CN216957259U - Teaching and training device for palpation and adjustment of fetal position - Google Patents
Teaching and training device for palpation and adjustment of fetal position Download PDFInfo
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- CN216957259U CN216957259U CN202220276637.3U CN202220276637U CN216957259U CN 216957259 U CN216957259 U CN 216957259U CN 202220276637 U CN202220276637 U CN 202220276637U CN 216957259 U CN216957259 U CN 216957259U
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- fetal head
- fetal
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- pelvis
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- 230000001605 fetal effect Effects 0.000 title claims abstract description 126
- 238000002559 palpation Methods 0.000 title claims abstract description 25
- 238000012549 training Methods 0.000 title claims abstract description 16
- 210000004197 pelvis Anatomy 0.000 claims abstract description 58
- 238000004088 simulation Methods 0.000 claims abstract description 41
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 8
- 230000000903 blocking effect Effects 0.000 claims abstract description 6
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 8
- 239000000741 silica gel Substances 0.000 claims description 8
- 229910002027 silica gel Inorganic materials 0.000 claims description 8
- 210000001519 tissue Anatomy 0.000 claims description 4
- 210000004556 brain Anatomy 0.000 claims description 3
- 230000002028 premature Effects 0.000 claims description 3
- 230000000694 effects Effects 0.000 abstract description 9
- 210000001215 vagina Anatomy 0.000 abstract description 9
- 208000010515 dystocia Diseases 0.000 description 6
- 230000008774 maternal effect Effects 0.000 description 6
- 230000002159 abnormal effect Effects 0.000 description 5
- 210000003754 fetus Anatomy 0.000 description 5
- 238000000034 method Methods 0.000 description 4
- 238000003745 diagnosis Methods 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 230000008859 change Effects 0.000 description 2
- 230000035606 childbirth Effects 0.000 description 2
- 208000034423 Delivery Diseases 0.000 description 1
- 230000005856 abnormality Effects 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 239000000945 filler Substances 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000009984 peri-natal effect Effects 0.000 description 1
- 206010036596 premature ejaculation Diseases 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 238000003756 stirring Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 230000009677 vaginal delivery Effects 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
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Abstract
The utility model provides a teaching and training device for palpation and adjustment of fetal position, which is provided with three parts, namely a simulated female pelvis, a simulated fetal head and an opaque outer cover; the simulation female pelvis is a female lower body model with a pelvis cavity and a vaginal channel, and a support is further arranged below the simulation female pelvis; the simulation fetal head is provided with a fetal head and a neck end, the fetal head is rotatably nested and installed in a pelvic cavity of a simulation female pelvis, a simulation bone seam is arranged on the top of the fetal head, and an operating handle is arranged on the end face of the neck end; an opening is formed in the front side of the cover body of the opaque outer cover, and a blocking curtain for blocking the opening is hung on the opening. When the teaching demonstration is carried out, the opaque outer cover is taken away, and when a teacher demonstrates the palpation and operation of the fetal position, students can clearly and intuitively observe and learn the palpation and operation manipulations of the teacher in the vagina. When the assessment is carried out, the opaque outer cover is buckled, and the student tests under the invisible condition to assess the teaching effect.
Description
Technical Field
The utility model relates to a teaching and training device for palpation and adjustment of a fetal position, belonging to the technical field of medical teaching and training appliances.
Background
With the development of perinatal period health care, the incidence rate of fetal dystocia of clinical delivery pregnant women is gradually reduced, but the incidence rate of head dystocia is continuously increased. Research data show that the incidence rate of the head dystocia accounts for about 10% of the total vaginal delivery and about 70% of the total dystocia, and more than 85% of the head dystocia is caused by abnormal fetal head position. In the labor process, the abnormality of the fetal position can be timely and accurately found and the fetal position can be correctly adjusted, so that most of the dystocia can be avoided, and the diagnosis and the adjustment of the fetal position are necessary basic skills for obstetricians and midwives.
For medical students and beginners such as young obstetricians and midwives, it is easy to understand the degree of expansion and decline of uterine orifice and premature ejaculation through the vagina internal diagnosis, but it is a puzzled matter how to accurately judge the fetal position and correctly adjust the abnormal fetal position. The relevant contents in the teaching materials of national medical colleges and universities are too simple, and only the parts of birth process and maternal observation and treatment are mentioned, if the head is exposed, the sagittal suture and fontanel can be known, the orientation of the fetus can be determined, and no detailed explanation is provided for how to judge the orientation of the fetus through the vagina internal diagnosis. Because the process of clinically judging the fetal position and adjusting the abnormal fetal position is carried out in the vagina, students cannot visually observe the palpation and operation manipulations of experienced obstetrical teachers in the vagina, the obstetrical teachers can only transfer the instructions through words when the obstetrical teachers teach the experiences, and the teaching effect is not ideal.
