Department of Obstetrics and Gynecology, Montreal University Hospital, Montreal, Canada.
Department of Obstetrics and Gynecology, Bordeaux University Hospital, Bordeaux, France.
BMC Pregnancy Childbirth. 2019 Mar 13;19(1):91. doi: 10.1186/s12884-019-2237-3.
Postpartum haemorrhage (PPH) is a major cause of maternal morbidity and one of the leading causes of maternal mortality worldwide. Many medical treatments and interventions are available nowadays, but surgical treatment is sometimes required when less invasive methods are unsuccessful. This study aimed to assess the theoretical and practical knowledge of French residents of Obstetrics and Gynecology concerning the surgical treatment of postpartum haemorrhage.
We performed a questionnaire study for senior residents of Obstetrics and Gynecology in France (fourth and fifth year of training). An anonymous survey was sent by email. Between December 2013 and April 2014, a total of 370 residents responded.
The response rate was 47.6% (176/370). Only 156 questionnaires were fully completed and included for analysis. In all, 74% (115/156) of residents reported not mastering sufficiently or at all the technique for bilateral ligation of uterine arteries, 79% (123/156) for uterine compression sutures, 95% (148/156) for ligation of the internal iliac arteries, and 78% (122/156) for emergency peripartum hysterectomy. More than half of respondents (55%, 86/156) stated that they had not mastered any of these techniques.
An alarmingly high number of French senior residents in Obstetrics and Gynecology report that they have not acquired the sufficient surgical skills during their training to be able to perform the surgeries required for the management of PPH.
产后出血（PPH）是产妇发病率的主要原因之一，也是全球产妇死亡的主要原因之一。目前有许多医疗治疗和干预措施，但当非侵入性方法无效时，有时需要手术治疗。本研究旨在评估法国妇产科住院医师对产后出血手术治疗的理论和实践知识。
我们对法国妇产科住院医师（第四年和第五年培训）进行了问卷调查研究。通过电子邮件发送了匿名调查。在 2013 年 12 月至 2014 年 4 月期间，共有 370 名住院医师做出了回应。
回复率为 47.6%（176/370）。只有 156 份完整的问卷被包括在分析中。总的来说，74%（115/156）的住院医师报告说他们没有完全掌握或根本不掌握双侧子宫动脉结扎技术，79%（123/156）的住院医师报告说他们没有掌握子宫压迫缝合技术，95%（148/156）的住院医师报告说他们没有掌握髂内动脉结扎技术，78%（122/156）的住院医师报告说他们没有掌握紧急围产期子宫切除术。超过一半的受访者（55%，86/156）表示他们没有掌握这些技术中的任何一种。
令人震惊的是，相当多的法国妇产科住院医师报告说，他们在培训期间没有获得足够的手术技能，无法进行管理产后出血所需的手术。
