Training on Kielland's forceps: A survey of trainees' opinions

J Obstet Gynaecol. 2017 Apr;37(3):280-283. doi: 10.1080/01443615.2016.1196476. Epub 2017 Jan 31.

Abstract

We conducted a cross-sectional survey including specialist trainees in obstetrics and gynaecology in the Health Education West Midlands region, UK, to capture their views and assess training opportunities on the use of Kielland's forceps. Half of the trainees in the region completed the survey (87/172, 50%). Only 31% of our trainees worked in units that supported the training on these forceps (27/87, 31%). The majority reported that they did not get enough exposure to using Kielland's forceps (53/87, 60.9%). Only a minority (5.7%, 5/87) felt confident to perform a Kielland's rotational delivery independently. The majority (64.3%, 56/87) were keen to continue using Kielland's forceps in the future if competent. More than two-thirds (86.2%, 75/87) felt that simulation could aid their training. There was large enthusiasm for training on the safe use of Kielland's forceps among trainees in obstetrics and gynaecology in the West Midlands region. A national assessment of training resources is needed to better plan training recourses on this complex skill.

Keywords: Kielland’s foreceps; obstetrics; operative vaginal delivery; survey; training.

MeSH terms

  • Cross-Sectional Studies
  • England
  • Extraction, Obstetrical / instrumentation*
  • Extraction, Obstetrical / statistics & numerical data
  • Female
  • Humans
  • Obstetrical Forceps / statistics & numerical data*
  • Obstetrics / education*
  • Pregnancy
  • Prospective Studies
  • Surveys and Questionnaires