Impact of additional theoretical training program in the diagnosis of the fetal head position during labor: a prospective observational study
Abstract Background The accuracy of transvaginal digital examination in determining foetal head position is not high enough. This study aimed to evaluate whether an additional training on our new theory could improve the diagnostic accuracy of the foetal head position. Methods This was a prospective...
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-023-05472-1 |
| _version_ | 1797863268160634880 |
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| author | Ye Song Yun Qu Jia Liu Hongjing Jia Yongfei Yue Xuepiao Zhao |
| author_facet | Ye Song Yun Qu Jia Liu Hongjing Jia Yongfei Yue Xuepiao Zhao |
| author_sort | Ye Song |
| collection | DOAJ |
| description | Abstract Background The accuracy of transvaginal digital examination in determining foetal head position is not high enough. This study aimed to evaluate whether an additional training on our new theory could improve the diagnostic accuracy of the foetal head position. Methods This was a prospective study conducted at a 3a grade hospital. The study included 2 residents in their first year of training in obstetrics without prior experience in transvaginal digital examination. In the observational study, 600 pregnant women without contraindications to vaginal delivery were included. Two residents were simultaneously trained in the theory of traditional vaginal examination, but resident B received an additional theoretical training program. The pregnant women were randomly assigned to have the foetal head position examined by resident A and resident B. The foetal head position was then confirmed by ultrasound, which was performed by the main investigator. After 300 examinations were independently performed by each resident, the accuracy of foetal head position and perinatal outcomes were compared between the two groups. Results During the 3-month period, 300 post training transvaginal digital examinations were performed by each resident in our hospital. The two groups were found to be homogeneous for age at delivery, BMI before delivery, parity, gestational weeks at delivery, the rate of epidural analgesia, foetal head position, presence of caput succedaneum, presence of moulding and foetal head station(p > 0.05). The diagnostic accuracy of head position by digital examination was higher for resident B, who was subjected to an additional theoretical training program, than for resident A (75.00% vs. 60.67%, p < 0.001). There were no significant differences in maternal and neonatal outcomes between the two groups (p > 0.05). Conclusion An additional theoretical training program for residents increased the accuracy of vaginal assessment of foetal head position. Trial registration Registered at Chinese Clinical Trial Registry Platform (ChiCTR2200064783), October 17, 2022. https://www.chictr.org.cn/edit.aspx?pid=182857&htm=4 |
| first_indexed | 2024-04-09T22:32:49Z |
| format | Article |
| id | doaj.art-654c53e02b70433093b5eadfa41871ef |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-09T22:32:49Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-654c53e02b70433093b5eadfa41871ef2023-03-22T12:38:20ZengBMCBMC Pregnancy and Childbirth1471-23932023-03-012311610.1186/s12884-023-05472-1Impact of additional theoretical training program in the diagnosis of the fetal head position during labor: a prospective observational studyYe Song0Yun Qu1Jia Liu2Hongjing Jia3Yongfei Yue4Xuepiao Zhao5Department of Obstetrics and Gynecology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalDepartment of Obstetrics and Gynecology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalDepartment of Obstetrics and Gynecology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalDepartment of Medical Ultrasound, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalDepartment of Obstetrics and Gynecology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalDepartment of Obstetrics and Gynecology, The Affiliated SuQian first people’s Hospital of Nanjing Medical UniversityAbstract Background The accuracy of transvaginal digital examination in determining foetal head position is not high enough. This study aimed to evaluate whether an additional training on our new theory could improve the diagnostic accuracy of the foetal head position. Methods This was a prospective study conducted at a 3a grade hospital. The study included 2 residents in their first year of training in obstetrics without prior experience in transvaginal digital examination. In the observational study, 600 pregnant women without contraindications to vaginal delivery were included. Two residents were simultaneously trained in the theory of traditional vaginal examination, but resident B received an additional theoretical training program. The pregnant women were randomly assigned to have the foetal head position examined by resident A and resident B. The foetal head position was then confirmed by ultrasound, which was performed by the main investigator. After 300 examinations were independently performed by each resident, the accuracy of foetal head position and perinatal outcomes were compared between the two groups. Results During the 3-month period, 300 post training transvaginal digital examinations were performed by each resident in our hospital. The two groups were found to be homogeneous for age at delivery, BMI before delivery, parity, gestational weeks at delivery, the rate of epidural analgesia, foetal head position, presence of caput succedaneum, presence of moulding and foetal head station(p > 0.05). The diagnostic accuracy of head position by digital examination was higher for resident B, who was subjected to an additional theoretical training program, than for resident A (75.00% vs. 60.67%, p < 0.001). There were no significant differences in maternal and neonatal outcomes between the two groups (p > 0.05). Conclusion An additional theoretical training program for residents increased the accuracy of vaginal assessment of foetal head position. Trial registration Registered at Chinese Clinical Trial Registry Platform (ChiCTR2200064783), October 17, 2022. https://www.chictr.org.cn/edit.aspx?pid=182857&htm=4https://doi.org/10.1186/s12884-023-05472-1LabourOcciput posterior positionFetal head positionTransvaginal digital examination |
| spellingShingle | Ye Song Yun Qu Jia Liu Hongjing Jia Yongfei Yue Xuepiao Zhao Impact of additional theoretical training program in the diagnosis of the fetal head position during labor: a prospective observational study BMC Pregnancy and Childbirth Labour Occiput posterior position Fetal head position Transvaginal digital examination |
| title | Impact of additional theoretical training program in the diagnosis of the fetal head position during labor: a prospective observational study |
| title_full | Impact of additional theoretical training program in the diagnosis of the fetal head position during labor: a prospective observational study |
| title_fullStr | Impact of additional theoretical training program in the diagnosis of the fetal head position during labor: a prospective observational study |
| title_full_unstemmed | Impact of additional theoretical training program in the diagnosis of the fetal head position during labor: a prospective observational study |
| title_short | Impact of additional theoretical training program in the diagnosis of the fetal head position during labor: a prospective observational study |
| title_sort | impact of additional theoretical training program in the diagnosis of the fetal head position during labor a prospective observational study |
| topic | Labour Occiput posterior position Fetal head position Transvaginal digital examination |
| url | https://doi.org/10.1186/s12884-023-05472-1 |
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