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National audit on the practice and training in breech deliveries in the United Kingdom
J B Sharma1, M R Newman, J E Boutchier
1Clinical Effectiveness Unit, Kettering General Hospital NHS Trust, Northants, United Kingdom.
Objective:
To assess training in breech delivery in the United Kingdom at the level of registrar.
Method:
Three hundred and nineteen registrars in obstetrics and gynecology in the United Kingdom replied to a postal questionnaire.
Results:
The various indications of cesarean section in breech presentation answered by respondents were: pre-term labor, pelvimetric measurement of inlet/outlet less than 11.5 cm, primigravida, no spontaneous labor, estimated fetal weight less than 2.5 kg or more than 3.5 kg, non-progression of labor in active phase, non-delivery after one hour of active pushing in second stage. A total of 190 respondents (60%) felt that they had been given sufficient training in vaginal breech delivery but only 125 respondents (39%) had the training in the United Kingdom.
Conclusion:
There is a high rate of cesarean section in breech presentation due to inadequate training of junior staff in vaginal breech delivery.