Advancing the Art of Breech Birth Add-on Lecture Pack
The climate of vaginal breech birth is changing as more families push to have it available as an option. There has been a lot of recent research that challenges some standard practices making it crucial to stay up-to-date. This special package brings together leading experts in the field to share their knowledge, wisdom and experience of helping families to safely experience the vaginal birth of their breech babies.
Important: Please note that this package is available on the GOLD Learning CE website and was previously offered alongside the GOLD Midwifery Online Conference 2022. If you have previously purchased and viewed this series of lectures, you will not be able to claim another accreditation certificate again.
*To purchase this lecture pack along with the main conference, you may add it when registering for the conference , or anytime afterwards (during the conference period).
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MD, PhD, FRCOGBiography Topic Info
Dr Reitter is a fetal maternal medicine specialist working at present as the lead consultant at the Obstetrics and prenatal medicine department at Sachsenhausen Teaching Hospital in Frankfurt, Germany. One of her main research interest focuses on upright birth. She is lead author in major work regarding upright breech delivery and provides opportunities for pregnant women. She is actively engaged in national and international teaching programs related to breech.
She finished her medical training in Germany, started her career in UK, has worked in India, the US and recently in Sydney/Australia.Abstract:View Full Presentation InformationAfter the results of the Term breech trial being published in 2000 more or less over night the rate of vaginal breech delivery has declined tremendously. But vaginal breech birth has become in some units and some countries again available, most of the time it is due to a group of midwives and obstetricians being interested in providing physiological birth in general. It has been felt, that if you choose the right candidate that vaginal breech birth is as safe as in cephalic birth. However upright birth position has been shown to have advantages due to gravity and natural movements being supported especially breech delivery. We have investigated the different mechanism and techniques to overcome possible delays.
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RM, BJ, MABiography Topic Info
Betty-Anne Daviss MA, RM has been a midwife for 45 years on various continents, and a researcher in the social sciences and clinical epidemiology for 30. She cites learning from traditional midwives from Guatemala to Afghanistan as one of the highlights of her career. While acting as the project coordinator for the Safe Motherhood Initiative of FIGO in 2004, the follow-up to the Term Breech Trial was published and she switched focus to search across Europe for best breech practice. In 2009, she persuaded Andre Lalonde of the Society of Obstetricians and Gynaecologists to bring Frank Louwen, from Frankfurt to the SOGC AGM to present on upright breech and helped organize several breech conferences in Ottawa, Washington D.C., and across Europe 2009-2019. She has provided lectures in China, India, Africa; and Latin America on Human Rights in Childbirth, using the return to breech as one model solution. Working between Ottawa and Frankfurt 2008-2016, she became the co-principal investigator and principal writer for the Frankfurt study comparing vaginal breeches born with the mothers upright vs on their backs (2017) and co-authored other articles with the Frankfurt team on twins and MRIs in the breech. In 2013 she introduced a new technique to retrieve the aftercoming head in the vaginal breech to avoid forceps. Her manual “Rethinking The Physiology of Vaginal Breech Birth,” describes vaginal breech history, new manoeuvres of upright breech, and the research to support them. She is the principal editor of a recently published book, Birthing Models on the Human Rights Frontier: Speaking Truth to Power, a colourful combined activist/academic treatise on social justice issues (2021).
Topic: Avoiding Another Friedman Curve: Are We Ready to Relax Timing Limitations in Vaginal Breech? - [View Abstract]
Abstract:View Full Presentation InformationNormal birth has been plagued for 67 years by attempts to make it shorter based on arbitrary timelines. A systematic review of cervical patterns of low risk women have called into question the universal application of clinical standards based on an expectation of linear labour progress in all women. The WHO has affirmed that Friedman’s Curve of 1954-55 and the one centimetre an hour dilation threshold should no longer be used to identify adverse outcomes, as it is not evidence-based.
Now, in the era of fear of vaginal breech, attempts to gauge the safe length of second stage in vaginal breech is based on research in hospitals where induction and augmentation are widely used and the amount of time permitted for second stage has already been artificially cut off by assumptive hospital protocols.
