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Midwifery Bridge CEUs

Breech Birth Lecture Pack

Our Breech Birth add-on package is designed to provide an in-depth focus on the topic of vaginal breech delivery. The climate of vaginal breech birth is changing as more families push to have it available as an option. Professional organizations are also starting to change their stance on breech presentation meaning an automatic C-section. This special package brings together leading experts in the field to share their knowledge, wisdom and experience of helping families to safely experience the vaginal birth of their breech babies. Don’t miss this amazing opportunity to learn from Shawn Walker, Gail Tully, Dr. Stuart Fischbein and Dr. Andrew Kotaska!

$95.00 USD
Total CE Hours: 5.00   Access Time: 4 Weeks  
Lectures in this bundle (5):
Duration: 60 mins
Using research to improve the way we teach and learn vaginal breech birth

Dr Shawn Walker is a midwife who specialises in care for women with a breech presenting baby at term. She is currently an NIHR Advanced Fellow, exploring the feasibility of a randomised trial ( Academically, she is based at King's College London, and clinically, she works with Chelsea and Westminster Hospitals NHS Foundation Trust. Her publications can be found at

Objective 1: Explain why knowledge of the mechanisms of breech labour are key to safe practice
Objective 2: Determine the level of the pelvis at which head entrapment has occurred
Objective 3: Discuss the benefits of a breech team/clinic model


Breech births occur infrequently, yet their safe support requires skill, patience and discernment from the health professionals who attend them, whether planned or unplanned. In addition, recent research has prompted practice changes toward more physiological approaches. This presentation will discuss how research around how professionals learn complex breech skills, and modern technology, can help midwives and doctors to learn skills to assist breech births. We will cover the importance of respecting the mechanism of breech labour when it is working, and restoring it when it is not. We will discuss how to determine the level of the pelvis at which head entrapment has occurred – and how to teach others to resolve it. And we will discuss successful models of breech care with the potential to lead a revolution in the direction of choice, confidence and continuity.

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Duration: 60 mins
Andrew Kotaska, MD FRCS(C)
Heads-up not hands-up: the Unexpected Breech Birth
Canada Andrew Kotaska, MD FRCS(C)

Dr. Kotaska is an Obstetrician & Gynecologist in Yellowknife, Northwest Territories, where he lives with his wife and two boys. He received his medical degree from U.B.C. in 1992 and worked as a GP-surgeon in northern British Columbia before returning to complete a residency in Obstetrics and Gynecology in 2006. He has academic appointments with the Universities of British Columbia, Manitoba, and Toronto. He is regularly active in midwifery and obstetrical education. Dr. Kotaska’s academic interests centre on preserving physiological birth while avoiding unnecessary obstetrical intervention; the overestimation of risk in obstetrics; and the ethics of informed consent and refusal. His latest research interests focus on safe vaginal breech birth, the effect of epidural analgesia on labour, spontaneous two-step delivery, and the shortcomings of guidelines. 

Objective 1: Outline the physiological differences between breech and cephalic birth and their implications for safety.
Objective 2: List the appropriate selection and intrapartum management criteria for safe vaginal breech birth.
Objective 3: List techniques to deal with complications of vaginal breech delivery.

Canada Andrew Kotaska, MD FRCS(C)

It is no secret that vaginal breech birth can be dangerous; but can it be safe? Published in 2000, the Term Breech Trial suggested that cesarean section is markedly safer for all term breech fetuses in all clinical settings. It has led to a dramatic decrease in rates of vaginal breech birth and a reduction in the obstetrical skill set needed to attend them. Increased maternal morbidity and maternal deaths from unnecessary cesareans are now being observed. Unfortunately the Term Breech Trial protocol did not include adequate measures in the selection, intrapartum management and delivery technique to ensure safety. Larger trials with stricter safety measures have demonstrated that with a cautious protocol, breech birth can be conducted safely in appropriately supported obstetrical units. What are the important selection criteria, intrapartum management measures, and delivery techniques needed to ensure safety with vaginal breech birth? Dr. Kotaska will outline the safety deficits of the Term Breech Trial and contrast them to the practice of obstetrical units that have successfully demonstrated safe breech birth. Together with participants he will explore our understanding of the physiology of breech birth, identify key components that can compromise safety, and outline clinical measures to avoid or rectify them.

