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External Cephalic Version: Is it an Effective and Safe Procedure?
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Obstetric trainees' experience in vaginal breech delivery: implications for future practice.

Marian Chinnock1, Stephen Robson

  • 1Department of Obstetrics and Gynaecology, Medical School, Australian National University, Canberra, Australia.

Obstetrics and Gynecology
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PubMed
Summary

Few future specialist obstetricians plan to offer vaginal breech delivery. While experience and confidence increase during training, only 11% intend to offer this procedure upon certification.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Surgical Education

Background:

  • Vaginal breech delivery is a complex obstetric procedure with evolving clinical practice guidelines.
  • Trainee obstetricians' future intentions regarding vaginal breech delivery are crucial for workforce planning and patient care.

Purpose of the Study:

  • To assess the future intentions of Australian trainee obstetricians regarding offering planned vaginal breech delivery.
  • To quantify the cumulative experience in vaginal breech delivery among trainees.

Main Methods:

  • An anonymous postal survey was distributed to all 303 Australian trainee obstetricians.
  • The survey collected data on trainees' experience, confidence, and intentions for planned vaginal breech delivery post-certification.

Main Results:

  • A 65% response rate was achieved.
  • Vaginal breech delivery experience increased with training year, from a median of 1 to 12 deliveries.
  • Despite 53% of final-year trainees reporting confidence, only 11% intended to offer planned vaginal breech delivery.

Conclusions:

  • A significant gap exists between trainee confidence and intention to offer vaginal breech delivery.
  • The findings suggest a potential decline in the availability of planned vaginal breech delivery services in the future.
  • Further research is needed to understand barriers and develop strategies to support trainee competence and willingness to offer vaginal breech delivery.