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Updated: Jun 16, 2026
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Obstetric trainees' experience in VBD and ECV in the UK
1Department of Obstetrics and Gynaecology, Dewsbury and District Hospital, Halifax Road, Dewsbury WF13 4HS, UK. sdhingra@doctors.org.uk
Summary
Obstetric trainees in the UK report high confidence in performing vaginal breech delivery (VBD) and external cephalic version (ECV), despite varying experience levels. Continued training in VBD is recommended for all obstetric settings.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Surgical Training
Background:
- Vaginal breech delivery (VBD) and external cephalic version (ECV) are critical skills in obstetrics.
- Assessing the current experience and confidence levels of trainees is essential for effective training programs.
Purpose of the Study:
- To evaluate the experience and confidence of UK obstetric trainees in performing VBD.
- To determine the extent of training and practice in ECV among these trainees.
Main Methods:
- A survey was distributed to 100 obstetric trainees in the UK.
- The survey assessed experience with VBD (number of procedures) and ECV (training and offering to patients).
- Response rate was 80%, with data analyzed from 80 trainees, primarily senior registrars.
Main Results:
- A significant majority (53%) of trainees had performed over ten VBDs.
- 80% of trainees felt confident in performing VBD and were willing to offer it.
- All surveyed trainees offered ECV, with 63% having received practical training.
Conclusions:
- UK obstetric trainees demonstrate considerable experience and confidence in VBD and ECV.
- Continued training in VBD is crucial and should be integrated into routine obstetric skills education.
- Standardized training in both VBD and ECV is recommended to ensure proficiency.
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