ArticleBMC pregnancy and childbirth2026
Obstetricians' attitudes towards instrumental vaginal delivery in Egypt.
Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundInstrumental delivery is a dying art, that needs proper training and practice to revive it and help decrease cesarean delivery rates. This study aimed to declare the obstetricians’ attitude towards instrumental delivery and to elaborate the its possible causes.
methodsA descriptive cross- sectional study was conducted via an online survey between January 1and April 1, 2025. It was distributed to obstetricians in Egypt. The questionnaire included two main sectors: sector (one) inquired about the sociodemographic characteristics of the participants; sector (two) included the physicians’ attitudes and practices towards instrumental delivery in Egypt.
resultsSeventy-three (52.5%) of the obstetricians never tried ID before. Eighty-nine (64%) of the obstetricians declined encouraging ID if in a situation that indicated the use of ID. Possible reasons for abandoning ID included reduction of training (116/139, 83.5%), lack of senior supervision (99/139, 71.2%), fear of litigation (125/139, 89.9%), lack of consultant supervision in acute situations (108/139, 77.7%), and lack of modern equipment (108/139, 77.7%).
conclusionInstrumental delivery is not widely practiced in Egypt. A great proportion of the obstetricians declined to perform/try instrumental delivery in urgent situations.
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