Session 6: Breech simulations: Recognizing and correcting abnormal breech labor
- Duration: 60 Mins
- Credits: 0.375 Midwifery CEU, 3.75 ACM CPD Hours, 3.75 ACNM
- Learning Format: Webinar
- Handout: No
Abstract:
This is the second of two sessions and follows the presentation of normal physiologic breech birth. The focus will be on recognizing abnormal breech labors and birth, understanding the mechanism that has failed, and mastery of the maneuvers required to restore the mechanism and assist the birth.
This session puts all the pieces together using obstetric simulations. Dr. Freeze’s simulation videos demonstrate all of the upright and supine manvuers, one by one, using both a doll & pelvis and an obstetrical simulator. Students will follow along with a doll & pelvis as they watch the videos.
Dr. Hayes’ simulations present clinical scenarios. The instructor will create an obstruction on the simulator. Each student will identify the type of obstruction and select an appropriate maneuver to resolve it and then perform the maneuver. By the conclusion every student will have identified one of each general category of obstruction and performed at least one of each type of maneuver correctly.
Learning Objectives:
At the end of the session, the participant should be able to:
Objective 1: Describe the intervention decision tree (recognize abnormality, determine whether intervention is necessary, & select the proper intervention).
Objective 2: Identify the external manifestations of abnormal vaginal birth and connect them with the mechanism of failure.
Objective 3: Describe the midpelvis rotational maneuvers and what situations they are used to correct.
Objective 4: Describe the inlet and midpelvis flexion maneuvers and what situations they are used to correct.
Objective 5: Describe the pelvic outlet flexion maneuvers.
Objective 6: List the indications for intervention.
Objective 7: Distinguish between maneuvers to restore the mechanism and maneuvers to extract the baby.
Objective 8: Explain the phrase “hands off the breech” and what the dangers of intervention are.
