Outcomes of operative vaginal delivery managed by residents under supervision and attending obstetricians: a prospective cross-sectional study

American Journal of Obstetrics and Gynecology
Loïc SentilhesMatthieu Hanf

Abstract

To assess both severe maternal and neonatal mortality and morbidity after attempted operative vaginal deliveries by residents under supervision and by attending obstetricians. Secondary analysis of a 5-year prospective study with cross-sectional analysis including 2192 women with live singleton term fetuses in vertex presentation who underwent an attempted operative vaginal delivery in a tertiary care university hospital. Obstetricians who attempted or performed an operative vaginal delivery were classified into 2 groups according to their level of experience: attending obstetricians (who had 5 years or more of experience) and obstetric residents (who had less than 5 years of experience) under the supervision of an attending obstetrician. We used multivariate logistic regression and propensity score methods to compare outcomes associated with attending obstetricians and obstetric residents. Severe maternal morbidity was defined as third- or fourth-degree perineal laceration, perineal hematoma, cervical laceration, extended uterine incision for cesareans, postpartum hemorrhage >1500 mL, surgical hemostatic procedures, uterine artery embolization, blood transfusion, infection, thromboembolic events, admission to the intensive car...Continue Reading

References

Apr 1, 1991·Statistics in Medicine·D B Rubin, N Schenker
Feb 1, 1985·American Journal of Obstetrics and Gynecology·F P HadlockS K Park
Jul 15, 2009·Journal de gynécologie, obstétrique et biologie de la reproduction·L SentilhesA Fournié
Sep 24, 2009·JAMA : the Journal of the American Medical Association·David A AschAndrew J Epstein
Feb 22, 2011·American Journal of Obstetrics and Gynecology·Ido SoltMatthew J Kim
Aug 2, 2011·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Christophe VayssièreUNKNOWN French College of Gynaecologists and Obstetricians
May 23, 2012·Journal de gynécologie, obstétrique et biologie de la reproduction·B BlondelUNKNOWN National Coordination Group of the National Perinatal Surveys
Feb 26, 2013·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Christophe VayssièreUNKNOWN French College of Gynecologists and Obstetricians (CNGOF)
Mar 30, 2013·BMJ : British Medical Journal·Andrew J EpsteinDavid A Asch
Oct 15, 2013·Statistics in Medicine·Peter C Austin
Nov 14, 2013·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·R KeriakosN Hilal
Nov 28, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·David A AschAndrew J Epstein
Feb 26, 2014·American Journal of Obstetrics and Gynecology·Aaron B CaugheyDwight J Rouse
Jul 25, 2015·European Journal of Obstetrics, Gynecology, and Reproductive Biology·C VayssièreB Carbonne
Aug 6, 2015·Obstetrics and Gynecology·Guillaume DucarmeLoic Sentilhes
Oct 22, 2015·Obstetrics and Gynecology·UNKNOWN Committee on Practice Bulletins—Obstetrics
Jun 19, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Loïc SentilhesVéronique Lejeune-Saada
Aug 9, 2016·Obstetrics and Gynecology·Dana R GossettSusan E Gerber
Aug 9, 2016·Obstetrics and Gynecology·Gary A DildySteven L Clark
Oct 28, 2016·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·Suneet P ChauhanLynda J-S Yang
Feb 27, 2017·BJOG : an International Journal of Obstetrics and Gynaecology·A A MerriamA M Friedman
Jun 7, 2017·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Giulia M MuracaK S Joseph
Jul 6, 2018·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·T GhiB Tutschek
Aug 23, 2018·The New England Journal of Medicine·Loïc SentilhesUNKNOWN Groupe de Recherche en Obstétrique et Gynécologie

❮ Previous
Next ❯

Citations

Nov 21, 2019·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·Kelly YamasatoJanet Burlingame
Apr 22, 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·A HamzaF Z Takacs
Sep 12, 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·Kelsey RoseYalda Afshar
Dec 22, 2020·American Journal of Obstetrics & Gynecology MFM·Nina K AyalaErika F Werner
Sep 6, 2020·Journal of Perinatal Medicine·Clarel Antoine, Bruce K Young
Feb 24, 2021·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Constance CottrellDavid Biats
May 17, 2021·American Journal of Obstetrics & Gynecology MFM·Carrie BennettVincenzo Berghella

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

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
Paul GuerbyFabien Vidal
Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
E SchiffH Carp
© 2022 Meta ULC. All rights reserved