The feasibility of team care for women seeking to plan a vaginal breech birth (OptiBreech 1): an observational implementation feasibility study in preparation for a pilot trial
Abstract Background OptiBreech Care is a care pathway for breech presentation at term, including where chosen, physiological breech birth attended by professionals with advanced training and/or proficiency. We aimed to assess the feasibility of implementing OptiBreech team care prior to proceeding w...
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | Pilot and Feasibility Studies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40814-023-01299-x |
| _version_ | 1797827629992116224 |
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| author | Shawn Walker Emma Spillane Kate Stringer Amy Meadowcroft Tisha Dasgupta Siân M. Davies Jane Sandall Andrew Shennan the OptiBreech Collaborative |
| author_facet | Shawn Walker Emma Spillane Kate Stringer Amy Meadowcroft Tisha Dasgupta Siân M. Davies Jane Sandall Andrew Shennan the OptiBreech Collaborative |
| author_sort | Shawn Walker |
| collection | DOAJ |
| description | Abstract Background OptiBreech Care is a care pathway for breech presentation at term, including where chosen, physiological breech birth attended by professionals with advanced training and/or proficiency. We aimed to assess the feasibility of implementing OptiBreech team care prior to proceeding with a planned pilot randomised controlled trial. Methods Our design was an observational implementation feasibility assessment across England and Wales, January 2021–June 2022. Our objectives were to determine whether Trusts could provide attendants with advanced training (implementation feasibility), who deliver protocol-consistent care (fidelity), within existing resources (costs), while maintaining low neonatal admission rates (safety) and adequate recruitment rates (trial feasibility). Participants included women > 37 weeks pregnant with a breech-presenting foetus, requesting support for a vaginal breech birth following standard counselling, and staff involved in the study. No randomisation occurred in this first stage of feasibility work. Results Thirteen National Health Service sites were recruited. A total of 82 women planned births in the study. Sites with a breech specialist midwife recruited at double the rate of sites without (0.90/month, 95% CI 0.64–1.16 vs 0.40, 95% CI 0.12–0.68). Referrals into the study came from midwives (46%), obstetricians (34%) and women themselves (20%). Vaginal births were attended by staff with OptiBreech training at 87.5% (35/40, 95% CI 0.732–0.958) and by staff who met additional proficiency criteria at 67.5% (27/40, 95% CI 0.509–0.814). Fidelity criteria were more consistently met by staff who also met proficiency criteria. There were four neonatal admissions (4.9%, 4/82), including one serious adverse outcome (1.2%, 1/82). Conclusions A prospective observational cohort of OptiBreech collaborative care, which could potentially support nested or cluster randomisation, appears feasible in sites willing to establish a dedicated clinic and strategically develop further proficient members of staff, with back-up plans for supporting rapidly progressing births. Randomisation procedures remain to be feasibility tested. It is funded by the NIHR (NIHR300582). |
| first_indexed | 2024-04-09T12:51:24Z |
| format | Article |
| id | doaj.art-33a411fe03884acaa4f4287d22e35c40 |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-04-09T12:51:24Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-33a411fe03884acaa4f4287d22e35c402023-05-14T11:08:38ZengBMCPilot and Feasibility Studies2055-57842023-05-019111610.1186/s40814-023-01299-xThe feasibility of team care for women seeking to plan a vaginal breech birth (OptiBreech 1): an observational implementation feasibility study in preparation for a pilot trialShawn Walker0Emma Spillane1Kate Stringer2Amy Meadowcroft3Tisha Dasgupta4Siân M. Davies5Jane Sandall6Andrew Shennan7the OptiBreech CollaborativeDepartment of Women & Children’s Health, Faculty of Life Sciences & Medicine, School of Life Course and Population Sciences, King’s College LondonKingston Hospital NHS Foundation TrustSurrey and Sussex Healthcare NHS TrustNorthern Care Alliance NHS Foundation TrustDepartment of Women & Children’s Health, Faculty of Life Sciences & Medicine, School of Life Course and Population Sciences, King’s College LondonDepartment of Women & Children’s Health, Faculty of