Page 1: Invitation and Brief Summary of the Research

Study title: The OptiBreech Care Pathway: evaluating the feasibility and acceptability of team care for women seeking to plan a vaginal breech birth

Chief Investigator:  Dr Shawn Walker, King’s College London

Invitation and brief summary

We would like to invite you to participate in this research project. You are being invited to participate in this project because your baby is breech (bottom-down, rather than head-down) at the end of pregnancy, and you were previously planning a vaginal birth and/or have requested a vaginal breech birth.

Before you decide whether you want to take part, it is important for you to understand why the research is being done and what your participation will involve. Please take time to read the following information carefully and discuss it with others if you wish. Please ask if there is anything that is not clear or if you would like more information.

What is the purpose?

The purpose of the project is to explore the feasibility of conducting a large, multi-centre study to determine the safety and cost effectiveness of OptiBreech care.

Optibreech care is what is called in the health services a ‘care pathway.’ It starts when your baby has first been diagnosed as breech after 36 weeks and follows you through to your birth, whether you choose to try to turn your baby head-down, plan a vaginal breech birth or plan a caesarean section. The most important difference in this potential new care pathway is that care for vaginal breech births, for those who choose this, is delivered by a proficient team, all of which have had enhanced training in physiological breech birth.

We do not know if it will be possible to ensure we can provide care from a proficient team member for vaginal breech births, so we are studying several sites in the UK who would like to try to do this. Following this study, we hope to be able to provide women with accurate information about how often it is possible for a proficient team member to attend their breech birth.

If you prefer to listen to this information, you can do so by playing the video below.

To read more about the study, click below. Required

Sources of more information:

Management of Breech Presentation, Royal College of Obstetricians and Gynaecologists, 2017

Understanding Physiological Breech Birth, Jane Evans, Essentially MIDIRS, 2012

No more hands off the breech, Shawn Walker, The Practising Midwife, 2020

Version 1.2, 01 February 2021, IRAS 268668

The OptiBreech Project: Optimising care and Options for women with a breech pregnancy at term


Funded by the National Institute of Health Research