Publication:

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

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.