Breech Pro 2.0: Breech proficiency for birth professionals

A 14.5-hr peer-reviewed breech training course. Topics include evidence on term breech, mechanics of normal & abnormal breech birth, upright & supine maneuvers, selection criteria, and simulation training. 1 yr access. Updated Jan 2024.

Pricing options

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

$300.00

Midwife/other birthworker

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10x $20

Student

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10x $30

Midwife/other birthworker

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10x $35

MD

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$300.00

Midwife/other birthworker

Get started now
$350.00

MD

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. Disclaimer for handouts or any other educational materials:
7. Conflict of Interest Forms
8. Articles of interest to download
9. Pre-course survey
1. How to access the live sessions
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. 10 steps of physiological breech birth (handout)
2. Physiological breech birth
3. Part 1: Introduction, engagement, & rumping
4. Part 2: Rotation & descent
5. Part 3: Legs
6. It's a foot! (handout)
7. It's a foot!
8. Part 4: Shoulders & arms
9. Part 5: Head
10. Wait for the next contraction? (handout)
11. Wait for the next contraction?
12. Part 6: Evaluating fetal well-being
13. Assessing the breech newborn
14. Test your learning: Normal breech birth
15. Evaluation: Normal breech birth
1. Recordkeeping of your ongoing practice
2. Problems & Solutions (handout)
3. Obstetric maneuvers from 1609-present
4. Breech maneuvers part 1: Introduction and maternal movement & positioning
5. The importance of maternal position changes
6. Breech maneuvers part 2: Fundal pressure
7. Example 2.1: Fundal pressure
8. Example 2.2 (bonus lesson): Fundal pressure with Betty-Anne Daviss
9. Breech maneuvers part 3: Stuck arms and shoulders
10. When (and how) to sweep arms vs doing a rotational maneuver
11. Example 3.1: Anterior arm release
12. Example 3.2: Anterior arm release with disimpaction and rotation
13. Breech maneuvers part 4: Deflexed head in the pelvic outlet
14. Example 4.1: Shoulder presses with shoulder grip
15. Example 4.2: Shoulder press variation (lift & press)
16. Example 4.3: Crowning Touch demonstrated by Betty-Anne Daviss
17. 4.4 When a head is very stuck
18. Breech maneuvers part 5: Hyperextended head in the pelvic inlet
19. 5.1: Are there other ways to resolve a hyperextended head in the pelvic inlet?
20. Breech maneuvers part 6.1: Sacrum posterior head
21. Breech maneuvers part 6.2: Sacrum posterior rotation
22. Example 6.3: Photo montage of SP rumping and descent
23. Example 6.4: Photo montage of SP rotation & correction to SA
24. Breech maneuvers part 7: Soft tissue maneuvers
25. Example 7.1: Shoulder press + gluteal lift
26. 7.2 Perineal integrity & episiotomy
27. Test your learning: Maneuvers
28. Ealuation: Maneuvers
1. 6 Essential Tools (handout)
2. Part 1: Introduction
3. Part 2: Shoulder Press
4. Part 3: Crowning Touch
5. Part 4: Ritgen (rectal flexion)
6. Part 5: Side to Side (Louwen or 180°-90°)
7. Part 6: Fundal pressure
8. Part 7: Løvset
9. Test your learning: 6 Essential Tools
10. Evaluation: 6 Essential Tools
1. Vaginal breech decision tree (handout)
2. Vaginal Breech Decision Tree
3. Part 1: Introduction
4. Part 2: 2020 lecture
5. Part 3: followup questions and a discussion about time-based algorithms
6. Part 4.1: Example of a vigorous baby and mostly normal mechanisms (South Africa)
7. Part 4.2: Example of a vigorous baby with a disrupted mechanism and spontaneous birth (primip undiagnosed complete with dropped feet, USA)
8. Part 4.3: Example of a vigourous baby, disrupted mechanism, and spontaneous birth (multip frank waterbirth, USA)
9. Part 4.4: Example of a nonvigorous baby with mostly normal mechanisms and minor assistance (multip frank breech, NZ)
10. Part 4.5: Example of a nonvigorous baby with mostly normal mechanisms and minor assistance (primip frank breech, Hungary)
11. Part 4.6: Example of a nonvigorous baby with disrupted mechanisms and minor assistance (primip complete breech, Mexico)
12. Part 4.7: Example of a nonvigorous baby with slow progress (multip complete breech with dropped feet, USA)
13. Part 4.8: Example of a nonvigorous baby with slow progress (primip frank breech, USA)
14. Part 5: Conclusion
15. Test your learning: Abnormal breech birth
16. Evaluation: Abnormal breech birth
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. Suzor & Demelin maneuvers (last resort arm extraction)
8. Shoulder press
9. Lift & Press
10. Crowning Touch
11. Ritgen (upright)
12. Other upright head flexion maneuvers
13. MSV (upright)
14. Flex, flop, & drop (upright) for a hyperextended head in the pelvic inlet
15. Sacrum posterior head (upright)
16. Supine techniques for normal breech births: Vermelin, Bracht, & Burns-Marshall
17. Løvset (supine)
18. Supine head flexion: Bracht & Burn-Marshall
19. Ritgen (supine)
20. MSV (supine)
21. Flex, flop, & drop (supine) for a hyperextended head in the pelvic inlet
22. Sacrum posterior head (supine)
23. The importance of practicing regularly
24. Test your learning: Encyclopedia of breech maneuvers
25. Evaluation: Encyclopedia of Breech Maneuvers
1. Breech guidelines & selection criteria (David Hayes, MD)
2. Breech guidelines from around the world
3. Test your learning: Guidelines & selection criteria
4. Evaluation: Guidelines & selection criteria
1. Evidence on term breech since the Term Breech Trial
2. Outcomes of community breech birth
3. Test your learning: Evidence
4. Evaluation: Evidence
1. Breech nomenclature and the risks/outcomes of various leg presentations
2. Test your learning: Nomenclature
3. Evaluation: Nomenclature
1. Introduction & links to earlier simulation videos
2. Frank breech simulations (upright)
3. Complete breech simulations (upright)
4. Incomplete breech simulations (upright)
5. Proper shoulder press technique (upright)
6. Frank breech simulations (supine)
7. Complete breech simulations (supine)
8. Incomplete breech simulations (supine)
9. Total breech extraction (supine)
10. Hands on or hands off after intervening?
11. Test your learning: Simulations with David Hayes
12. Evaluation: Simulations with David Hayes
1. Developing Breech Expertise
2. Test your learning: Developing breech expertise
3. Evaluation: 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 (CE/CPD)
5. How to obtain CMEs (for MDs)

About this course

$300.00
146 lessons
16 hours of video content

Watch Intro Video

Breech Pro 2.0: Breech proficiency for birth professionals

Pricing options

$300.00

10x $20

10x $30

10x $35

$300.00

$350.00

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 3a: Maneuvers for abnormal breech birth

Module 3b: 6 Essential Tools

Module 4: Understanding and resolving abnormal breech birth

Module 5: Encyclopedia of Breech Maneuvers

Module 6: Guidelines & selection criteria

Module 7: A deeper dive into the evidence

Module 8: Nomenclature

Module 9: Simulations

Module 10: 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