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

    • Updated vaginal breech decision tree

    • Problems & Solutions

    • 6 Essential Tools

    • Wait for the next contraction?

    • 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

    • MP3 downloads of the live sessions
  • 4

    MP3 downloads of the course videos

    • Download the mp3s here
  • 5

    Evidence on term breech

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

    • Q&A from live workshops

    • Test your learning: Evidence on term breech

    • Session evaluation: Evidence on Term Breech
  • 6

    Maneuvers & mechanics

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

    • Breech maneuvers part 2: physiological breech birth

    • Breech maneuvers part 3.1 Introduction and maternal movement & positioning

    • Breech maneuvers part 3.2: Fundal pressure

    • Example 3.2.1: Fundal pressure

    • Breech maneuvers part 3.3: Stuck arms and shoulders

    • Example 3.3.1: Anterior arm release

    • Example 3.3.2: Anterior arm release with disimpaction and rotation

    • Breech maneuvers part 3.4: Deflexed head in the pelvic outlet

    • Example 3.4.1: Shoulder presses with shoulder grip

    • Breech maneuvers part 3.5: Hyperextended head in the pelvic inlet

    • Are there other ways to resolve a hyperextended head in the pelvic inlet?

    • Example 3.5.1: Hyperextended head in the pelvic inlet

    • Breech maneuvers part 3.6: Sacrum posterior head

    • Example 3.6.1: Photo montage of SP rumping and descent

    • Example 3.6.2: Photo montage of SP rotation & correction to SA

    • Breech maneuvers part 3.7: Soft tissue maneuvers

    • Example 3.7.1: Shoulder press + gluteal lift

    • Test your learning: Maneuvers & mechanics

    • Session evaluation: Maneuvers & Mechanics
  • 7

    Clinical aspects of physiologic vaginal breech birth

    • Introduction

      FREE PREVIEW

    • Part 1.1 Normal breech birth: Introduction, engagement, & rumping

    • Part 1.2 Normal breech birth: Rotation & descent

    • Part 1.3 Normal breech birth: Legs

    • Part 1.4 Normal breech birth: Shoulders & arms

    • Part 1.5 Normal breech birth: Head

    • Part 1.6 Normal breech birth: Evaluating fetal well-being

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

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

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

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

    • Test your learning: Clinical aspects

    • Session evaluation: Clinical aspects of physiological VBB
  • 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

    • Frank breech simulations (upright)

    • Complete breech simulations (upright)

    • Incomplete breech simulations (upright)

    • Rock & Roll & proper shoulder press technique (upright)

    • Frank breech simulations (supine)

    • Complete breech simulations (supine)

    • Incomplete breech simulations (supine)

    • Total breech extraction (supine)

    • Hands on or hands off after intervening?

    • Test your learning: Simulations with David Hayes

    • Session evaluation: Simulations with David Hayes
  • 12

    Outcomes of community breech

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

    • Test your learning: Outcomes of community breech

    • Session evaluation: Community breech birth
  • 13

    Developing Breech Expertise by Kristine Lauria, CPM

    • Developing Breech Expertise
  • 14

    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
  • 15

    Data collection

    • Breech data collection project

    • Singleton breech data collection form

    • Twin breech data collection form
  • 16

    Evaluations

    • Thank you

    • Post-course survey

    • Course review

    • CEU/CE/CPD instructions
Watch Intro Video

Video