Formation à la version par manœuvre interne et à la grande extraction lors de l’accouchement du deuxième jumeau

Conclusion La version par manœuvre interne et grande extraction de siège du deuxième jumeau est une manœuvre essentielle lors de l’accouchement des jumeaux dont l’apprentissage est difficile. La formation actuelle des internes sur le plan théorique et pratique semble insuffisante. Il est nécessaire de combler ce manque de formation et que celle-ci soit équivalente dans les différentes régions. Objectives To evaluate French residents in obstetrics and gynaecology's training to internal version and breech extraction during vaginal delivery of the second twin. Methods A national descriptive survey conducted among 1064 residents between July and October 2014. Respondents were invited by email to specify the type of theoretical and practical training they had received, their university hospital obstetrical practices and the number of vaginal internal version and breech extraction of the second twin they had seen and performed. Results Response rate was 38.7% (n =412). Regarding the type of theoretical training, 39.8% of residents (n =164) had received the obstetrical mechanics and techniques degree; 47.6% (n =196) had got a teaching during special education classes and 29.4% (n =121) a training on mannequin. There were important differences between regions. At the end of residency, 45.6% of residents (n =36) had practiced more than five vaginal internal version and breech extraction of the second twin. Conclusion Internal version and breech extraction are diff...
Source: Gynecologie Obstetrique and Fertilite - Category: OBGYN Source Type: research