Bofill J A, Rust O A, Perry K G, Roberts W E, Martin R W, Morrison J C
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, USA.
Obstet Gynecol. 1996 Oct;88(4 Pt 1):622-5. doi: 10.1016/0029-7844(96)00208-6.
To document resident instruction in operative vaginal delivery by forceps and vacuum.
A survey was sent to all 291 obstetrics-gynecology training programs in the United States and Canada.
The overall response rate was 72% (210 of 291). Most programs (60%) have an operative vaginal delivery rate of 10% or less. Nearly all of the responding programs (199 of 209, 95%) teach operative vaginal delivery via the vacuum route; metallic cups are used in only 14% of centers. Forceps are the primary instrument in most programs (68%), but nearly one-third of responding centers use the vacuum method more often than forceps. Instruction in midpelvic operative vaginal delivery is offered in 64% of the programs, with forceps being more common by nearly a two-to-one ratio. Deep transverse arrest is handled initially by forceps by half of the respondents, whereas 28 and 22% would proceed with cesarean or attempt a vacuum extraction, respectively.
Instruction in both types of operative vaginal delivery is found in most programs. The forceps are used more commonly, but vacuum is the preferred instrument in about one-third of training programs. Instruction in midpelvic delivery is offered in 64% of programs, but we noted a declining trend.
记录产钳和真空吸引器助产的住院医师培训情况。
向美国和加拿大的所有291个妇产科培训项目发送了一份调查问卷。
总体回复率为72%（291个项目中的210个）。大多数项目（60%）的助产分娩率为10%或更低。几乎所有回复的项目（209个中的199个，95%）通过真空吸引器途径教授助产分娩；只有14%的中心使用金属杯。在大多数项目（68%）中，产钳是主要工具，但近三分之一回复的中心使用真空吸引法比产钳更频繁。64%的项目提供中骨盆助产分娩的教学，产钳的使用更为常见，比例接近二比一。一半的受访者最初使用产钳处理中骨盆横径阻滞，而分别有28%和22%的受访者会选择剖宫产或尝试真空吸引助产。
大多数项目都有两种助产分娩方式的教学。产钳使用更为普遍，但在约三分之一的培训项目中，真空吸引器是首选工具。64%的项目提供中骨盆分娩的教学，但我们注意到有下降趋势。