In view of the above problems, chinese patent CN201620982104.1 discloses an operable fetal position measurement model, which includes a maternal pelvis module and a fetal module, wherein the maternal pelvis module includes a soft outer layer for simulating the contour of the maternal pelvis and a filler for filling the outer layer, a cavity is provided in the maternal pelvis module, the fetal head of the fetal module is spherical, the fetal module is located in the cavity, and the fetal head can be rotated in the cavity by pulling the fetal head with a hand. This technical scheme provides a comparatively audio-visual child position teaching mode, but in actual preparation and use, this teaching mode still has certain defect, mainly embodies:
(1) the utility model discloses a novel fetus module, including fetal head and casing, whole fetal module is located the cavity, though fetal head is globular, but fetal head and casing are fuse, the position that will change fetal head needs shift just can realize whole fetal model, and whole fetal model can be owing to receive the restriction of cavity shape effectively to shift, consequently stir the rotation adjustment that fetal head can't make fetal head realize arbitrary direction arbitrary angle in the cavity with the hand, can't effectively simulate fetal head position and adjustment.
(2) And its parent pelvis module lacks corresponding supporting seat, leads to this teaching model need assign the staff in addition when using and hold up parent pelvis module, is unfavorable for the operation.
(3) The invisible vagina examination device is lack of a corresponding shielding structure, cannot simulate the invisible state in the vagina, can only be used for students to practice exercises under the visible condition, and cannot realize examination on the students under the invisible condition.
(4) The fetal module is not classified according to the common clinical practical situation, the teaching demonstration effect is not good enough, and the fetal module is not provided with a control handle, so that the arrangement position of the fetal module in the maternal pelvis module is inconvenient to change.
Therefore, the technical scheme is correspondingly improved, so that the teaching and training device for the palpation and adjustment of the fetal position with better use effect is obtained.
SUMMERY OF THE UTILITY MODEL
The utility model aims to provide a teaching training device for fetal position palpation and adjustment, through which students can clearly see the palpation and operation skills of teachers on fetal positions, and teachers can also utilize the device to effectively check the students so as to evaluate teaching effects.
The technical scheme adopted by the utility model is as follows:
a teaching and training device for palpation and adjustment of fetal position is provided with three parts, namely a simulated female pelvis, a simulated fetal head and an opaque outer cover; an opaque female pelvis model is arranged in the simulated female pelvis, a transparent silica gel air bag layer is wrapped on the outer side of the female pelvis model, human tissue is simulated through the inflated silica gel air bag layer to wrap the pelvis, so that the whole simulated female pelvis forms a female lower body model with a pelvis cavity and a vaginal channel, and a support enabling the simulated female pelvis to be placed in a supine position posture is further arranged below the simulated female pelvis; the simulation fetal head is provided with a fetal head and a neck end, the fetal head of the simulation fetal head can be rotatably nested and installed in a pelvic cavity of the simulation female pelvis, and the neck end of the simulation fetal head is exposed out of the pelvic cavity of the simulation female pelvis; the head top of the simulated fetal head is provided with a simulated bone seam consisting of a sagittal seam, a coronal seam, a frontal seam and a herringbone seam, and the end face of the neck end is provided with an operating handle; the non-transparent outer cover is provided with a non-transparent cover body which can completely cover the simulation female pelvis and the simulation fetal head, the front side of the cover body is provided with an opening, and a stop curtain for shielding the opening is hung on the opening.
Furthermore, the simulated fetal head is provided with a premature fetal head, a normal fetal head and a giant fetal head for replacement so as to obtain a better clinical simulation effect.
Furthermore, the control handle of the simulation fetal head is a plane support which is in the same direction with the sagittal suture of the fetal head, the plane support consists of two straight rods connected to the end face of the neck end of the simulation fetal head and a cross rod connected to the tail ends of the two straight rods, and the rod body of the cross rod is connected between the two straight rods and stretches out a short handle to the back brain side of the fetal head. Through the corresponding relation between the control handle and the sagittal suture of the fetal head, when the arrangement position of the simulated fetal head in the pelvic cavity of the simulated female pelvis is changed, the expected position can be quickly and accurately adjusted according to the direction of the handle.
Furthermore, the check curtain of the opaque outer cover is a split check curtain so as to be convenient for operation during examination.
