Attitudes towards breech management among a team of maternity clinicians in Australia undertaking breech training

Article


Rattray, Janene, Rigg, Elizabeth, Partridge, Bradley and Taylor, Melissa. 2020. "Attitudes towards breech management among a team of maternity clinicians in Australia undertaking breech training." Women and Birth. 33 (4), pp. E348-E356. https://doi.org/10.1016/j.wombi.2019.08.002
Article Title

Attitudes towards breech management among a team of maternity clinicians in Australia undertaking breech training

ERA Journal ID30465
Article CategoryArticle
AuthorsRattray, Janene (Author), Rigg, Elizabeth (Author), Partridge, Bradley (Author) and Taylor, Melissa (Author)
Journal TitleWomen and Birth
Journal Citation33 (4), pp. E348-E356
Number of Pages8
Year2020
PublisherElsevier
Place of PublicationNetherlands
ISSN1871-5192
1878-1799
Digital Object Identifier (DOI)https://doi.org/10.1016/j.wombi.2019.08.002
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S1871519219302185
Abstract

Background: Australian women seeking a vaginal breech birth report limited access to this option due to resistance from clinicians and strict medical criteria. Limited evidence exists to determine the attitudes, knowledge, experience and perceived confidence of Australian maternity clinicians towards the management of a breech presentation at term.

Aim: The aim of this study is to identify experience, knowledge and attitudes of birth suite clinicians’ before and after training, toward term breech presentation and management practices.

Methods: A mixed methods research design was used that included a survey tool. A survey of 29 midwives and 11 medical professionals who attended an educational course in breech management ('BABE - Becoming a Breech Expert') was undertaken pre and post BABE training.

Results: While participants were experienced in providing maternity services, the results indicated most were inexperienced in facilitating a vaginal breech birth. Prior to training, most participants believed vaginal breech birth had a higher risk of neonatal morbidity and mortality compared to caesarean birth. The prospect of a woman choosing a breech birth outside of medical recommendations made many participants 'nervous'. Despite this, support to ensure there was informed decision-making and respect for a woman's choice was high. Following training, clinician knowledge of assessment of risks for breech birth and intention to discuss breech management options with women increased.

Conclusions: Participation in breech management training is beneficial to increasing clinician knowledge and assessment of risk and confidence towards discussing vaginal breech birth management, respect for women's choice and informed decision-making.

Keywordsvaginal breech birth; breech; external cephalic version; Caesarean section
ANZSRC Field of Research 2020420499. Midwifery not elsewhere classified
Public Notes

Files associated with this item cannot be displayed due to copyright restrictions.

Byline AffiliationsDepartment of Health, Queensland
School of Nursing and Midwifery
Institution of OriginUniversity of Southern Queensland
Permalink -

https://research.usq.edu.au/item/q559y/attitudes-towards-breech-management-among-a-team-of-maternity-clinicians-in-australia-undertaking-breech-training

