Pratical shoulder dystocia training has been shown to improve knowledge [67], confidence
[68], and management of simulated shoulder dystocia [69]. Training has also been shown to
improve actor-patients perception of their care during simulated shoulder dystocia [70].
Team training has resulted in a significant improvement in team performance and a
significant increase in the use of new medical technical skills [71]. The effect of training on
actual perinatal outcomes has been variable. It varies from significant reduction in neonatal
injury at birth following shoulder dystocia [72] to an increase in the caesarean section
rate [73].