Physiological breech birth study day - Norwich

Find out more about theBreech Birth Network.

Emma Josey

This study day for obstetricians, midwives, paramedics and students will provide an engaging and interactive update on professional skills to facilitate physiological breech births, planned or unexpected. The study day would be especially useful for clinical skills teachers who want to include physiological breech methods in professional skills updates or student lessons, due to access to resources after the workshop. The focus is on collaborative, multi-professional working to improve the safety of vaginal breech birth using the skills of all maternity care professionals.
Training will include:
* A research update given by leading researchers in the field, including Dr Anke Reitter, FRCOG, IBCLC of Frankfurt
* Thorough theoretical and hands-on explanations of how breech babies journey through the maternal pelvis in a completely spontaneous birth (the breech mechanisms), enabling you to distinguish between normal progress and dystocia
* Hands-on simulation of complicated breech births and resolutions, using narratives and videos of real breech complications, to enable you to practice problem-solving in real time
* Models of breech care that work within modern maternity services
* An accompanying booklet containing handout versions of all of the slides and resources used in the training
* One year's access to the on-line learning space following the training, to continue viewing and reflecting on birth videos (one per month) in a secure forum, and resources for sharing teaching with professionals in your practice community
* Lunch and refreshments
Registration begins at 8:30 for a 9:00 start
Hosted by the University of East Anglia University Midwifery Society. Staff and students of NNUH/UEA, please book via the <A HREF="https://www.uea.su/events/8191/460/" TARGET="_blank" DATA-MSYS-CLICKTRACK="0" REL="nofollow noopener noreferrer">Student Union website</A>. Profits from the study day will benefit the UEA Midwifery Society annual charity, the <A HREF="https://orchidproject.org" TARGET="_blank" DATA-MSYS-CLICKTRACK="0" REL="nofollow noopener noreferrer">Orchid Project</A>. See here for directions to the <A HREF="https://www.uea.ac.uk/documents/5273605/7622700/ECB+with+Map.pdf/eb123ccf-2a03-4b9f-be37-a7604de01d9e" TARGET="_blank" DATA-MSYS-CLICKTRACK="0" REL="nofollow noopener noreferrer">Edith Cavell Building</A>, and to <A HREF="https://www.uea.ac.uk/about/visiting-staying/getting-here" TARGET="_blank" DATA-MSYS-CLICKTRACK="0" REL="nofollow noopener noreferrer">Norwich</A> from further afield.
 
<H2>FURTHER TICKETS AVAILABLE VIA THE <A HREF="https://www.uea.su/events/8191/460/" TARGET="_blank" DATA-MSYS-CLICKTRACK="0" REL="nofollow noopener noreferrer">STUDENT UNION WEBSITE</A>, for:</H2>
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Employees of NNUH / UEA / local ambulance service (internal tickets at a subsidised price)
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Feedback from study days in Christchurch & Auckland, October 2016:
My main concern was lack of training of staff leading them to believe that breech birth is an emergency. Our RMOs and MWs loved the day and I think feel more empowered. -- SMO (Consultant Obstetrician, Senior Medical Officer)
 Thank you so much, this has been the best study day ever! -- Midwife
Information was clear and concise and well presented. Myths dispelled and physiological VBB and when to intervene very clearly explained. Methods to resolve when there are issues during delivery explained and demonstrated. Clear examples given with supporting video and photographs. Extremely valuable. -- RMO (Registered Medical Officer)
 Honest, real explanations. How to intervene in a timely manner as opposed to be hands off the breech. -- Midwife
Thank you for a brilliant day of teaching and training. You covered a lot of material not taught as part of our training and it has been valuable. -- RMO
 Learning about manoeuvres to use in upright position, eg. shoulder press; visual components have been amazing, the broken down physiology of a breech birth. -- Midwife
 
