We have a number of online and upcoming learning opportunities available for you.
“No more hands off the breech” is published in this month’s The Practising Midwife. In this article, I argue that we need to reconsider the way we use Mary Cronk’s famous phrase, “Hands off the breech!,” along with some other commonly held beliefs that may not be helpful.
I’d love to hear what you think about this and how it relates to your experience.
Consultant Midwife Emma Spillane and I are also speaking at the Northern Maternity and Midwifery Online Festival on Tuesday 23 June. I will be talking about improving the safety of breech birth through research, and Emma will be speaking about implementing a breech birth service.
Finally, our Vimeo channel features a couple new videos created to help student midwives learn about research, through the lens of improving breech safety. I’ve posted them below. The settings enable you to share and embed if you would like.
The first video explains one of the studies published as part of this Trio of Breech Articles, an open-access special issue from the journal Birth: Issues in Perinatal Care.
This year we honour midwives who continue to do the best job in the world under the most difficult of circumstances. Please enjoy this virtual International Day of the Midwife 2020 celebration from King’s College London student midwives, staff, alumni and collaborators. I’m so proud to be a part of this team!
And as always, we at Breech Birth Network honour the highly skilled midwives around the world who are working to make vaginal breech births safer and more accessible, for the women who choose them and for those who do not have a choice.
As part of the celebrations, I’ve made this video to explain the recent research that Dr Anke Reitter, Alex Halliday and I have done about what ‘normal for breech’ looks like. The video can be shared. Thank you to the women and professionals who have shared their intimate and vulnerable moments to make this possible.
The research is published open-access (FREE!) as part of a trio of breech articles by the journal Birth: Issues in Perinatal Care.
In June, I spent a week in the Netherlands working with a committed group of lecturers. The midwifery universities of the Netherlands share a common curriculum, and following our meeting last year, they agreed to incorporate physiological breech birth into their training programme. My visit was to support the midwifery lecturers to implement the new skills into standard midwifery training.
While in Amsterdam, I collaborated with Midwifery Lecturer Bahar Goodharzi of Academie Verloskunde Amsterdam Gröningen (AVAG) to create a short series of films demonstrating the rotational arm manoeuvre we teach in Breech Birth Network study days. We agreed that this is a tricky manoeuvre to learn and teach, but it is incredibly effective in practice so worth the effort of learning. I’ve collected our short demonstrations in the film below, along with information about how to recognise that this manoeuvre is required.
Note: If you have difficulty rotating the baby initially, you may have to elevate the baby slightly to a higher station, so that the shoulder girdle rises above the pelvic inlet. It can then rotate to engage in the transverse diameter.
Thank you to Emma Spillane of St George’s Hospital in London, who has helped to refine the way we teach this manoeuvre following her own experiences of successfully using it in practice.
Tonight, I met with some students from the local midwifery school who are preparing for their final OSCE. How exciting! They wanted to review mechanisms and manoeuvres so that they feel confident performing for their exams.
The students will be expected to demonstrate their knowledge of supine/lithotomy skills, so we created a new video to help them remember what we practised.
For those wanting to review the mechanisms when a woman is in a supine position, this video, filmed with midwifery students at the University of Salford last year, may also be helpful.
The next study group, for professionals, students or women in and around Norwich, will be on Monday, the 8th of February, from 10am – 1pm. For more resources to prepare for OSCE’s, click on the OSCE tag.
Over and over again, in my research and in personal conversations, I hear how important videos are to health professionals who are self-educating themselves about breech birth. I am still exploring the role of video as a learning tool, but they seem to assist professionals to develop pattern recognition abilities, and enable discussions about clinical decision-making. By watching and talking through what happens in birth videos, these skills can be practiced before they are required in a real-life context.
Here is a list of publicly available on-line videos for health professionals to watch when preparing to attend a breech birth, or to periodically update. Some of them may be close to your idea of ‘ideal,’ and some of them may present a different perspective, or an opportunity for discussion. All of them offer learning opportunity.