Safe Childbirth Through Simulation Initiative

The Safe Childbirth Through Simulation Initiative (SCSI) brings together a diverse global team of healthcare professionals, simulation experts, digital health researchers, and e-learning designers to develop innovative, accessible simulation-based safe c-section training programs for healthcare providers and simulation facilitators.
Our training is designed to enhance team communication, clinical leadership, patient-centered care, and procedural skills, with the incorporation of extended reality (XR) simulations to provide immersive, hands-on training for an enhanced understanding of surgical anatomy and, therefore, surgical safety.
Cesarean sections account for roughly one-fifth of all births worldwide, according to the World Health Organization. While the procedure can be life-saving, it also poses risks.
CGHSR is partnering with Mekelle University in Ethiopia and the University of Global Health Equity (UGHE) in Rwanda to develop training modules for obstetricians that outline the importance of informed consent and how to provide it in addition to patient counseling. Our video modules will include training on:
- Patient counseling and informed consent
- Clinical decision making
- Compassionate care
- Communication with non-clinical partners
- Patient transfer and positioning
- Preparation for surgery
- Managing complications associated with cesarean section
- Aftercare instructions and patient discharge
“Due to the limited number of obstetricians in most low-resource settings, countries have adopted what they call ‘task shifting’ in which non-obstetrician healthcare professionals receive a short-term training in obstetric surgery like c-section. This has compromised the quality of surgical care for pregnant women, leading to higher morbidities such as bleeding, injury, and infections. It has also led to higher mortality.”
Global Women’s Health Initiative Director Rahel Nardos, MD, MCR
