Trials of labour: Can simulation make a difference to obstetric anaesthetic training?

In this article we discuss the challenges facing trainers and trainees in obstetric anaesthesia. We propose a need for changes in training programmes to embed the use of simulation for training in both technical and human factors skills. The uses of epidural simulators, airway trainers, whole body patient simulators and emergency drill training in both the workplace and in specialized simulation centres are discussed. A potential role for simulation in assessment of trainees is also considered.