Vaginal Breech Birth: A Workshop on New Evidence and Techniques to Bring it Back
- Duration: 60 Mins
- Credits: 1 CERP, 1 R-CERP
- Learning Format: Webinar
- Handout: Yes
- Origin: MANA 2019
Abstract:
In both high and low resource countries, misleading research and ongoing assumptions about the safety of cesarean section have attempted to relegate the practice of vaginal breech birth to an ancient art, useful only for the historical archives. In spite of the fact that the follow up to the Term Breech Trial reported that vaginal breech birth is NOT associated with higher risk of death or neuro developmental issues in children of 2 years of age, and positive research over the last two decades, obstetric units in North America have only feebly embraced the reality that vaginal breech should be offered. In the absence of choice in obstetric units, and as obstetricians have become more deskilled at normal vaginal breech birth, midwives' clients and their midwives, have been at the helm of the movement to return vaginal breech birth to North America. The midwife presenter, who regularly attends vaginal breeches in Ottawa, Canada, will review the normal cardinal movements of descent of the breech and the research of colleagues in Frankfurt and Ottawa about how to troubleshoot when there are difficulties with the breech. There will be demonstration through PowerPoint and videos how easily babies can come out on their own, but also when and how to intervene for lack of general descent, lack of rotation of the shoulders, and lack of flexion and rotation of the head.
Learning Objectives:
Objective 1: Participants will be able to demonstrate with a doll and pelvis the cardinal movements of the descent of the breech, identify when there are problems, and describe how to rectify them;
Objective 2: Participants will be able to cite at least 3 new manoeuvres that are used in the upright breech birth;
Objective 3: Participants will be able to cite at least 3 pieces of research that challenge the use of breech manouevres on the back and discuss the advantages of physiological management.
