Survey of forceps delivery in North America in 1990.

Abstract:

OBJECTIVE:To determine whether opinions and practice patterns have markedly changed over the past decade and whether clinicians are cognizant of the new ACOG definitions for forceps deliveries. METHODS:Two hundred ninety-five United States and Canadian residency programs were surveyed via a questionnaire; 203 (69%) responded. Statistical analysis was performed using the chi 2 test, Yates correction factor, and the extended Mantel-Haenszel test. RESULTS:All but two program directors (99%) were familiar with the new definitions, which were being used by 162 (80%) of the programs. All institutions used outlet and low forceps, although 14% no longer performed midforceps deliveries. Attending faculty were the primary instructors in 67% of United States and 100% of Canadian programs. Simpson forceps were the most commonly used for outlet (46%) and low (43%) forceps deliveries. Kielland (27%) and Simpson (24%) instruments were most commonly used for midforceps deliveries. CONCLUSION:Although the rate of midforceps use decreased, operative vaginal delivery was still commonly taught in residency programs in North America in 1990.

journal_name

Obstet Gynecol

authors

Ramin SM,Little BB,Gilstrap LC 3rd

subject

Has Abstract

pub_date

1993-02-01 00:00:00

pages

307-11

issue

2

eissn

0029-7844

issn

1873-233X

journal_volume

81

pub_type

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