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Instrumental delivery: how to meet the need for improvements in training
Author(s) -
Sinha Prabha,
Dutta Anita,
Langford Kate
Publication year - 2010
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1576/toag.12.4.265.27619
Subject(s) - vaginal delivery , caesarean section , competence (human resources) , medicine , medical education , psychology , obstetrics , pregnancy , social psychology , genetics , biology
Key content• Rates of second‐stage caesarean section are increasing, while rates of successful instrumental delivery are decreasing. • Recent attempts at reducing caesarean section rates have highlighted a need for further training in instrumental delivery. • A reduction in training hours, lack of senior supervision and fear of litigation have made it difficult to achieve the level of experience required for proficiency.Learning objectives• To learn how to conduct an instrumental vaginal delivery safely. • To prevent excessive morbidity by identifying maternal and fetal factors associated with failed instrumental vaginal delivery. • To maximise expertise by training on simulators and mannequins prior to clinical application.Ethical issues• Does training on models and simulators provide a safe level of expertise and competence? • Is 24‐hour consultant cover on the labour ward a practical solution to improving the use of this technique in practice?Please cite this article as: Sinha P, Dutta A, Langford K. Instrumental delivery: how to meet the need for improvements in training. The Obstetrician & Gynaecologist 2010;12:265–271.