The largest sample of upright vaginal breech birth (UVBB) to date was done in a Frankfurt hospital that uses protocols that do not arbitrarily limit second stage but nevertheless produce good outcomes. This suggests that hospitals that use very strict timelines may be producing a self-fulfilling prophecy of what is “normal” that imposes time limits not necessarily required to keep birth safe. Manoeuvres used to rectify problems, such as fundal pressure and “the Crowning Touch” will be demonstrated at this presentation—with their indications based on the failure of the physiological cardinal movements of the breech to transpire after several contractions, or when concerns about the fetal condition or maternal stamina arise. Reviewing problems with how proposed timelines in the breech have been developed and their shortcomings, it will be argued that focus should be on the condition of the fetus and mother rather than the clock. -
Biography Topic Info
David Hayes is an OBGYN with an academic background and a passion for science and its proper application to clinical medicine. He has worked for Médecins Sans Frontières and trained in critical care obstetrics.
Dr. Hayes pursued training in vaginal breech birth during both medical school and his residency in Obstetrics and Gynecology, at a time when instruction in vaginal breech birth was no longer routinely included in the training of obstetricians in the United States. He has performed an estimated 140 vaginal breech births using traditional obstetric maneuvers in dorsal lithotomy positions. In 2016 he hosted a training session on physiologic vaginal breech birth taught by Dr. Shawn Walker, PhD. Since that time he has been fortunate to many vaginal breech births, including breech-breech twins and primiparous mothers, with a 100% successful vaginal breech birth rate and no significant complications or instrument interventions.
In 2018, Dr. Hayes arranged to host a workshop presented by breech researcher Dr. Rixa Freeze, PhD and was asked to teach the “hands-on” portion of the workshop. As of August 2019 and in conjunction with Dr. Freeze and her organization Breech Without Borders, he has committed full time to training and reestablishment of physiologic vaginal breech birth.
Dr. Rixa Freeze has a PhD in American Studies from the University of Iowa. Her doctoral studies focused on the history of healthcare and medicine with specialization in pregnancy, childbirth, and maternity care. Her dissertation examined why women in North America choose unassisted home births. She worked as a visiting assistant professor for 9 years at Wabash college. Her current research interests include human rights in childbirth, autonomy and informed consent, and vaginal breech birth.
She has published two articles about home birth: “Staying Home to Give Birth: Why Women in the United States Choose Home Birth” (JMWH 2009) and “Attitudes Towards Home Birth in the USA” (Expert Review of Obstetrics & Gynecology 2010). She recently published the article “Breech birth at home: Outcomes of 60 breech and 109 cephalic planned home and birth center births” with BMC Pregnancy & Childbirth. In 2019 she published an article about outcomes of breech at home, birth centers, and hospitals (Midwifery Today) and a book chapter “Freebirth in the United States” in the 2020 book Birthing Outside the System: The Canary in the Coal Mine.
Dr. Freeze is the founder and president of Breech Without Borders, a 501(c)3 nonprofit dedicated to breech training, education, and advocacy. She also blogs at Stand and Deliver (rixarixab.blogspot.com).Title: Breech Birth Video AnalysisAbstract:View Full Presentation InformationThis presentation shows breech birth videos submitted to Breech Without Borders for analysis & educational purposes. In this session, the instructors present videos that show some type of deviation from normal physiological birth. Some of the births resolve spontaneously, while others require assistance in the form of maneuvers. As the videos play, the instructors discuss what they are seeing, point out what was done correctly and what might have been done differently, and give clinical tips to the audience members for when they are attending vaginal breech birth.
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PhDBiography Topic Info
Dr. Rixa Freeze has a PhD in American Studies from the University of Iowa. Her doctoral studies focused on the history of healthcare and medicine with specialization in pregnancy, childbirth, and maternity care. Her dissertation examined why women in North America choose unassisted home births. She worked as a visiting assistant professor for 9 years at Wabash college. Her current research interests include human rights in childbirth, autonomy and informed consent, and vaginal breech birth.
She has published two articles about home birth: “Staying Home to Give Birth: Why Women in the United States Choose Home Birth” (JMWH 2009) and “Attitudes Towards Home Birth in the USA” (Expert Review of Obstetrics & Gynecology 2010). She recently published the article “Breech birth at home: Outcomes of 60 breech and 109 cephalic planned home and birth center births” with BMC Pregnancy & Childbirth. In 2019 she published an article about outcomes of breech at home, birth centers, and hospitals (Midwifery Today) and a book chapter “Freebirth in the United States” in the 2020 book Birthing Outside the System: The Canary in the Coal Mine.
