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.