Online breech courses

Below are our online course offerings. If you are looking for hands-on breech training, either hybrid or fully in-person, please visit our workshop schedule. Our hybrid workshops include access to Breech Pro plus small group hands-on training with full covid-19 precautions. 

Breech Pro: Breech Proficiency for Birth Professionals is a fully online vaginal breech training course. The workshop is co-taught by an obstetrician with experience in both home and hospital births and in both low- and high-resource settings (David Hayes, MD) and a breech researcher (Rixa Freeze, PhD).

This course first covers the evidence on term breech in both home and hospital settings over the past two decades. Next, the instructors review the history and development of obstetric breech maneuvers over the past four centuries. With this background information, the instructors explain the mechanics of physiological breech birth and introduce maneuvers developed specifically for upright breech births.

Next, they dive into clinical aspects of vaginal breech birth: normal and abnormal breech birth (illustrated with birth videos), selection criteria and clinical practice guidelines, and maneuvers to resolve obstructed breech birth in both upright and supine positions. The course then presents information about the risks and outcomes of various breech presentations (frank, complete, footling, etc.).

And finally, Dr. Hayes and Dr. Freeze bring all of this information together in simulation sessions using Sophie and Her Mum obstetric simulators. They demonstrate all of the maneuvers discussed during the workshop, then apply the maneuvers to simulated clinical scenarios. 

This course also includes twice-monthly optional live sessions with Dr. Hayes and Dr. Freeze. 

Breech Pro includes CEU/CPDs (15 contact hours) with ACNM, MEAC, DONA, ICEA, the Midwifery Council of New Zealand, and the Australian College of Midwives.

Breech 101 is a course designed for parents, doulas, and childbirth educators. It presents about half of the material from our Breech Pro course, giving students a thorough understanding of the "how, what, and why" of breech birth.
The courses is divided into 2 parts.

Just the Basics

  • Evidence on term breech outcomes
  • Outcomes of community breech birth (home/birth center)
  • History of beech maneuvers and upright breech maneuvers
  • Physiological breech birth

Beyond the Basics:

  • Normal breech birth, illustrated with birth videos
  • Abnormal breech birth, illustrated with birth videos
  • Breech nomenclature and the risks/outcomes of various types of breech presentations

This course also includes twice-monthly live sessions with Dr. Hayes and Dr. Freeze.


7.5 hours of CEUs included (ACNM, MEAC, ICEA, DONA).
Enroll now

The Madison Breech Conference includes recordings of the 2019 Madison Breech Conference in Madison, WI, USA on November 9-11. Bringing together MFMs, OBs, family practice physicians (GPs), midwives, journalists, researchers, and human rights attorneys, this conference examined how to make vaginal breech birth sustainable across a range of settings.

Speaker & topic list:

  • Hermine Hayes-Klein, JD: The human right to skilled attendance in physiological vaginal breech birth
  • Cynthia Caillagh, CPM, LM: Agency, beliefs about risk, and effects on outcome
  • Jennifer Block, BA BS: Physiological Distance: Reframing the conversation about birth mode, place, and risk
  • Betty-Anne Daviss, RM: Breech without forceps; Breech birth in Canada; Fundal pressure
  • Rixa Freeze, PhD: Evidence on Term Breech Since the 2000 Term Breech Trial; Breech maneuvers & physiological breech birth

  • David Hayes, MD: Methods and mechanics of physiologic vaginal breech birth

  • Dennis Hartung, MD: Breech birth in a rural setting

  • Lawrence Leeman, MD, MPH: Outcomes of community vaginal breech births and expanding hospital access

  • Emiliano Chavira, MD, MPH, FACOG: Instituting Ethical Breech Birth

  • Panel discussions #1: Understanding the problem: Obstacles to providing vaginal breech birth

  • Panel discussion #2: Finding solutions: Guidelines for hospital providers, hospital administrators, and midwives

  • Recognizing and correcting abnormal breech labor: hands-on simulation training

19.25 hours of CEUs included (ACNM, MEAC, ICEA, DONA).

Enroll now

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