Surgical treatment of uterine atony: an assessment of final year obstetrics and gynecology residents in Turkey with a questionnaire

Abstract

Purpose of nvestigation: The objective of this study is to assess the approaches of last-year obstetrics and gynecology (Ob&Gyn) residents towards surgical treatment of uterine atony. Materials and Methods: A self-administered questionnaire was used for the data collection. The questionnaire was sent to final year residents in the period from September 2013 to December 2014 through electronic mail or face-to-face conversation. Results: Last-year residents of Ob&Gyn preferred balloon tamponade as a first choice in nulliparous, but uterine compression suture for multiparous women in the management of uterine atony refractory to medical treatment during cesarean section. Uterine artery and internal iliac artery ligation came to forefront in the management of multiparous women. One fifth of residents did not watch any surgical intervention for uterine atony and most of them did not perform it before. Conclusion: The present results suggest that if residents do not perform or at least watch uterus-sparing procedures during their residency training, then a significant percentage of the residents could not perform these procedures by themselves except balloon tamponade.