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SUMMARY OF ARTICLE
Preserving
the Option of Vacuum Extraction; 5 Experts Tell Why and How
This article, published in the February issue of OBG
Management is a question-answer format between five experts in vacuum
extraction. Neal M. Lonky, MD,
MPH (facilitator of discussion), James Bofill, MD, Thomas Garite,
MD, Robert Hayashi, MD, and Victor L. Vines, MD.
The
article covers the decline of operative vaginal deliveries due to the fear of
litigation. The experts explain why vacuum deliveries should continue and how to reduce complications
through sound patient selection and proper technique, which reduces medical
legal risk. The experts agreed
that pre-delivery checklists, competency assessments, and reporting forms
would help improve operative deliveries.
A sample delivery report form is included with the article.
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Vacuum-Assisted
delivery: Improving Patient Outcomes and Protecting Yourself Against
Litigation
There are three articles in this supplement to
the February issue of OBG Management.
Vacuum-Assisted delivery, Practical Techniques to Improve Patient
Outcomes. By Aldo Vacca, MD
In this article, Dr. Vacca points out that
“Attention to the details of technique can help prevent problems and
ensure the best patient outcomes.” Dr. Vacca teaches the flexion
point, performing the procedure, infant care after vacuum assisted
delivery (VAD), and physician training for VAD.
The
Physics of Vacuum Extraction; Proper Use of Compression and Traction for
Better Patient Outcomes. By R. Gail Billings, PhD
This
short article discusses the mechanisms of VAD, how much traction should be
applied, in what direction, and it’s effects on the fetal scalp.
Establishing
a Protocol; The first step for reducing potential for litigation.
By Victor L. Vines, MD
The
article addresses the possibility that VAD, and forceps deliveries are
trending towards extinction because of the risk of litigation. The
article discusses the statistics of how often VAD’s are performed; the
reasons litigation takes place, and steps to take to prevent problems.
Dr. Vines instructs; selecting the most appropriate mode of delivery,
avoiding litigation claims in your practice, and recommendations to
promote safe use of VAD.
Please
contact Clinical Innovations for a copy of the supplement.
A
Comprehensive Workshop for Residents and Fellows
Clinical
Innovations is sponsoring VAD workshops conducted by our speaker’s
bureau of Aldo Vacca M.D. and Ross W. McQuivey M.D. This workshop
reviews techniques to reduce the risk of vacuum assisted deliveries and
gives physicians the background knowledge and skills to safely perform
vacuum-assisted vaginal deliveries. A full spectrum of vacuum
assisted deliveries will be presented and critically reviewed using an
interactive lecture, case-study, and hands-on format.
With
the training and material provided, this workshop establishes a foundation
for the residency program to repeat the educational efforts for years to
come. Please contact Clinical Innovations to schedule a workshop.
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This Month's Winners
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| Karen McGraw, Altoona, PA |
| Todd Weibel, Fort Wayne, IN |
| Chris Ann Beard, Portland, OR |
PRIZE: Clinical Innovations Day
Pack.
To claim your prize, send address to insights@clinicalinnovations.com. |
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