Cesarean Section Simulation: Box Model
Reaffirmed March, 2017
Tamika C. Auguste, MD, FACOG
Associate Medical Director
MedStar Health Simulation Training & Education Lab (SiTEL)
Associate Professor, OB/GYN
Georgetown University School of Medicine
Preparation
Simulator Options: Both easy-to-make, low-cost simulators.
I. Box simulator
II. Pfannenstiel simulator on mannequin
Option I Materials: Box Simulator
• Uterus: box or bedpan
• Fetus: toy baby or commercial baby mannequin
• Duct tape
• Thin red felt
• Thick red felt
• Plastic wrap
• Air bubble packing
• Cotton broad cloth
• Layers of uterus
o Uterine layer: thin layer of felt x2, sufficient to cover box or bedpan
o Peritoneal layer: plastic wrap
o Rectus muscle: thick layer of felt
o Fascial layer: duct tape
o Subcutaneous fat: air bubble packing
o Skin: cotton broad cloth
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Abdominal Incisions Simulation: Box Simulator
Reaffirmed March, 2017
Fig. 1. Printer paper box and “fetus.”
Fig. 2. Thin layer of felt, folded, becomes uterine layer.
1. Empty printer paper box and insert the fetus (Fig. 1).
2. Wrap box using a double layer of felt as uterine layer (Fig. 2). Secure with duct tape.
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Abdominal Incisions Simulation: Box Simulator
Reaffirmed March, 2017
Fig. 3. Plastic food wrap as peritoneum.
Fig. 4. Thin felt (rectus layer) and duct tape (fascial layer).
3. Wrap box with plastic food peritoneum and secure with duct tape (Fig. 3).
4. Place strips of felt on top of box (Fig. 4).
5. Wrap half of box with duct tape (Fig. 4).
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Abdominal Incisions Simulation: Box Simulator
Reaffirmed March, 2017
Fig. 5. Air bubble packing as subcutaneous fat layer.
Fig. 6. Cotton broad cloth as skin layer.
6. Cover box surface with air bubble packing (Fig. 5).
7. Place cotton broad cloth over air bubble packing and secure accordingly (Fig. 6).
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