As an OBGYN I have been privileged to observe the practice of medicine over four decades. There have been many improvements, several compromises and a few regressions.
One regression is the loss of operative vaginal skills which has resulted in a Cesarean section rate which is double those in some parts of the world.
My course will help you ascend the learning curve for the acquisition of these skills. With the information shared in this course, every patient-contact you have, with a guiding colleague at the bedside, will be more effective and productive.
It is important to start early. Start with simple cases to dissipate anxiety and stress. The more cases you do the more proficient you will become with managing challenging ones yet to come. After several cases it will become apparent to your patients and your community that you are the provider who offers Cesarean sections only when necessary.
The World Health Organization
has noted that the C-section rate is rising in nations of all economic categories. Benefits of a rate above 15% in the average have not been demonstrated. Facilities have been advised to approach the issue more analytically (eg utilize Robson classification).
ACOG
recommendations include the following:
That nulliparous, term, singleton, vertex (NTSV) cesarean birth rate is a metric that may be used to evaluate obstetric care and compare performance across similar hospitals and regions.
That safe reduction of primary cesarean birth prevents the need for future Cesarean birth and associated maternal morbidity risk.
That a factor in reducing (NTSV) Cesarean section rates is clinician training uptake for forceps and vacuum-assisted operative vaginal birth.
Give your patients safe choices with lower morbidity and complication rates.
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