Obstetric laceration repair in the United States: is there a common practice?
OBJECTIVE
To assess practice preferences in the repair of severe obstetric lacerations among obstetrician/gynecologists in the United States.


METHODS
A survey detailing third and fourth degree laceration repair techniques was distributed to 634 obstetrician/gynecologists from demographically diverse areas of the United States. Categorical outcomes were compared among respondents using chi2 or Fisher's exact test where appropriate.


RESULTS
Of the 266 respondents, there were 124 self-reported "experts" (47%) and 106 physicians-in-training (40%). Repair techniques were compared between experts versus nonexperts and trainees versus practicing physicians. There were no significant differences found between either comparison group on the type and size of suture utilized or preferred method of closure for repair.


CONCLUSIONS
There is little variation in the practice pattern of complex laceration repairs among obstetrician-gynecologists in the United States. This commonality should encourage the design of standard teaching models and techniques for physicians in training.
Arielle M
AM
Allen
S Abbas
SA
Shobeiri
Lieschen H
LH
Quiroz
D Nelson
DN
Fong
Mikio A
MA
Nihira
D000328:Adult; D001003:Anal Canal / Q000293:injuries; D002983:Clinical Competence; D005260:Female; D006176:Gynecology / Q000193:education / Q000379:methods*; D006801:Humans; D007396:Internship and Residency; D022125:Lacerations / Q000473:pathology / Q000601:surgery*; D009774:Obstetrics / Q000193:education / Q000379:methods*; D010502:Perineum / Q000293:injuries; D010818:Practice Patterns, Physicians'; D011247:Pregnancy; D013536:Suture Techniques; D014481:United States; D014621:Vagina / Q000293:injuries