The 3B Scientific® Birthing Simulator P90 PRO has been developed for the skill training in normal deliveries, in complicated deliveries and in obstetric emergencies. Obstetric simulation has proven successful to enhance the training of delivery skills, following of protocols and reaction in emergency situation. Assessment and manipulation of fetal positions: Birthing complications are in general less likely when an abnormal fetal position or presentation can be detected before the labor process starts. Using obstetric simulation, trainees will learn how to detect abnormal positions and presentations, and how to use manual techniques to assist the birthing process. Training of manual birthing maneuvers (like Leopold, or Pinard’s) must be trained so that correct measures are applied during complicated deliveries. Furthermore, the trainee will learn when to apply obstetric emergency interventions (like a cesarean section).