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    The description :thoughts on research, specialist practice, family life and minority positions...

    This report updates in 31-Aug-2018

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the midwife, the mother and the breech thoughts on research, specialist practice, family life and minority positions menu skip to content home about the team norwich birth group publications training booking a study day diy breech update videos and practice india and the breech leave a reply missed our facebook live event with fernandez hospitals? watch the recording here: pmet student arunarao pusala receives her training certificate in karimnagar this month i am in hyderabad, india, visiting dr evita fernandez and uk consultant midwives indie kaur and kate stringer. today at 5pm ist (that’s 11.30 gmt), we will be having a facebook live discussion on breech birth in india . this will be followed by hands-on workshops on the 12th and 19th in hyderabad. with senior midwives theresa and jyoti the fernandez hospitals are at the forefront of compassionate maternity care on a large scale in india. the stork home facility has been beautifully designed and rivals some of the best midwifery units in the uk. but dr evita and her team of doctors and midwives are very ambitious. they want to revive vaginal breech skills so that women can confidently choose this option. how will this work in hyderabad? join us for a discussion. midwives and doulas support women together in the beautiful stork home facility in hyderabad from arunarao: “my special thanks to dr evita ,lndie mam kate mam and shawn mam for the opportunity to participate in breech birth workshop at karimnagar.i am so panic about breech presentation and breech birth before i come to professional midwifery training, know iam very excited to assist the spontaneous and assisted breech birth,because now i came to know breech also has its own mechanism and always always we have to respect those mechanism and iam aware of the manoeuvres to apply whenever it’s needed.thank you all of you mam iam so blessed to have a teaching faculty like you.” thank you arunarao — you really got it! shawn this entry was posted in conferences , videos and tagged aftercoming head , banjara hills , bogulkunta , breech birth , buttock lift , hyderabad , hyderguda , india , karimnagar , midwives , physiological breech on august 11, 2018 by midwifeshawn . rotational manoeuvre to release breech nuchal arms leave a reply flat hands in june, i spent a week in the netherlands working with a committed group of lecturers. the midwifery universities of the netherlands share a common curriculum, and following our meeting last year , they agreed to incorporate physiological breech birth into their training programme. my visit was to support the midwifery lecturers to implement the new skills into standard midwifery training. while in amsterdam, i collaborated with midwifery lecturer bahar goodharzi of academie verloskunde amsterdam gröningen (avag) to create a short series of films demonstrating the rotational arm manoeuvre we teach in breech birth network study days. we agreed that this is a tricky manoeuvre to learn and teach, but it is incredibly effective in practice so worth the effort of learning. i’ve collected our short demonstrations in the film below, along with information about how to recognise that this manoeuvre is required. note: if you have difficulty rotating the baby initially, you may have to elevate the baby slightly to a higher station, so that the shoulder girdle rises above the pelvic inlet. it can then rotate to engage in the transverse diameter. thank you to emma spillane of st george’s hospital in london, who has helped to refine the way we teach this manoeuvre following her own experiences of successfully using it in practice. for a poetic description of what it is like to encounter this complication for the first time as a midwife or doctor, read nicole morales’ blog, the prose of no rotation and no descent: rotating to free the arms. you can download the physiological breech birth algorithm here. midwifery lecturers of the netherlands, june 2018 — shawn 51.697963 5.280239 this entry was posted in breech skills , education , emergencies and tagged amsterdam , avag , groningen , netherlands , no descent , no rotation , nuchal arms , rotational manoeuvres , videos on august 2, 2018 by midwifeshawn . i’m honored to be asked to be the guest writer this week on breech. shawn walker is an international inspiration to those doing breech work around the world in various settings providing tools for breech birth to be safer and more accessible. my journey to bre ech started with the breech homebirth of my daughter, nilaya, who is now 12 years old. i was a student midwife just starting to catch babies here in the u.s. and had my first two head down babies steeped in a culture of home birth where twins and breech were normal. the choice to birth my third baby breech at home was not difficult. i did not have to fight for it. i just did it. it was through this birth that i became invested in understanding and preserving this part of the craft of midwifery. getting experience and quality training in breech has been a challenge. i’ve had to seek out workshops and conferences from across the united states, take online international courses, and work to understand the mechanics of knowing normal vaginal breech birth. even though i am an instructor at our local midwifery school and have developed the curriculum here for breech birth, i still have limited hands-on experience that is slowly growing through the years. as a spinning babies approved trainer, i get many referrals for breech parents and help them to navigate breech late in pregnancy through counseling, bodywork, and midwifery skills. it is amazing what skills one picks up with their hands from seeing so many families and palpating so many breech presentations. being able to have breech immersion of any sort can help keep the knowledge and skills alive. we are at a crossroads here in the u.s. for breech where in state after state, midwives are being limited by laws for attending breech and have not had a bar set for what breech birth competency looks like. we might have a small list of skills, but with breech complications, we know that the refined skills can make a difference in outcomes. if we have the ability to show experience, understanding, and investment in training, we might set a different course for breech, and midwives might actually set the bar for competency and have influence on other professions. i am interested in how we can provide a more thorough understanding of what shawn walker deems “respecting the mechanisms” and “restoring the mechanisms” of breech. in this way, i also believe that we can shift the paradigm of “no normal breech” to “know normal breech.” the international breech community, in how it is detailing the mechanisms of breech birth, can actually be a model to those doing vertex deliveries! one of the reasons for a higher cesarean rate here in the u.s. is fear of a shoulder dystocia in understanding the mechanisms of normal and restoring these mechanisms at all levels of the pelvis could reduce interventions and improve outcomes. there is value for all births in utilizing gravity and mobility to increase diameters of the pelvis or to safely reduce fetal diameters when presented with complications. respecting that the reflexes of a baby being born are also part of the mechanisms of normal birth may not be seen with a vertex baby, but we know that babies help themselves to be born. as the international breech community discusses developing breech birth centers and (re)teaching breech, i’ve worked on how i can document my own road to competency and compiled these ideas in the format of the student paperwork for the north american registry of midwives (narm). i naively thought i would just submit them for review, but the interest of a larger community has to also be there. there must be more conversations in the community over how such documentation can be useful and how to avoid potential pitfalls of its use. i have called it “breech compet

URL analysis for breechbirth.org.uk


https://breechbirth.org.uk/tag/ontario/
https://breechbirth.org.uk/tag/rcog/
https://breechbirth.org.uk/2018/08/11/india-and-the-breech/
https://breechbirth.org.uk/tag/birth-rites/
https://breechbirth.org.uk/tag/term-breech-trial/
https://breechbirth.org.uk/tag/prayer-hands/
https://breechbirth.org.uk/2018/02/13/drammen-norway-in-march/
https://breechbirth.org.uk/2018/03/10/breech-competency-documentation-skill-checklists-births-and-retrospective-review/#respond
https://breechbirth.org.uk/2016/06/03/the-birth-of-leliana/comment-page-1/#comment-4740
https://breechbirth.org.uk/category/emergencies/
https://breechbirth.org.uk/tag/netherlands/
https://breechbirth.org.uk/tag/breech-skills-2/
https://breechbirth.org.uk/2015/01/02/videos-essential-birth-prep/
https://breechbirth.org.uk/tag/breech-birth/
https://breechbirth.org.uk/2018/03/10/breech-competency-documentation-skill-checklists-births-and-retrospective-review/
birthrites.org.uk
rcog.org.uk
eventbrite.co.uk
kcl.ac.uk

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