Safety spotlight: Late diagnosis of breech presentation

MNSI has completed a number of investigations where there has been a late diagnosis, in established labour, of a baby being in breech presentation during an induction of labour.  

Consider the following prompts for your Trust: 

1. Are additional checks, such as a presentation ultrasound scan, routinely undertaken before induction of labour to confirm a baby's presentation? 
2. Does your local guidance include a pre-induction of labour checklist? 
3. Do all relevant areas, where induction of labour is commenced or continued, have access to portable ultrasound machines? 
4. Is there a training programme or competency assessment in place for staff who perform presentation ultrasound scans and how is ongoing competency assured?