Main Findings
In contexts where women are frequently choosing to plan a vaginal breech birth within the OptiBreech 1 study, breech specialist midwives have been the main mechanism of both service delivery and maternity team skill development. This model of service delivery appears to be highly acceptable to women, especially when obstetric colleagues are involved and supportive. Appointment of a breech specialist midwife appears to be an effective implementation strategy that will enable physiological breech-proficient care to be tested in the OptiBreech Care Trial. However, further work is needed to identify the most effective way of embedding this model of care within current multi-disciplinary team functions.