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Dr Shawn Walker #OptiBreech Emma Spillane 🌈 Good plug for the fabulous Breech work the safety enhancements brought about through using the algorithms and prompt sheets in practice 👍😍 Fabulous feedback from all when using in real practice . Thanks 🙏

Delighted to have the privilege to support Liverpool Women's University Hospital first participant in the #optibreech research study Dr Shawn Walker Emma Spillane 🌈 hopefully first of many

Greatest danger is when the buttocks are on the perineum / rumping. Delay at this point causes hypoxia, leads to poor tone, can result in arm/head extension. ⏳crucial. But this is the point when HCPs are MOST likely to chant "Hands off the breech!"😩

There is absolutely ZERO evidence that touching the baby at this point will cause a startle response leading to extended arms or head. ZERO. Folks, do the VEs you need to do to assess safe progress. Sweep the perineum or cut an epis (w/consent) if needed.

Really fascinating. “respect the mechanism’ and ‘restore the mechanism’”.

Flexi sacrum positions, kneeling, standing, squatting & sidelying may reduce instrumental births, cs, epis, severe perineal trauma, severe pain & shorten pushing phase. Yet 83% give birth semi recumbent or supine. Best birth position chosen instinctively researchgate.net/publication/34…

As Ockenden Report makes clear, there is danger when training does not match guidelines. If you don’t teach people how to safely do something their guideline says they can do, e.g. upright breech, they will teach themselves with buzz words, “Hands off!”

A helpful guide to understanding labor patterns: bit.ly/3gBofTo

Register for our October webinar today! ThePractisingMidwife 💕Sheena Byrom she/her 💕 MUNetwork @cmyuill

Congratulations @HomebirthTeam, Louisa Davidson and family! #OptiBreech 1 is an observational study, following women who choose to plan a vaginal breech birth -- wherever they choose to plan it. Glad to hear of this wonderful outcome Bham Women's Hosp 💙 Emma Spillane 🌈

A true knot in the umbilical cord, identified during fetoscopic repair of spina bifida. #MFMtwitter #fetalsurgery (shown with permission)

Dr Shawn Walker @HomebirthTeam Bham Women's Hosp 💙 Emma Spillane 🌈 With good support and effective education on supporting the normal mechanism #optibreech has enabled staff to feel empowered to support women's choice! I am extremely proud of our Optibreech team! #womenschoice #empowerment

Key learning from #PMRT standardised reviews #mbrrace

The last 6 months have been incredibly busy for the Homebirth and Birth Centre teams at Kingston. We are proud to have been able to safely support so many women and families to birth their babies where and how they choose Kingston Maternity @samifrewfrew Frances Rivers Emma Spillane 🌈

This ⬇️ Over medicalisation of childbirth is causing avoidable and unnecessary harm both physically and psychologically to mothers and babies.

With Kingston Homebirth Team having a fabulous time at the #rcmawards

Happy Birthday beautiful girl! 💖 Lovely complete breech birth this morning on our labour ward 😊 #breechbirth #optibreech #informedchoice #sharedwithconsent Northern Care Alliance NHS Foundation Trust (NCA)

New stats just released for place of birth in 2020 confirm what many of us witnessed on the ground - a rise in the homebirth rate during the pandemic. Highest rate since 2011. 🧵

It’s been a while. After a long break from Twitter I’m at the Capital Nurse and Midwife summit. Looking forward to a day of learning, collaboration and networking with colleagues. #capitalnurseandmidwifesummit2023