We investigated maternal personality characteristics and coping style as potential risk factors for breech presentation in this case-control study. Mothers of cephalic presentation babies (n=72) and mothers of breech presentation babies (n=42) participated in a socio-demographic survey, the State Trait Personality Inventory (STPI), and an in-depth interview. In-depth interview results suggested mothers of breech presentation were more likely to be idealistic, analytical, overextended, and fearful; also less likely to be flexible. Similar differences are identified in the Chinese medicine and Ayurvedic medicine models of risk factors for breech presentation.