Vaginal breech delivery: survey of obstetricians in specialization in Cote d’Ivoire

Authors

  • Védi Loué Paris Descartes University, Sud Francilien Hospital Center (Woman-Mother-Child Pole), Paris, France
  • N’drin Effoh Felix Houphouet-Boigny University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan-Cote d’Ivoire
  • Joachim Konan Felix Houphouet-Boigny University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan-Cote d’Ivoire
  • Eléonore Gbary Felix Houphouet-Boigny University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan-Cote d’Ivoire
  • Christian Allah Felix Houphouet-Boigny University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan-Cote d’Ivoire
  • Raoul Kassé Felix Houphouet-Boigny University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan-Cote d’Ivoire
  • Soh Koffi Felix Houphouet-Boigny University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan-Cote d’Ivoire
  • Yao Abauleth Felix Houphouet-Boigny University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan-Cote d’Ivoire

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20160560

Keywords:

Survey, Breech vaginal delivery, Obstetricians in training, Cote d’Ivoire

Abstract

Background: Vaginal breech delivery is becoming undeniably more unknown. The aim of this study is to contribute to its promotion in Sub-Saharan Africa.

Methods: This is a prospective survey of obstetricians in training on the vaginal breech delivery (VBD). The survey took place in gynecology and obstetrics services of the four university hospitals in Côte d'Ivoire from 2012 to 2015. One hundred and twelve (112) obstetricians in specialization were surveyed through an anonymous and individual questionnaire.

Results: The response rate was 93.75%. A total of 38 physicians in specialization, or 36.2% had been able to achieve over ten VBD during their training. Obstetricians in specialization had received theoretical training on the VBD in 81% of cases and 45.7% were receiving practical training. Only 58.1% had a good theoretical knowledge of VBD specific complications and 41% had a good knowledge of obstetric maneuvers. Of the 105 physicians who responded, 38.1% reported having practical mastery of the VBD which was influenced by the type of responsibility entrusted to doctors during their training (p˂0.000). After specialization, 37 physicians (35.2%) reported accept the programming of VBD and this choice as first line was significantly influenced by the level of practical mastery of the VBD (p<0.000).

Conclusions: The results of this study prove undeniably that future obstetricians have a theoretical and practical knowledge insufficient in vaginal breech delivery. This finding requires a necessary promotion of VBD preceded by a very good formation in obstetrics.

References

Gupta E, Nulakanta D, Dwarakanah LS, Gee H. Planned vaginal delivery versus elective cesarean section a study of 705 singleton term breech presentations. BJOG. 2000;107(8):1058.

Hanna ME, Hannah WJ, Hewson SA, Hodnett ED, Saigal S, Willan AR. Term Breech Trial Collaborative Group. Planned caesarean section versus planned vaginal birth for breech presentation at term: A randomized multicentre trial. Lancet. 2000;356:1375-83.

Hannah ME, Hannah WJ, Hodnett ED, Chalmers B, Kung R, Willan A. Outcomes at 3 months after planned cesarean vs planned vaginal delivery for breech presentation at term: The International randomized Term Breech Trial. Jama. 2002;287:1822-31.

Caroyal M, Blondel B, Zeitlin J, Breart G, Goffinet F. Changes in the rates of caesarean delivery before labour for breech presentation at term in France: 1972-2003. Eur J Obstet Gynecol Reprod Biol. 2007;132:20-6.

FIGO. Recommendations of FIGO on perinatal health on guidelines for the management of breech delivery. Int J Gynecol Obstet. 1994;44(3):297-300.

Loue VA, Jean MD, Effoh DN, Adjoby RC, Konan KJ, Gbary EA, et al. Management and prognosis of uterine rupture during labor in an under-medicalized country: about 513 cases collected at the Cocody University Hospital Center (Abidjan-Cote d'Ivoire). Int J Reprod Contracept Obstet Gynecol. 2015;4(5):1277-82.

Chinnock M, Robson S. Obstetrics trainees’ experience in vaginal breech delivery implications for future practice. Obstet Gynaecol. 2007;110:900-3.

Gratius E, Bourgain A, Carcopino X. Accouchement par le siège : l’expérience des stagiaires français en gynécologie obstétrique. J Gynécol Obstet Biol Reprod. 2010;39(2):144-50.

Boulvain M. Pratique de la césarienne. Evolution des taux et des indications de césarienne. J Gynecol Obstet Biol Reprod. 2008;37:2-3.

CNGOF, Agof. Livret de l’interne en gynécologie-obstétrique. 2008.

Carcopino X, Bats A. Number of training positions in obstetrics and gynecology in France: Results from a national survey of trainees. J Gynecol Obstet Biol Reprod. 2005;34:463-72.

Carcopino X, Bats AS. What about fellowship for French residents in obstetrics and gynecology? J Gynecol Obstet Biol Reprod. 2006;35:242-6.

Downloads

Published

2017-02-23

Issue

Section

Original Research Articles