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CONFERENCE PROCEEDING
Emergency skills in upright breech birth: A Delphi study
1
Association of Ontario Midwives, Clinical Knowledge Translation, Toronto, Canada
2
Toronto Metropolitan University, Midwifery Education Programme, Toronto, Canada
Eur J Midwifery 2026;10(Supplement 1):A181
ABSTRACT
BACKGROUND:
A new paradigm has emerged that supports vaginal breech birth in an upright position as opposed to semi-recumbent. Clinical consensus on the recommended manoeuvres required to manage upright breech specifically for trained but inexperienced practitioners in an unplanned setting is necessary for the incorporation of this important skill into emergency management texts or guidelines.
OBJECTIVES:
This Delphi study [2023], a collaboration between the Association of Ontario Midwives (AOM) and Toronto Metropolitan University (TMU), sought to establish consensus from global upright vaginal breech birth providers on the critical manoeuvres for managing complications of upright breech birth in an unplanned setting in low resource environments where immediate caesarean section is unavailable. The findings from this study assist to identify the core interventions and manoeuvres for breech birth in the upright position and are transferable to other health care providers seeking to manage unplanned breech birth in the upright position in all settings.
METHODS:
The research consisted of a three round Delphi multi-national e-survey conducted between April to December 2023. Ethical approval was from TMU (REB 2022-508).
RESULTS:
There were six manoeuvres that met the threshold for consensus based on the findings in round two and three.
CONCLUSIONS:
The six manoeuvres identified in this study contribute to addressing the knowledge gap in the scientific/scholarly community regarding upright vaginal breech birth. The results also increase the healthcare profession’s capacity and confidence to provide safe, high-quality, client-centered and evidence-based healthcare, ultimately improving health outcomes for pregnant populations.
KEY MESSAGE:
There are six manoeuvres that are critical for inexperienced but trained providers to know to safely manage an upright breech birth in low resource environments where immediate caesarean section is unavailable. This added skill set supports clinical education and increases the healthcare profession’s capacity and confidence to provide safe, high-quality, client-centered and evidence-based healthcare, ultimately improving health outcomes for pregnant populations. Labour and birth - caesarean section
A new paradigm has emerged that supports vaginal breech birth in an upright position as opposed to semi-recumbent. Clinical consensus on the recommended manoeuvres required to manage upright breech specifically for trained but inexperienced practitioners in an unplanned setting is necessary for the incorporation of this important skill into emergency management texts or guidelines.
OBJECTIVES:
This Delphi study [2023], a collaboration between the Association of Ontario Midwives (AOM) and Toronto Metropolitan University (TMU), sought to establish consensus from global upright vaginal breech birth providers on the critical manoeuvres for managing complications of upright breech birth in an unplanned setting in low resource environments where immediate caesarean section is unavailable. The findings from this study assist to identify the core interventions and manoeuvres for breech birth in the upright position and are transferable to other health care providers seeking to manage unplanned breech birth in the upright position in all settings.
METHODS:
The research consisted of a three round Delphi multi-national e-survey conducted between April to December 2023. Ethical approval was from TMU (REB 2022-508).
RESULTS:
There were six manoeuvres that met the threshold for consensus based on the findings in round two and three.
CONCLUSIONS:
The six manoeuvres identified in this study contribute to addressing the knowledge gap in the scientific/scholarly community regarding upright vaginal breech birth. The results also increase the healthcare profession’s capacity and confidence to provide safe, high-quality, client-centered and evidence-based healthcare, ultimately improving health outcomes for pregnant populations.
KEY MESSAGE:
There are six manoeuvres that are critical for inexperienced but trained providers to know to safely manage an upright breech birth in low resource environments where immediate caesarean section is unavailable. This added skill set supports clinical education and increases the healthcare profession’s capacity and confidence to provide safe, high-quality, client-centered and evidence-based healthcare, ultimately improving health outcomes for pregnant populations. Labour and birth - caesarean section
| eISSN: | 2585-2906 |
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