Life Sciences & Medicine, School of Life Course and Population Sciences, King’s College LondonDepartment of Women & Children’s Health, Faculty of Life Sciences & Medicine, School of Life Course and Population Sciences, King’s College LondonDepartment of Women & Children’s Health, Faculty of Life Sciences & Medicine, School of Life Course and Population Sciences, King’s College LondonAbstract Background OptiBreech Care is a care pathway for breech presentation at term, including where chosen, physiological breech birth attended by professionals with advanced training and/or proficiency. We aimed to assess the feasibility of implementing OptiBreech team care prior to proceeding with a planned pilot randomised controlled trial. Methods Our design was an observational implementation feasibility assessment across England and Wales, January 2021–June 2022. Our objectives were to determine whether Trusts could provide attendants with advanced training (implementation feasibility), who deliver protocol-consistent care (fidelity), within existing resources (costs), while maintaining low neonatal admission rates (safety) and adequate recruitment rates (trial feasibility). Participants included women > 37 weeks pregnant with a breech-presenting foetus, requesting support for a vaginal breech birth following standard counselling, and staff involved in the study. No randomisation occurred in this first stage of feasibility work. Results Thirteen National Health Service sites were recruited. A total of 82 women planned births in the study. Sites with a breech specialist midwife recruited at double the rate of sites without (0.90/month, 95% CI 0.64–1.16 vs 0.40, 95% CI 0.12–0.68). Referrals into the study came from midwives (46%), obstetricians (34%) and women themselves (20%). Vaginal births were attended by staff with OptiBreech training at 87.5% (35/40, 95% CI 0.732–0.958) and by staff who met additional proficiency criteria at 67.5% (27/40, 95% CI 0.509–0.814). Fidelity criteria were more consistently met by staff who also met proficiency criteria. There were four neonatal admissions (4.9%, 4/82), including one serious adverse outcome (1.2%, 1/82). Conclusions A prospective observational cohort of OptiBreech collaborative care, which could potentially support nested or cluster randomisation, appears feasible in sites willing to establish a dedicated clinic and strategically develop further proficient members of staff, with back-up plans for supporting rapidly progressing births. Randomisation procedures remain to be feasibility tested. It is funded by the NIHR (NIHR300582).https://doi.org/10.1186/s40814-023-01299-xFeasibilityImplementationBreech presentationIntrapartum care |
| spellingShingle | Shawn Walker Emma Spillane Kate Stringer Amy Meadowcroft Tisha Dasgupta Siân M. Davies Jane Sandall Andrew Shennan the OptiBreech Collaborative The feasibility of team care for women seeking to plan a vaginal breech birth (OptiBreech 1): an observational implementation feasibility study in preparation for a pilot trial Pilot and Feasibility Studies Feasibility Implementation Breech presentation Intrapartum care |
| title | The feasibility of team care for women seeking to plan a vaginal breech birth (OptiBreech 1): an observational implementation feasibility study in preparation for a pilot trial |
| title_full | The feasibility of team care for women seeking to plan a vaginal breech birth (OptiBreech 1): an observational implementation feasibility study in preparation for a pilot trial |
| title_fullStr | The feasibility of team care for women seeking to plan a vaginal breech birth (OptiBreech 1): an observational implementation feasibility study in preparation for a pilot trial |
| title_full_unstemmed | The feasibility of team care for women seeking to plan a vaginal breech birth (OptiBreech 1): an observational implementation feasibility study in preparation for a pilot trial |
| title_short | The feasibility of team care for women seeking to plan a vaginal breech birth (OptiBreech 1): an observational implementation feasibility study in preparation for a pilot trial |
| title_sort | feasibility of team care for women seeking to plan a vaginal breech birth optibreech 1 an observational implementation feasibility study in preparation for a pilot trial |
| topic | Feasibility Implementation Breech presentation Intrapartum care |
| url | https://doi.org/10.1186/s40814-023-01299-x |
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