  • 187
    total views
  • 11
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Digital health literacy to enhance workforce skills and clinical effectiveness: A response to ‘Digital health literacy: Helpful today, dependency tomorrow? Contingency planning in a digital age’
Haydon, Helen M., Snoswell, Centaine L., Jones, Cindy, Carey, Melissa, Taylor, Melissa, Horstmanshof, Louise, Hicks, Richard, Lotfaliany, Mojtaba and Banbury, Annie. 2023. "Digital health literacy to enhance workforce skills and clinical effectiveness: A response to ‘Digital health literacy: Helpful today, dependency tomorrow? Contingency planning in a digital age’." Australasian Journal on Ageing. 42 (4), pp. 803-804. https://doi.org/10.1111/ajag.13257
The experience of nurses participating in peer group supervision: A qualitative systematic review
Tulleners, Tracey, Campbell, Christina and Taylor, Melissa. 2023. "The experience of nurses participating in peer group supervision: A qualitative systematic review." Nurse Education in Practice. 69. https://doi.org/10.1016/j.nepr.2023.103606
Learning from the experiences of residents: January to July 2022 floods
Taylor, Mel, Miller, Fiona, Johnston, Kim, Ryan, Barbara, Lane, Anne, King, Rachel, Narwal, Harriet, Miller, Madeleine, Simon, Helga and Dabas, Dipika. 2023. "Learning from the experiences of residents: January to July 2022 floods." The Australian Journal of Emergency Management. 38 (3), pp. 27-30.
Peer group clinical supervision for community health nurses: Perspectives from an interpretive hermeneutic study
Tulleners, Tracey, Taylor, Melissa and Campbell, Christina. 2021. "Peer group clinical supervision for community health nurses: Perspectives from an interpretive hermeneutic study." Journal of Nursing Management. 30 (3), pp. 684-693. https://doi.org/10.1111/jonm.13535
Health literacy, dementia knowledge and perceived utility of digital health modalities among future health professionals
Haydon, Helen M., Lotfaliany, Mojtaba, Jones, Cindy, Chelberg, Georgina R., Horstmanshof, Louise, Taylor, Melissa, Carey, Melissa, Snoswell, Centaine L., Hicks, Richard and Banbury, Annie. 2022. "Health literacy, dementia knowledge and perceived utility of digital health modalities among future health professionals." Australasian Journal on Ageing. 58 (4), pp. 253-263. https://doi.org/10.1111/ajag.13149
Educating the educators: Implementing cultural safety in the nursing and midwifery curriculum
Best, Odette, Cox, Leonie, Ward, Aletha, Graham, Coralie, Bayliss, Luke, Black, Barbara, Burton, Lucinda, Carey, Melissa, Davis, Teresa, Derrington, Kate, Elliott, Jessie, Jayasinghe, Thenuja, Luyke, Trish, Maher, Dianne, McGregor, Rowena, Ng, Linda, O'Malley, Lee, Roderick, Geraldine, Sheridan, Georgina, ..., Walker, Jan. 2022. "Educating the educators: Implementing cultural safety in the nursing and midwifery curriculum." Nurse Education Today. 117, pp. 1-6. https://doi.org/10.1016/j.nedt.2022.105473
Development of an Electronic Interdisciplinary Chronic Obstructive Pulmonary Disease (COPD) Proforma (E-ICP) to Improve Interdisciplinary Guideline Adherence in the Emergency Department: Modified Delphi Study
Isaac, Hancy, Keijzers, Gerben, Yang, Ian A., Lea, Jackie, Taylor, Melissa and Moloney, Clint. 2022. "Development of an Electronic Interdisciplinary Chronic Obstructive Pulmonary Disease (COPD) Proforma (E-ICP) to Improve Interdisciplinary Guideline Adherence in the Emergency Department: Modified Delphi Study." International Journal of Chronic Obstructive Pulmonary Disease. 17, pp. 1089-1106. https://doi.org/10.2147/COPD.S358254
Mapping of Modifiable Factors with Interdisciplinary Chronic Obstructive Pulmonary Disease (COPD) Guidelines Adherence to the Theoretical Domains Framework: A Systematic Review
Issac, Hancy, Moloney, Clint, Taylor, Melissa and Lea, Jackie. 2022. "Mapping of Modifiable Factors with Interdisciplinary Chronic Obstructive Pulmonary Disease (COPD) Guidelines Adherence to the Theoretical Domains Framework: A Systematic Review." Journal of Multidisciplinary Healthcare. 15, pp. 47-79. https://doi.org/10.2147/JMDH.S343277
Nursing care in rural and remote areas
