Breech Birth Lecture Pack
Our Breech Birth add-on package is designed to provide an in-depth focus on the topic of vaginal breech delivery. The climate of vaginal breech birth is changing as more families push to have it available as an option. Professional organizations are also starting to change their stance on breech presentation meaning an automatic C-section. This special package brings together leading experts in the field to share their knowledge, wisdom and experience of helping families to safely experience the vaginal birth of their breech babies. Don’t miss this amazing opportunity to learn from Shawn Walker, Gail Tully, Dr. Stuart Fischbein and Dr. Andrew Kotaska!
*Only those registering for the main conference, or have registered for the main conference will have the ability to purchase this lecture pack. You will have the opportunity to purchase this add-on at the time of conference registration, or anytime afterwards (during the time of the conference).
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Speakers & Presentations
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MD, FRCS(C)Biography Topic Info
Dr. Kotaska is an Obstetrician & Gynecologist in Yellowknife, Northwest Territories, where he lives with his wife and two boys. He received his medical degree from U.B.C. in 1992 and worked as a GP-surgeon in northern British Columbia before returning to complete a residency in Obstetrics and Gynecology in 2006. He has academic appointments with the Universities of British Columbia, Manitoba, and Toronto. He is regularly active in midwifery and obstetrical education. Dr. Kotaska’s academic interests centre on preserving physiological birth while avoiding unnecessary obstetrical intervention; the overestimation of risk in obstetrics; and the ethics of informed consent and refusal. His latest research interests focus on safe vaginal breech birth, the effect of epidural analgesia on labour, spontaneous two-step delivery, and the shortcomings of guidelines.
Abstract:View Full Presentation InformationIt is no secret that vaginal breech birth can be dangerous; but can it be safe? Published in 2000, the Term Breech Trial suggested that cesarean section is markedly safer for all term breech fetuses in all clinical settings. It has led to a dramatic decrease in rates of vaginal breech birth and a reduction in the obstetrical skill set needed to attend them. Increased maternal morbidity and maternal deaths from unnecessary cesareans are now being observed. Unfortunately the Term Breech Trial protocol did not include adequate measures in the selection, intrapartum management and delivery technique to ensure safety. Larger trials with stricter safety measures have demonstrated that with a cautious protocol, breech birth can be conducted safely in appropriately supported obstetrical units. What are the important selection criteria, intrapartum management measures, and delivery techniques needed to ensure safety with vaginal breech birth? Dr. Kotaska will outline the safety deficits of the Term Breech Trial and contrast them to the practice of obstetrical units that have successfully demonstrated safe breech birth. Together with participants he will explore our understanding of the physiology of breech birth, identify key components that can compromise safety, and outline clinical measures to avoid or rectify them.
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BS, CPM, CD(DONA)Biography Topic Info
Gail Tully, is a certified professional midwife (CPM) who began her midwifery studies preparing for a breech baby's homebirth in 1983. Expecting to photograph, Gail found herself already receiving the baby as the midwife entered and declined to take over. Gail is the founder of www.SpinningBabies.com which is a top resource for pregnant women with breech positioned babies and world renown approach to physiological birthing. Retired from primary care, she enjoys being called out to an occasional breech birth. Gail Tully is the author of The Belly Mapping Workbook (2005), Resolving Shoulder Dystocia video (2011), Daily Essentials video, Spinning Babies Parent Class video (both 2014), Spinning Babies Quick Reference (2015), and Breech Birth; Quick Guide (2016).
Abstract:View Full Presentation InformationIdentify what you see at the perineum to know what is going on in the pelvis with the breech birth. Breech obstructions; Here’s what you see when it is time to act.
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RM, PhDBiography Topic Info
Shawn is a midwife who has worked in all midwifery settings, in the US and the UK: home, freestanding and alongside birth centres, and hospital labour wards. In response to local women’s demands for more choice and continuity in breech services, Shawn worked with her multi-disciplinary colleagues to develop the Heads Up Clinic, which was shortlisted for a Royal College of Midwives Excellence in Maternity Care Award in 2013, and where she worked as a Breech Specialist Midwife until January 2014. She has published numerous professional articles about breech practice and service organisation, and blogs at breechbirth.org.uk. Shawn’s on-going PhD research concerns the development of competence and expertise among professionals in upright vaginal breech birth. She currently works clinically on the labour ward at the Norfolk & Norwich Hospital.
