Fig. 3

Overall performance. Training with simulation improves technical skills and successful rate. Assessments were carried out by an external observer. a. Training session 2 was 8 weeks later with the same scenario of session 1. Data are presented as means ± standard deviation and were analyzed statistically by paired T-test two-tail to study general scores outcomes. p value < 0.0001 (***). b. Overall successful was considered if the baby head gets out with kiwi-cup detach < 3 and within 3 contractions/pushes of the mother. Data are presented as percentages and were analyzed statistically by Chi-Q Fisher’s exact test. This successful overall was found statistically significant with a p value of 0.0161 (*)