title: A pilot study to assess the adequacy of the Brigham 20 Kit for cesarean delivery.
abstract: OBJECTIVE
  To determine whether a kit of only 20 instruments could be used to perform cesarean deliveries in a consistently safe manner for the purpose of providing better surgical instruments to healthcare providers in limited-resource environments.
  
  
  METHODS
  In a small pilot study, 10 obstetricians in 2 hospitals in Boston, USA, used and evaluated the adequacy of the Brigham 20 Kit for cesarean delivery among 10 women.
  
  
  RESULTS
  On average, the obstetricians rated the Brigham 20 Kit 8.7 out of 10 for adequacy and made some minor suggestions regarding the kit's instrumentation configuration.
  
  
  CONCLUSIONS
  The limited-instrument Brigham 20 Kit seemed adequate to perform cesarean deliveries safely. Larger clinical trials are needed to assess the value of this new concept for cesarean delivery in limited-resource environments.
authors.affiliation: Departments of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, USA. jagreenberg@partners.org
authors.forename: James A
authors.initials: JA
authors.lastname: Greenberg
authors.forename: Blair
authors.initials: B
authors.lastname: Wylie
authors.forename: Julian N
authors.initials: JN
authors.lastname: Robinson
mesh_terms: D001291:Attitude of Health Personnel; D001900:Boston; D002585:Cesarean Section / Q000295:instrumentation* / Q000379:methods / Q000592:standards; D005260:Female; D006801:Humans; D009774:Obstetrics / Q000295:instrumentation / Q000379:methods; D010865:Pilot Projects; D011247:Pregnancy; D011785:Quality Assurance, Health Care; D013525:Surgical Instruments; D011795:Surveys and Questionnaires