Simulations are an excellent teaching method that accommodates many learning styles while reinforcing application of didactic content. This modality is important for teaching students management of emergency complications, especially if students are unlikely to encounter the complication during their clinical practicum. The purpose of this evidenced-based capstone project is to determine if high fidelity shoulder dystocia and postpartum hemorrhage simulations utilized at the on campus skills workshop (called clinical bound) for the midwifery students at the Frontier School of Midwifery and Family Nursing will impact their confidence in handling these complications. The goal of this capstone project is to increase students’ confidence in their abilities to handle these situations. Baseline confidence data in relation to shoulder dystocia and postpartum hemorrhage management was obtained from the November clinical bound group. High fidelity shoulder dystocia and postpartum hemorrhage simulations were then developed and implemented at two clinical bound sessions. Pretest and posttest evaluations of students were done to assess confidence level. A qualitative level of confidence was also assessed at two to three months after clinical bound. A qualitative assessment of the student’s performance was also obtained from the preceptor. Significant results were obtained in high fidelity shoulder dystocia and postpartum hemorrhage use in increasing student confidence in managing these complications. The small sample size and lack of randomization make generalization of findings limited. However, this information will be helpful to further development of the clinical bound experience of the midwifery students at the Frontier School of Midwifery and Family Nursing.