Experience and confidence in vaginal twin/breech delivery among trainees and junior specialists in Hong Kong public hospitals

Objectives: To evaluate the perceived experience and confidence in providing vaginal twin delivery and vaginal breech delivery among obstetric trainees and junior specialists in Hong Kong, and to determine the correlations between the perceived experience and confidence and the numbers of vaginal twin/breech deliveries, forceps deliveries, and rotational operative deliveries performed. Methods: An anonymous online questionnaire was developed to assess experience and confidence in vaginal twin/breech delivery among trainees and junior specialists in public hospitals. Respondents were asked about the numbers of vaginal twin/breech deliveries, forceps deliveries, and rotational operative deliveries performed. They were asked if they intended to offer vaginal twin/breech delivery in practice. Those who reported insufficient confidence in performing such deliveries were asked for their reasons. Results: Of 141 eligible respondents, 58 (41.1%) responded. Of them, 52 (40 trainees and 12 junior specialists) were included for analysis. For vaginal twin delivery, the number of procedures performed was correlated with the perceived sufficient experience (r=0.612, p