Specialty: Reproductive health and childbirth, Primary sub-specialty: General Obstetrics/ Midwifery
Conditions
Interventions
The intervention studied will be the local provision of structured simulation training in operative vaginal birth (the ROBuST course) to trainees in Obstetrics and Gynaecology. The intervention will b
Sponsors
North Bristol NHS Trust
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. The woman had a birth conducted within a study site during the applicable study time period, by any doctor, trained or untrained 2. An operative vaginal birth instrument (forceps or vacuum) was applied to a fetal head 3. The woman had a singleton pregnancy
Exclusion criteria
Exclusion criteria: Excludes an instrumented Caesarean birth
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Failure to achieve vaginal birth with the primary chosen instrument; Timepoint(s): 01/06/2018 | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Use of second instrument to achieve operative vaginal birth (forceps or ventouse) 2. Caesarean section 3. Episiotomy 4. Perineal trauma (1st/2nd/3rd/4th degree tear) 5. Cervical tear requiring suturing 6. General anaesthesia 7. Estimated blood loss (ml) 8. Apgar score at 1, 5 and 10 minutes 9. Umbilical artery pH 10. Shoulder dystocia (Yes/No) 11. Admission to Neonatal Intensive Care Unit (for any reason immediately following birth) 12. Neonatal death within 28 days of birth (for any reason) All outcome measures are routinely assessed and recorded contemporaneously by the obstetrician performing the attempted operative vaginal birth | — |
Countries
United Kingdom
Outcome results
None listed