Outcomes of operative vaginal delivery managed by residents under supervision and attending obstetricians: a prospective cross-sectional study

Sentilhes, Loïc; Madar, Hugo; Ducarme, Guillaume; Hamel, Jean‐François; Mattuizzi, Aurélien; Hanf, Matthieu

doi:10.1016/j.ajog.2019.02.044

Cited by 14 publications

(12 citation statements)

References 37 publications

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“…When the labor curve was evaluated in terms of time (total second-stage time or effective second-stage time), spontaneous vaginal delivery trends and cesarean and operative vaginal delivery rates were consistent with prior studies of the second stage of labor. [14][15][16][17][18][19] In our study, there was no significant increase in maternal and neonatal composite outcomes as the number of pushing contractions increased. Prior studies have reported an increase in risk of maternal and neonatal complications as second-stage duration increases.…”

Section: Discussionmentioning

confidence: 84%

Predicting Route of Delivery Using Quantification of Maternal Expulsive Efforts in the Second Stage of Labor

Lee

Duong

Ross

2022

Obstetrics &Amp; Gynecology

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Section: Discussionmentioning

confidence: 84%

Predicting Route of Delivery Using Quantification of Maternal Expulsive Efforts in the Second Stage of Labor

Lee

Duong

Ross

2022

Obstetrics &Amp; Gynecology

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“…17 In an analysis of outcomes of OVD performed by residents under the supervision of an attending obstetrician compared to outcomes when performed by the attending obstetrician alone, there was no difference in rates of neonatal or maternal morbidity. 18 Simulation models have developed to increase operator technique, comfort, knowledge, and patient outcomes. [19][20][21][22] However, simulation platforms have several limitations, including lack of appreciation for maternal tissue, inability to recreate accurate assessment of fetal positioning, and inability to distribute forces based upon the maternal pelvic curve.…”

Section: Resultsmentioning

confidence: 99%

Reported case numbers and variability in delivery route and volume by obstetrics and gynecology residents from 2003 to 2019

Bennett¹,

Chambers²,

Yao³

et al. 2021

American Journal of Obstetrics & Gynecology MFM

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“…The finding from this review was consistent with the finding from other developing countries. This might be linked to a less equipped setup, scarce skillful human power, and many health professionals do not consider prerequisites of OVDs ( 1 , 37 ).…”

Section: Discussionmentioning

confidence: 99%

Prevalence, indications, and outcomes of operative vaginal deliveries among mothers who gave birth in Ethiopia: A systematic review and meta-analysis

Balis

Debella

Ketema

et al. 2022

Front. Glob. Womens Health

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BackgroundOperative vaginal deliveries represent an alternative to address problems during the second stage of labor. Clinicians have access to two different instruments obstetrics forceps and vacuum which should be conducted with indication. Understanding the pooled prevalence of operative vaginal deliveries, its indications, and outcomes would help in adopting suitable measures to reduce operative vaginal deliveries-related maternal and neonatal complications. Therefore, this systematic review and meta-analysis aimed to determine the prevalence, indications, and outcomes of operative vaginal deliveries among mothers who gave birth in Ethiopia.MethodsA literature search was done through databases such as PubMed, SCOPUS, Web of Sciences, CAB Abstract, and CINHAL (EBSCO) to search studies that have been conducted in Ethiopia. Relevant sources were consulted to retrieve unpublished studies. Original observational studies that reported the prevalence, indication and outcomes of operative vaginal deliveries conducted in the English language were identified and screened. Studies were independently assessed for inclusion, data extraction, and risk of bias.ResultsTwelve studies were reviewed. The overall pooled prevalence of operative vaginal delivery among mothers who gave birth in Ethiopia was 10% (95% CI: 8 to 13) with I2 = 98.82% and a p-value ≤ 0.001. Fetal distress, prolonged labor, and maternal exhaustion were the most common feto-maternal indications of OVDs whereas; neonatal death, poor Apgar score, admission to neonatal intensive care unit, perianal tear, and postpartum hemorrhage were complications that occur following the operative vaginal deliveries in Ethiopia.ConclusionThis systematic review and meta-analysis showed one out of 10 mothers undergo operative vaginal deliveries. Almost all feto-maternal complications that arise following operative vaginal deliveries were preventable. Thus, concerned stakeholders should encourage quality OVDs practice by avoiding unnecessary indications and scaling up the skill of health professionals through special training.Systematic review registrationhttp://www.crd.york.ac.uk/PROSPERO/, identifier CRD42022311432.

show abstract

Outcomes of operative vaginal delivery managed by residents under supervision and attending obstetricians: a prospective cross-sectional study

Cited by 14 publications

References 37 publications

Predicting Route of Delivery Using Quantification of Maternal Expulsive Efforts in the Second Stage of Labor

Predicting Route of Delivery Using Quantification of Maternal Expulsive Efforts in the Second Stage of Labor

Reported case numbers and variability in delivery route and volume by obstetrics and gynecology residents from 2003 to 2019

Prevalence, indications, and outcomes of operative vaginal deliveries among mothers who gave birth in Ethiopia: A systematic review and meta-analysis

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