Skip to Main content Skip to Navigation
Master Thesis

État des lieux de la pratique des sages-femmes de l’Assistance Publique des Hôpitaux de Paris concernant l’accouchement du siège

Abstract : Context: the breech delivery is part of the midwife’s skills. This reputed presentation at risk requires the acquisition and maintenance of skills to ensure quality and safety of care. Objective: the objective of this study was to make an inventory of the practice of midwives in the Public Assistance of the Hospitals of Paris (AP-HP) concerning the breech delivery. Material and method: this quantitative, multi-centre study was conducted in a descriptive manner using an anonymous Microsoft Forms questionnaire, between October 2020 and January 2021. Results: the 171 responses allow to analyze the practice of 30.5% of midwives of APHP. At the end of initial training midwives are able to master from a theoretical point of view the physiological breech delivery and the associated maneuvers. Initial clinical training is mostly based on observation. Among the midwives questioned, 52% have never performed this childbirth, including 12.3% who have never had the opportunity to do so, with a difference in practice between type 2 and type 3 maternity hospitals. Although 89% of the population believe that the topic of the breech birth would be relevant to address in continuing education, only 11.7% have followed. Finally, the majority of the study population underlines that the midwife should have a more central place in breech birth while specifying the importance of the practice for all professionals likely to take charge of the breech delivery. Conclusion: our study shows the importance of acquiring and maintaining competence concerning the breech delivery, as well as the importance of clinical practice in initial and continuing education.
Complete list of metadata
Contributor : ESF UPD Connect in order to contact the contributor
Submitted on : Wednesday, September 22, 2021 - 5:28:44 PM
Last modification on : Friday, August 5, 2022 - 2:50:25 PM
Long-term archiving on: : Thursday, December 23, 2021 - 7:15:17 PM


Files produced by the author(s)


Distributed under a Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International License


  • HAL Id : dumas-03351954, version 1



Lya Walpole. État des lieux de la pratique des sages-femmes de l’Assistance Publique des Hôpitaux de Paris concernant l’accouchement du siège. Gynécologie et obstétrique. 2021. ⟨dumas-03351954⟩



Record views


Files downloads