Developed in collaboration with Dr Graham Tydeman, Consultant in Obstetrics and Gynaecology - NHS Fife, Professor Andy Shennan - Professor of Obstetrics, Maternal and Fetal Research Unit, Guy’s and St Thomas’ Hospital and Annette Briley – Consultant Midwife, Clinical Trial Manager, Maternal and Fetal Research Unit, Guy’s and St Thomas’ Hospital, the Desperate Debra® simulator has been designed to facilitate the training and implementation of correct clinical procedures when confronted with impaction of the fetal head - a serious and potentially life threatening event. Obstetrics has taken the lead in reducing the number of perinatal and neonatal complications by developing emergency drills for major events such as shoulder dystocia and breech delivery using simulators. Until now, however, no simulator has previously been available for training in dealing with an impacted fetal head.