Methods
This is a retrospective cohort study conducted at the Rafic Hariri University Hospital (a tertiary hospital in Beirut) where we divided the obstetricians into two groups: the first group received the PROMPT (Practical Obstetric Multi-Professional Training) and the other group who did not receive this training.
Then we compared the mode of delivery of breech presentation according to whether the obstetrician received the training or not. This comparison is based on the classification of the Robson 10-group classification adopted by the World Health Organization (WHO). The training sessions took place between June 2018 and June 2019 and included simulation sessions according to the PROMPT for the attending physicians then simulation sessions by these PROMPT-certified attending physicians for the residents in our department. The neonatal outcomes including the Apgar score and the admission to the neonatal intensive care unit (NICU) were noted as well.
Our study was approved by the Institutional Review Board (IRB) at our center.