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SMFM Special Statement: Operative vaginal delivery: checklists for performance and documentation
1, 1, Barton Staat1
1Society for Maternal-Fetal Medicine, 409 12 St. SW, Washington, DC 20024, USA. pubs@smfm.org.
American Journal of Obstetrics and Gynecology
|May 2, 2020
Summary
Operative vaginal delivery, an alternative to cesarean birth, is declining. Checklists can improve the safety and documentation of forceps or vacuum-assisted deliveries by ensuring all critical steps are considered.
Area of Science:
- Obstetrics and Gynecology
- Surgical Safety
- Clinical Process Improvement
Background:
- Operative vaginal delivery (OVD) is an alternative to cesarean delivery but its frequency is declining.
- OVD requires careful consideration of indications, contraindications, and prerequisites.
- Effective documentation of OVD is crucial but complex due to procedure-specific elements.
Purpose of the Study:
- To address the declining use of operative vaginal delivery.
- To improve the safety and consistency of OVD procedures.
- To enhance the documentation of forceps and vacuum-assisted deliveries.
Main Methods:
- Development of two distinct checklists for operative vaginal delivery.
- Checklist 1: Preparation and performance of the procedure.
- Checklist 2: Documentation specific to operative vaginal delivery.
Main Results:
- Proposed checklists aim to ensure all relevant elements are considered for every OVD.
- Checklists are designed to aid teams with variable expertise and low-frequency performance.
- Practical tips are provided for checklist adaptation and implementation in clinical settings.
Conclusions:
- Cognitive aids like checklists are suitable for managing the complexities of OVD.
- Implementation of these checklists can support consistent and safe operative vaginal delivery practices.
- Standardized checklists can improve both the performance and documentation of OVD.
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