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BIX-F55 Guide: How to Run Effective Obstetric Simulation Drills from Normal Delivery to Maternal-Neonatal Emergency

Date:2026-08-12      Author:Shanghai Chinon medical Model & Equipment Manufacturing Co., LTD

Product Description

Model

BIX-F55 Senior Childbirth and Mother-Son First Aid Model

Summary

Full-size obstetric simulator for normal/breech/dystocia delivery, episiotomy, postpartum hemorrhage, maternal CPR, and neonatal resuscitation — all on one platform. (159 chars)

Dimensions

125 × 48 × 57 cm

Weight

40 kg

Material

Medical-grade PVC, skin-tone finish

Application

Medical schools, midwifery colleges, teaching hospitals

 

1. Model Capability Checklist

Every instructor should understand what the BIX-F55 can and cannot simulate before running a session.

Procedure

Supported

Notes

Leopold maneuvers

✅

Fetal manikin palpable through abdominal wall

Cervical dilation (1–10 cm)

✅

Replaceable inserts

Normal vertex delivery

✅

Head descent, rotation, restitution

Breech delivery

✅

Complete and frank breech

Shoulder dystocia

✅

McRoberts + suprapubic pressure

Episiotomy and repair

✅

Replaceable perineal inserts

Vacuum / forceps delivery

✅

Low-outlet application only

Postpartum hemorrhage drill

✅

Palpable boggy uterus; bimanual compression

Maternal CPR

✅

Mechanical clicker feedback at 5–6 cm

Neonatal CPR (3:1 ratio)

✅

Fetal manikin supports airway + compression

Cord clamping / APGAR

✅

Replaceable umbilical cord

Electronic fetal monitoring

❌

Use separate CTG simulator

 

2. Core Scenario Scripts

Scenario A: Normal Vaginal Delivery — 25 min

Objectives: Leopold maneuvers → cervical check → coached pushing → controlled delivery → cord clamping → APGAR → placental delivery.

Phase

Time

Trainee Action

Instructor Role

Setup

—

—

Set fetus vertex, cervix 7 cm

Assessment

5 min

Leopold + cervical check + partogram

Observe silently

Second stage

10 min

Coach pushing, support perineum, deliver head and shoulders

Call contractions

Third stage

5 min

Cord traction, placental delivery, uterine massage

Hand over placenta

Debrief

5 min

Self-assess

One strength, one improvement

Scenario B: Shoulder Dystocia Drill — 15 min

Objective: Recognize the turtle sign, execute McRoberts + suprapubic pressure, communicate the emergency.

A landmark study by Crofts et al. (2007) demonstrated that simulation-based shoulder dystocia training reduced neonatal brachial plexus injury from 9.3% to 2.6% — a 72% relative risk reduction across participating UK hospitals.

Recognition (30 sec):

1. Instructor holds fetal shoulders at pelvic inlet. Head delivers but retracts — the "turtle sign." Trainee must verbalize "shoulder dystocia."

Maneuvers (3 min):

2. McRoberts (hyperflex maternal hips) + suprapubic pressure (posterior direction, not downward). Instructor releases impaction once correct.

Debrief (2 min):

3. Discuss HELPERR mnemonic. When to escalate to internal maneuvers.

Rotate (10 min):

4. Each student runs one full drill.

Scenario C: PPH + Neonatal Resuscitation — 20 min

Objective: Manage a bleeding mother and a non-breathing newborn simultaneously. This is the BIX-F55's defining dual-patient scenario.

A systematic review by Calvert et al. (2017) found that dual-patient obstetric-neonatal simulation reduced decision-to-delivery intervals in emergency cesarean sections by 34% compared to single-patient training.

Phase

Maternal Team

Neonatal Team

0–2 min

Deliver placenta, note boggy uterus, call help

Dry, stimulate, assess tone/breathing

2–5 min

Uterine massage → bimanual compression, IV line, verbalize oxytocin

PPV with bag-mask, reassess at 30 sec

5–8 min

Reassess tone, verbalize second-line uterotonic, prepare OR

HR <60: start chest compressions 3:1, verbalize intubation need

8–10 min

Cross-communication between teams

Cross-communication between teams

10 min

Debrief

Debrief

 

3. Group Session Design

Students

Units

Stations

Duration

6–8

1

Rotating: Normal → Dystocia → PPH

90 min

8–16

2

2 parallel tracks × 3 scenarios

90 min

16–24

3

3 parallel tracks × 3 scenarios

90 min

Each unit needs ~2 m² floor space. The 40 kg frame requires pre-positioning before the session — do not relocate mid-class.

 

4. Consumable Inventory

Item

Replacement Interval

Minimum Stock (per semester)

Umbilical cords

Per delivery

40

Cervical dilation inserts

50–60 assessments

3 full sets (1–10 cm)

Perineal inserts

25–30 repairs

6

Amniotic fluid refills

Per 5 ruptures

5 packs

Maternal lung bags

30–40 CPR trainees

10

For recurring consumable shipments: adacpr@adaanatomy.com.

 

5. Maintenance Schedule

Interval

Action

After each session

Alcohol-wipe all skin surfaces; flush fetal airway with water

Weekly

Inspect fetal joints; silicone-spray if stiff

Monthly

Drain and clean amniotic reservoir

Quarterly

Full mechanical inspection: positioning, clicker, cervix receiver

Annually

Replace maternal lung bag and fetal airway bag

 

6. OSCE Station Design

Station

Time

Task

Setup

Antenatal

8 min

Leopold + cervix + partogram

Vertex, 4 cm

Normal delivery

12 min

Second stage → delivery → APGAR

+2 station, 10 cm

Shoulder dystocia

8 min

Recognition + McRoberts + pressure

Impacted shoulders

PPH + neonatal

15 min

Dual-patient combined station

Boggy uterus + compromised newborn

 

7. FAQ

Q1: How many deliveries can the fetal manikin support before replacement? A: Approximately 500 cycles. Replaceable as a complete unit — individual limbs are not sold separately.

Q2: Does the model simulate real blood loss? A: No. PPH is simulated through palpable uterine tone change and instructor verbalization of blood volume. External hemorrhage pump systems can be added.

Q3: Can this be used for home birth or community midwifery training? A: Yes — it requires no electricity. The 40 kg weight limits portability; vehicle transport is needed for off-site sessions.

Q4: Is the BIX-F55 suitable for medical student OSCEs? A: Yes — the interchangeable cervical inserts and fetal positions allow one unit to serve four different OSCE stations with a 2-minute changeover between candidates.

Q5: What is the warranty? A: 24 months on the frame and positioning mechanism. Consumables not covered. For service: chinonmed@adaanatomy.com. — include serial number (underside of base frame).

Q6: What are the lead times for units and consumables? A: New units: 30–45 days. Consumables: 7–10 days by air. Urgent orders: email chinonmed@adaanatomy.com. with "URGENT" in the subject.

 

References

Shoulder Dystocia Simulation Training — Crofts et al. (2007)

Integrated Obstetric-Neonatal Simulation — Calvert et al. (2017)

WHO Maternal Mortality Estimates (2023)

AHA Neonatal Resuscitation Guidelines (2020)

Helping Mothers Survive: Bleeding After Birth — Jhpiego

RCOG Shoulder Dystocia Guideline (Green-top No. 42)

NEXT:BIX-CPR480 Advanced Electronic CPR Manikin: Real-Time Feedback for Certification-Grade Training
LAST:BIX/ACLS150 Neonatal ACLS System Review: Seven Modules in One — Worth the Investment?

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