Does breech delivery in an upright position instead of on the back improve outcomes and avoid cesareans?

Around the same time as the airing of Betty-Anne Daviss' White Coat, Black Art episode, an important article that she co-authored was published. It concluded that "upright vaginal breech delivery was associated with reductions in duration of the second stage of labor, maneuvers required, maternal/neonatal injuries, and cesarean rate when compared with vaginal delivery in the dorsal position." Midwifery clients usually prefer to be upright while giving birth to a breech baby, however, most obstetricians in Ottawa continue insist that women carrying breech babies push on their backs. This is another important reason why consumers want Ottawa hospitals to respect midwives' scope of practice and to no longer require a transfer of care from a midwife to an obstetrician when a baby is breech. 

Another important finding from this article is that none of the births in this study required forceps. There's an obstetrician in Ottawa who insists on using forceps for every breech delivery in order to teach this skill to other obstetricians. Forceps are often used without consent. Midwifery clients do not wish to be used to help train obstetricians on how to use forceps especially since this skill is not needed in vaginal breech births.