Breech Without Borders' school

A message from the instructor

How to use this course

Breech Without Borders community

Agreements & liability releases

Conflict of Interest Forms

Handouts & articles of interest to download

Guidelines & informed consent documents

Pre-course survey

How to access the live sessions & recordings

Why are we here today? A brief historical overview

Why is vaginal breech training important?

Evidence on physiological breech birth

Nomenclature and dropped foot breeches

Test your learning: What does the evidence say?

Evaluation: What does the evidence say?

Physiological breech birth, part 1: Active mother, mobile pelvis

Physiological BB, part 2: Know the mechanisms

Physiological BB, part 3: Inside & outside

Physiological BB, part 4: Disimpact & rotate

Physiological BB, part 5: Birth stools

Physiological BB, part 6: 10 steps (& 10 deviations) of normal breech birth

Physiological BB, part 7: Video examples

Normal breech birth, part 1: Introduction, engagement, & rumping

Normal breech birth, part 2: Rotation & descent

Normal breech birth, part 3: Legs

It's a foot!

Normal breech birth, part 4: Assessing fetal well-being

Wait for the next contraction?

Normal breech birth, part 5: Shoulders & arms

Normal breech birth, part 6: Head

Assessing the breech newborn

Optimizing neonatal transition during breech birth by keeping the cord intact

A neonatologist's perspective on breech birth: Dr. Jonathan Cohen

The Maternity Environment and Birth Physiology (Sarah Buckley, MD)

Test your learning: Normal breech birth

Evaluation: Normal breech birth

Updated handout: Essential practices during expulsion

Video analysis research and our new decision tree

Part 1: Introduction

Part 2: New handout

Part 3: Breech labor

Part 4: Pushing & expulsion

Part 5: Deviations with rotation & descent

Part 6: Deviations with leg asymmetry (frank breech)

Part 7: Deviations with progress & fetal wellbeing

Part 8: Correcting deviations with maneuvers

Part 9: Obtaining consent for maneuvers

How to distinguish between tummy crunches and fetal gasping

What does gasping look like?

Test your learning: Abnormal breech birth

Evaluation: Abnormal breech birth

Recordkeeping of your ongoing practice

Breech maneuvers part 1: Introduction and maternal movement & positioning

The importance of maternal position changes

Breech maneuvers part 2: Fundal pressure

Example 2.1: Fundal pressure

Example 2.2 (bonus lesson): Fundal pressure with Betty-Anne Daviss

Breech maneuvers part 3: Stuck arms and shoulders

When (and how) to sweep arms vs doing a rotational maneuver

Example 3.1: Anterior arm release

Example 3.2: Anterior arm release with disimpaction and rotation

Breech maneuvers part 4: Deflexed head in the pelvic outlet

Example 4.1: Shoulder presses with shoulder grip

Example 4.2: Shoulder press variation (lift & press)

Example 4.3: Crowning Touch demonstrated by Betty-Anne Daviss

4.4 When a head is very stuck

4.5 When to use the Ritgen maneuver

Breech maneuvers part 5: Hyperextended head in the pelvic inlet

Example 5.1: Hyperextended head in the pelvic inlet

Breech maneuvers part 6.1: Sacrum posterior head

Breech maneuvers part 6.2: Sacrum posterior rotation

Example 6.3: Photo montage of SP rumping and descent

Example 6.4: Photo montage of SP rotation & correction to SA

Breech maneuvers part 7: Soft tissue maneuvers

Example 7.1: Shoulder press + gluteal lift

Example 7.2: Perineal lift

7.3 Perineal integrity & episiotomy

Test your learning: Maneuvers

Evaluation: Maneuvers