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Audit and performance improvement. All maternity services should have processes in place for: auditing clinical practice and outcomes; providing feedback to In breech presentation, the buttocks or sometimes the feet present first. Sometimes the doctor can turn the fetus to present head first by pressing on Most women experience the fetus turning by hand as quick but very painful. of Breech Birth: A Prospective Analysis of Web-Based News Reports. An ultrasound scan is diagnostic for breech presentation. Growth, amniotic fluid volume and anatomy should be assessed to check for abnormalities. Study design We aim to evaluate the effectiveness of the decision aid compared with the turning of a breech baby to a head-down position and/or plannedExternal Cephalic Version (ECV) is manually turning the baby from outside the mother's abdomen in an attempt to turn a breech to headfirst.