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INTRODUCTION: The quality and safety of maternal medicine can be improved by training of individual professionals.However, it might be more effective to train the complete team than just the individual.In the first part of the lecture the largest randomised controlled trial to the effectiveness of simulation training of obstetric teams is presented.The effectiveness of obstetric team training depends very much on the design of the training.In the second part of the lecture a new evidence based model will be explained how to design the most effective team trainings tailored to the needs of the specific hospital and country.DESIGN: Cluster randomised controlled trial in which the obstetric departments of 24 Dutch hospitals participated.METHODS: The participating departments were randomly assigned to a one day session of multi professional team training in a medical simulation centre or to no team training.Team training was given with high fidelity mannequins by a gynaecologist and a communication expert.After six months two unannounced simulated scenarios were carried out in the delivery rooms of all 24 obstetric departments.RESULT: 74 obstetric teams in 12 intervention hospitals were trained.The performance in the training group was significantly better in comparison to the non-training group (median CTS score: 7.5 versus 6.0;p =0.014).The use of the pre-defined manoeuvres for medical technical skills was significantly more frequent in the training group as opposed to the non-training group (presence of manoeuvre: 83% versus 46%;p =0.009).CONCLUSION: Team performance and medical technical skills improve significantly after one day training of multi-professional obstetric teams.The impact of obstetric team training on perinatal and maternal outcome can be impressive, especially in countries with higher perinatal and maternal mortality.