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Effectiveness of vaginal breech birth training strategies: An integrative review of the literature

Research output: Contribution to journalReview article

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Effectiveness of vaginal breech birth training strategies : An integrative review of the literature. / Walker, Shawn; Breslin, Eamonn; Scamell, Mandie; Parker, Pam.

In: Birth, Vol. 44, No. 2, 01.06.2017, p. 101-109.

Research output: Contribution to journalReview article

Harvard

Walker, S, Breslin, E, Scamell, M & Parker, P 2017, 'Effectiveness of vaginal breech birth training strategies: An integrative review of the literature', Birth, vol. 44, no. 2, pp. 101-109. https://doi.org/10.1111/birt.12280

APA

Walker, S., Breslin, E., Scamell, M., & Parker, P. (2017). Effectiveness of vaginal breech birth training strategies: An integrative review of the literature. Birth, 44(2), 101-109. https://doi.org/10.1111/birt.12280

Vancouver

Walker S, Breslin E, Scamell M, Parker P. Effectiveness of vaginal breech birth training strategies: An integrative review of the literature. Birth. 2017 Jun 1;44(2):101-109. https://doi.org/10.1111/birt.12280

Author

Walker, Shawn ; Breslin, Eamonn ; Scamell, Mandie ; Parker, Pam. / Effectiveness of vaginal breech birth training strategies : An integrative review of the literature. In: Birth. 2017 ; Vol. 44, No. 2. pp. 101-109.

Bibtex Download

@article{de0bc51d383740e0bd9832ce3f8feff9,
title = "Effectiveness of vaginal breech birth training strategies: An integrative review of the literature",
abstract = "Background: The safety of vaginal breech birth depends on the skill of the attendant. The objective of this review was to identify, synthesize, and report the findings of evaluated breech birth training strategies. Methods: A systematic search of the following on-line databases: Medline, CINAHL Plus, PsychINFO, EBM Reviews/Cochrane Library, EMBASE, Maternity and Infant Care, and Pubmed, using a structured search strategy. Studies were included in the review if they evaluated the efficacy of a breech birth training program or particular strategies, including obstetric emergency training evaluations that reported differentiated outcomes for breech. Out of 1040 original citings, 303 full-text articles were assessed for eligibility, and 17 methodologically diverse studies met the inclusion criteria. A data collection form was used to extract relevant information. Data were synthesized, using an evaluation levels framework, including reaction, learning (subjective and objective assessment), and behavioral change. Results: No evaluations included clinical outcome data. Improvements in self-assessed skill and confidence were not associated with improvements in objective assessments or behavioral change. Inclusion of breech birth as part of an obstetric emergencies training package without support in practice was negatively associated with subsequent attendance at vaginal breech births. Conclusions: As a result of the heterogeneity of the studies available, and the lack of evidence concerning neonatal or maternal outcomes, no conclusive practice recommendations can be made. However, the studies reviewed suggest that vaginal breech birth training may be enhanced by reflection, repetition, and experienced clinical support in practice. Further evaluation studies should prioritize clinical outcome data.",
keywords = "breech presentation, clinical competence, integrative review, training",
author = "Shawn Walker and Eamonn Breslin and Mandie Scamell and Pam Parker",
year = "2017",
month = jun,
day = "1",
doi = "10.1111/birt.12280",
language = "English",
volume = "44",
pages = "101--109",
journal = "Birth (Berkeley, Calif.)",
issn = "0730-7659",
number = "2",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Effectiveness of vaginal breech birth training strategies

T2 - An integrative review of the literature

AU - Walker, Shawn

AU - Breslin, Eamonn

AU - Scamell, Mandie

AU - Parker, Pam

PY - 2017/6/1

Y1 - 2017/6/1

N2 - Background: The safety of vaginal breech birth depends on the skill of the attendant. The objective of this review was to identify, synthesize, and report the findings of evaluated breech birth training strategies. Methods: A systematic search of the following on-line databases: Medline, CINAHL Plus, PsychINFO, EBM Reviews/Cochrane Library, EMBASE, Maternity and Infant Care, and Pubmed, using a structured search strategy. Studies were included in the review if they evaluated the efficacy of a breech birth training program or particular strategies, including obstetric emergency training evaluations that reported differentiated outcomes for breech. Out of 1040 original citings, 303 full-text articles were assessed for eligibility, and 17 methodologically diverse studies met the inclusion criteria. A data collection form was used to extract relevant information. Data were synthesized, using an evaluation levels framework, including reaction, learning (subjective and objective assessment), and behavioral change. Results: No evaluations included clinical outcome data. Improvements in self-assessed skill and confidence were not associated with improvements in objective assessments or behavioral change. Inclusion of breech birth as part of an obstetric emergencies training package without support in practice was negatively associated with subsequent attendance at vaginal breech births. Conclusions: As a result of the heterogeneity of the studies available, and the lack of evidence concerning neonatal or maternal outcomes, no conclusive practice recommendations can be made. However, the studies reviewed suggest that vaginal breech birth training may be enhanced by reflection, repetition, and experienced clinical support in practice. Further evaluation studies should prioritize clinical outcome data.

AB - Background: The safety of vaginal breech birth depends on the skill of the attendant. The objective of this review was to identify, synthesize, and report the findings of evaluated breech birth training strategies. Methods: A systematic search of the following on-line databases: Medline, CINAHL Plus, PsychINFO, EBM Reviews/Cochrane Library, EMBASE, Maternity and Infant Care, and Pubmed, using a structured search strategy. Studies were included in the review if they evaluated the efficacy of a breech birth training program or particular strategies, including obstetric emergency training evaluations that reported differentiated outcomes for breech. Out of 1040 original citings, 303 full-text articles were assessed for eligibility, and 17 methodologically diverse studies met the inclusion criteria. A data collection form was used to extract relevant information. Data were synthesized, using an evaluation levels framework, including reaction, learning (subjective and objective assessment), and behavioral change. Results: No evaluations included clinical outcome data. Improvements in self-assessed skill and confidence were not associated with improvements in objective assessments or behavioral change. Inclusion of breech birth as part of an obstetric emergencies training package without support in practice was negatively associated with subsequent attendance at vaginal breech births. Conclusions: As a result of the heterogeneity of the studies available, and the lack of evidence concerning neonatal or maternal outcomes, no conclusive practice recommendations can be made. However, the studies reviewed suggest that vaginal breech birth training may be enhanced by reflection, repetition, and experienced clinical support in practice. Further evaluation studies should prioritize clinical outcome data.

KW - breech presentation

KW - clinical competence

KW - integrative review

KW - training

UR - http://www.scopus.com/inward/record.url?scp=85013421967&partnerID=8YFLogxK

U2 - 10.1111/birt.12280

DO - 10.1111/birt.12280

M3 - Review article

C2 - 28211102

AN - SCOPUS:85013421967

VL - 44

SP - 101

EP - 109

JO - Birth (Berkeley, Calif.)

JF - Birth (Berkeley, Calif.)

SN - 0730-7659

IS - 2

ER -

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