Publications by authors named "Keelie Christie"
Article Synopsis
- The problem highlighted is the limited training and clinical experience in breech birth, leading to reduced confidence among maternity professionals.
- The OptiBreech collaborative care pathway aims to enhance safety and professional training for breech presentations by providing person-centered care and dedicated support facilities.
- Through interviews with staff at OptiBreech trial sites, key factors such as skill development, resource availability, and social support were identified as facilitators and barriers, offering insights for improving future implementation of this care model.*
Not too fast, not too slow: A review of historical trends in vaginal breech time management.
Eur J Obstet Gynecol Reprod Biol
August 2023
Article Synopsis
- There is a lack of consistent professional advice on when to intervene during the emergence phase of a vaginal breech birth, which can lead to complications like hypoxia and asphyxia due to umbilical cord compression.
- A literature review of obstetric textbooks from 1960 to 2000 showed varying recommendations for the 'safe' intervals between the birth of the umbilicus and the head, ranging from 5 to 20 minutes, with no supporting evidence for these guidelines.
- The findings highlight the need for clear, evidence-based guidance in breech birth training to prevent unnecessary injuries related to oxygen deprivation, and this guidance must be thoroughly evaluated.