title: Teaching forceps: the impact of proactive faculty.
abstract: OBJECTIVE
  The objective of the study was to evaluate the impact on resident forceps experience by a single proactive teacher.
  
  
  METHODS
  A study was performed to assess the impact on delivery statistics and outcome following the assignment of a single attending to teach forceps to residents. A 2 year period immediately preceding and 2 years following the study was compared using χ(2) and Student t tests.
  
  
  RESULTS
  After appointment of the specific teaching attending, forceps deliveries increased by 59% (8% of all births), whereas vacuum procedures decreased to 3% of births (P < .0001) compared with the prior 2 years. The overall percentage of operative vaginal deliveries remained unchanged (11%). Cesarean section rates were unchanged during the study period at 27% of all births. Perineal laceration, 5 minute Apgar less than 7, and birth injuries were also not statistically different. There were fewer fetal pH events less than 7.1 in the teaching period (P = .003).
  
  
  CONCLUSIONS
  In the population studied, there was an association between increasing resident forceps use and a positive impact on birth outcomes from the designation of a full-time, experienced, and proactive faculty member to obstetrics teaching duty.
authors.affiliation: Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA. solti@cshs.org
authors.forename: Ido
authors.initials: I
authors.lastname: Solt
authors.forename: Sherri
authors.initials: S
authors.lastname: Jackson
authors.forename: Thomas
authors.initials: T
authors.lastname: Moore
authors.forename: Siegfried
authors.initials: S
authors.lastname: Rotmensch
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Kim
mesh_terms: D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007396:Internship and Residency; D009772:Obstetrical Forceps; D009774:Obstetrics / Q000193:education*; D011247:Pregnancy; D013663:Teaching / Q000379:methods*