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Duration: 65 mins
Gail Tully, BS, CPM, CD(DONA)
Illustrating Breech Complications
USA Gail Tully, BS, CPM, CD(DONA)

Gail Tully, is a certified professional midwife (CPM) who began her midwifery studies preparing for a breech baby's homebirth in 1983. Expecting to photograph, Gail found herself already receiving the baby as the midwife entered and declined to take over. Gail is the founder of which is a top resource for pregnant women with breech positioned babies and world renown approach to physiological birthing. Retired from primary care, she enjoys being called out to an occasional breech birth. Gail Tully is the author of The Belly Mapping Workbook (2005), Resolving Shoulder Dystocia video (2011), Daily Essentials video, Spinning Babies Parent Class video (both 2014), Spinning Babies Quick Reference (2015), and Breech Birth; Quick Guide (2016).

Objective 1:Identify the way a breech baby looks when the arms are stuck on the inlet.
Objective 2: Compare arms over the inlet with an arm WITHIN the symphysis pubis
Objective 3: Describe perineal characteristics and signs of the extended breech head

USA Gail Tully, BS, CPM, CD(DONA)

Identify what you see at the perineum to know what is going on in the pelvis with the breech birth. Breech obstructions; Here’s what you see when it is time to act.

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Duration: 60 mins
The Home Breech Option, Proper Selection & Technique

Stuart J. Fischbein MD is a fellow of the American College of Obstetrics & Gynecology, published author (“Fearless Pregnancy, Wisdom & Reassurance from a Doctor, A Midwife and A Mom” and “Homebirth With an Obstetrician, A Series of 135 Out of Hospital Births”) and lecturer. He is an outspoken advocate of informed decision making, the midwifery model of care and human rights in childbirth, receiving the 2016 “Most Audacious” award from HRIC and the Association for Wholistic & Newborn Health. Hear more of his thoughts and advocacy for evidenced-based, reasonable choices on his podcast at He now works directly with home birthing midwives He offers hope for those women who cannot find supportive practitioners for VBAC, twin and breech deliveries.

Objective 1: Counsel clients with a better understanding of the true risks and benefits of term breech birthing options.
Objective 2: Properly identify good candidates for vaginal breech option using practical selection criteria.
Objective 3: Identify when a breech baby needs assistance and be aware of proper positions and maneuvers.


Vaginal breech birth options are disappearing from hospitals. Even when allowed, restrictive protocols may diminish success. Fear has replaced confidence in most practitioners and its projection has been detrimental to our clientele. The speaker has been assisting women with breech birthing for over 30 years, the last six in the home setting. During this talk the participant will be informed about counseling women on the risks and benefits of vaginal v. cesarean and home v. hospital birthing. We will discuss proper client selection and review breech techniques and maneuvers using narratives and videos of real breech deliveries, to enable the participant to practice problem-solving in real time. Finally, Dr. Fischbein will present his data from six years of assisting breech birth out of the hospital.

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Duration: 60 mins
Understanding the mechanisms as the key to safe breech birth

Dr Shawn Walker is a midwife who specialises in care for women with a breech presenting baby at term. She is currently an NIHR Advanced Fellow, exploring the feasibility of a randomised trial ( Academically, she is based at King's College London, and clinically, she works with Chelsea and Westminster Hospitals NHS Foundation Trust. Her publications can be found at

Objective 1: Demonstrate the mechanisms of optimal breech birth
Objective 2: Explain why knowledge of the mechanisms are key to safe practice
Objective 3: Determine the level of the pelvis at which head entrapment has


A majority of physiological breech births unfold according to a recognisable pattern of movements as the fetus spirals through the maternal pelvis. Protecting and supporting this optimal process is the basis of physiological breech birth practice. Understanding how and why these movements occur, and how to recognise when a deviation has occurred, is key to determining how and when to intervene in a potentially dangerous situation. This presentation will help you become thoroughly familiar with the optimal process, and explain why understanding the normal mechanisms can facilitate resolution when head entrapment occurs.

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CERPs - Continuing Education Recognition Points
GOLD Conferences has been designated as a Long Term Provider of CERPs by the IBLCE--Approval #CLT114-07. This activity is approved for 5 R-CERPs.

Midwifery CEUs (MEAC Schools):
This program is accredited through the Midwifery Education & Accreditation Council (MEAC) for 5 Contact Hours or 0.5 CEUs. Please note that 0.1 MEAC Midwifery CEU is equivalent to 1.0 NARM CEUs.

If you have already participated in this program, you are not eligible to receive additional credits for viewing it again. Please send us an email to [email protected] if you have any questions.

Tags / Categories

Breech Birth

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