Comparison of neonatal outcomes and intrapartum events in full term vaginal deliveries conducted by staff versus resident physicians.
10.5468/ogs.2013.56.6.362
- Author:
Hyun Hwa CHA
1
;
Suk Joo CHOI
;
Soo Young OH
;
Cheong Rae ROH
;
Jong Hwa KIM
Author Information
1. Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ohsymd@skku.edu
- Publication Type:Original Article
- Keywords:
Neonatal outcome;
Resident;
Staff;
Vacuum delivery;
Vaginal delivery
- MeSH:
Apgar Score;
Delivery, Obstetric*;
Dystocia;
Female;
Gestational Age;
Humans;
Hydrogen-Ion Concentration;
Infant, Newborn;
Intensive Care, Neonatal;
Parity;
Pregnancy;
Pregnant Women;
Shoulder;
Vacuum Extraction, Obstetrical
- From:Obstetrics & Gynecology Science
2013;56(6):362-367
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The objective of this study was to compare the neonatal outcomes and intrapartum events conducted by staff versus resident physicians in full term vaginal deliveries. METHODS: We divided study population (n = 5,007) into two groups: staff versus resident physicians. These two groups were sub-divided; faculty versus fellow and senior versus junior resident, respectively. The maternal characteristics, neonatal outcomes including Apgar score, admission to the neonatal intensive care unit and umbilical arterial pH and intrapartum event which was defined as the occurrence of shoulder dystocia and vacuum delivery were also investigated. RESULTS: There was no difference in neonatal outcomes between two groups. The group delivered by staff had a higher rate of nulliparity, large for gestational age and intrapartum events than the resident physician group. The subgroup analysis revealed a higher rate of vacuum delivery in the group delivered by faculty and senior members than the group delivered by fellows and junior members. CONCLUSION: There was no significant difference in neonatal outcomes between the two groups; staff versus resident physicians in full term vaginal deliveries in low-risk pregnant women. Also, experienced obstetricians might tend to participate in difficult labors and would prefer applying vacuum compared to the obstetricians with fewer experiences.
