ABSTRACT
The average fellow of the American College of Obstetricians and Gynecologists performs approximately 140 deliveries per year. Based on this estimation and the established prevalence of three commonly litigated maloccurrences, we calculated the number of years of clinical experience required to encounter one case. Permanent brachial plexus palsy complicates only 1 per 4553 deliveries so a clinician would encounter such a case in 33 years of practice. For every 6667 deliveries, there is a case of cerebral palsy attributable to intrapartum hypoxia, so a practioner would see only one case every 48 years. Since the rate of asphyxia with uterine rupture is 1 per 2819 vaginal births after Cesarean section and the average provider performs seven vaginal births after Cesarean deliveries per year, a clinician would have a case in 403 years of practice. Adverse outcomes expressed as an absolute percentage or as the number of cases per number of deliveries are statistically accurate. Expression of these maloccurrences in terms of the number of years of clinical experience permits the generation of a clinically relevant data point and also allows insight into why their prevalence has not decreased.
Subject(s)
Birth Injuries/epidemiology , Clinical Competence/statistics & numerical data , Delivery, Obstetric/statistics & numerical data , Obstetric Labor Complications/epidemiology , Obstetrics/statistics & numerical data , Birth Injuries/etiology , Brachial Plexus/injuries , Cerebral Palsy/epidemiology , Cerebral Palsy/etiology , Delivery, Obstetric/education , Delivery, Obstetric/standards , Female , Fetal Hypoxia/complications , Fetal Hypoxia/etiology , Humans , Pregnancy , Prevalence , United States/epidemiology , Uterine Rupture/enzymology , Vaginal Birth after Cesarean/adverse effects , Vaginal Birth after Cesarean/statistics & numerical dataABSTRACT
The effect of expectancy-congruent and -incongruent information on subsequent impression formation and recall of a target peer was examined. 64 boys and 50 girls (ages 8 to 12) were given an expectancy that a stimulus child was either shy or outgoing. Subjects rated the target on several dimensions (e.g., friendly, shy) and then watched a videotape of a boy or girl confederate acting out a script containing both expectancy-congruent and -incongruent information. Subjects then rated the target child again and freely recalled as much of what the target said as they could remember. Results revealed that when children are presented with both expectancy-congruent and -incongruent information, impression formation appears largely attribute based, and the influence of the initial expectancy appears mitigated. However, ratings of liking appeared to be more influenced by the initial expectancy than by subsequent behavioral information. In addition, the results indicated that many of Maccoby's conclusions regarding the effects of gender on social interactions also apply to children's social information processing, indicating a strong bias toward same-sex peers.
