Does Presence of Senior Obstetricians Impact Mode of Delivery?
This study by Bardos et al. (Obstetrics Gynecology, 2017) sought to determine if the supervising of residents by senior obstetricians (> 20 years experience) impacted the mode of delivery.
Retrospective Cohort Study
There were 5,201 live, singleton, term, vertex deliveries under the care of residents at the hospital, 1,919 before December 2012 (when the study was implemented) and 3,282 from December 2012 onwards. Under the senior obstetrician initiative, the rate of forceps delivery significantly increased from 0.6% to 2.6%, while the rate of C-sections decreased from 27.3% to 24.5%. Amongst nulliparous women the rate of forceps delivery increased from 1% to 3.4% and the rate of C-section decreased from 25.6% to 22.7%. These changes in mode of delivery were only seen while senior obstetricians were supervising residents and were statistically significant.
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