ArticleBirth (Berkeley, Calif.)2020
Practical insight into upright breech birth from birth videos: A structured analysis.
Article in Birth (Berkeley, Calif.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Trial
- Vaginal breech delivery in all-fours position-Hands off instead of intervention: A prospective observational study.Acta obstetricia et gynecologica Scandinavica · 2025Observational
- Outcomes in term breech birth according to intended mode of delivery-A Swedish prospective single-center experience of a dedicated breech birth team.Acta obstetricia et gynecologica Scandinavica · 2024Observational
- The feasibility of team care for women seeking to plan a vaginal breech birth (OptiBreech 1): an observational implementation feasibility study in preparation for a pilot trial.Pilot and feasibility studies · 2023Article
- How safe is it to plan a vaginal breech birth with OptiBreech collaborative care?: analysis of cumulative data within the OptiBreech Multiple Trials Cohort.NIHR open research · 2023Article
- Practical insight into upright breech birth from birth videos: A structured analysis.Birth (Berkeley, Calif.) · 2020Article
- The OptiBreech Trial Feasibility Study: A Qualitative Inventory of the Roles and Responsibilities of Breech Specialist Midwives.Journal of midwifery & women's healthArticle
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundWe aimed to identify common features of upright vaginal breech births with good outcomes to refine a physiological approach to teaching breech birth.
methodsWe performed a structured analysis of 42 videos of successful upright breech births (eg, kneeling, hand/knees), facilitated by obstetricians (n = 34) and midwives (n = 8) in nine different countries. Precise timings and relevant clinical details were recorded on an Excel spreadsheet. Each video was analyzed twice by at least two members of the research team. Time-to-event intervals, frequencies of interventions, and descriptive statistics were calculated using SPSS.
resultsA completely spontaneous (labor mechanisms and maternal effort only) birth occurred in 14/42 (33%) cases. The median time between the birth of the fetal pelvis and the head in all births was 1:52 (IQR 1:05,2:46; min:sec). Lack of spontaneous rotation to a sacro-anterior position by the time the fetus had emerged to the nipple line was strongly associated with fetal arm entrapment. The following maneuvers were used: shoulder press to flex the aftercoming head in midpelvis or outlet (n = 24), sweeping down arm/s (n = 12), buttock lift to assist shoulder press (n = 6), modified Mauriceau (n = 6), rotational maneuvers to release an entrapped arm (n = 6), elevate and rotate fetal head to assist engagement (n = 2), and conversion into supine maternal position (n = 2).
conclusionsMost upright breech births occur within 3 minutes of the birth of the fetal pelvis. Upright breech birth attendants use variations of traditional maneuvers. We introduce a physiological breech algorithm as an initial timekeeping framework for teaching, research, and practice.
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