Due to the significant lack of staffing within refugee camps, midwives are required to train people living within the camp to support them during delivery. Thus, need equipment that can convey the complexities of labour and support the trainees to ensure the proper understanding and expertise needed to facilitate complication-free labour. During my research, I have found that infants account for almost half of all deaths among children under the age of five, often as a result of neglecting natural and basic human needs such as wrong positioning and neglecting patient's well-being, during labour, resulting in dire, but preventable complications.

Liv is a new training solution for labour and labour preparation. It is designed for teaching both midwifes and people without medical knowledge within a refugee camp. Liv's unique design enables midwifes to demonstrate, in a clear and powerful way, the consequences of both right and wrong actions in connection to labour, improving the user's understanding and ability at a higher rate than conventional training.

Problem Area Far from every birth in a camp results in a dire situation, but when they happen, complications are often a result of neglecting natural and basic human needs, resulting in preventable complications. Throughout this project, I have researched what could be the reasoning behind this unsettling statistic, what options already exist, and in dialogue with midwifes who have worked in refugee camps, tried to envision a solution that could mitigate certain complications from occurring in the first place. Midwives in refugee camps have diverse responsibilities, facing rapidly changing environments and demanding circumstances. They carry essential equipment and work with limited staffing, often training inexperienced individuals without medical knowledge. To overcome language barriers, taboos, and cultural differences, midwives must effectively communicate while training their apprentices.

Design Process My process started with extensive research and Interviews with Midwifes from several countries with various amounts of experience working within refugee camps with whom I have had feedback sessions and workshops throughout my project. Furthermore, I have had sharing sessions with industry experts from Norway and Sweden, related to labour training equipment and products built to withstand the refugee camp environment which gave me further input on what the product specification should be. I built mock-ups reflecting mechanical functions in order to ensure the plausibility of the design. Starting with low-fidelity foam core structures for the base and progressing to higher-fidelity 3D printed prototypes. I have explored how bone structures and tissue could be simplified and depicted in order to achieve a good balance between realism and functionality. Finall,y I have experimented with materials and colours that could indicate key focus areas in a clear but non-intrusive way, for example tearing patches.

How Does it Work? Through four different training modes, with increased levels of complexity, the product provides its users with a new and better understanding of what it takes to execute a successful labour. Liv consists of a base where the top part can be angled, a detachable pelvis, a transparent birthing canal, and active training guides representing the end of the spine, the cervix and its dilation and the perineum. Included is also a protective textile shell, which is used for both the fourth level of complexity while training and for transport and storage. The product can be used to train standard labour situations as well as the repercussions of bad procedures. Velcro patches representing the perineum, will open and clearly indicate when the labour is executed badly and results in a tear, providing the trainee with a better understanding of the repercussions of their actions. The design and its functions are defined through three colours: White represents the focus area. Pink accents important elements like the tearing patches. Grey stands for utility and basic functions. Liv's footprint is small and can be packed, stored, and transported with ease. The product does not include any electronics, this to avoid being dependent on an energy source that can be difficult or even impossible to access in a refugee camp setting. The product would be manufactured in plastic, this to achieve both lightness, high volume for low cost and sturdy robustness for usage over time, also to have a minimum material value to avoid potential theft.

Training "If you can teach someone a skill, nobody can take it away from them." Underneath we can see two contrasting examples of training that could be done with Liv, as well as the results (images included in the application):

1. Horizontal Training: The "Mother" is positioned horizontally on a table/bed or floor. In this situation the user simulates rushing through the process, potentially using Oxytocin injections to speed up the process. Because of the horizontal positioning, the baby has a harder time pushing through, causing obstructed labour. Due to the previous actions and behaviours, we are now in a situation where the mother risks suffering great damage and the user can see that clearly by observing the torn perineum. An outcome like this would serve as valuable learning for a new training session where the "Mother" is angled up.

2. Angled Training: The "Mother" is positioned on an angle, ideally in a position they found comfortable, supported by surrounding objects. The midwife in charge takes time to wait for the cervix to dilate naturally and supports the mother during this process. Due to the angle, the birth goes smoothly as the baby is able to slide through the birthing canal without obstructions. Finally, after the placenta discharges, the birthing process is complete and so is this session.

What makes it unique? Transparency, Non-verbal communication, 3d representation, adjustability, and training levels. What separates Liv from other Labour training products, foremost is her transparency. By allowing the user to change the visibility of the Birthing canal based on their skill level and desired training, the user can see the movement and position of the newborn whilst descending into the birthing canal, giving them a real-life three-dimensional representation that they can feel and see. Furthermore, by illustrating to the user what are the repercussions of bad positioning, the user can gain awareness and a clear understanding of how a person should be handled during labour. Finally, due to the product adjustability and error indication, Liv opens up a new product category in Labour Preparation which could empower the user to learn and minimize preventable complications from occurring in the first place.