Topic: Understanding the Mechanisms as the Key to Safe Breech Birth - [View Abstract]
Topic: Understanding the Mechanisms as the Key to Safe Breech Birth - [View Abstract]
Abstract:View Full Presentation InformationA majority of physiological breech births unfold according to a recognisable pattern of movements as the fetus spirals through the maternal pelvis. Protecting and supporting this optimal process is the basis of physiological breech birth practice. Understanding how and why these movements occur, and how to recognise when a deviation has occurred, is key to determining how and when to intervene in a potentially dangerous situation. This presentation will help you become thoroughly familiar with the optimal process, and explain why understanding the normal mechanisms can facilitate resolution when head entrapment occurs.
Abstract:View Full Presentation InformationBreech births occur infrequently, yet their safe support requires skill, patience and discernment from the health professionals who attend them, whether planned or unplanned. In addition, recent research has prompted practice changes toward more physiological approaches. This presentation will discuss how research around how professionals learn complex breech skills, and modern technology, can help midwives and doctors to learn skills to assist breech births. We will cover the importance of respecting the mechanism of breech labour when it is working, and restoring it when it is not. We will discuss how to determine the level of the pelvis at which head entrapment has occurred – and how to teach others to resolve it. And we will discuss successful models of breech care with the potential to lead a revolution in the direction of choice, confidence and continuity.
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MD, FACOGBiography Topic Info
Stuart J. Fischbein MD is a fellow of the American College of Obstetrics & Gynecology, published author (“Fearless Pregnancy, Wisdom & Reassurance from a Doctor, A Midwife and A Mom” and “Homebirth With an Obstetrician, A Series of 135 Out of Hospital Births”) and lecturer. He is an outspoken advocate of informed decision making, the midwifery model of care and human rights in childbirth, receiving the 2016 “Most Audacious” award from HRIC and the Association for Wholistic & Newborn Health. Hear more of his thoughts and advocacy for evidenced-based, reasonable choices on his podcast at www.drstuspodcast.com. He now works directly with home birthing midwives www.birthinginstincts.com. He offers hope for those women who cannot find supportive practitioners for VBAC, twin and breech deliveries.
Abstract:View Full Presentation InformationVaginal breech birth options are disappearing from hospitals. Even when allowed, restrictive protocols may diminish success. Fear has replaced confidence in most practitioners and its projection has been detrimental to our clientele. The speaker has been assisting women with breech birthing for over 30 years, the last six in the home setting. During this talk the participant will be informed about counseling women on the risks and benefits of vaginal v. cesarean and home v. hospital birthing. We will discuss proper client selection and review breech techniques and maneuvers using narratives and videos of real breech deliveries, to enable the participant to practice problem-solving in real time. Finally, Dr. Fischbein will present his data from six years of assisting breech birth out of the hospital.
Educational Credits
This Add-on Lecture Pack offers 5 hours of continuing education. This lecture pack is approved for 5 AAFP CME credits. Learn more about the continuing education credits here.
Breech Birth Purchase Details
Registration: Closed. Contact us or visit www.goldlearning.com to access past presentations from all our conference & events)
Please note that this package was previously offered alongside the 2019 GOLD Obstetrics Online Conference. If you have previously purchased and viewed this series of lectures, you will not be able to claim another accreditation certificate again.
Presentations Available Online: Nov. 9, 2020 & will be available to view until Jan 4, 2021. (Jan. 25 for GOLD Annual Members)
Country Category, Group & Institutional Discount Pricing are available.
Looking to create a group? View our new Group Registration Benefits & Group Coordinator Tools.
Individual Registration
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Group Registration (5+)
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| Early Bird | Regular | Early Bird | Regular | |
| ACountry Category | $60 | $75 | $50 | $70 |
| BCountry Category | $30 | $40 | $25 | $35 |
| C & DCountry Category | $10 | $15 | $5 | $10 |
| What is my Country Category?All Prices in $USD |
Conference registration is now closed - Please contact us to inquire about access. | |||
Add-on Purchase Details
- Group Registration: Pricing above is per person. Group rates for the Breech Birth Add-on Pack will be offered to members at the time of Main Conference Registration Only. As long as you have a group of 5+ members when you register for GOLD Obstetrics Conference, your members will have the option to purchase the add-on. Not all group members are required to purchase the add-on to qualify for group discount pricing. Groups members may choose to purchase the add-on after their conference registration however they will be charged the individual rate at that time.
Registering for the add-on is easy! You will be prompted to select this add-on package when registering for GOLD Obstetrics, selecting 'yes' if you wish to avail yourself of this special education. Log in details to access the lecture pack will be the same as when accessing GOLD Obstetrics, during the same dates as the main conference. As a special bonus to Delegates that purchase an add-on package, they will be able to view these presentations one week prior to the start of the conference.
