Category Archives: Study Days

The virus and the breech

 

Update (2 April 2020): Well, this is going to go on for a lot longer than anyone expected, isn’t it? So we’re doing our best to issue refunds to those who booked for study days this summer. We have been able to refund those who paid by PayPal, because we had a positive balance in that account. We are awaiting £3500 in payment from Trusts for study days we’ve already provided, and when that comes in, we will be able to refund the remaining bookings and still pay our overheads, such as internet services, insurance and accountants’ fees.

So thank you for your patience. We hope to refund everything as soon as we can. As a not-for-profit company, we haven’t maintained a significant balance in our accounts, instead re-investing in printing manuals, replacing training aids, supporting clinical skills trainers to gain experience, etc. But maybe we need to re-consider our forward planning to include potential pandemics!


We would like to share with you our strategy for dealing with the uncertainties caused by the COVID-19 pandemic.

We have recently had a study day cancelled days before the event. This was understandable given the rapidly changing situation for NHS Trusts. We arranged refunds, including offering travel refunds to the clinical skills educators who were helping to deliver the day and developing their own skills. But we crunched the numbers and realised that we will be bankrupt if we do this again! Therefore, we have developed the following policy:

For NHS Trusts or other organisers who cancel events, we will re-arrange a suitable date when it is safe to deliver the training. We cannot return any payments that have already been made. We encourage Trusts to follow the local and national guidance on cancelling social events and meetings.

Similarly, if events are cancelled or individuals are not able to attend due to cancellation or personal reasons, we will you enable to attend another training at another date of your choice in the future. But we cannot return payments that you have made for training.

Thank you for understanding this decision, given the uncertain situation at the moment. We are essentially a two-woman operation, with additional help on the occasional study day.

Wishing you and your loved ones safety,

Shawn & Emma

 

Vancouver physiological breech workshop

Next month, I will be a Visiting Scholar at the University of British Columbia. This will include a workshop on my research and physiological breech birth practice, delivered alongside Andrew Kotaska, lead author of the Canadian breech guideline, and a highly respected obstetric and midwifery faculty.

Please share this information with any Canadian OBs and Residents who want to extend their skills to facilitate safe vaginal breech births. The course is accredited for MOC 3. Bookings can be made on-line.

Stockholm and the breech

This weekend, I have been lucky enough to visit Stockholm, Sweden, at the invitation of the Södersjukhuset (BB SÖS), with Dr Andrew Kotaska, author of the 2019 Canadian breech guideline. We delivered training in breech research and practice to obstetricians and midwives from across Stockholm, a contribution to their recent effort to establish city-wide guidelines.

Breech Team Leader Tove Wallström and Breech Midwife Monica Berggren

The day was organised by senior obstetrician Julia Savchenko (pictured with Andrew above). Julia and fellow senior consultant Tove Wallström lead the Labour Ward and the SÖS breech team. These inspirational women presented their local audit results, showing how their vaginal breech births have increased from 9 in 2014 to 50 so far in 2019. Almost all women give birth in an upright position, and all births are attended by a breech-experienced obstetrician and a breech-experienced midwife from the breech team.

Danish midwifery student Pernille Ravn on her elective placement, demonstrating the movement of baby to mother’s abdomen when performing the shoulder press manoeuvre

It was exciting to see a ‘Breech Team‘ service working so well in the largest maternity hospital in Stockholm. The team are able to take referrals for women pregnant with a breech-presenting baby at term who wish to give birth at SÖS. They can also provide training for other teams in Sweden who wish to improve the safety and delivery of their own services, using their own resources and presentation materials provided by the Breech Birth Network.

To ask about referral or training, please contact Julia and Tove using the form below.

Typical Swedish post-birth meal — a step up from British tea and toast!

Each family places a pin in the board to celebrate their birth as she leaves SÖS

Busy hospital!

For more information about training outside of Sweden, please see our Booking a Study Day page.

For information about training or referrals for a vaginal breech birth in Sweden, contact Julia and Tove:

Breech Training in Quebec

After training with the Breech Birth Network, Isabelle Brabant gave us her feedback from her first training session teaching midwives in the far North of Canada:

Teaching Breech in Inukjuak

 “I have to tell you a bit about Maternity up North. There are seven villages on the Hudson Bay Coast (just about 1200km long!). There’s a maternity service in three of the biggest villages: Salluit, Puvirnituq and Inukjuak. There is no road to get there, you can only go by plane or by cargo – if you have a couple of weeks to spare for the trip. The Inukjuak maternity services have around 40 births per year, and if a baby remains breech in the pregnancy they would offer an external cephalic version, but if unsuccessful the woman would be sent to services further south (to Montreal!) to have her baby – alongside the other approximately 15% of women who are referred for medical reasons. If ever a woman needs to be transferred in labour it takes no less than 8 hours as there is no plane in the village itself – yes 8 hours! In an undiagnosed breech situation the decision would be made to transfer, but the chances are that the baby would be born before transfer. This explains the interest and need for Breech Birth training with the midwives being very interested in the training – of course they have a small volume of births, but the possibility remains of having an undiagnosed breech birth at any time.

Teaching Breech in Inukjuak

The training was given to a small group of enthusiastic midwives in Inukjuak, where we started the day with what is normal for Breech which the midwives enjoyed alongside teaching essential skills and manoeuvres. I will be delivering this training three times to Quebec midwives in May and June.”

 

 

 

There are three more training sessions planned in Canada throughout May and June and the details are as follows:

  • 6th May 2019: MdN de l’Estrie, Sherbrooke
  • 31st May 2019: MdN Mimosa, Lévis
  • 13th June 2019: Montréal (lieu à déterminer selon la taille du groupe)

Please visit: Regroupment les sages – femmes du Quebec

 


From Shawn:

A picture of my lovely Innukshuk, given to me by Kay Guruswami of Kensington Midwives in Ontario, as a symbol of what we are trying to do together: lead the way forward for breech. Thanks Kay  ❤️

Upcoming conferences

You and your colleagues may be interested in these two upcoming conferences, led by obstetricians. First, a two-day breech conference in Denmark featuring a number of internationally known teachers and researchers:

Denmark 2019

And in November, Breech Birth Network will be offering physiological breech training alongside the British Intrapartum Care Society Conference in Leicester.

BICS 2019