training period. The number of cervical exams per hour and the difference between two examiners’ assessments done within 30 minutes will be compared over six months before and after training. Participants include both healthcare providers trained on the simulator and pregnant women receiving labor care. Patients will be asked for consent to have two cervical exams performed consecutively when clinically needed to measure exam consistency. Researchers will monitor the number of exams patients receive and examine discrepancies between examiners. The study involves data collection over several months before and after training, focusing on exam frequency and accuracy to evaluate the training’s impact.
CONDITIONS
Brief Title
Effects of Systematic Cervical Exam Training on Labor and Delivery Care
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Healthcare providers including physicians, midwives, and labor and delivery nurses working on the Labor and Delivery unit within Wake Forest Baptist Birth Center
- Pregnant women receiving care on the Labor and Delivery unit at Wake Forest Baptist Birth Center
You will not qualify if you...
- Pregnant women with placenta previa
- Pregnant women with vasa previa
- Pregnant women with any other contraindication to cervical exam
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to 3 months
Healthcare providers practice cervical exam training on high-fidelity simulators until they achieve competence. Training consists of examining sets of 10 silicone task trainers about three times per week, for a maximum of 20 sessions (200 repetitions total).
Training sessions approximately three times per week, up to 20 sessions
Duration - Six months before and six months after training completion
Participants receiving labor and delivery care are observed to assess the number of cervical exams performed and the discrepancy between two examiners before and after the training is instituted.
Ongoing clinical assessments during labor and delivery care
Trial Site Locations
Total: 1 location
1
Wake Forest University Health Sciences
Winston-Salem, North Carolina, United States, 27157
Actively Recruiting
Research Team
J
Joshua F Nitsche, MD
D
Devin M Fariss
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
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