Cervical Exam Training for Labor and Delivery Care

This study is looking at how a special training program for healthcare providers can improve care during labor and delivery. The training involves practicing cervical exams on high-fidelity silicone models. The goal is to see if this training helps reduce the number of cervical exams pregnant women receive during labor and makes the exams more consistent between different healthcare providers. Healthcare providers (doctors, midwives, and nurses) working in the Wake Forest Baptist Birth Center can join this study. Pregnant women receiving care at the same center can also participate, unless they have certain conditions like placenta previa or vasa previa. The study will measure how many practice sessions healthcare providers need to become skilled and how many exams patients receive before and after the training.

Study design
This interventional study plans to enroll 1125 participants. It compares patient care before and after a training program for healthcare providers.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Patient exam numbers will be measured for six months before and six months after the training period.

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NCT04421768

Effects of Systematic Cervical Exam Training on Labor and Delivery Care

Recruiting
NAAll AgesInterventionalSupportive care
Wake Forest University Health Sciences
~1,125 participants
Updated 2026-06-17 on ClinicalTrials.gov
What's tested:cervical exam training

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Number of repetitions needed to obtain competence
Measured over 3 month training period
+2 more outcomes measured
Delivery Problem
Cervix; Pregnancy
Pregnancy Related
1 sites across 1 states
North Carolina1
  • Joshua F Nitsche, MD · PRINCIPAL_INVESTIGATOR · Wake Forest University Health Sciences

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Eligibility criteria

Exclusion

placenta previa
vasa previa
any other contraindication to cervical exam
  • Number of repetitions needed to obtain competence3 month training period

    The number of simulated cervical exams each provider needs to reach a pre-specified level of accuracy.

  • Number of exams patients receiveSix months period before training

    Number of exams per hour of labor or triage visit

  • Number of exams patients receiveSix month post training

    Number of exams per hour of labor or triage visit