"Strategies to increase the accuracy and safety of OVD" (Clinical assessment skills and role of ultrasound, simulation training and new technologies to enhance instrument application)

被引：2

作者：

Ramphul, M. ^{[1
]}

机构：

[1] Cambridge Univ Hosp NHS Trust, Addenbrookes Hosp, Cambridge, England

来源：

BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY | 2019年 / 56卷

关键词：

Operative vaginal delivery; Intrapartum ultrasound; Fetal head position; Simulation; FETAL HEAD POSITION; INTRAPARTUM TRANSLABIAL ULTRASOUND; TRANSVAGINAL DIGITAL EXAMINATION; FULL CERVICAL DILATATION; TRANSPERINEAL ULTRASOUND; TRANSABDOMINAL SONOGRAPHY; OPERATIVE DELIVERY; SHOULDER DYSTOCIA; BIRTH SIMULATOR; 2ND-STAGE;

D O I：

10.1016/j.bpobgyn.2019.01.015

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Operative vaginal delivery (OVD) is commonly performed in the UK and Ireland. With skillful practice, the risks to mothers and babies are low. Caesarean section at full dilatation, particularly after failed OVD, can be more hazardous for mothers and babies. It is important to maintain and develop skills in OVD in order to provide it as a safe delivery option when the benefits outweigh the risks. As ultrasound machines have become more readily available on the labour ward, ultrasound assessment has been used to help clinicians diagnose the fetal head position and station, and also to try predict the success of the delivery. Simulation training has successfully been used in the setting of obstetric emergencies and is being developed to teach both technical and communication skills in OVD in order to improve maternal and neonatal outcomes. In this chapter we will discuss strategies to improve the accuracy and safety of OVD in more details. (C) 2019 Published by Elsevier Ltd.

引用

页码：35 / 46

页数：12