When the teaching and training device for fetal position palpation and adjustment is used, the positioning of the fetal head in the pelvic cavity of the simulated female pelvis can be changed by operating the operating handle on the neck end of the simulated fetal head so as to simulate the fetal head state during childbirth. When the teaching demonstration is carried out, the opaque outer cover is taken off, because the periphery of the opaque outer cover is not shielded and the outer side of the simulated female pelvis is simulated by adopting the transparent silica gel air bag layer, when a teacher demonstrates that fingers extend into the vaginal channel of the simulated female pelvis to palpate and operate the fetal head top of the simulated fetal head, a student can clearly and intuitively observe and learn the palpation and operation manipulation of the teacher in the vagina. When the student is examined, the opaque outer cover is buckled, the student stretches hands into the blocking curtain on the front side of the opaque outer cover to conduct palpation and operation on the fetal head top of the simulated fetal head under the invisible condition, and therefore the teaching effect is evaluated.
Drawings
Fig. 1 is a schematic view of the teaching and training device for palpation and adjustment of the orientation of the fetus in the prone position.
Fig. 2 is a view from a-a in fig. 1.
Fig. 3 is a front view of a simulated female pelvis.
Fig. 4 is a top down view of a simulated female pelvis.
Fig. 5 is a schematic view of a simulated fetal head.
Fig. 6 is a schematic view of a simulated bone seam on top of the simulated fetal head of fig. 5.
Fig. 7 is a perspective view of an opaque outer cover.
In the figure: 1-simulation female pelvis, 2-simulation fetal head, 3-opaque outer cover, 4-support, 5-simulation bone seam, 5.1-sagittal seam, 5.2-coronal seam, 5.3-frontal seam, 5.4-herringbone seam, 6-control handle and 7-baffle curtain.
Detailed Description
The utility model is further described below with reference to the accompanying drawings.
As shown in figures 1-7, the teaching and training device for the fetal position palpation and adjustment is provided with three major parts, namely a simulated female pelvis 1, a simulated fetal head 2 and an opaque outer cover 3.
The inside of emulation pelvis 1 is equipped with opaque pelvis model, and the outside parcel of pelvis model has transparent silica gel air bag layer, simulates human tissue parcel pelvis through inflatable silica gel air bag layer, makes whole emulation pelvis form a lower part of the body model that has pelvic cavity and vaginal canal, still is equipped with a support 4 that makes emulation pelvis 1 be the supine position posture and place in the below of emulation pelvis 1.
The simulation fetal head 2 is provided with a fetal head and a neck end, the fetal head of the simulation fetal head 2 is rotatably nested and installed in a pelvic cavity of the simulation female pelvis 1, and the neck end of the simulation fetal head 2 is exposed outside the pelvic cavity of the simulation female pelvis 1; the head top of the simulated fetal head 2 is provided with a simulated bone seam 5 consisting of a sagittal seam 5.1, a coronal seam 5.2, a frontal seam 5.3 and a herringbone seam 5.4, and the end face of the neck end is provided with a control handle 6. The control handle 6 is a plane support which is in the same direction with the sagittal suture 5.1 of the fetal head, the plane support consists of two straight rods connected to the end face of the neck end of the simulated fetal head 2 and a cross rod connected to the tail ends of the two straight rods, and the rod body of the cross rod is connected between the two straight rods and extends out of a short handle to the back brain side of the fetal head. The simulation fetal head 2 is provided with a premature fetal head, a normal fetal head and a giant fetal head for replacement so as to obtain a better clinical simulation effect.
The nontransparent outer cover 3 is provided with a nontransparent cover body capable of completely covering the simulated female pelvis 1 and the simulated fetal head 2, the front side of the cover body is provided with an opening, a check curtain 7 for shielding the opening is hung on the opening, and the check curtain 7 is a split check curtain.
