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Related Experiment Videos

Association Between Resident Involvement in Cesarean Delivery, Complications, and Operative Times.

Joseph R Mims1, Amanda A Allshouse1, Torri D Metz1

  • 1University of Utah Health, Salt Lake City, Utah.

O&G Open
|June 15, 2026
PubMed
Summary
This summary is machine-generated.

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Resident involvement in cesarean deliveries did not increase major maternal complications but was linked to minor issues and longer operative times. However, it was associated with reduced neonatal morbidity, suggesting a complex risk-benefit profile.

Area of Science:

  • Obstetrics and Gynecology
  • Surgical Outcomes Research
  • Medical Education

Background:

  • Resident physician training is crucial for surgical skill development.
  • Cesarean delivery is a common surgical procedure with potential maternal and neonatal risks.
  • Evaluating the impact of resident involvement on surgical outcomes is essential for patient safety and training quality.

Purpose of the Study:

  • To determine if resident involvement in cesarean deliveries is associated with increased maternal or neonatal morbidity.
  • To assess the impact of resident participation on operative times during cesarean sections.
  • To analyze the relationship between resident involvement and specific maternal and neonatal outcomes.

Main Methods:

  • Secondary analysis of the multicenter APEX observational cohort study (2008-2011).

Related Experiment Videos

  • Included nonanomalous, singleton, term cesarean deliveries.
  • Used propensity score weighting to compare outcomes with and without resident involvement, focusing on major maternal morbidity, minor maternal morbidity, neonatal morbidity, and operative times.

    • Main Results:

    • Resident involvement was not linked to major maternal operative morbidity (e.g., organ injury, death).
    • Increased risk of minor maternal morbidity (primarily postpartum hemorrhage) and longer operative times were observed with resident involvement.
    • Resident participation was associated with a lower risk of neonatal morbidity.

    Conclusions:

    • Resident involvement in cesarean deliveries does not significantly increase major maternal morbidity.
    • While trainee involvement correlates with longer operative times and minor maternal morbidity, it is associated with improved neonatal outcomes.
    • The findings suggest a nuanced impact of resident participation on cesarean delivery outcomes, balancing trainee education with patient safety.