Saunier C, Raimond E, Dupont A, Pelissier A, Bonneau S, Gabriel R, Graesslin O
Département de gynécologie-obstétrique, hôpital Maison-Blanche, université de Reims-Champagne-Ardennes, 45, rue Cognacq-Jay, 51092 Reims cedex, France.
Département de gynécologie-obstétrique, hôpital Maison-Blanche, université de Reims-Champagne-Ardennes, 45, rue Cognacq-Jay, 51092 Reims cedex, France.
J Gynecol Obstet Biol Reprod (Paris). 2016 Nov;45(9):1186-1193. doi: 10.1016/j.jgyn.2016.05.003. Epub 2016 Jun 14.
To evaluate French residents in Obstetrics and Gynaecology's training in instrumental deliveries in 2015.
We conducted a national descriptive survey among 758 residents between December 2014 and January 2015. Respondents were invited by email to specify their University Hospital, their current university term, the number of instrumental deliveries performed by vacuum extractor, forceps or spatulas, and whether they made systematic ultrasound exams before performing the extraction.
Response rate was 34.7 % (n=263). There were important differences between regions in terms of type of instruments used. Vacuum extractor was the most commonly used instrument for instrumental deliveries by French residents (56.9 %), more than forceps (25.2 %) and spatulas (17.9 %). At the end of the residency, all the residents had been trained in instrumental deliveries with at least two instruments.
The training of difficult techniques as well as their perfect control is required for instrumental deliveries. Yet, we are forced to note that there are substantial differences in the French residents' training in instrumental deliveries depending on their region. So, teaching at least two techniques seems essential as well as improving the training capacities and standardizing practices. A greater systematization of the teaching of the mechanics and obstetric techniques might be a solution to be considered too.
评估2015年法国妇产科住院医师在器械助产方面的培训情况。
2014年12月至2015年1月期间,我们在758名住院医师中开展了一项全国性描述性调查。通过电子邮件邀请受访者说明其所在的大学医院、当前所在大学学期、使用真空吸引器、产钳或胎头吸引器进行器械助产的次数,以及在进行助产之前是否进行系统超声检查。
回复率为34.7%(n = 263)。在使用器械类型方面,各地区之间存在显著差异。真空吸引器是法国住院医师进行器械助产时最常用的器械(56.9%),超过产钳(25.2%)和胎头吸引器(17.9%)。在住院医师培训结束时,所有住院医师均接受了至少两种器械的器械助产培训。
器械助产需要对困难技术进行培训并实现完美掌握。然而,我们不得不指出,法国住院医师在器械助产方面的培训因地区不同而存在显著差异。因此,教授至少两种技术以及提高培训能力和规范操作似乎至关重要。对助产力学和产科技术教学进行更大程度的系统化也可能是一个值得考虑的解决方案。