The safe conduct of vaginal breech birth is an important competency for all maternity carers. It applies to the care of women who plan a vaginal breech birth at term or women who unexpectedly are labouring with a breech at term. Maternity carers in these situations must first have a good rapport with the woman which allows her to understand the special variations of a breech birth. Next all maternity carers need to know in detail the mechanisms of a normal breech. Correspondingly they need to know the mechanism of the abnormal breech birth and how to deal with it. These principles are best learnt in real birthing situations ; training for such situations can also occur with the excellent models that are currently available.
Learning Objectives:
Objective 1: A clear understanding of the mechanism of normal vaginal breech birth Objective 2: An appraisal of the evidence surrounding vaginal breech birth Objective 3: The safe conduct of vaginal breech birth both planned and unplanned Objective 4: Requirements for a vaginal breech service
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