Click here to download the Algorithm

Walker S (2020) No more ‘hands off the breech.’ The Practising Midwife. 23(6)

Reitter A, Halliday A and Walker 2 (2020) Practical insight into upright breech birth from birth videos: a structured analysis. Birth.

Walker S and Spillane E (2020) Face to pubes rotational manoeuvre for bilateral nuchal arms in a vaginal breech birth, resolved in an upright maternal position: A case report. Birth. doi/10.1111/birt.12486

Spillane E (2020). Why Breech Birth Matters. The British Journal of Midwifery, April:28(4):210-211. Doi: 10.12968.bjom.2020.28.4.210

Spillane E and Walker S (2019). Case Study Supporting Continuity of Care Models for Breech Presentation at or Near Term. The Practising Midwife, December:36-37

Walker S (2019). ‘Optimising physiological birth for women and babies with complex needs’ in Downe S and Byrom S, eds., Squaring the Circle: Normal birth research, theory and practice in a technological age. London: Pinter & Martin

Reitter A and Walker S (2019) Der Kaiserschnitt bei Beckenendlage – gibt es alternative Wege?Frauenarzt. 60(9):647-650.

Spillane, E. (2019) Obstetric Emergencies in Low Risk Settings ‘in’ Chandraharan, E. and Arulkumaran, S. Obstetric and Intrapartum Emergencies, Cambridge University Press, 2nd edn.

Download the Dutch translation of the Algorithm

Walker S (2018) Response to: vaginal birth in breech presentation in morbidly obese women, Obstetrics & Gynaecology

Walker S (2017) Competence and expertise in physiological breech birth, PhD Thesis deposited at City Research Online

Walker S, Parker P, Scamell M (2018) Expertise in physiological breech birth: A mixed methods study. Birth. 45(2):202-209.

Walker S, Scamell M, Parker P (2018) Deliberate acquisition of competence in physiological breech birth: A grounded theory study. Women & Birth 31(3):e170-e177.

Walker S, Breslin E, Scamell M, Parker P (2017) Effectiveness of vaginal breech birth training strategies: an integrative review of the literature. Birth. 44(2):101-9. (Author version archived at City Research Online)

Walker S, Reading C, Silverwood-Cope O, Cochrane V (2017) Physiological breech birth: Evaluation of a training programme for birth professionals. The Practising Midwife. 20(2): 25-8. (Extended Author Version)

Walker S, Scamell M, Parker P (2016) Principles of physiological breech birth practice: A Delphi Study. Midwifery. 43:1-6. (Author version archived at City Research Online)


Fineberg A, Maher B, Walker S (2016) Upright vaginal breech birth, film presented at the Annual Clinical and Scientific Meeting of the American Congress of Obstetricians and Gynaecologists, Washington Convention Centre, 14 May 2016.

Walker S, Scamell M, Parker P (2016) Standards for maternity care professionals attending planned upright breech births. Midwifery. 34:7-14. (Author version archived at City Research Online)

Walker S, Cochrane V (2015) Unexpected breech: what can midwives do? The Practising Midwife, 18(10): 26-29. Click here to downloadPDF.

Walker S (2015) Turning breech upside down: upright breech birth. MIDIRS Midwifery Digest, 25(3):325-330. Author Version MIDIRS Sept 15

Powell R, Walker S, Barrett A (2015) Informed consent to breech birth in New Zealand. New Zealand Medical Journal 128(1418):85-92. (Archived at City Research On-line)

Walker S, Perilakalathil P, Moore J, Gibbs C, Reavell K, Crozier K (2015). Standards for midwife practitioners of external cephalic version: A Delphi study. Midwifery [Online] Available from: doi:10.1016/j.midw.2015.01.004 (Author version archived at City Research Online)

Walker S (2014). To ECV or not to ECV? The current evidence base concerning external cephalic version. The Practising Midwife 17(9):30-33(4). (Archived at City Research Online)

