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Abstract
Introduction: Nationally, there exists large variation in episiotomy rates among organizations and providers. The Leapfrog group has set a national goal of reducing episiotomy rates to less than 5%. The purpose of this study was to compare rates of episiotomy for providers during their private deliveries who participated in obstetric resident supervision to the rates for providers who did not supervise residents.
Methods: This is a retrospective study examining all private vaginal deliveries performed by physicians at an academic institution from July 1, 2015 to June 30, 2016. Deliveries with shoulder dystocia were excluded. Physician demographic information and delivery attributes were collected and analyzed.
Results: There were 3785 private vaginal deliveries performed by 68 physicians during the study period: 31 provided resident coverage. Those providing resident supervision performed 1578 private deliveries compared to 2207 private deliveries among the 37 physicians not providing resident supervision. Physicians providing resident supervision performed half as many episiotomies compared to the group not involved in resident supervision, 7.5% vs 14.5% (OR 0.477, p
Methods: This is a retrospective study examining all private vaginal deliveries performed by physicians at an academic institution from July 1, 2015 to June 30, 2016. Deliveries with shoulder dystocia were excluded. Physician demographic information and delivery attributes were collected and analyzed.
Results: There were 3785 private vaginal deliveries performed by 68 physicians during the study period: 31 provided resident coverage. Those providing resident supervision performed 1578 private deliveries compared to 2207 private deliveries among the 37 physicians not providing resident supervision. Physicians providing resident supervision performed half as many episiotomies compared to the group not involved in resident supervision, 7.5% vs 14.5% (OR 0.477, p
Introduction: Nationally, there exists large variation in episiotomy rates among organizations and providers. The Leapfrog group has set a national goal of reducing episiotomy rates to less than 5%. The purpose of this study was to compare rates of episiotomy for providers during their private deliveries who participated in obstetric resident supervision to the rates for providers who did not supervise residents.
Methods: This is a retrospective study examining all private vaginal deliveries performed by physicians at an academic institution from July 1, 2015 to June 30, 2016. Deliveries with shoulder dystocia were excluded. Physician demographic information and delivery attributes were collected and analyzed.
Results: There were 3785 private vaginal deliveries performed by 68 physicians during the study period: 31 provided resident coverage. Those providing resident supervision performed 1578 private deliveries compared to 2207 private deliveries among the 37 physicians not providing resident supervision. Physicians providing resident supervision performed half as many episiotomies compared to the group not involved in resident supervision, 7.5% vs 14.5% (OR 0.477, p
Methods: This is a retrospective study examining all private vaginal deliveries performed by physicians at an academic institution from July 1, 2015 to June 30, 2016. Deliveries with shoulder dystocia were excluded. Physician demographic information and delivery attributes were collected and analyzed.
Results: There were 3785 private vaginal deliveries performed by 68 physicians during the study period: 31 provided resident coverage. Those providing resident supervision performed 1578 private deliveries compared to 2207 private deliveries among the 37 physicians not providing resident supervision. Physicians providing resident supervision performed half as many episiotomies compared to the group not involved in resident supervision, 7.5% vs 14.5% (OR 0.477, p
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