n Obstetrics and Gynaecology Forum - A survey of health professionals on the current use of forceps / ventouse and skills training for operative vaginal delivery : review
|Article Title||A survey of health professionals on the current use of forceps / ventouse and skills training for operative vaginal delivery : review|
|© Publisher:||In House Publications|
|Journal||Obstetrics and Gynaecology Forum|
|Affiliations||1 King Dinizulu Memorial Hospital|
|Publication Date||Aug 2015|
|Pages||37 - 39|
Background: There is a progressive shift away from the use of operative vaginal deliveries in favour of caesarean delivery in obstetrics. The current study aimed to assess on the use of forceps / ventouse and skills training for operative vaginal delivery by health care professionals. Study design: The questionnaires were distributed to health care workers employed in the Department of Obstetrics and Gynaecology in the KwaZulu-Natal (KZN) Provincial Hospitals to evaluate the possible reasons for the low operative vaginal delivery rates rates. Results: Of the 250 questionnaires distributed to health care workers of varying experience, 197 (85.6%) were complete and eligible for analysis. One hundred and nineteen (60%) of the respondents indicated that was a role for operative vaginal deliveries. Seventy-eight (40%) had reservations, including lack of confidence = 37(47%), fear of litigation = 13(16%), and fear of complications = 28(35%). 17 (9%) of the 197 medical doctors performed operative vaginal delivery after training, 189 (96%) preferred vacuum to forceps. Thirty-one (16%) of the respondents indicated that they taught the procedure to their colleagues. One hundred and sixty-six (84%) had learned operative vaginal delivery from essential steps in the management of obstetrics emergencies (ESMOE) training modules. Conclusion: Although the overall rate of operative vaginal delivery has been declining in our setting, with appropriate training and careful patient selection, operative vaginal delivery can be a valuable tool in the armamentarium of obstetrics.
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