Mode of vaginal delivery in breech presentation and perinatal outcome

Gregorić, Analena; Benčić, Ana; Habek, Dubravko

doi:10.5603/gp.a2021.0183

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…Obstetrics is a profession of high professional and forensic risk, and numerous forensic reports and expertise emphasize constant basic and constant "refresh" education as the basis for preventing unwanted events and thus preserving the dignity of the professionalism of obstetrics [1][2][3][4]. Thus, recent works indicate a significant reduction of birth injuries in SD with continuous training of skills [1][2][3][4][5][6][7][8][9], as well as in VBD [10][11][12][13][14], with the desire and will to improve skills, especially in the delivery of twins and VBD, although with a smaller share due to insufficient numbers according to a recent New Zealand study [14]. Also, there are articles by Swiss authors who critically processed the monitoring and interpretation of the learning curve of residents from performing CS, as well as basic abdominal operations in obstetrics [15], and Soergel et al [16] presented article in which they found that experience during CS reaches a plateau after 10-15 CS, however, they emphasize that the learning process is highly individualized and difficult to predict, so supervision and evaluation of the resident by an experienced surgeon is important.…”

Section: Discussionmentioning

confidence: 99%

Satisfaction and Experiences of Gynecology and Obstetrics Residents in Croatia and Bosnia and Herzegovina with Training in Obstetrics

Habek,

Cerovac,

Mikuš

et al. 2023

Clin. Exp. Obstet. Gynecol.

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Background: Specialization in gynecology and obstetrics is declared by the laws and regulations of individual countries prescribed by the competent Ministry of Health, as well as in Croatia and Bosnia and Herzegovina. Methods: During the daily clinical practice, educational unevenness and dissatisfaction of individual residents were noticed along with other organizational-communication and professional problems in basic obstetric skills, which we objectified by a voluntary anonymous survey of 122 residents of gynecology and obstetrics (RGO) from Croatia and Bosnia and Herzegovina. Residents completed survey during their postgraduate resident education. Results: RGOs state global dissatisfaction with specialization in 78.6%, believe in 84.4% that the skills and number of skills are not consistent with the years of specialization and 89.3% believe that they do not have enough skills to be able to work independently after specialization. Thus, the average number of skills from the first level competencies according to 1-5 years of specialization correlates with the above: the average number of cesarean section is 95.6, vaginal breech delivery extremely low 2.2, vacuum extration 6, forceps in the Croatia and Bosnia and Herzegovina does not perform, care of obstetrics anal sfincter injuries average 3 as well as shoulder distotia, internal version 0.36 and external version 0.6. Thus, 29.5% of them believe that there is a global lack of interest in the specialization system, 31.9% cite the incompetence of mentors, 33.6% the usual practice of individual schools and clinics. In conclusion, 59.8% of RGOs believe that obstetrics is a challenging profession, 10.6% a demanding profession, 18.8% consider it a dangerous occupation, only 13.9% an attractive occupation, and the fact that obstetrics has turned into a profession with caesarean sections as the most common skill is considered by 56.6%, even 84.2% of RGOs in the last year of specialization. Conclusions: There is evidently an academic-professional disproportion between the necessity and need for education and skills, that is, required competencies and reality. We must become and be arbiters between anti-obstetrics and obstetrics full of skills and craftsmanship as a true profession of allopathic conventional medicine, and academic honesty towards RGOs.

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Section: Discussionmentioning

confidence: 99%

Satisfaction and Experiences of Gynecology and Obstetrics Residents in Croatia and Bosnia and Herzegovina with Training in Obstetrics

Habek,

Cerovac,

Mikuš

et al. 2023

Clin. Exp. Obstet. Gynecol.

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Routine maneuvers in eutocic breech vaginal delivery at term: A prospective cohort study

Touleimat,

Braund,

Delorme

et al. 2024

Intl J Gynecology & Obste

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ObjectiveTo study neonatal and maternal outcomes associated with routine maneuvers in breech vaginal delivery at term.MethodsThis was a secondary analysis of the multicenter PREMODA observational prospective study in France and Belgium. We included women with vaginal breech delivery, excluding those who underwent maneuvers to resolve a dystocic delivery. Maternal data and characteristics of labor, in addition to neonatal and maternal outcomes, were recorded. We defined two groups according to mode of delivery; breech vaginal delivery with or without routine maneuvers, and we compared the variables between the groups. To assess the factors associated with adverse perinatal outcomes, a multivariate logistic regression with adjustment for confounders was performed.ResultsOf the 2502 women with planned vaginal deliveries, 1794 were delivered vaginally, 606 of whom were excluded from the study due to maneuvers performed for dystocia. A total of 25 other patients were excluded as a result of missing data. A total of 537 women were included in the routine maneuvers group and 626 women in the no maneuvers group. Adverse perinatal outcome was similar for the two groups (4.5% vs 5.0%, P = 0.65) and no neonatal deaths were reported. Third degree perineal tear and postpartum hemorrhage >1 L rates were comparable for the two groups. After adjustment, the factors associated with adverse perinatal outcomes were primiparity and birth weight <2500 g.ConclusionRoutine maneuvers were not associated with an increase in neonatal morbidity in our population.

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Birth injuries correlate with the mode of assistance in vaginal breech delivery

Habek

2022

Arch Gynecol Obstet

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Mode of vaginal delivery in breech presentation and perinatal outcome

Abstract: This article has been peer reviewed and published immediately upon acceptance.It is an open access article, which means that it can be downloaded, printed, and distributed freely, provided the work is properly cited. Articles in "Ginekologia Polska" are listed in PubMed.

Cited by 3 publications

References 24 publications

Satisfaction and Experiences of Gynecology and Obstetrics Residents in Croatia and Bosnia and Herzegovina with Training in Obstetrics

Satisfaction and Experiences of Gynecology and Obstetrics Residents in Croatia and Bosnia and Herzegovina with Training in Obstetrics

Routine maneuvers in eutocic breech vaginal delivery at term: A prospective cohort study

Birth injuries correlate with the mode of assistance in vaginal breech delivery

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