OptiBreech Care Trial
This is a trial within a cohort. We will observe outcomes for a large group of women with a breech-presenting baby at the end of pregnancy. Within this group, women who have consented to randomisation will be offered new care processes we are testing because of the potential to improve satisfaction and/or outcomes. The results will be compared with women in the cohort receiving standard care. All consenting women are included in the study, regardless of how they choose to give birth to their baby.
- Participant Information – consider whether you will give us permission to collect your data, and whether or not you would like to be offered new care processes we are testing. (Download here.)
- Participating Sites: Chelsea & Westminster, West Middlesex, Kingston, SASH. All participating sites have established their ability to provide proficient team care for vaginal breech births, where women choose this.
This is an observational study. We are observing the process and outcomes where NHS sites are attempting to provide proficient team care for vaginal breech births. Participants are women who request to plan a vaginal breech birth under the Trust’s current guidelines. Additional training and mentorship for developing teams is provided to the participating Trusts.
Further Information about Breech Birth
Royal College of Obstetricians and Gynaecologists Guideline: Management of Breech Presentation (2017) – This guideline contains the evidence-based information everyone should receive when deciding upon how to give birth to their breech baby.
Sources of Support
OptiBreech PPI and Participants Facebook Group: (coming soon) This is a group of OptiBreech PPI members who have experienced a breech pregnancy within the NHS, or have supported other women who have, and women, other birthing people and/or their families who have participated in the OptiBreech Project. The group arose out of the interests of the PPI group in providing a source of support to those planning a vaginal breech birth, and in listening to the experiences of those within the OptiBreech Project to help guide the research.
If you are reflecting on a previous or current birth experience after participating in the OptiBreech Project, either as a pregnant person or a PPI Group (Patient and Public Involvement) member, and you feel you need more support, we want to help. You may feel that you just need to talk through your experience, or you may want to provide constructive feedback to improve care for others. Here are some sources of support:
Birth Reflections Service: Most Trusts offer a Birth Reflections service. The purpose is to help you talk through your birth with the help of a qualified and experienced midwife. If you cannot identify how to contact your local Birth Reflections Service, the OptiBreech research team will help you.
PALS (Patient Advice and Liaison Service): Each local hospital has PALS officers who offer confidential advice, support and information on health-related matters. They can help you resolve concerns or give you information about the NHS compaints procedure, including how to get independent help. They also help to improve the NHS by listening to your concerns and suggetsions. If you cannot identify how to contact your local PALS service, the OptiBreech research team will help you.
Maternity Voices Partnership (MVP): This is an NHS working group of women, birthing people and their families, commissioner and maternity services staff collaborating to review and develop local maternity care. It is led by an independent lay chair who ensures service users are represented. This group can listen to your feedback and help you to influence local services. If you cannot identify how to contact your local MVP, the OptiBreech research team will help you.