Pricing options

Pay in full or in installments. Discounts offered for students, indigenous people, or people of color. Approved for contact hours with ACNM, Midwifery Council of New Zealand, and the Australian College of Midwives.

Course curriculum

  • 1

    Getting started

  • 2

    Course handouts

    • 10 steps of physiological breech birth & vaginal breech decision tree

    • Problems & solutions

    • 6 essential tools for breech births

    • Which way to rotate? Front to Back, Side to Side, and Løvset

    • The Bottom Line On Breech (Midwifery Today 2019)

    • Breech Birth At Home (Fischbein & Freeze 2018)

    • Louwen 2017: Does upright breech improve outcomes?

    • Reitter & Bisits Vaginal Breech Delivery

    • Hands-on instructions & checklist

  • 3

    Optional live sessions

    • Live session schedule

    • Recording agreement

    • Live session recordings

  • 4

    Evidence on term breech

    • Evidence on term breech since the Term Breech Trial (Rixa Freeze, PhD)

    • Q&A videos

    • Test your learning: Evidence on term breech

    • Session evaluation: Evidence on Term Breech

  • 5

    Outcomes of community breech

    • Outcomes of community breech birth (Rixa Freeze, PhD)

    • Test your learning: Outcomes of community breech

    • Session evaluation: Community breech birth

  • 6

    Maneuvers & mechanics

    • Breech maneuvers part 1: obstetric maneuvers from 1609-present

    • Breech maneuvers part 2: physiological breech birth

    • Breech maneuvers part 3: (mostly) upright maneuvers

    • Test your learning: Maneuvers & mechanics

    • Session evaluation: Maneuvers & Mechanics

  • 7

    Clinical aspects of physiologic vaginal breech birth

    • Introduction

      FREE PREVIEW
    • Part 1: Normal breech birth (David Hayes, MD)

    • Part 2: Breech guidelines & selection criteria (David Hayes, MD)

    • Part 3 : VBB management & maneuvers (David Hayes, MD)

    • Part 4: Abnormal breech birth (David Hayes, MD)

    • Test your learning: Clinical aspects

    • Session evaluation: Clinical aspects of physiological VBB

    • Part 3b (bonus lesson): Fundal pressure with Betty-Anne Daviss

  • 8

    Nomenclature

    • Breech nomenclature and the risks/outcomes of various leg presentations

    • Test your learning: Nomenclature

    • Session evaluation: Nomenclature

  • 9

    Simulations with Rixa Freeze, part 1: Encyclopedia of Breech Maneuvers

    • Introduction to the Encyclopedia

    • Fundal pressure

    • Side to Side (Louwen)

    • Front to Back (Face to Pubes)

    • Løvset (upright)

    • Sweeping arms

    • Shoulder press and Rock & Roll

    • Crowning Touch

    • Ritgen (upright)

    • Other upright head flexion maneuvers

    • MSV (upright)

    • Flex, flop, & drop (upright) for a hyperextended head in the pelvic inlet

    • Sacrum posterior head (upright)

    • Supine techniques for normal breech births: Vermelin, Bracht, & Burns-Marshall

    • Løvset (supine)

    • Supine head flexion: Bracht & Burn-Marshall

    • Ritgen (supine)

    • MSV (supine)

    • Flex, flop, & drop (supine) for a hyperextended head in the pelvic inlet

    • Sacrum posterior head (supine)

    • The importance of practicing regularly

  • 10

    Simulations with Rixa Freeze, PhD, part 2

    • Introduction & links to earlier simulation videos

    • Sophie & Ivory with Floriane Zitouni

    • Test your learning: Simulations with Rixa Freeze

    • Session evaluation: Simulations with Rixa Freeze

  • 11

    Simulations with David Hayes, MD

    • Clinical scenarios intro

    • Clinical scenarios part 1

    • Clinical scenarios part 2

    • Clinical scenarios part 3

    • Test your learning: Simulations with David Hayes

    • Session evaluation: Simulations with David Hayes

  • 12

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

    • How to share videos, photos, and birth stories with Breech Without Borders

    • Video & photo release form

  • 13

    Data collection

    • Breech data collection project

    • Singleton breech data collection form

    • Twin breech data collection form

  • 14

    Evaluations

    • Thank you

    • Post-course survey

    • Course review

    • CEU/CE/CPD instructions

Watch Intro Video

Video