Breech Pro Essentials

A 9-hr breech training course; must be completed prior to hands-on simulation training. Topics include normal & abnormal breech birth, upright & supine maneuvers, simulations, & developing breech competency. 1 yr access. Updated Nov 2025.

Course curriculum

1. A message from the instructor
2. How to use this course
3. Breech Without Borders community
4. Agreements & liability releases
5. Conflict of Interest Forms
6. Handouts & articles of interest to download
7. Pre-course survey
1. How to access the live sessions & recordings
1. Download the mp3s here
1. Why is vaginal breech training important?
2. Evidence on physiological breech birth
3. Test your learning: What does the evidence say?
4. Evaluation: What does the evidence say?
1. Physiological breech birth, part 1: Active mother, mobile pelvis
2. Physiological BB, part 2: Know the mechanisms
3. Physiological BB, part 3: Inside & outside
4. Physiological BB, part 4: Disimpact & rotate
5. Physiological BB, part 5: Birth stools
6. Physiological BB, part 6: 10 steps (& 10 deviations) of normal breech birth
7. Physiological BB, part 7: Video examples
8. Normal breech birth, part 1: Introduction, engagement, & rumping
9. Normal breech birth, part 2: Rotation & descent
10. Normal breech birth, part 3: Legs
11. It's a foot!
12. Normal breech birth, part 4: Assessing fetal well-being
13. Wait for the next contraction?
14. Normal breech birth, part 5: Shoulders & arms
15. Normal breech birth, part 6: Head
16. Assessing the breech newborn
17. Optimizing neonatal transition during breech birth by keeping the cord intact
18. The Maternity Environment and Birth Physiology (Sarah Buckley, MD)
19. Test your learning: Normal breech birth
20. Evaluation: Normal breech birth
1. Updated handout: Essential practices during expulsion
2. Video analysis research and our new decision tree
3. Part 1: Introduction
4. Part 2: New handout
5. Part 3: Breech labor
6. Part 4: Pushing & expulsion
7. Part 5: Deviations with rotation & descent
8. Part 6: Deviations with leg asymmetry (frank breech)
9. Part 7: Deviations with progress & fetal wellbeing
10. Part 8: Obtaining consent for maneuvers
11. How to distinguish between tummy crunches and fetal gasping
12. What does gasping look like?
13. Example 1: Vigorous baby and mostly normal mechanisms (South Africa)
14. Example 2: Vigorous baby with a disrupted mechanism and spontaneous birth (primip undiagnosed complete with dropped feet, USA)
15. Example 3: Nonvigorous baby with mostly normal mechanisms and minor assistance (multip frank breech, NZ)
16. Example 4: Nonvigorous baby with mostly normal mechanisms and minor assistance (primip frank breech, Hungary)
17. Example 5: Nonvigorous baby with disrupted mechanisms and minor assistance (primip complete breech, Mexico)
18. Example 6: Nonvigorous baby with slow progress (primip frank breech, USA)
19. Test your learning: Abnormal breech birth
20. Evaluation: Abnormal breech birth
1. Recordkeeping of your ongoing practice
2. Breech maneuvers part 1: Introduction and maternal movement & positioning
3. The importance of maternal position changes
4. Breech maneuvers part 2: Fundal pressure
5. Example 2.1: Fundal pressure
6. Example 2.2 (bonus lesson): Fundal pressure with Betty-Anne Daviss
7. Breech maneuvers part 3: Stuck arms and shoulders
8. When (and how) to sweep arms vs doing a rotational maneuver
9. Example 3.1: Anterior arm release
10. Example 3.2: Anterior arm release with disimpaction and rotation
11. Breech maneuvers part 4: Deflexed head in the pelvic outlet
12. Example 4.1: Shoulder presses with shoulder grip
13. Example 4.2: Shoulder press variation (lift & press)
14. Example 4.3: Crowning Touch demonstrated by Betty-Anne Daviss
15. 4.4 When a head is very stuck
16. 4.5 When to use the Ritgen maneuver
17. Breech maneuvers part 5: Hyperextended head in the pelvic inlet
18. Example 5.1: Hyperextended head in the pelvic inlet
19. Breech maneuvers part 6.1: Sacrum posterior head
20. Breech maneuvers part 6.2: Sacrum posterior rotation
21. Example 6.3: Photo montage of SP rumping and descent
22. Example 6.4: Photo montage of SP rotation & correction to SA
23. Breech maneuvers part 7: Soft tissue maneuvers
24. Example 7.1: Shoulder press + gluteal lift
25. Example 7.2: Perineal lift
26. 7.3 Perineal integrity & episiotomy
27. Test your learning: Maneuvers
28. Evaluation: Maneuvers
1. Essential Tools (handout) & announcement about refilming
2. Introduction
3. 1: Shoulder/chest press
4. 2: Crowning Touch
5. 3: Ritgen
6. 4: Side to Side
7. 5: Arm sweeps
8. 6: Fundal pressure
9. 7: Hyperextended head in the pelvic inlet
10. Supine maneuvers 1: Introduction & proper hand placement
11. Supine maneuvers 2: Legs & torso
12. Example of Pinard maneuver & traction for the torso
13. Supine maneuvers 3: Løvset
14. Løvset video examples
15. Supine maneuvers 4: Head flexion (MSV, Burns-Marshall, & Bracht)
16. Bracht video examples
17. Evaluation: Essential Tools
1. Primip complete breech (Austria)
2. G2 frank breech (Hungary)
3. Primip frank breech (South Africa)
4. G2 complete breech (Australia)
5. Multip frank breech (Hungary)
6. Primip complete breech (Afghanistan)
7. Complete breech (Belgium)
8. Primip complete breech (USA)
9. Primip complete breech, no prenatal care (Afghanistan)
10. Primip complete breech (Poland)
11. Complete breech (Italy)
12. Test your learning: Simulations
13. Evaluation: Simulations
1. 1: Introduction
2. 2 : My journey
3. 3: Personal practice guidelines
4. 4: The importance of regular practice
5. 5: Transitory neonatal trauma
6. 6: Debriefing
7. 7: Fears and misconceptions
8. 8: Palpation
9. 9: Informed choice
10. 10: Supporting VBB in medical systems
11. Test your learning: Developing breech competency
12. Evaluation: Developing breech competency
1. Why it's important to video breech births
2. How to share videos, photos, and birth stories with Breech Without Borders
3. Video & photo release form
1. Breech data collection project
2. Singleton breech data collection form
3. Twin breech data collection form
1. Suggestions for hospital transfers
1. An overview of the hands-on training day
2. The next steps in your breech journey.

About this course

$350.00
132 lessons
9.5 hours of video content

Breech Pro Essentials

Course curriculum

Getting started

Optional live sessions

MP3 downloads of the course videos

Module 1: What does the evidence say?

Module 2: Understanding normal breech birth

Module 3: Understanding and resolving abnormal breech birth

Module 4a: Maneuvers for abnormal breech birth

Module 4b: Essential Tools

Module 5: Simulations

Module 6: Developing Breech Competency

Share your breech birth videos, photos, and stories with us!

Data collection

Suggestions for hospital transfers

What to expect during your hands-on training day

About this course