The University of Southampton
University of Southampton Institutional Repository

Can formal education and training improve the outcome of instrumental delivery?

Cheong, Y.C., Abdullahi, H., Lashen, H. and Fairlie, F.M. (2004) Can formal education and training improve the outcome of instrumental delivery? European Journal of Obstetrics, Gynecology and Reproductive Biology, 113, (2), pp. 139-144. (doi:10.1016/S0301-2115(03)00340-3). (PMID:15063949).

Record type: Article

Abstract

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.

Full text not available from this repository.

More information

Published date: 15 April 2004
Keywords: instrumental delivery, vacuum, ventouse, forceps, neonatal morbidity, maternal morbidity, education
Organisations: Dev Origins of Health & Disease

Identifiers

Local EPrints ID: 187869
URI: http://eprints.soton.ac.uk/id/eprint/187869
ISSN: 0301-2115
PURE UUID: 2c15eec6-18c5-48d7-8638-e2ab874c2e97
ORCID for Y.C. Cheong: ORCID iD orcid.org/0000-0001-7687-4597

Catalogue record

Date deposited: 19 May 2011 09:08
Last modified: 18 Jul 2017 11:43

Export record

Altmetrics

Contributors

Author: Y.C. Cheong ORCID iD
Author: H. Abdullahi
Author: H. Lashen
Author: F.M. Fairlie

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×