Plested M, Walker S (2014) Building confident ways of working around higher risk birth choices. Essentially MIDIRS 5(9):13-16. (Archived at City Research Online)

Walker S, Powell R (2014) Low overall mortality and morbidity for breech babies in the Netherlands. Acta Obstetrica et Gynecologica Scandinavica DOI: 10.1111/aogs.12497. (Available on ResearchGate)

Walker S, Sabrosa R (2014) Assessment of fetal presentation: Exploring a woman-centred approach. British Journal of Midwifery 22(4):240-244. (Author version archived at City Research Online)

Walker S (2013) Undiagnosed breech: Towards a woman-centred approach. British Journal of Midwifery 21(5):316–22. (Author version archived at City Research Online)

Walker S (2012) Breech birth: an unusual normal. The Practising Midwife 15(3):18,20–1. Click here to download – PDF


Walker S, Batinelli L, Rocca-Ihenacho L, McCourt C (2018) ‘Keeping Birth Normal’: Exploratory evaluation of a training package for midwives in an inner-city, alongside midwifery unit. Midwifery (in press)

Understanding the roots of health inequalities requires new methods, mini commentary on Sauvegrain et al’s Exploring the hypothesis of differential care for African immigrant and native women in France with hypertensive disorders during pregnancy: a qualitative study (BJOG, 2017)

Response to Six ‘biases’ against patients and carers in evidence-based medicine, Greenhalgh T, Snow R, Ryan S and Salisbury H (2015) BMC Medicine 13:200, doi:10.1186/s12916-015-0437-x

Open Peer Reviews:

Kuppens S,  et al (2017) Fetal heart rate abnormalities during and after external cephalic version: Which fetuses are at risk and how are they delivered? BMC Pregnancy and Childbirth 17:363.

Högberg U, et al, 2016. Breech delivery at a University Hospital in Tanzania. BMC Pregnancy Childbirth 16, 342. doi:10.1186/s12884-016-1136-0

Toivonen E, et al, 2016. Cardiotocography in breech versus vertex delivery: an examiner-blinded, cross-sectional nested case-control study. BMC Pregnancy Childbirth 16, 319.

13 thoughts on “Publications

  1. phoebebarton

    Hello, thanks for all of this important work. I would love to read ‘To ECV or not to ECV? The current evidence base concerning external cephalic version’ it can’t find the open access version and wondered if you could post the link or if there is anywhere I can access?
    Warm thanks


    1. midwifeshawn Post author

      Hello, Phoebe, and thank you very much for your interest in my work. Some of the publications are available as PDFs, courtesy of the journal, and some of them I have archived as author versions in accordance with copyright requirements. I have linked to an archive location below each of the publications now, in response to your feedback. There will be a few more posted soon.

      If you are doing your own work around breech, please do share it with us! 🙂

      Best wishes, Shawn


  2. Jill Miller

    Hello Shawn. Please can you give me some information on whether / how it is possible to arrange for a breech birth midwife to be able to support a woman at another NHS hospital where they do not readily support vaginal breech birth? I heard you speak not his a couple of years ago.
    With thanks.


    1. midwifeshawn Post author

      Hi, Jill. Processes vary from area to area. Increasingly, Trusts with breech skill are supporting surrounding areas to care for women with breech babies. Sometimes, where relationships have been established, a bank contract can be arranged. Best to speak with a Supervisor of Midwives in the hospital where the woman is booked, and other nearby hospitals if internal support cannot be arranged. And feed back through the MSLC to encourage updated training for staff.
      Best wishes,


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  8. Michelle Sanders

    Hello Shawn,

    I’m a new Doula in Los Angeles California. I really love your pictures.If you don’t mind, I would be honored to share one of your breech birth photos with my Instagram audience as a visual to help educate on the opinions for breech presentation other than cesarean.

    Thanks for the inspiration


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