National audit on the practice and training in breech deliveries in the United Kingdom.
OBJECTIVE
To assess training in breech delivery in the United Kingdom at the level of registrar.


METHODS
Three hundred and nineteen registrars in obstetrics and gynecology in the United Kingdom replied to a postal questionnaire.


RESULTS
The various indications of cesarean section in breech presentation answered by respondents were: pre-term labor, pelvimetric measurement of inlet/outlet less than 11.5 cm, primigravida, no spontaneous labor, estimated fetal weight less than 2.5 kg or more than 3.5 kg, non-progression of labor in active phase, non-delivery after one hour of active pushing in second stage. A total of 190 respondents (60%) felt that they had been given sufficient training in vaginal breech delivery but only 125 respondents (39%) had the training in the United Kingdom.


CONCLUSIONS
There is a high rate of cesarean section in breech presentation due to inadequate training of junior staff in vaginal breech delivery.
Sharma
J B
JB
Clinical Effectiveness Unit, Kettering General Hospital NHS Trust, Northants, United Kingdom.
Newman
M R
MR
Boutchier
J E
JE
Williams
A
A
D001946:Breech Presentation; D002585:Cesarean Section / Q000706:statistics & numerical data; D036861:Delivery, Obstetric / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008485:Medical Audit; D008505:Medical Staff, Hospital / Q000193:education*; D011247:Pregnancy; D011795:Surveys and Questionnaires; D006113:United Kingdom