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

Maria Rosa Vila Hernandez   ¹ , MD ;   Sara Tameish   ² , MD ;   Ivan Hurtado   ^{3, 4, 5} , MD, PhD ;   Maria Del Mar Goya Canino   ^{5, 6, 7} , MD, PhD ;   Alicia Carrera I Boix   ¹ , MD, PhD ;   Oscar Martinez Perez   ^{8, 9} , MD, PhD

¹ Obstetrics and Gynecology Department Hospital Santa Caterina, Salt, Institut d'Assistència Sanitària (IAS) Catalunya, Salt, Catalonia, Spain

² Obstetrics and Gynaecology Department, Hospital Universitari Sant Joan de Reus, Universitat Rovira i Virgili, Reus, Catalonia, Spain

³ Department of Obstetrics and Gynaecology, Hospital Universitari Germans Trias i Pujol, Barcelona, Catalonia, Spain

⁴ "Woman & Health" Research Group (SGR-971), Germans Trias i Pujol Research Institute (IGTP), Badalona, Barcelona, Spain

⁵ Department of Pediatrics, Obstetrics & Gynaecology, and Preventive Medicine and Public Health, Universitat Autònoma de Barcelona (Bellaterra), Barcelona, Spain

⁶ Maternal and Fetal Medicine Research Group, Vall d’Hebron Research Institute (VHIR), Centres de Recerca de Catalunya (CERCA), Barcelona, Spain

⁷ Maternal-Fetal Medicine Unit, Department of Obstetrics, Vall d’Hebron Hospital Universitari, Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain

⁸ Head of Obstetrics and Gynecology Department, HM Rio, Madrid, Spain

⁹ Catholic University of Murcia, Madrid, Spain