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To evaluate the perceived experience and confidence i n p roviding v aginal t win d elivery a nd vaginal breech delivery among obstetric trainees and junior specialists in Hong Kong, and to determine the correlations between the perceived experience and confidence a nd t he n umbers o f v aginal t win/breech d eliveries, forceps deliveries, and rotational operative deliveries performed. Methods: An anonymous online questionnaire was developed to assess experience and confidence i n vaginal twin/breech delivery among trainees and junior specialists in public hospitals. Respondents were asked about the numbers of vaginal twin/breech deliveries, forceps deliveries, and rotational operative deliveries performed. They were asked if they intended to offer vaginal twin/breech delivery in practice. Those who reported insufficient confidence in performing such deliveries were asked for their reasons. Results: Of 141 eligible respondents, 58 (41.1%) responded. Of them, 52 (40 trainees and 12 junior specialists) were included for analysis. For vaginal twin delivery, the number of procedures performed was correlated with the perceived sufficient experience (r=0.612, p<0.01) and confidence (r=0.586, p<0.01). 12 (23%) respondents reported no sufficient confidence in performing vaginal twin delivery. Reasons provided were lack of training or experience (n=12) and concern about medical legal issues (n=5). 69.2% of respondents intended to offer vaginal twin delivery in practice; the percentage of those with confidence was not correlated with that of those with intention to offer it in practice (r= 0.212, p= 0.132). For vaginal breech delivery, the number of procedures performed was correlated with perceived sufficient experience (r=0.307, p=0.027) and confidence (r=0.659, p<0.01). 15 (29%) respondents reported no sufficient c onfidence in pe rforming va ginal br eech delivery. Re asons pr ovided we re la ck of training and experience (n=14) and concern about medical legal issues (n=7). Only 25% of respondents intended to offer vagina breech delivery in practice; the percentage of those with confidence was not correlated with that of those with intention to offer it in practice (r=0.11, p=0.438). Conclusion: Most respondents did not perceive themselves having sufficient experience and confidence in vaginal twin/breech delivery. The perceived sufficient e xperience a nd c onfidence in va ginal tw in/breech de livery was positively correlated to actual clinical experiences. Training of vaginal twin/breech delivery should be provided before these techniques become obsolete.

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