To document operative vaginal delivery rates of ACOG Fellows and to stratify practice patterns with regard to mid-pelvic delivery and deep transverse arrest by the time elapsed since residency.
A survey was mailed to a random sample of 1600 ACOG Fellows.
Of the 597 respondents (37%), 558 who still practice obstetrics formed the study group.
Selection bias regarding recipients of the survey was reduced by randomization by an uninvolved third party.
The length of time since residency was categorized as 10 years or fewer ( « recent, » 31%), 11-20 years ( « intermediate, » 43%), and more than 20 years ( « remote, » 26%). Results : The majority of respondents (338 of 558,61%) reported an operative vaginal delivery rate of 15% or less.
One hundred forty-two (25%) use only forceps, whereas 78 (14%) use vacuum extraction exclusively.
More than half have abandoned mid-pelvic operative vaginal deliveries, and of the 41% who still perform these operations, about half use forceps.
In cases of deep transverse arrest, about 25% perform cesarean delivery, whereas 26% and 42% use forceps or vacuum, respectively.
Resident training and practice in vacuum delivery were more common in the recently trained groups (recent>intermediate>remote ; P<. 001). (...)
Mots-clés Pascal : Délivrance artificielle, Voie vaginale, Forceps, Technique, Pratique professionnelle, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Taux, Homme, Femelle, Accouchement, Appareil génital femelle
Mots-clés Pascal anglais : Artificial third stage labor, Vaginal route, Forceps, Technique, Professional practice, United States, North America, America, Epidemiology, Rate, Human, Female, Delivery, Female genital system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0042630
Code Inist : 002B20G02. Création : 21/05/1997.