Teaching Vaginal Breech Delivery And External Cephalic Version - A Survey Of Faculty Attitudes

Teaching Vaginal Breech Delivery And External Cephalic Version - A Survey Of Faculty Attitudes

Lavin J P; Eaton J; Hopkins M

Journal of Reproductive Medicine

2000

2000-10

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.

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

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Journal Article or Conference Abstract Publication

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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

808-812

10

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