A Simulation Model for External Cephalic Version
education; simulation; external cephalic version; training model
Breech presentation complicates as many as 4% of all deliveries. External cephalic version (ECV) is a procedure that involves the external rotation of the fetus through the mother's abdomen from a breech position into a cephalic position. It provides a beneficial alternative to cesarean section (CS) as it is less invasive, more cost-effective, and mitigates many of the maternal health risks associated with CS. Though ECV has become more widely used in recent years, studies have shown that a large percentage of residency programs lack proper training pertaining to ECV, increasing the need for additional educational intervention. A well-supported method of procedural training that has demonstrated efficacy among trainees is the incorporation of simulation models. While many models have already been developed for various obstetrical procedures, few easily reproducible models currently exist for ECV. The purpose of this study was to develop a reconstructible ECV model that could be utilized for practice by trainees in the field of obstetrics. This study's proposed ECV model along with a lecture that was presented to residents and data on the effectiveness of the model and comfort with performing the procedure was collected and analyzed. The results demonstrated that when compared to baseline prior to training, levels of comfort with performing an ECV increased amongst trainees after practicing on the model.
Baaklini Carla;Menassa N;Larios JT;Ballas DA
Cureus
2020
2020-12-30
journalArticle
<a href="http://doi.org/10.7759/cureus.12382" target="_blank" rel="noreferrer noopener">10.7759/cureus.12382</a>
Teaching Vaginal Breech Delivery And External Cephalic Version - A Survey Of Faculty Attitudes
breech presentation; cesarean; cesarean-section; experience; external cephalic version; fetal; medical; mode; mortality; Obstetrics & Gynecology; outcomes; pregnancy; residency; section; term; trial; vaginal breech delivery; version
OBJECTIVE: To ascertain current faculty attitudes regarding teaching of vaginal breech delivery (VBD) and external cephalic version (ECV). STUDY DESIGN: A questionnaire was sent to obstetrics ann gynecology residency programs. Respondents were queried regarding demographic parameters, resident and practice experience, and attitudes toward teaching these procedures. RESULTS: Fifty-four (96%:) surveys were returned. Sixteen (30%) respondents were female and 38 (70%) male. Sixteen (30%) completed residency prior to 1980, 17 (32%) during the 1980s and 21 (48%) during the 1990s. Nineteen (35%) trained locally. Forty-seven (87%) recieved training in ECV. Thirty-two rcsirlency. Thirty-five (65%) recieved training in ECV. Thirty-two (60%) had performed VBDs in practice. However, only 18 (33%) continued to perform this procedure. During the proceeding three years, they reported performing an average average of five VBDs per chief resident per year. Thirty-seven (69%) performed ECV ill clinical practice. The 17 who did not indicated that they refered to others. They reported performing an average of 15 ECVs per chief resident per year. Fifty-two (96%) thought residents should still be taught VBD. All faculty throught that residents should be taught ECV. None of the above parameters exerted a statistically significant effect on these opinions. CONCLUSION: There tons nearly universal faculty support for continuing to teach VBD to residents. However, only one-third of faculty members currently perform this procedure. There do not appear to be sufficient numbers of VBDs to teach this procedure utilizing a "hands on" approach. There is universal support for teaching ECV. There appear to be both enough individuals with experience and enough procedures to accomplish this education.
Lavin J P; Eaton J; Hopkins M
Journal of Reproductive Medicine
2000
2000-10
Journal Article or Conference Abstract Publication
n/a