Impact of a Simulation-Based Training Program on Cup Detachment During Vacuum-Assisted Vaginal Birth: Protocol for a Multicenter Quasi-Experimental Before-and-After Study

Background

Safe vacuum-assisted vaginal birth depends on appropriate case selection, accurate cup placement, controlled traction, recognition of technical difficulty, and timely abandonment of an unsuccessful attempt. Simulation-based education can improve procedural performance, but evidence that vacuum-specific simulation changes patient-level clinical practice remains limited.