Does the number of forceps deliveries performed in residency predict use in practice?

American Journal of Obstetrics and Gynecology
Sasha E AndrewsTorri D Metz

Abstract

We aimed to determine whether a threshold number of forceps deliveries in residency predicts use of forceps in independent practice. We surveyed obstetrics and gynecology residency graduates of 2 academic programs from 2008 through 2012 regarding the use of operative vaginal delivery in practice. At these programs, residents are trained in both forceps and vacuums. Individual case log data were obtained with the number of forceps deliveries performed by each respondent during residency. Respondents were grouped as currently using any forceps or vacuums alone. A logistic regression model estimated the probability of forceps use, predicted by the number of residency forceps deliveries. From the resulting receiver-operating characteristic curve, we assessed sensitivity, specificity, positive predictive value, and area under the curve. The response rate was 85% (n = 58) and 90% (n = 52) practice obstetrics. Seventy-nine percent (n = 41) use forceps in practice. The mean number of forceps performed during residency was 22.3 ± 1.3 (mean ± SE) in the any-forceps group and 18.5 ± 2.1 in the vacuums-only group (P = .14). Although the model performed only moderately (area under the curve, 0.61, 95% confidence interval [CI], 0.42-0.81), m...Continue Reading

References

Jun 11, 1999·American Journal of Perinatology·G D HankinsS Collier
Mar 30, 2007·Journal of Perinatology : Official Journal of the California Perinatal Association·J PowellJ P Lavin
Jul 28, 2009·The Journal of Surgical Research·P Amy SuwanabolSharon M Weber
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Citations

Sep 24, 2016·Obstetrics and Gynecology·Sarah Rae EasterDaniela Carusi
Jan 14, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Li WanJing Zhang
May 27, 2020·American Journal of Perinatology·David A BeckerAkila Subramaniam
May 17, 2021·American Journal of Obstetrics & Gynecology MFM·Carrie BennettVincenzo Berghella

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