Breech Pro: Breech proficiency for birth professionals

A 14.5-hr peer-reviewed breech training course for MDs & midwives. Topics include evidence on term breech, mechanics of normal & abnormal breech birth, upright & supine maneuvers, selection criteria, and simulation training. 1 yr access.

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.

$300.00

Regular price

Get started now
10x $35

MD

Get started now
$350.00

MD

Get started now
$200.00

Student

Get started now
10x $30

Midwife/other birth worker

Get started now
10 x $20.00

Student

Get started now

Course curriculum

1. A message from the instructor
2. How to use this course
3. Breech Without Borders community
4. Media agreement
5. Liability Release
6. Pre-course survey
1. Disclaimer for handouts or any other educational materials:
2. 10 steps of physiological breech birth
3. Vaginal breech decision tree
4. Problems & Solutions
5. 6 Essential Tools
6. Wait for the next contraction?
7. It's a foot!
8. The Bottom Line On Breech (Midwifery Today 2019)
9. Breech Birth At Home (Fischbein & Freeze 2018)
10. Louwen 2017: Does upright breech improve outcomes?
11. Reitter & Bisits Vaginal Breech Delivery
12. Hands-on instructions & checklist
1. Recording agreement
2. Live session schedule
3. Live session recordings
4. 2024 MP3 downloads of the live sessions
5. 2023 MP3 downloads of the live sessions
6. 2022 MP3 downloads of the live sessions
7. 2021 MP3 downloads of the live sessions
8. 2020 MP3 downloads of the live sessions
1. Download the mp3s here
1. Evidence on term breech since the Term Breech Trial (Rixa Freeze, PhD)
2. Evidence on physiological breech birth
3. Test your learning: Evidence on term breech
4. Session evaluation: Evidence on Term Breech
1. Breech maneuvers part 1: obstetric maneuvers from 1609-present
2. Breech maneuvers part 2: physiological breech birth
3. Breech maneuvers part 3.1 Introduction and maternal movement & positioning
4. Breech maneuvers part 3.2: Fundal pressure
5. Example 3.2.1: Fundal pressure
6. Breech maneuvers part 3.3: Stuck arms and shoulders
7. Example 3.3.1: Anterior arm release
8. Example 3.3.2: Anterior arm release with disimpaction and rotation
9. Breech maneuvers part 3.4: Deflexed head in the pelvic outlet
10. Example 3.4.1: Shoulder presses with shoulder grip
11. Example 3.4.2: Shoulder press variation (lift & press)
12. Example 3.4.3: Crowning Touch demonstrated by Betty-Anne Daviss
13. Breech maneuvers part 3.5: Hyperextended head in the pelvic inlet
14. Are there other ways to resolve a hyperextended head in the pelvic inlet?
15. Example 3.5.1: Hyperextended head in the pelvic inlet
16. Breech maneuvers part 3.6: Sacrum posterior head
17. Example 3.6.1: Photo montage of SP rumping and descent
18. Example 3.6.2: Photo montage of SP rotation & correction to SA
19. Breech maneuvers part 3.7: Soft tissue maneuvers
20. Example 3.7.1: Shoulder press + gluteal lift
21. Test your learning: Maneuvers & mechanics
22. Session evaluation: Maneuvers & Mechanics
1. Introduction
  FREE PREVIEW
2. Part 1.1 Normal breech birth: Introduction, engagement, & rumping
3. Part 1.2 Normal breech birth: Rotation & descent
4. Part 1.3 Normal breech birth: Legs
5. Part 1.4 Normal breech birth: Shoulders & arms
6. Part 1.5 Normal breech birth: Head
7. Part 1.6 Normal breech birth: Evaluating fetal well-being
8. Part 2: Breech guidelines & selection criteria (David Hayes, MD)
9. Part 3 : VBB management & maneuvers (David Hayes, MD)
10. Part 3b (bonus lesson): Fundal pressure with Betty-Anne Daviss
11. Part 4: Abnormal breech birth (David Hayes, MD)
12. Test your learning: Clinical aspects
13. Session evaluation: Clinical aspects of physiological VBB
1. Breech nomenclature and the risks/outcomes of various leg presentations
2. Test your learning: Nomenclature
3. Session evaluation: Nomenclature
1. Introduction to the Encyclopedia
2. Fundal pressure
3. Side to Side (Louwen)
4. Front to Back (Face to Pubes)
5. Løvset (upright)
6. Sweeping arms
7. Shoulder press and Rock & Roll
8. Crowning Touch
9. Ritgen (upright)
10. Other upright head flexion maneuvers
11. MSV (upright)
12. Flex, flop, & drop (upright) for a hyperextended head in the pelvic inlet
13. Sacrum posterior head (upright)
14. Supine techniques for normal breech births: Vermelin, Bracht, & Burns-Marshall
15. Løvset (supine)
16. Supine head flexion: Bracht & Burn-Marshall
17. Ritgen (supine)
18. MSV (supine)
19. Flex, flop, & drop (supine) for a hyperextended head in the pelvic inlet
20. Sacrum posterior head (supine)
21. The importance of practicing regularly
1. Introduction & links to earlier simulation videos
2. Sophie & Ivory with Floriane Zitouni
3. Test your learning: Simulations with Rixa Freeze
4. Session evaluation: Simulations with Rixa Freeze
1. Frank breech simulations (upright)
2. Complete breech simulations (upright)
3. Incomplete breech simulations (upright)
4. Rock & Roll & proper shoulder press technique (upright)
5. Frank breech simulations (supine)
6. Complete breech simulations (supine)
7. Incomplete breech simulations (supine)
8. Total breech extraction (supine)
9. Hands on or hands off after intervening?
10. Test your learning: Simulations with David Hayes
11. Session evaluation: Simulations with David Hayes
1. Outcomes of community breech birth (Rixa Freeze, PhD)
2. Test your learning: Outcomes of community breech
3. Session evaluation: Community breech birth
1. Developing Breech Expertise
1. How to share videos, photos, and birth stories with Breech Without Borders
2. 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. Thank you
2. Post-course survey
3. Course review
4. How to obtain a continuing education certificate

About this course

$300.00
119 lessons
15 hours of video content

Watch Intro Video

Breech Pro: Breech proficiency for birth professionals

Pricing options

$300.00

10x $35

$350.00

$200.00

10x $30

10 x $20.00

Course curriculum

Getting started

Course handouts

Optional live sessions

MP3 downloads of the course videos

Evidence on term breech

Maneuvers & mechanics

Clinical aspects of physiologic vaginal breech birth

Nomenclature

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

Simulations with Rixa Freeze, PhD, part 2

Simulations with David Hayes, MD

Outcomes of community breech

Developing Breech Expertise by Kristine Lauria, CPM

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

Data collection

Suggestions for hospital transfers

Evaluations

About this course

Video