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Physiological breech birth training: An evaluation of clinical practice changes after a one-day training program
Stella Mattiolo1, Emma Spillane2, Shawn Walker3,4
1Women's and Children's Health, Epsom and St Helier University Hospitals, Epsom, UK.
Birth (Berkeley, Calif.)
|June 23, 2021
Summary
Physiological breech birth training increased clinician confidence and knowledge, leading to more upright birthing positions. However, overall vaginal breech birth rates remained unchanged, indicating a need for further research on clinical outcomes.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Clinical Education
Background:
- The
Purpose of the Study:
- To evaluate the impact of a one-day "physiological breech birth" training program on clinical practice and outcomes.
- To assess changes in clinician confidence, knowledge, and the mode and position of singleton vaginal breech births at term.
Main Methods:
- A mixed-methods evaluation was conducted in eight hospitals.
- Pre- and post-training surveys assessed clinician confidence and knowledge.
- Audit data analyzed birth modes and maternal positions for 1402 women before and after training.
Main Results:
- Clinician confidence and knowledge significantly increased post-training.
- The use of upright birthing positions for singleton vaginal breech births increased significantly (P = .002).
- Overall vaginal breech birth rates did not change.
Conclusions:
- Physiological breech birth training appears to influence clinical practice by increasing the use of upright positions.
- The training did not alter overall vaginal breech birth rates.
- Further adequately powered research is required to determine the impact of these practice changes on clinical outcomes.
