Skills training for operative vaginal birth

Hotton, Emily J.; O’Brien, Stephen; Draycott, Timothy

doi:10.1016/j.bpobgyn.2018.10.001

Cited by 15 publications

(10 citation statements)

References 72 publications

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“…Building skills by training and preparing providers in adequate decision-making for instrumental vaginal delivery is fundamental to increase the use safely and appropriately. However, the most effective modality, duration and frequency warrants further research [74][75][76]. After our analysis was complete, we identified two surveys, both from HICs (UK and Australia), of trainee obstetricians' views on using Kielland's forceps [77,78], and a study by Bahl and colleagues from the UK [79] on decision making in instrumental delivery, which we would have included in our analysis had we identified them at the search stage.…”

Section: Discussionmentioning

confidence: 99%

Women’s, partners’ and healthcare providers’ views and experiences of assisted vaginal birth: a systematic mixed methods review

et al. 2020

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Background: When certain complications arise during the second stage of labour, assisted vaginal delivery (AVD), a vaginal birth with forceps or vacuum extractor, can effectively improve outcomes by ending prolonged labour or by ensuring rapid birth in response to maternal or fetal compromise. In recent decades, the use of AVD has decreased in many settings in favour of caesarean section (CS). This review aimed to improve understanding of experiences, barriers and facilitators for AVD use. Methods: Systematic searches of eight databases using predefined search terms to identify studies reporting views and experiences of maternity service users, their partners, health care providers, policymakers, and funders in relation to AVD. Relevant studies were assessed for methodological quality. Qualitative findings were synthesised using a meta-ethnographic approach. Confidence in review findings was assessed using GRADE CERQual. Findings from quantitative studies were synthesised narratively and assessed using an adaptation of CERQual. Qualitative and quantitative review findings were triangulated using a convergence coding matrix. Results: Forty-two studies (published 1985-2019) were included: six qualitative, one mixed-method and 35 quantitative. Thirty-five were from high-income countries, and seven from LMIC settings. Confidence in the findings was moderate or low. Spontaneous vaginal birth was most likely to be associated with positive short and long-term outcomes, and emergency CS least likely. Views and experiences of AVD tended to fall somewhere between these two extremes. Where indicated, AVD can be an effective, acceptable alternative to caesarean section. There was agreement or partial agreement across qualitative studies and surveys that the experience of AVD is impacted by the unexpected nature of events and, particularly in high-income settings, unmet expectations. Positive relationships, good communication, involvement in decision-making, and (believing in) the reason for intervention were important mediators of birth experience. Professional attitudes and skills (development) were simultaneously barriers and facilitators of AVD in quantitative studies.

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Section: Discussionmentioning

confidence: 99%

Women’s, partners’ and healthcare providers’ views and experiences of assisted vaginal birth: a systematic mixed methods review

et al. 2020

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“…Comprehensive training, appropriate supervision and support can drastically improve outcomes and patient and operator experience. [13][14][15][16] Despite recognition of AVB as a life-saving intervention, there have been no significant developments in AVB devices since the 1950s when the ventouse/suction cup was introduced. 17 The Odon Device (figure 1) was invented by an Argentinean Car Mechanic and then further developed by a multiprofessional team of doctors, midwives and engineers as an alternative device.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Women’s experiences of the Odon Device to assist vaginal birth and participation in intrapartum research: a qualitative study in a maternity unit in the Southwest of England

et al. 2021

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ObjectiveTo investigate women’s experiences of having a birth assisted by the Odon Device (an innovative device for assisted vaginal birth) and participation in intrapartum research.DesignQualitative semistructured interviews and observations undertaken in the context of case study work embedded in the ASSIST feasibility study.SettingA tertiary referral National Health Service (NHS) maternity unit in the Southwest of England, between 8 October 2018 and 26 January 2019.ParticipantsEight women, four operators and 11 midwives participated with eight observations of the assisted vaginal birth, eight interviews with women in the postnatal period, 39 interviews/reflections with operators and 19 interviews with midwives. Women in the case study research were recruited from participants in the main ASSIST Study.InterventionThe Odon Device, an innovative device for assisted vaginal birth.ResultsThirty-nine case studies were undertaken. Triangulation of data sources (participant observation, interviews with women, operators and midwives) enabled the exploration of women’s experiences of the Odon Device and recruitment in the intrapartum trial. Experiences were overwhelmingly positive. Women were motivated to take part by a wish for a kinder birth, and because they perceived both the recruitment and research processes (including observation) to be highly acceptable, regardless of whether the Odon-assisted birth was successful or not.ConclusionsInterviews and observations from multiple stakeholders enabled insight into women’s experiences of an innovative device for assisted vaginal birth. Applying these qualitative methods more broadly may illuminate perspectives of key stakeholders in future intrapartum intervention research and beyond.Trial registration numberISRCTN10203171; ASSIST Study registration; https://doi.org/10.1186/ISRCTN10203171.

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“…The aim of these courses is to develop, reinforce, or maintain both technical and nontechnical skills, including teamwork, clinical leadership, interpersonal communication, and clinical decision making. 24…”

Section: Benefits and Aims Of Simulation In Management Of Intrapartummentioning

confidence: 99%

The use of a hybrid mannequin for the modern high-fidelity simulation in the labor ward: the Italian experience of the Ecografia Gestione Emergenze Ostetriche (EGEO) group

Ghi

Rizzo

Aloisio³

et al. 2020

American Journal of Obstetrics and Gynecology

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Skills training for operative vaginal birth

Cited by 15 publications

References 72 publications

Women’s, partners’ and healthcare providers’ views and experiences of assisted vaginal birth: a systematic mixed methods review

Women’s, partners’ and healthcare providers’ views and experiences of assisted vaginal birth: a systematic mixed methods review

Women’s experiences of the Odon Device to assist vaginal birth and participation in intrapartum research: a qualitative study in a maternity unit in the Southwest of England

The use of a hybrid mannequin for the modern high-fidelity simulation in the labor ward: the Italian experience of the Ecografia Gestione Emergenze Ostetriche (EGEO) group

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