Authors: Benjamin Merrell
Mentors: Preston Manwaring
Insitution: Brigham Young University
Stage 1 and 2 labor is often characterized by manual examination of the maternal pelvis for fetal position and continuous monitoring by fetal cardiotocography. This practice has not changed in decades despite newer technology becoming available. Manual pelvic examinations have wide inter-examiner variability. Newer technology requires education and training.
Unfortunately, both the decades old standard of care and newer technologies target Western markets with high reimbursements. Our lab is seeking to develop simple, robust, reliable, and low-cost technologies for low- and middle-income countries (LMICs) that don’t require the extensive education and training of modern western medical technologies.
To facilitate this development, we, in collaboration with obstetric professionals, have created a 3D-printed test jig with a movable carriage that follows the normal path of fetal head delivery to test various stage 1 and 2 labor technologies in both dry and aqueous environments. Device requirements include: 1) delivery path must be representative of normal nulliparous and multiparous fetal head trajectories; 2) device must not utilize electronics or metal that could interfere with various tracking technologies; 3) device must provide a repeatable path for inter-technology evaluations; 4) device should allow for later expansion for higher-fidelity simulations. This presentation represents our early development work and initial outcomes.