Simulation to Improve Trainee Skill and Comfort with Forceps-Assisted Vaginal Deliveries
AJP Rep 2019; 09: e6-e9 DOI: 10.1055/s-0039-1677736 Objective Simulation training is a powerful learning tool for low frequency events. Forceps-assisted vaginal deliveries (FAVD) are an important tool in reducing cesarean deliveries. The aim of this study is to create a high-fidelity simulation-based curriculum for residency education and investigate pre- and posttest skill and confidence. Methods A prospective cohort study was conducted involving obstetrics and gynecology residents over 2 academic years. Residents participated in one to three FAVD simulation trainings. All sessions involved video, didactic, and hands-on practice. Pre- and postsurvey and skills assessment were conducted to assess confidence, ability to consent, and perform a FAVD. Wilcoxon's signed-rank tests and Kruskal–Wallis tests were used. Results Thirty residents (73%) completed at least one forceps simulation training session. Participants demonstrated significant improvement in confidence (p
Publication date: July 2019Source: Best Practice &Research Clinical Obstetrics &Gynaecology, Volume 58Author(s):
In this study, we present a noninvasive procedure of bilateral cervix apex clamping (BCAC) procedure to control refractory postpartum hemorrhage (PPH) in vaginal delivery as a new second line therapy for refractory PPH. The procedure clamps the anterior and posterior walls of the cervical apex using toothless ovum forceps to arrest bleedingafter the failure of the first line therapy for PPH.. 44 women were performed BCAC to control persistent bleeding in 13359 vaginal deliveries from 1 January 2016 to 31 May 2018. In all of the BCAC, it can reduce bleeding significantly. The bleeding speed after BCAC was far less than that...
The study aimed to determine proportion and risk factors for maternal complication related to forceps and vacuum delivery among mother who gave birth at Felege Hiwot Comprehensive Specialized Hospital (FHCSH).
nik In this work, we aimed to improve the encapsulation efficiency of sepiapterin (SP), the natural precursor of the essential cofactor tetrahydrobiopterin (BH4) that displays mild water-solubility and a short biological half-life, within methoxy-poly(ethylene-glycol)-poly(epsilon-caprolactone)(mPEG-PCL) nanoparticles (NPs) by means of its complexation and hydrophobization with 2,3,6-triacetyl-β-cyclodextrin (TAβCD). For this, SP/TAβCD complexes were produced by spray-drying of SP/TAβCD binary solutions in ethanol using the Nano Spray Dryer B-90 HP. Dry powders were characterized by ...
CONCLUSIONS: We failed to find a significantly different avulsion rate [adjusted OR: 2.14 (95%CI: 0.95, 4.85) (p=0.068) between KFD and MVD when the characteristics of instrumentation are considered in the evaluation This article is protected by copyright. All rights reserved. PMID: 31332857 [PubMed - as supplied by publisher]
ConclusionsWe did not observe a statistically significant reduction in the LAM avulsion rate with disengagement of the forceps branches before delivery of the fetal head.
AbstractIntroductionCancer treatment during childhood may lead to late adverse effects, such as reduced musculoskeletal development, or vascular, endocrine and pulmonary dysfunction, which in turn may have an adverse effect on following pregnancy and childbirth. The aim of the present study was to investigate pregnancy and obstetric outcomes as well as the offspring's health among childhood and adolescent female cancer survivors.Material and methodsThis register ‐based study included all women born between 1973 and 1977 diagnosed with cancer in childhood or adolescence (age
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We herein report, to our knowledge, the first case of attempt to treat placenta accreta leaved in situ in human after delivery using RF ablation. The patient was a 35-year-old (gravida two para one) with history of cesarean delivery. Ultrasonography at 32 weeks of gestation showed an anterior placenta not low-lying. Labor was induced at 39 weeks and a female neonate weighing 3 400 g was delivered by vacuum extraction. Placenta delivery was incomplete and attempts for manual removal and uterine revision failed leading to suspicion of partial placenta accreta.