Taylor, Melissa. 2020. "Nursing care in rural and remote areas." Koutoukidis, Gabrielle and Stainton, Kate (ed.) Tabbner’s Nursing Care. Elsevier. pp. 23-31
Education of family members to support weaning to solids and nutrition in infants born preterm
Rigg, Elizabeth Christine and Neville, Christine. 2021. "Education of family members to support weaning to solids and nutrition in infants born preterm." International Journal of Nursing Practice. 27 (3). https://doi.org/10.1111/ijn.12979
The rise of the unregulated birth worker in Australia: the canary flees the coal mine
Rigg, Elizabeth. 2020. "The rise of the unregulated birth worker in Australia: the canary flees the coal mine." Dahlen, Hannah, Kumar-Hazard, Bashi and Schmied, Virginia (ed.) Birthing outside the system: the canary in the coal mine. Australia. Routledge. pp. 117-135
Exploring factors contributing to Chronic Obstructive Pulmonary Disease (COPD) guideline non-adherence and potential solutions in the emergency department: interdisciplinary staff perspective
Issac, Hancy, Taylor, Melissa, Moloney, Clint and Lea, Jackie. 2021. "Exploring factors contributing to Chronic Obstructive Pulmonary Disease (COPD) guideline non-adherence and potential solutions in the emergency department: interdisciplinary staff perspective." Journal of Multidisciplinary Healthcare. 14, pp. 767-785. https://doi.org/10.2147/JMDH.S276702
Woman centred care: has the definition been morphing of late?
Rigg, Elizabeth and Dahlen, Hannah. 2021. "Woman centred care: has the definition been morphing of late?" Women and Birth. 34 (1), pp. 1-3. https://doi.org/10.1016/j.wombi.2020.12.013
The impact of interprofessional practice models on health service inequity: an integrative systematic review
Carey, Melissa Jane and Taylor, Melissa. 2021. "The impact of interprofessional practice models on health service inequity: an integrative systematic review." Journal of Health, Organization and Management. 35 (6), pp. 682-700. https://doi.org/10.1108/JHOM-04-2020-0165
Review of interprofessional practice models for impact on health service inequities
Carey, Melissa and Taylor, Melissa. 2019. "Review of interprofessional practice models for impact on health service inequities." Health Services Research Association of Australia & New Zealand 11th Health Services and Policy Research Conference: Addressing Health Service Inequities to Improve Health Systems Performance (HSRAANZ 2019). Auckland, New Zealand 04 - 06 Dec 2019 Sydney, Australia.
Mapping of modifiable barriers and facilitators with interdisciplinary chronic obstructive pulmonary disease (COPD) guidelines concordance within hospitals to the Theoretical Domains Framework: a mixed methods systematic review protocol
Issac, Hancy, Moloney, Clint, Taylor, Melissa and Lea, Jackie. 2020. "Mapping of modifiable barriers and facilitators with interdisciplinary chronic obstructive pulmonary disease (COPD) guidelines concordance within hospitals to the Theoretical Domains Framework: a mixed methods systematic review protocol." BMJ Open. 10 (7). https://doi.org/10.1136/bmjopen-2019-036060
Not addressing the root cause: an analysis of submissions made to the South Australian Government on a Proposal to Protect Midwifery Practice
Rigg, Elizabeth, Schmied, Virginia, Peters, Kath and Dahlan, Hannah. 2015. "Not addressing the root cause: an analysis of submissions made to the South Australian Government on a Proposal to Protect Midwifery Practice." Women and Birth. 28 (2), pp. 121-128. https://doi.org/10.1016/j.wombi.2014.12.005
A mixed method case study: the preparedness of a school of nursing and midwifery in teaching mandated Aboriginal and Torres Strait Islander health in undergraduate nursing curriculum
Best, Odette, Carey, Melissa and Rigg, Elizabeth. 2019. "A mixed method case study: the preparedness of a school of nursing and midwifery in teaching mandated Aboriginal and Torres Strait Islander health in undergraduate nursing curriculum." National Nursing Forum 2019: Nursing Now - Power of Policy. Hobart, Tasmania 21 - 23 Aug 2019 Deakin, ACT, Australia.
A survey of women in Australia who choose the care of unregulated birthworkers for a birth at home
