The PROMPT Birthing Simulator, manufactured by Limbs & Things, enables instructors to effectively teach the complexities associated with birthing. Learning routine and emergency care for obstetrical patients can be achieved by combining the PROMPT simulator with a standardized patient (human actress). This is called hybrid simulation which adds realism to scenarios. The standardized patient allows realistic human interaction and communication while the PROMPT simulator supports the performance of obstetrical skills. The detachable abdominal and perineal skin enables visualization of internal maneuvers and fetal positioning during training. Learners can see how maneuvers affect the fetus in-utero.