Table 8 Costs associated with achieving breech proficiency through a breech clinic rotation
Training to undertake presentation ultrasound scans | ||||
|---|---|---|---|---|
Hours | Cost (GBP) | Total (GBP) | Comment | |
Online or half-day theory course | 3.5 | 62 | 217 | |
Ten supervised scans | 3.5 | 62 | 217 | Half-day in clinic with breech specialist |
Cost of online training course | 100 | |||
Cost of acquiring proficiency with counselling/birth planning | ||||
Observation | 3.5 | 62 | 217 | Half-day shadowing in clinic |
Supervised practice | 3.5 | 62 | 217 | Half-day in clinic. Trainee continues to have access to breech specialist midwife and lead obstetrician for support |
Training to acquire proficiency in facilitating physiological breech births | ||||
On-line theoretical training | 9.5 | 62 | 589 | Current length of physiological breech birth online training package |
Hands-on training day | 7.5 | 62 | 465 | Most people need in-person training to practice manoeuvres and for repetition required for adult learning |
Supervised births (10 × 8 h)* | 80 | 62 | 4960 | Based on 5 h at birth + 1 h travelling + 2 h spent on-call |
Cost of training package | 100 | Current cost of physiological breech birth in-person and on-line training package | ||
Time spent delivering training | 8 | 62 | 496 | Delivering 2 h of mandatory training activities once per quarter |
Additional counselling & support from specialist | 48.5 | 62 | 2635 | Based on 30-min additional counselling and 8 h of birth attendance, for 5/10 births |
Total | £10,213 | |||