Should you have any questions about this special package, please contact the Conference Manager through our contact form
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If your computer does not pass the Technology Test it is not advisable to register until the possible problem is resolved. Click here for more information or contact us for technical support at [email protected].Registration Categories
As an international conference, we are sensitive to the fact that not all countries are economically equal. As breastfeeding advocates we recognize that people in these countries generally have the most need for this information and limited resources, which is why in addition to our standard registration options, this year we are offering a special registration fee for residents from countries that fall in Cat. B, C & D. The Categories are based of the Wolrd Bank Data. Please view our Reduced Rate Terms. Proof of residency maybe required.
Category A:
Andorra, Antigua and Barbuda, Aruba, Australia, Austria, Bahamas, Bahrain, Barbados, Belgium, Bermuda, British Virgin Islands, Brunei Darussalam, Canada, Cayman Islands, Channel Islands, Chile, Curacao, Cyprus, Czech Republic, Denmark, Estonia, Faroe Islands, Finland, France, French Polynesia, Germany, Gibraltar, Greece, Greenland, Guam, Hong Kong, Hungary, Iceland, Ireland, Isle of Man, Israel, Italy, Japan, Rep. Korea, Kuwait, Latvia, Liechtenstein, Luxembourg, Macao, Malta, Monaco, Netherlands, New Caledonia, New Zealand, Northern Mariana Islands, Norway, Oman, Palau, Poland, Portugal, Qatar, San Marino, Saudi Arabia, Seychelles, Singapore, Saint Maarten (Dutch part), Slovak Republic, Slovenia, Spain, St. Kitts and Nevis, St. Martin (French part), Sweden, Switzerland, Taiwan, Trinidad and Tobago, Turks and Caicos Islands, United Arab Emirates, United Kingdom, United States, Uruguay, Virgin Islands (U.S.). TOP
Category B:
Albania, Algeria, American Samoa, Argentina, Azerbaijan, Belarus, Belize, Bosnia and Herzegovina, Botswana, Brazil, Bulgaria, China, Colombia, Costa Rica, Croatia, Cuba, Dominica, Dominican Republic, Ecuador, Equatorial Guinea, Fiji, Gabon, Grenada, Guyana, Iran (Islamic Rep.), Iraq, Jamaica, Kazakhstan, Lebanon, Libya, Lithuania, FYR Macedonia, Malaysia, Maldives, Marshall Islands, Mauritius, Mexico, Montenegro, Namibia, Nauru, Panama, Paraguay, Peru, Romania, Russian Federation, Samoa, Serbia, South Africa, St. Lucia, St. Vincent and the Grenadines, Suriname, Thailand, Tonga, Turkey, Turkmenistan, Tuvalu, RB Venezuela. TOP
Category C:
Angola, Armenia, Bangladesh, Bhutan, Bolivia, Cabo Verde, Cambodia, Cameroon, Rep. Congo, Cote d'Ivoire, Djibouti, Egypt, Arab Rep., El Salvador, Georgia, Ghana, Guatemala, Honduras, India, Indonesia, Jordan, Kenya, Kiribati, Kosovo, Kyrgyz Republic, Lao PDR, Lesotho, Mauritania, Micronesia, Fed. Sts., Moldova, Mongolia, Morocco, Myanmar, Nicaragua, Nigeria, Pakistan, Papua New Guinea, Philippines, Sao Tome and Principe, Solomon Islands, Sri Lanka, Sudan, Swaziland, Syrian Arab Republic, Tajikistan, Timor-Leste, Tunisia, Ukraine, Uzbekistan, Vanuatu, Vietnam, West Bank and Gaza, Rep.Yemen, Zambia. TOP
Category D:
Afghanistan, Benin, Burkina Faso, Burundi, Central African Republic, Chad, Comoros, Dem. Rep. Congo, Eritrea, Ethiopia, The Gambia, Guinea, Guinea-Bissau, Haiti, Dem. People's Rep. Korea, Liberia, Madagascar, Malawi, Mali, Mozambique, Nepal, Niger, Puerto Rico, Rep. Congo, Rwanda, Senegal, Sierra Leone, Somalia, South Sudan, Syrian Arab Republic, Tajikistan, Tanzania, Togo, Uganda, Rep.Yemen, Zimbabwe. TOP
Dr. Speakers Full Name
Speaker Credentials
Annet Mulder first became interested in breastfeeding in the year 2000, when she became a mother for the first time. During and because of her own breastfeeding experiences, in 2002 she became a volunteer with the Dutch breastfeeding Organization and in 2008 sat for and passed the exam administered by the International Board of OBGYN Consultant Examiners. As an International Board Certified OBGYN Consultant, she now
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Dr. Speakers Full Name
Speaker Credentials