Teaching the Laufe-Piper forceps technique at cesarean delivery

Gregory J. Locksmith, Alfredo F. Gei, Thomas F. Rowe, Edward R. Yeomans, Gary Hankins

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

OBJECTIVE: To present a method of teaching forceps technique during cesarean delivery of breech-presenting infants using Laufe-Piper forceps and to evaluate its usefulness. STUDY DESIGN: For several years, residents at the University of Texas Medical Branch, Galveston, have learned and practiced Piper forceps technique during cesarean delivery. To assess their experience with this method, we mailed questionnaires to third- and fourth-year residents and recent graduates of the Galveston program. The same surveys were mailed to a control group of residents and recent graduates of two other programs where this teaching exercise is not practiced routinely. RESULTS: Responses were received from 32 (74%) study subjects and 63 (71%) controls. Demographic characteristics and experience with vaginal breech delivery were similar between the two groups. Respondents from the Galveston program noted greater annual use of forceps for vaginal delivery of cephalic-presenting infants (P=.012). They also rated themselves as more comfortable (P=.023) and more skilled (P=.006) with Piper forceps than controls. Of 53 respondents who had had previous experience with this teaching method, 47 noted that it provided a great or moderate educational benefit, and 36 strongly or moderately believed it gave them more confidence in using Piper forceps during vaginal breech delivery. Using multiple regression analysis, sex, overall level of experience, Piper forceps experience during vaginal delivery and overall forceps use were stronger determinants of self-rated comfort and skill than was experience with Laufe-Piper forceps during cesarean. CONCLUSION: Laufe-Piper forceps can be used for cesarean delivery of breech-presenting infants. This practice promotes confidence and skill for their use at vaginal delivery.

Original languageEnglish (US)
Pages (from-to)457-461
Number of pages5
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume46
Issue number5
StatePublished - May 2001

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Piper
Surgical Instruments
Teaching
Head
Regression Analysis
Demography
Exercise

Keywords

  • Cesarean section
  • Delivery
  • Laufe-Piper forceps
  • Obstetrical forceps

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

Locksmith, G. J., Gei, A. F., Rowe, T. F., Yeomans, E. R., & Hankins, G. (2001). Teaching the Laufe-Piper forceps technique at cesarean delivery. Journal of Reproductive Medicine for the Obstetrician and Gynecologist, 46(5), 457-461.

Teaching the Laufe-Piper forceps technique at cesarean delivery. / Locksmith, Gregory J.; Gei, Alfredo F.; Rowe, Thomas F.; Yeomans, Edward R.; Hankins, Gary.

In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist, Vol. 46, No. 5, 05.2001, p. 457-461.

Research output: Contribution to journalArticle

Locksmith, GJ, Gei, AF, Rowe, TF, Yeomans, ER & Hankins, G 2001, 'Teaching the Laufe-Piper forceps technique at cesarean delivery', Journal of Reproductive Medicine for the Obstetrician and Gynecologist, vol. 46, no. 5, pp. 457-461.
Locksmith, Gregory J. ; Gei, Alfredo F. ; Rowe, Thomas F. ; Yeomans, Edward R. ; Hankins, Gary. / Teaching the Laufe-Piper forceps technique at cesarean delivery. In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist. 2001 ; Vol. 46, No. 5. pp. 457-461.
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