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40
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Text
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n/a
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Pages
808-812
Issue
10
Volume
45
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Title
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Teaching Vaginal Breech Delivery And External Cephalic Version - A Survey Of Faculty Attitudes
Publisher
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Journal of Reproductive Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2000
2000-10
Subject
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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
Creator
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Lavin J P; Eaton J; Hopkins M
Description
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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.
Identifier
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n/a
Format
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Journal Article or Conference Abstract Publication
2000
breech presentation
cesarean
cesarean-section
Eaton J
experience
external cephalic version
fetal
Hopkins M
Journal Article or Conference Abstract Publication
Journal of Reproductive Medicine
Lavin J P
Medical
mode
Mortality
Obstetrics & Gynecology
outcomes
Pregnancy
residency
section
term
trial
vaginal breech delivery
version