Dr. Freeze is the founder and president of Breech Without Borders, a 501(c)3 nonprofit dedicated to breech training, education, and advocacy. She also blogs at Stand and Deliver (rixarixab.blogspot.com).Abstract:View Full Presentation InformationThis presentation demonstrates both upright and supine maneuvers for resolving obstructed breech birth using an obstetrical simulator. After reviewing the vaginal breech decision tree developed by Dr. David Hayes, we review the following maneuvers:
Upright maneuvers: Front to Back (aka "Face to Pubes" or "Prayer Hands") Side to Side (aka Louwen maneuver) Upright Lovset Shoulder press Rock & Roll Ritgen Finger forceps (aka Finger Flexion or Crowning Touch) Mauriceau-Banks/Cronk (upright MSV) Chin tuck Elevate-flex-rotate (for hyperextended head in the pelvic inlet)
Supine maneuvers: Lovset Burns-Marshall Bracht Pinard MSV (Mauriceau-Smellie-Veit) -
RM, PhDBiography Topic Info
Dr Shawn Walker is a midwife who specialises in care for women with a breech presenting baby at term. She is currently an NIHR Advanced Fellow, exploring the feasibility of a randomised trial (https://optibreech.uk/). Academically, she is based at King's College London, and clinically, she works with Chelsea and Westminster Hospitals NHS Foundation Trust. Her publications can be found at https://breechbirth.org.uk/publications/.
Topic: Using Research to Optimise Safety and Availability of Vaginal Breech Birth - [View Abstract]
Topic: The Optibreech Trial Feasibility Study: The Role of Breech Specialist Midwives - [View Abstract]
Abstract:View Full Presentation InformationThis presentation considers physiological breech research published within the last two years, and its implications for how we teach and practice vaginal breech birth safety skills.
Abstract:View Full Presentation InformationThis presentation will introduce you to the work being done to determine if it is feasible to deliver a randomized controlled trial of OptiBreech Care, which is a programme of care based on physiological breech birth research and practice. You will be introduced to the background for this work and the results to date. A significant portion of the presentation will focus on our qualitative work with women and midwives participating in the study, as part of our implementation process evaluation. Our combined quantitative and qualitative data indicate that breech birth active sites have implemented services through a dedicated clinic and/or a proficient intrapartum support service, organized and provided primarily by a Breech Specialist Midwife. While we identified challenges, this model has achieved >90% fidelity to the intervention’s goal of ensuring trained, proficient attendance at vaginal breech births, and it is highly acceptable to women.
Educational Credits
The Advancing the Art of Breech Birth Lecture Pack offers 6 hours of continuing education. This Add-on Lecture pack is approved for 6 ACM CPD Recognised Hours, 6 ACNM CEs and 0.6 MEAC Midwifery CEUs (equivalent to 6 NARM CEUs).
Add-on Lecture Pack Purchase Details
Registration: Open. Register today & start watching presentations!
Presentations Available Online: View presentations until May 5, 2023 (May 23, 2023 for GOLD Annual Members)
Important Note: Please note that this package is available on the GOLD Learning CE website and was previously offered alongside the GOLD Midwifery Online Conference 2022. If you have previously purchased and viewed this series of lectures, you will not be able to claim another accreditation certificate again.
Individual Advancing the Art of Breech Birth Add-on to Main Conference | 
Group Advancing the Art of Breech Birth Add-on to Main Conference | |||
|---|---|---|---|---|
| Regular | Regular | |||
| ACountry Category | $110 | $100 | ||
| BCountry Category | $55 | $40 | ||
| C & DCountry Category | $25 | $20 | ||
| What is my Country Category?All Prices in $USD |
RegisterIndividual + Addon | RegisterGroup + Addon | ||
Advancing the Art of Breech Birth Add-on Registration Details
- Group Registration: Pricing above is per person. Group rates for this Add-on lecture pack will be offered to members at the time of Main Conference Registration Only. As long as you have a group of 5+ members when you register for the GOLD Midwifery Conference, your members will have the option to purchase the add-on. Not all group members are required to purchase the add-on to qualify for group discount pricing. Groups members may choose to purchase the Add-on after their conference registration however they will be charged the individual rate at that time.
Registering for Conference Add-on Packs is easy! You will be prompted to select this add-on package when registering for GOLD Midwifery, selecting 'yes' if you wish to avail yourself of this special education. Login details to access the Add-on will be the same as when accessing the conference. As a special bonus to Delegates that purchase an add-on package, they will be able to view these presentations starting on the same day as the Keynote Presentation.
Should you have any questions about this special package, please contact the Conference Manager through our contact form.
