The six Cs of the breech experience

Ruth Sanders, Kathryn Lamb

Research output: Contribution to journalArticlepeer-review


The North of England Breech Conference, held in late 2014, offered the unique opportunity for practitioners to unite for practical training in facilitating breech birth and a discussion about a much needed shift in care philosophies for breech birth. The conference also engaged with the wide reaching psychological impact, for the woman and her family, of carrying a breech baby. At a time already fraught with emotions and vulnerability, the diagnosis of a breech baby exposes women to additional stress, anxiety and life-altering options and decisions, especially as breech birth remains a contentious and challenging issue for obstetricians and midwives (Waites 2003,Guittier et al 2011,Homer et al 2015). Upon opening the conference, OBE Sheena Byrom, an independent midwifery advisor and best-selling author, powerfully advocated situating breech birth in relation to the core nursing principles of the 6 Cs: care, commitment, communication, compassion, competence and courage. This affords midwives and obstetricians the opportunity to appreciate the holistic diversities and complexities of breech from a woman-centred perspective, empowering women and their families to make truly informed choices about their care.
Original languageEnglish
Pages (from-to)459-465
Number of pages7
JournalMIDIRS Midwifery Digest
Issue number4
Publication statusPublished - 1 Jan 2015


  • six C's
  • breech birth
  • maternal psychology
  • informed consent
  • woman-centred facilitation

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