Strengths and Limitations
breech birth, breech
BLIND
During the 2021–2022 period in England, Hospital Episode Statistics recorded 457 spontaneous breech births and 38 instrumental breech extractions occurring after the 37This pilot trial is the first to compare an alternative care pathway with the current standard care pathway for management of breech birth at term. The design tests the effectiveness of the OptiBreech collaborative care model, rather than the efficacy of a specific intervention, such as ECV or planned CB. The pilot was designed to evaluate the feasibility and potential value of a substantive study, rather than detect a difference in clinical outcomes. Although it will not be possible to blind participants participating in a substantive trial, due to the similarity of mode of birth and adverse outcome rates, it should be possible to blind statisticians conducting the analysis to reduce the risk of bias.The methods used in OptiBreech training [