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<H2>Facilitators:</H2>
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Dr Anke Reitter, FRCOG
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Shawn Walker, RM, MA
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Victoria Cochrane, RM, MSc
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Mr Eamonn Breslin, MRCOG
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Miss Louise Page, MRCOG
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Dr Anke Reitter, FRCOG, IBCLC, is the lead Consultant Obstetrician and Fetal-Maternal Medicine Specialist at Krankenhaus Sachsenhausen, Frankfurt am Main. Although originally from Germany, she worked in India and the United States during her medical studies, and in England (including Liverpool) for 4 years during her obstetric training. After returning to Germany, she specialised in perinatal medicine. Prior to her move to Krankenhaus Sachsenhausen, where she initiated a new breech care pathway in a unit which had not supported breech births for years, Reitter practiced in the Obstetrics and Gynaecology department at the University Hospital Frankfurt. A large observational study of the hands/knees breech births in Frankfurt is due to be published soon in the FIGO journal. Her special interests lie in breech, multiple pregnancies, high risk pregnancies and prenatal ultrasound. She is an internationally known speaker, teacher and researcher in several areas, but especially breech birth.
Shawn Walker, RM, MA is a UK midwife and PhD candidate researcher who studies how professionals learn skills to safely facilitate breech births. Clinically, she has worked in all midwifery settings – labour wards, freestanding and alongside birth centres, and home births. She led the development of a breech clinic pathway at the James Paget University Hospital (2012-2014), where she worked as a Breech Specialist Midwife. Her research focus on breech birth is part of a wider interest in complex normality – working with obstetric colleagues to enable women at moderate and high risk to birth and bond physiologically where possible. She currently works as a bank midwife at the Norfolk & Norwich University Hospitals NHS Foundation Trust, in addition to periodic teaching, consultancy and breech support across the UK and internationally.
Victoria Cochrane, RM, MSc is the Consultant Midwife for Normality at the Chelsea and Westminster NHS Trust. RM, MSc, Supervisor of Midwives. The majority of her clinical career has been working in and developing caseload and continuity models for women and their families in the community.  She is deeply passionate about working with colleagues to support women making pregnancy and birth choices that sit outside of routine guidance.  In her current role she works to support normality for women in all aspects of pregnancy and birth. Breech presentation became a special interest in 2009 when her daughter spent a few weeks in that position at the end of pregnancy; it's amazing what one can learn in a short space of time when faced with challenging choices.  This led to carrying out a cross-site service evaluation of the management of undiagnosed breech for her MSc dissertation.
 
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References
Louwen, F., Daviss, B., Johnson, K.C., Reitter, A., 2016. <A HREF="http://onlinelibrary.wiley.com/doi/10.1002/ijgo.12033/abstract" TARGET="_blank" DATA-MSYS-CLICKTRACK="0" REL="nofollow noopener noreferrer">Does breech delivery in an upright position instead of on the back improve outcomes and avoid cesareans?</A> Int. J. Gynecol. & Obstet. doi:10.1002/IJGO.12033
Reitter, A., Daviss, B.-A., Bisits, A., Schollenberger, A., Vogl, T., Herrmann, E., Louwen, F., Zangos, S., 2014. <A HREF="http://www.sciencedirect.com/science/article/pii/S0002937814005985" TARGET="_blank" DATA-MSYS-CLICKTRACK="0" REL="nofollow noopener noreferrer">Does pregnancy and/or shifting positions create more room in a woman’s pelvis?</A> Am. J. Obstet. Gynecol. 211, 662.e1-662.e9.
Walker, S., Scamell, M., Parker, P., 2016. <A HREF="http://www.midwiferyjournal.com/article/S0266-6138(16)00025-5/abstract" TARGET="_blank" DATA-MSYS-CLICKTRACK="0" REL="nofollow noopener noreferrer">Standards for maternity care professionals attending planned upright breech births: A Delphi study</A>. Midwifery 34, 7–14.
Walker, S., Scamell, M., Parker, P., 2016. <A HREF="http://www.midwiferyjournal.com/article/S0266-6138(16)30149-8/abstract" TARGET="_blank" DATA-MSYS-CLICKTRACK="0" REL="nofollow noopener noreferrer">Principles of physiological breech birth practice: a Delphi study.</A> Midwifery 43, 1-6.
Walker S, Cochrane V (2015) Unexpected breech: what can midwives do? <A HREF="http://www.ingentaconnect.com/content/mesl/tpm/2015/00000018/00000010/art00006" TARGET="_blank" DATA-MSYS-CLICKTRACK="0" REL="nofollow noopener noreferrer">The Practising Midwife</A>, 18(10): 26-29

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Physiological breech birth study day - Norwich

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