Surgical treatment of postpartum haemorrhage: national survey of French residents of obstetrics and gynecology
| Autor: | Hady El Hachem, Aurelien Mattuizi, Elsa Schinkel, Hugo Madar, Loïc Sentilhes, Alizée Froeliger, Pierre-Emmanuel Bouet |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice medicine.medical_specialty Psychological intervention Less invasive Reproductive medicine Hysterectomy Iliac Artery lcsh:Gynecology and obstetrics Postpartum haemorrhage Obstetrics and gynaecology Surveys and Questionnaires Humans Medicine Survey Surgical treatment Ligation lcsh:RG1-991 Response rate (survey) Peripartum hysterectomy business.industry Residents General surgery Postpartum Hemorrhage Internship and Residency Obstetrics and Gynecology Obstetrics Uterine Artery Gynecology Female Surgery Clinical Competence France business Research Article |
| Zdroj: | BMC Pregnancy and Childbirth, Vol 19, Iss 1, Pp 1-6 (2019) BMC Pregnancy and Childbirth |
| ISSN: | 1471-2393 |
| DOI: | 10.1186/s12884-019-2237-3 |
| Popis: | Background 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. Study design 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. Result 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. Conclusion 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. Electronic supplementary material The online version of this article (10.1186/s12884-019-2237-3) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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