Rigg, Elizabeth Christine, Schmied, Virginia, Peters, Kath and Dahlen, Hannah Grace. 2020. "A survey of women in Australia who choose the care of unregulated birthworkers for a birth at home." Women and Birth. 33 (1), pp. 86-96. https://doi.org/10.1016/j.wombi.2018.11.007
The role, practice and training of unregulated birth workers in Australia: a mixed methods study
Rigg, Elizabeth C., Schmied, Virginia, Peters, Kath and Dahlen, H. G.. 2019. "The role, practice and training of unregulated birth workers in Australia: a mixed methods study." Women and Birth. 32 (1), pp. E77-E87. https://doi.org/10.1016/j.wombi.2018.04.007
Conducting the orchestra in aged care: the leadership role of the registered nurse
Taylor, Melissa. 2017. Conducting the orchestra in aged care: the leadership role of the registered nurse. PhD Thesis Doctor of Philosophy. University of Southern Queensland. https://doi.org/10.26192/5c0764a7baf8a
Why do women choose an unregulated birth worker to birth at home in Australia: a qualitative study
Rigg, Elizabeth Christine, Schmied, Virginia, Peters, Kath and Dahlen, Hannah Grace. 2017. "Why do women choose an unregulated birth worker to birth at home in Australia: a qualitative study." BMC Pregnancy and Childbirth. 17 (1). https://doi.org/10.1186/s12884-017-1281-0
The role, practice and training of unregulated birth-workers in Australia: a mixed methods study
Rigg, Elizabeth C., Schmied, Virginia, Peters, Kath and Dahlen, Hannah G.. 2017. "The role, practice and training of unregulated birth-workers in Australia: a mixed methods study." ACM 2017 National Conference: Midwives: the Truth is Out There. Adelaide, Australia 30 Oct 2017 https://doi.org/10.1016/j.wombi.2017.08.038
Flooded with evidence: using a 'spillway' model to improve research implementation in nursing practice
Moloney, Clint, Ralph, Nicholas and Taylor, Melissa. 2016. "Flooded with evidence: using a 'spillway' model to improve research implementation in nursing practice." Australian Journal of Advanced Nursing. 34 (1), pp. 23-31.
ACCERT: aged care community education research training
Moloney, Clint W. and Taylor, Melissa. 2013. "ACCERT: aged care community education research training." Joanna Briggs Institute International Convention (JBI 2013): The 2013 Campaign for Getting Evidence into Policy. Adelaide, Australia 21 - 23 Oct 2013 Melbourne, Australia. https://doi.org/10.1111/1744-1609.12034
Professional skills for nurses and other health professionals: contexts and capability of practice
Perrin, Cheryl, Stanley, David and Taylor, Melissa. 2015. "Professional skills for nurses and other health professionals: contexts and capability of practice." Lawrence, Jill, Perrin, Cheryl and Kiernan, Eleanor (ed.) Building professional nursing communication. Port Melbourne, Australia. Cambridge University Press. pp. 182-204
The sum of all parts: an Australian experience in improving clinical partnerships
Taylor, Melissa A., Brammer, Jillian D., Cameron, Michelle and Perrin, Cheryl A.. 2015. "The sum of all parts: an Australian experience in improving clinical partnerships." Nurse Education Today. 35 (2), pp. 297-303. https://doi.org/10.1016/j.nedt.2014.10.003
Assessment and non-pharmacological management among adults with a dementia diagnosis in a residential care setting: a best practice implementation project
Hynes, Antonia, Beirne, Sue, Taylor, Melissa and Moloney, Clint. 2014. "Assessment and non-pharmacological management among adults with a dementia diagnosis in a residential care setting: a best practice implementation project." JBI Database of Systematic Reviews and Implementation Reports. 12 (9), pp. 489-501. https://doi.org/10.11124/jbisrir-2014-1686
Malnutrition screening among elderly people in a community setting: a best practice implementation project
Craven, Dana, Munn, Zachary, Moloney, Clint and Taylor, Melissa. 2014. "Malnutrition screening among elderly people in a community setting: a best practice implementation project." JBI Database of Systematic Reviews and Implementation Reports. 12 (3), pp. 1-18. https://doi.org/10.11124/jbisrir-2014-1454