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Surgical treatment of postpartum haemorrhage: national survey of French residents of obstetrics and gynecology

Authors: Pierre-Emmanuel Bouet; Hugo Madar; Alizée Froeliger; Hady El Hachem; Elsa Schinkel; Aurélien Mattuizi; Loïc Sentilhes;

Surgical treatment of postpartum haemorrhage: national survey of French residents of obstetrics and gynecology

Abstract

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.

Subjects by Vocabulary

Microsoft Academic Graph classification: medicine.medical_specialty Reproductive medicine Less invasive Psychological intervention Obstetrics and gynaecology medicine Surgical treatment Peripartum hysterectomy Response rate (survey) business.industry General surgery Postpartum haemorrhage business

Library of Congress Subject Headings: lcsh:Gynecology and obstetrics lcsh:RG1-991

Keywords

Adult, Male, Health Knowledge, Attitudes, Practice, Hysterectomy, Iliac Artery, Postpartum haemorrhage, Surveys and Questionnaires, Humans, Survey, Ligation, Residents, Postpartum Hemorrhage, Internship and Residency, Obstetrics and Gynecology, Obstetrics, Uterine Artery, Gynecology, Surgery, Female, Clinical Competence, France, Research Article

39 references, page 1 of 4

Deneux-Tharaux, C, Bonnet, MP, Tort, J. Epidemiology of post-partum haemorrhage. J Gynecol Obstet Biol Reprod. 2014; 43: 936-950 [OpenAIRE] [DOI]

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8.Fédération nationale des collèges des spécialités chirurgicales. Gynécologie-Obstétrique/Orthopédie-Traumatologie/Urologie. Référentiels et compétence en chirurgie. Décembre 2007:9–22. Avalaible at http://www.academie-chirurgie.fr/recomm/referentiel_metier_chir_gyn0607.pdf. Accessed 8 Mar 2019.

9.Collège Nationale des Gynécologues Obstétriciens Français - Association des Gynécologues et Obstétriciens en Formation. Livret de l'interne en gynécologie-obstétrique 2008. Module 8:41–47. Available at https://docplayer.fr/20688274-c-n-g-o-f-a-g-o-f-livret-de-l-interne-en-gynecologie-obstetrique.html. Accessed 8 Mar 2019.

Décret, N. 2014–1075 du 22 septembre 2014 relatif à l'exercice de la profession de médecin par les internes en médecine mis en disponibilité à la demande d'inscription au tableau de l'ordre avant l'obtention du diplôme d'Etat de docteur en médecine et à la mise à jour de l'annexe 41–1 mentionnée à l'article D.4131–1 du code de la santé publique. Journal Officiel de la République Française. 2014; 222: 15594

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  • citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    13
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
13
Top 10%
Average
Top 10%
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