When the teaching and training device for fetal position palpation and adjustment is used, the positioning of the fetal head in the pelvic cavity of the simulated female pelvis 1 can be changed by operating the operating handle 6 on the neck end of the simulated fetal head 2 so as to simulate the fetal head state during childbirth. When the teaching demonstration is used, the non-transparent outer cover 3 is taken away, because the periphery is not shielded and the outer side of the simulation female pelvis 1 adopts the transparent silica gel air bag layer to simulate human tissues, when a teacher demonstrates that fingers extend into the vaginal channel of the simulation female pelvis 1 to perform palpation and operation on the fetal head top of the simulation fetal head 2, the student can clearly see how the teacher finds out fetal head bony signs and how to judge the front and back fontanels so as to correctly judge the fetal position, and when the fetal position is abnormal, the teacher can adjust the fetal head by correct methods. Because the fetal head of the fetus is squeezed by the vagina during delivery, the front fontanelle and the rear fontanelle of the fetal head can be closed, the positions of the front fontanelle and the rear fontanelle cannot be directly touched at the moment, the positions of the front fontanelle and the rear fontanelle can be indirectly judged by touching the sagittal suture 5.1, the coronal suture 5.2, the frontal suture 5.3 and the herringbone suture 5.4 on the top of the simulated fetal head 2, the position of the front fontanelle can be judged when the intersection of the four bone seams of the sagittal suture 5.1, the coronal suture 5.2 and the frontal suture 5.3 is touched, and the position of the rear fontanelle can be judged when the intersection of the three bone seams of the sagittal suture 5.1 and the herringbone suture 5.4 is touched. When the palpation judges that the fetal position is abnormal, the head top of the simulation fetal head 2 is slightly pulled by fingers, so that the position of the simulation fetal head 2 in the pelvic cavity of the simulation female pelvis 1 can be adjusted, and the fetal position can be corrected. After the teaching is finished, the students can conduct palpation and operation exercise by hands under a visual condition. When the student is examined, the opaque outer cover 3 is buckled, the student stretches hands into the blocking curtain 7 on the front side of the opaque outer cover 3 to conduct palpation and operation on the fetal head top of the simulated fetal head 2 under the invisible condition, and therefore the teaching effect is evaluated.
The above-described embodiments are merely exemplary embodiments of the present invention, and are not intended to limit the present invention, and any modifications or equivalent substitutions and improvements made within the spirit and principle of the present invention should be included in the scope of the present invention.
Claims (4)
1. The utility model provides a teaching trainer of child position palpation and adjustment, characterized by: the teaching and training device is provided with three parts, namely a simulated female pelvis, a simulated fetal head and an opaque outer cover; an opaque female pelvis model is arranged in the simulated female pelvis, a transparent silica gel air bag layer is wrapped on the outer side of the female pelvis model, human tissue is simulated through the inflated silica gel air bag layer to wrap the pelvis, so that the whole simulated female pelvis forms a female lower body model with a pelvis cavity and a vaginal channel, and a support enabling the simulated female pelvis to be placed in a supine position posture is further arranged below the simulated female pelvis; the simulation fetal head is provided with a fetal head and a neck end, the fetal head of the simulation fetal head is rotatably nested and installed in a pelvic cavity of the simulation female pelvis, and the neck end of the simulation fetal head is exposed outside the pelvic cavity of the simulation female pelvis; the head top of the simulated fetal head is provided with a simulated bone seam consisting of a sagittal seam, a coronal seam, a frontal seam and a herringbone seam, and the end face of the neck end is provided with a control handle; the non-transparent outer cover is provided with a non-transparent cover body which can completely cover the simulation female pelvis and the simulation fetal head, the front side of the cover body is provided with an opening, and a stop curtain for shielding the opening is hung on the opening.
2. The fetal positioning palpation and adjustment teaching and training device of claim 1 wherein: the simulation fetal head is provided with a premature fetal head, a normal fetal head and a giant fetal head for replacement.
3. The fetal positioning palpation and adjustment teaching and training device of claim 1 wherein: the control handle of the simulation fetal head is a plane support in the same direction with the sagittal suture of the fetal head, the plane support consists of two straight rods connected to the end face of the neck of the simulation fetal head and a cross rod connected to the tail ends of the two straight rods, and the rod body of the cross rod is connected between the two straight rods and extends out of a short handle to the back brain side of the fetal head.
4. The fetal positioning palpation and adjustment teaching and training device of claim 1 wherein: the blocking curtain of the opaque outer cover is a split blocking curtain.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN202220276637.3U CN216957259U (en) | 2022-02-11 | 2022-02-11 | Teaching and training device for palpation and adjustment of fetal position |
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CN202220276637.3U CN216957259U (en) | 2022-02-11 | 2022-02-11 | Teaching and training device for palpation and adjustment of fetal position |
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CN216957259U true CN216957259U (en) | 2022-07-12 |
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CN202220276637.3U Expired - Fee Related CN216957259U (en) | 2022-02-11 | 2022-02-11 | Teaching and training device for palpation and adjustment of fetal position |
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- 2022-02-11 CN CN202220276637.3U patent/CN216957259U/en not_active Expired - Fee Related
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Granted publication date: 20220712 |