DESCRIPTION OF TOPIC:
The vaginal birth of a breech presentation is an option for pregnant women supported by current German and international guidelines when favorable conditions and appropriately trained personnel are available. According to midwifery laws in the D-A-CH region, midwives should be able to provide care for avaginal breech birth in emergencies. Therefore, imparting skills for breech delivery is enshrined in the curriculum for midwifery students. This study evaluated the knowledge and training needs of midwives and midwifery students in the German-speaking region. In May 2022, experiences, specific knowledge, and further training needs regarding vaginal breech birth were assessed through an online survey. Analysis of 467 questionnaires showed that only 30 % of respondents currently attend vaginal breech births in their professional environment, but 50 % would like to offer this service. 94 % of respondents indicated that they would feel more confident if regular training opportunities, particularly simulations and virtual offerings, were provided for vaginal breech birth. However, currently, only 10 % of respondents receive regular training opportunities for vaginal breech births. The results suggest an increased provision of training opportunities for vaginal breech births to enhance midwives' safety in managing such births.

RELEVANCE TO MIDWIFERY:
Vaginal breech birth is a guideline-supported option that requires skilled, confident practitioners. In the D-A-CH region, midwives are legally expected to manage breech births in emergencies, making this a critical competency. However, due to declining clinical exposure, many midwives lack experience and confidence in this area. Enhancing access to training—especially simulation-based and virtual formats—can address this gap. Strengthening these skills ensures safer outcomes, supports maternal choice, and aligns with midwifery’s role in physiological, evidence-based care. Integrating breech birth training into education and continuing development is essential for preparing midwives to meet both professional standards and women’s diverse birth needs. Climate change 2 (including three-minute presentation competition)