APGO

« Back to Search

A Hefty Increase in Operative Vaginal Deliveries

Purpose: To determine if implementing a robust training program in forceps assisted vaginal deliveries (FAVD) for faculty provided Obstetrics and Gynecology (OB GYN) residents with an increased clinical volume of FAVD during their residency.

Background: FAVD is rapidly becoming a lost art. Instruction in this historical and highly efficacious procedure needs to continue. Skilled faculty mentored junior and senior faculty that teach Obstetrical residents, including Hospitalists and Laborists. Our hypothesis is that implementation of a FAVD education training, including peer faculty mentorship, can improve overall FAVD procedures and experience for residents

Methods: Retrospective review of ACGME resident procedure log data was utilized to determine the mean number of operative vaginal deliveries (OVD) per academic year. The yearly data before and after implementation of the FAVD training was analyzed.

Results: Evaluation of resident case numbers demonstrate increased experience from 2016 through 2020. Mean OVD from 2016-2020 were, n=22 (17-26), n=20 (15-25), n=37 (21-54), n=65 (36-115), n=43 (26-55) respectively for a 59-195% increase in OVD after the time of FAVD mentorship and training. Nationally, FAVD comprises approximately 30% of all OVD, which has been consistent over the last six years. Our current PGY3 class FAVD rate is 35% of all OVD. The ratio of FAVD to OVD is approximately 5% higher than national ratios.

Discussions: We concluded that through formal didactic education and simulated exercises for faculty and residents, the total number of OVD has increased. Continue exposure to OVD can be accomplished by continued education and simulation

Topics: CREOG & APGO Annual Meeting, 2022, Resident, Faculty, Residency Director, Residency Coordinator, Patient Care, Medical Knowledge, Systems-Based Practice & Improvement, Practice-Based Learning & Improvement, GME, Assessment, Simulation, Quality & Safety, General Ob-Gyn,