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20 results

  • Chapter 1 - Trends in Assisted Vaginal Birth and Future Practice

  • Edited by George Attilakos, University College London, Sharon Jordan, Southmead Hospital, Bristol, Michele Mohajer, Shropshire Women and Children’s Centre, Glen Mola, University of Papua New Guinea, Stephen O'Brien, University of Bristol, Dimitrios Siassakos, University College London
  • Book:
    ROBuST: RCOG Assisted Birth Simulation Training
    Published online:
    06 June 2024
    Print publication:
    20 June 2024, pp 1-9

  • Summary

    In skilled hands, assisted vaginal birth (AVB) remains the most efficient and effective method of expediting birth in the second stage of labour. It is associated with fewer adverse maternal and neonatal outcomes compared to second stage emergency caesarean section. In this chapter we will focus on the history and role of AVB as it currently stands. We will review relevant literature, examine important areas of practice and suggest a way forward that aims to maintain AVB at the heart of obstetric practice in the twenty-first century. The need for such focus is clear – complications in the second stage of labour (fetal compromise, obstructed labour, maternal exhaustion, or maternal medical conditions exacerbated by the act of pushing) remain a major cause of maternal and neonatal mortality and morbidity across the world. Such complications are responsible for 4 to 13% of maternal deaths in Africa, Asia, Latin America and the Caribbean. In 2013 obstructed labour alone accounted for 0.4 deaths per 100,000 women worldwide.

ROBuST: RCOG Assisted Birth Simulation Training
  • Course Manual
  • 2nd edition
  • Edited by George Attilakos, Sharon Jordan, Michele Mohajer, Glen Mola, Stephen O'Brien, Dimitrios Siassakos
  • Published online:
    06 June 2024
    Print publication:
    20 June 2024
  • Assisted vaginal birth (AVB) remains a key aspect of respectful, effective care for women in labour. In trained hands, it is associated with better maternal and neonatal outcomes than the alternative of a caesarean section in late labour. Written to accompany the RCOG Assisted Birth Simulation Training (ROBuST) course, this book provides guidance on the only RCOG-approved, evidence-based techniques for when and how to perform AVB and complex caesarean sections. There are clear descriptions of techniques, plus photographs, diagrams and videos to improve learning. Internationally recognised contributors discuss all aspects of assisted birth, including vacuum and forceps-assisted birth; caesarean section at full dilatation; safe and effective practice of Kielland's forceps; and essential non-technical skills. This second edition includes chapters on providing care within the medico-legal context of modern obstetric practice and on exploring the worldwide trends in AVB. This remains a much-valued, and much-consulted, part of any accoucheur's library.

ROBuST: RCOG Operative Birth Simulation Training
  • Course Manual
  • Edited by George Attilakos, Tim Draycott, Alison Gale, Dimitrios Siassakos, Cathy Winter
  • Published online:
    05 June 2014
    Print publication:
    19 December 2013
  • Training in safe operative birth is a key priority in obstetrics. Around one in five women are dissatisfied with their labour and birth, especially operative birth, often because of poor communication or inadequate technical skills. This can lead to sexual dysfunction and aversion to further pregnancy, as well as increases in complaints and litigation. This book accompanies the Royal College of Obstetricians and Gynaecologists' Operative Birth Simulation Training (ROBuST) course, and will be an essential resource for all obstetricians and maternity care providers. Internationally recognised contributors discuss all aspects of operative birth including: vacuum and forceps-assisted birth; Caesarean section at full dilatation; safe and effective practice of Kielland's forceps; essential non-technical skills; teamwork; and medico-legal aspects. A simple-to-use flowchart is included to guide the reader through the essential steps for a successful operative vaginal birth. Each chapter identifies the key learning points and provides step-by-step instructions for performing each technique.