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Learning from experience: development of a cognitive task-list to assess the second stage of labour for operative delivery.

J Obstet Gynaecol Can

April 2015

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto ON; Department of Obstetrics and Gynaecology, University College Dublin, National Maternity Hospital, Dublin, Ireland.

Objective: Ensuring the availability of operative vaginal delivery is one strategy for reducing the rising Caesarean section rate. However, current training programs appear inadequate. We sought to systematically identify the core steps in assessing women in the second stage of labour for safe operative delivery, and to produce an expert task-list to assist residents and obstetricians in deciding on the safest mode of delivery for their patients.

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