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Registration Categories
As an international conference, we are sensitive to the fact that not all countries are economically equal. As breastfeeding advocates we recognise that people in these countries generally have the most need for this information and limited resources, which is why in addition to our standard registration options, this year we are offering a special registration fee for residents from countries that fall in Cat. B, C & D. The Categories are based of the World Bank Data. Please view our Reduced Rate Terms. Proof of residency maybe required.
Category A:
Andorra, Antigua and Barbuda, Aruba, Australia, Austria, Bahamas, Bahrain, Barbados, Belgium, Bermuda, British Virgin Islands, Brunei Darussalam, Canada, Cayman Islands, Channel Islands, Chile, Curacao, Cyprus, Czech Republic, Denmark, Estonia, Faroe Islands, Finland, France, French Polynesia, Germany, Gibraltar, Greece, Greenland, Guam, Hong Kong, Hungary, Iceland, Ireland, Isle of Man, Israel, Italy, Japan, Rep. Korea, Kuwait, Latvia, Liechtenstein, Luxembourg, Macao, Malta, Monaco, Netherlands, New Caledonia, New Zealand, Northern Mariana Islands, Norway, Oman, Palau, Poland, Portugal, Qatar, San Marino, Saudi Arabia, Seychelles, Singapore, Saint Maarten (Dutch part), Slovak Republic, Slovenia, Spain, St. Kitts and Nevis, St. Martin (French part), Sweden, Switzerland, Taiwan, Trinidad and Tobago, Turks and Caicos Islands, United Arab Emirates, United Kingdom, United States, Uruguay, Virgin Islands (U.S.). TOP
Category B:
Albania, Algeria, American Samoa, Argentina, Azerbaijan, Belarus, Belize, Bosnia and Herzegovina, Botswana, Brazil, Bulgaria, China, Colombia, Costa Rica, Croatia, Cuba, Dominica, Dominican Republic, Ecuador, Equatorial Guinea, Fiji, Gabon, Grenada, Guyana, Iran (Islamic Rep.), Iraq, Jamaica, Kazakhstan, Lebanon, Libya, Lithuania, FYR Macedonia, Malaysia, Maldives, Marshall Islands, Mauritius, Mexico, Montenegro, Namibia, Nauru, Panama, Paraguay, Peru, Romania, Russian Federation, Samoa, Serbia, South Africa, St. Lucia, St. Vincent and the Grenadines, Suriname, Thailand, Tonga, Turkey, Turkmenistan, Tuvalu, RB Venezuela. TOP
Category C:
Angola, Armenia, Bangladesh, Bhutan, Bolivia, Cabo Verde, Cambodia, Cameroon, Cote d'Ivoire, Djibouti, Egypt, Arab Rep., El Salvador, Georgia, Ghana, Guatemala, Honduras, India, Indonesia, Jordan, Kenya, Kiribati, Kosovo, Kyrgyz Republic, Lao PDR, Lesotho, Mauritania, Micronesia, Fed. Sts., Moldova, Mongolia, Morocco, Myanmar, Nicaragua, Nigeria, Pakistan, Papua New Guinea, Philippines, Sao Tome and Principe, Solomon Islands, Sri Lanka, Sudan, Swaziland, Timor-Leste, Tunisia, Ukraine, Uzbekistan, Vanuatu, Vietnam, West Bank and Gaza, Zambia. TOP
Category D:
Afghanistan, Benin, Burkina Faso, Burundi, Central African Republic, Chad, Comoros, Dem. Rep. Congo, Eritrea, Ethiopia, The Gambia, Guinea, Guinea-Bissau, Haiti, Dem. People's Rep. Korea, Liberia, Madagascar, Malawi, Mali, Mozambique, Nepal, Niger, Puerto Rico, Rep. Congo, Rwanda, Senegal, Sierra Leone, Somalia, South Sudan, Syrian Arab Republic, Tajikistan, Tanzania, Togo, Uganda, Rep.Yemen, Zimbabwe. TOP
Dr. Speakers Full Name
Speaker Credentials
Annet Mulder first became interested in breastfeeding in the year 2000, when she became a mother for the first time. During and because of her own breastfeeding experiences, in 2002 she became a volunteer with the Dutch breastfeeding Organization and in 2008 sat for and passed the exam administered by the International Board of Lactation Consultant Examiners. As an International Board Certified Lactation Consultant, she now
Annet Mulder first became interested in breastfeeding in the year 2000, when she became a mother for the first time. During and because of her own breastfeeding experiences, in 2002 she became a volunteer with the Dutch breastfeeding Organization text text text text more name mulder first became interested in breastfeeding in the year 2000, when she became.
Dr. Speakers Full Name
Speaker Credentials