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Most babies will move into delivery position a few weeks prior to birth, with the head moving closer to the birth canal. When this fails to happen, the baby’s buttocks and/or feet will be positioned to be delivered first. This is referred to as “breech presentation.” Breech births occur in approximately 1 out of 25 full-term births.
This webinar will review the evidence on term breech birth over the past two decades and discuss physiological breech birth including how it works and what it looks like.
Content warning: Images/videos of births may be played during this webinar. Discussion and statistics of infant and maternal mortality may take place.
- Explore the evidence on term breech birth.
- Discuss how physiological breech birth works.
- Describe what physiological breech birth looks like.
Rixa Freeze, PhD
Midwives Alliance North America
Dr. Rixa Freeze has a PhD in American Studies from the University of Iowa. Her doctoral studies focused on the history of healthcare and medicine with specialization in pregnancy, childbirth, and maternity care. Her dissertation examined why women in North America choose unassisted home births. She worked as a visiting assistant professor for 9 years at Wabash college. She has published two articles about home birth: “Staying Home to Give Birth: Why Women in the United States Choose Home Birth” (JMWH 2009) and “Attitudes Towards Home Birth in the USA” (Expert Review of Obstetrics & Gynecology 2010). She recently published the article “Breech birth at home: Outcomes of 60 breech and 109 cephalic planned home and birth center births” with BMC Pregnancy & Childbirth. In 2019 she published an article about outcomes of breech at home, birth centers, and hospitals (Midwifery Today) and a book chapter “Freebirth in the United States” in the 2020 book Canary in the Coal Mine. She is the founder and president of Breech Without Borders, a 501(c)3 nonprofit dedicated to breech training, education, and advocacy.
David Hayes, MD
Midwives Alliance North America
Dr. Hayes is an OBGYN with an academic background and a passion for science and its proper application to clinical medicine. He has worked for Médecins Sans Frontières and has attended births in high- and low-resource settings and in both home and hospital. Physiologic breech birth and supporting the training of breech birth attendants are particular interests of his. Before joining Breech Without Borders in 2019, he had a home birth practice in Asheville, NC at Harvest Moon Women's Health. Dr. Hayes pursued training in vaginal breech birth during both medical school and his residency in Obstetrics and Gynecology, at a time when instruction in vaginal breech birth was no longer routinely included in the training of obstetricians in the United States. He has performed an estimated 140 vaginal breech births using traditional obstetric maneuvers in dorsal lithotomy positions. In 2016 he hosted a training session on physiologic vaginal breech birth taught by Dr. Shawn Walker, PhD. Since that time he has been fortunate to attend many more vaginal breech births with a 100% vaginal breech birth rate and no significant complications or instrument interventions.
- DO: Des Moines University (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this program for a maximum of 1.0 AOA Category 2-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
- MD: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS) through the joint providership of Des Moines University (DMU) and International Cesarean Awareness Network. DMU is accredited by IMS to provide continuing medical education for physicians. DMU designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- Nurse: Des Moines University is Iowa Board of Nursing approved provider #112. This live activity has been reviewed and approved for 1.0 continuing education contact hour(s). No partial credit awarded.
- Other healthcare professionals: This live activity is designated for 1.0 AMA PRA Category 1 Credit(s)TM.
No commercial interest provided financial support for this continuing education activity.
The speaker(s) will disclose if any pharmaceuticals or medical procedures and devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). Determination of educational content and the selection of speakers is the responsibility of the activity director.
Relevant to the content of this educational activity, the following individuals do not have any relationships with commercial interest companies to disclose.
- Brianna Barker - Planning Committee Member
- Justen Alexander - Planning Committee Member
- Rachel Bruns - Planning Committee Member and Activity Coordinator
- Linda Crownover-Inch - Planning Committee Member and Activity Director
- Rixa Freeze, PhD - Speaker
- David Hayes, MD - Speaker
The information provided at this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The content of each presentation does not necessarily reflect the views of Des Moines University.
- 1.00 AMA PRA Category 1 Credits™
- 1.00 AOA Category 2A
- 1.00 CE Contact Hour(s)
- 1.00 IBON