| Can formal education and training improve the outcome of instrumental delivery? | |
| | |
MedLine Citation:
|
PMID: 15063949 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE(S): The primary objective was to examine the effect of formal education and training on instrumental delivery with respect to its success rate and associated neonatal and maternal morbidity. The secondary objective was to determine factors that could influence the success rate of instrumental delivery. STUDY DESIGN: Prospective case-control study with historical controls set in a teaching hospital in Sheffield. The prospective group included all women who had instrumental deliveries between 1 November 1999 and 29 February 2000. The control group included all women who delivered between 1 February 1997 and 1 February 1998. An educational package involving formal postgraduate training and self-directed learning were introduced in the time period between the prospective and the control groups. Medical notes were reviewed in the historical controls. For both the control and prospective groups, the following patient characteristics were recorded: maternal age, parity, whether or not onset of labour was induced, use of oxytocin in the second stage of labour, delay in the second stage, operator grade, vaginal findings at delivery and the use of epidural analgesia. RESULTS: The overall failure rate was not different in the prospective group (16%) compared with the control group (18.5%). However, the introduction of an educational package was associated with significant decrease in maternal morbidity associated with cervical, severe labial and high vaginal tears (Odds Ratio (OR) 0.29, CI 0.09-0.97) and neonatal morbidity associated with admission to SCBU (OR 0.72, CI 0.02-0.60), severe neonatal scalp injury (OR 0.14, CI 0.02-0.98) and facial injuries (OR 0.02, CI 0.01-0.04). The factors identified to affect the success of instrumental deliveries were: OP and OT positions of the baby at delivery (OR 0.28, CI 0.17-0.44) and inexperienced operators (OR 0.11, CI 0.02-0.58). CONCLUSION: In this study, formal education and training of medical staff did not influence the success rate of instrumental delivery but was associated with improved safety for both mother and baby. |
| | |
Authors:
|
Y C Cheong; H Abdullahi; H Lashen; F M Fairlie |
Related Documents
:
|
21966069 - The role of infant sleep in intergenerational transmission of trauma. 20927359 - Effectiveness of chest physiotherapy in infants hospitalized with acute bronchiolitis: ... 19857409 - Urinalysis is not reliable to detect a urinary tract infection in febrile infants prese... 20543719 - Effect of bifidobacterium animalis subsp lactis supplementation in preterm infants: a s... 18818269 - Early introduction of fish decreases the risk of eczema in infants. 11389289 - The effects of environmental tobacco smoke on health services utilization in the first ... 9205979 - Parenting the prematurely born child: pathways of influence. 11168869 - The changing pattern of diagnosis of infantile cholestasis. 22604979 - Picture of the month. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: European journal of obstetrics, gynecology, and reproductive biology Volume: 113 ISSN: 0301-2115 ISO Abbreviation: Eur. J. Obstet. Gynecol. Reprod. Biol. Publication Date: 2004 Apr |
Date Detail:
|
Created Date: 2004-04-05 Completed Date: 2004-08-11 Revised Date: 2005-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0375672 Medline TA: Eur J Obstet Gynecol Reprod Biol Country: Ireland |
Other Details:
|
Languages: eng Pagination: 139-44 Citation Subset: IM |
Affiliation:
|
The Jessop Wing, University Section of Reproduction and Developmental Medicine, Tree Root Walk, Sheffield S10 2SF, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anal Canal
/
injuries Analgesia, Epidural Birth Injuries / epidemiology Cervix Uteri / injuries Cesarean Section Delivery, Obstetric / methods* Education, Medical, Graduate Female Humans Infant, Newborn Labor, Induced Morbidity Obstetrical Forceps Obstetrics / education*, instrumentation* Oxytocin / administration & dosage Pregnancy Treatment Outcome* Vagina / injuries |
| Chemical | |
Reg. No./Substance:
|
50-56-6/Oxytocin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Identification of the causes of intrauterine death during 310 consecutive autopsies.
Next Document: The usefulness of glycosuria and the influence of maternal blood pressure in screening for gestation...