Accouchement du siège par voie basse : l’expérience des internes en gynécologie obstétrique français

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

“…5 This is illustrated in the study of Gratius in France in 2000, where 41.6% of internal in obstetrics and gynecology specialization had never achieved a vaginal breech delivery. 8 The publications favorable to the systematic cesarean 2 in the breech presentation have led to a fall in the percentage of vaginal delivery from 50% to 20% in some countries. 9 In countries like ours, where the systematic practice of elective caesarean section is not feasible, it remains imperative that our obstetricians in specialization continue to have quality training especially in the VBD as experience and competence is a key point in the management of term fetuses in breech presentation.…”

“…8 During their formation for SDGO in Ivory Coast, this training that is in full reformulation; it is recommended that the physician must have made at least 50 normal births, 20 instrumental extractions and 10 breech vaginal deliveries. The European Board and College of Obstetrics and Gynecology (EBCOG) consider that an internal in obstetrics and gynecology must have performed at least 100 normal births and 40 assisted deliveries including instrumental extractions and VBD.…”

“…The European Board and College of Obstetrics and Gynecology (EBCOG) consider that an internal in obstetrics and gynecology must have performed at least 100 normal births and 40 assisted deliveries including instrumental extractions and VBD. 8 In the National College of French Obstetricians Gynecologists (CNGOF) through the internal booklet, recommends internal to achieve at least 50 deliveries, including breech presentations and twin pregnancies, 40 instrumental extractions and 40 Caesarean sections. 10 VBD is very delicate, it is clear that achieving only a few deliveries can enable mastery of this practice.…”

“…11,12 While all of the university hospitals in developed countries have simulation models, the situation of the theoretical training of French internal in gynecology and obstetrics at the VBD does not seem to change. 8 Indeed, 41.6% of French internal said they had never received any theoretical teaching on VBD, proof that the models made available to the internal are underused, the majority of internal not even be aware of their existence. 8 Theoretical and practical teaching of quality should lead to experienced obstetricians and particularly in controlling the practice of VBD.…”

“…8 Indeed, 41.6% of French internal said they had never received any theoretical teaching on VBD, proof that the models made available to the internal are underused, the majority of internal not even be aware of their existence. 8 Theoretical and practical teaching of quality should lead to experienced obstetricians and particularly in controlling the practice of VBD. In our study, only 40 physicians in specialization or 38.2% reported having practical mastery of the VBD.…”