Avni Batish and Kate Stringer, photo by George Haroun
On May 8th, we will be holding an on-line meeting to establish a consensus on short-term outcomes in our Breech-COS study. We invite anyone with an interest to attend. Book here to attend.
We discuss potential complications of vaginal breech birth openly, honestly and without sensationalising. 30/8/23 5PM London Webinar. Breech Birth Network welcomes guest host, David Coggin-Carr. David will provide an evidence- and experience-based update on testicular complications of vaginal breech birth.
David Coggin-Carr is a UK+US dual-certified obstetrician, Maternal-Fetal Medicine subspecialist and early career physician-scientist at the University of Vermont (UVM). He practices full-spectrum MFM in Vermont and upstate New York and additionally serve as Associate Medical Director of the Birthing Center and Associate Director of Quality for Obstetrics at UVM Medical Center. In recent years he has developed a strong interest in physiological breech birth in response to the local community’s desire for greater autonomy around their birth choices amidst a near-total lack of trained/experienced providers in the region. Accordingly, he now regularly provides consultations and intrapartum support for planned vaginal breech birth.
Image: Book of Traceable Heraldic Art
All births have the potential for injury, whether this be facial markings from forceps delivery or lacerations from a caesarean birth. Vaginal breech birth has its own variations. This webinar will explore how vaginal breech birth affects neonatal genitals, both normal variations in appearance from being born bottom-first, to potential injuries.
There should be no requirement to report genital injury as a separate category in ALL effectiveness studies of breech birth at term, although it may be reported in some. It should not be included in the Breech-COS composite measure of severe morbidity.
or
The incidence of significant genital injury, defined as one that is likely to have long-term, life-altering consequences, should be reported as a separate category in ALL effectiveness studies of breech birth at term. Significant genital injury should be included in the Breech-COS composite measure of severe neonatal morbidity associated with vaginal breech birth.
For all sites that have expressed an interest in our planned stepped wedge trial of OptiBreech collaborative care: please include your name and hospital in the chat, and we will award one site selection point for every site that participates.
The second round of our consensus-building activity to establish a core outcome set for breech birth studies is now open. This will establish a standard set of outcomes and their definitions that ALL breech birth studies will collect, so that we can compare the results.
We have sent personal invitations to all previous participants but are also opening this round to new participants.
You can participate here. You are welcome to forward this post to anyone else who may be interested. The results will inform a consensus meeting discussion to take place in the spring. This will be open to the public and announced later this year.
We invite participants from the following stakeholder groups:
Service user (you or your partner has experienced a breech pregnancy)
midwife
obstetrician
neonatologist
paramedic
anaesthetist
health researchers
health service manager
healthcare commissioner
health economist
statistician
support group representative
Example of results from the first round on the outcomes of intrauterine death/stillbirth and cord clamping < 1 minute after birth.
Round 1 of the international multi-stakeholder Delphi study, Development of a Core Outcome Set for Effectiveness Studies of Breech Birth at Term (Breech-COS) is now open. We invite the involvement of anyone from the following stakeholder groups, who has experience of care for women having vaginal breech births:
QR code for Breech-COS Round 1
obstetrician
midwife
service users (you or your partner have had a breech-presenting baby within the last 5 years)
neonatologist
researcher
health services manager
healthcare commissioner
health economist
statistician
support group representative
other relevant roles
You can read more information about the research and participate using the link or the QR code below. You are welcome to share this post or forward to your stakeholder associates.
OptiBreech 