title: [Training achieves an internal version and a total breech extraction at birth of second twin].
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  Internal version and breech extraction are difficult but essential maneuvers for the management of twin delivery. The French residents in obstetrics and gynaecology's training for these maneuvers seems to be insufficient. It is necessary to improve their teaching, this teaching must also be equivalent between regions.
authors.affiliation: Département de gynécologie-obstétrique, hôpital Maison-Blanche, université de Reims-Champagne-Ardennes, 45, rue Cognacq-Jay, 51092 Reims cedex, France. Electronic address: eraimond@chu-reims.fr.
authors.forename: E
authors.initials: E
authors.lastname: Raimond
authors.affiliation: Département de gynécologie-obstétrique, hôpital Maison-Blanche, université de Reims-Champagne-Ardennes, 45, rue Cognacq-Jay, 51092 Reims cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Delorme
authors.affiliation: Département de gynécologie-obstétrique, hôpital Maison-Blanche, université de Reims-Champagne-Ardennes, 45, rue Cognacq-Jay, 51092 Reims cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Pelissier
authors.affiliation: Département de gynécologie-obstétrique, hôpital Maison-Blanche, université de Reims-Champagne-Ardennes, 45, rue Cognacq-Jay, 51092 Reims cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Bonneau
authors.affiliation: Département de gynécologie-obstétrique, hôpital Maison-Blanche, université de Reims-Champagne-Ardennes, 45, rue Cognacq-Jay, 51092 Reims cedex, France.
authors.forename: O
authors.initials: O
authors.lastname: Graesslin
mesh_terms: D001946:Breech Presentation / Q000628:therapy*; D002983:Clinical Competence; D036861:Delivery, Obstetric / Q000193:education* / Q000379:methods; D005260:Female; D005602:France; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D009774:Obstetrics / Q000193:education*; D011247:Pregnancy; D059285:Pregnancy, Twin; D014427:Twins; D014710:Version, Fetal / Q000193:education* / Q000379:methods
keywords: Breech extraction; Formation; Grande extraction de siège; Internal version; Interne; Jumeau; Resident; Training; Twin; Version par manœuvre interne