Author Archives: midwifethinking

About midwifethinking

independent midwife, lecturer and student of all things birthy

The Curse of Meconium Stained Liquor

Dear unborn baby, Please consider holding your poo in until after you are born. The big people on the outside get very stressed about your poo and will want to change the way you are birthed if they find any … Continue reading

Posted in baby, birth, intervention, midwifery practice | Tagged , , , , | 122 Comments

Induction of Labour: balancing risks

Edited and updated: April 2014 In Australia 25% of labours are induced. The most common reason for induction is a ‘prolonged pregnancy’. That’s an awful lot of babies outstaying their welcome and requiring eviction. I am not going to get stuck into … Continue reading

Posted in baby, birth, intervention | Tagged , , , , , , , , , , | 204 Comments

Information Giving and the Law

Edited and updated: June 2013 I was writing a blog post on induction for prolonged pregnancy but got side tracked reflecting on a recent study day I attended about law. So, I will get this out of my system before … Continue reading

Posted in law, midwifery practice | Tagged , , , , , | 44 Comments

Pre-labour Rupture of Membranes: impatience and risk

Edited and updated: May 2013 Most women experience their waters breaking towards the end of labour, and amniotic fluid plays an important role in the labour process. However, a significant minority of women experience their waters breaking before labour begins. The … Continue reading

Posted in baby, birth, intervention, midwifery practice | Tagged , , , , , , , , , , , , | 125 Comments

The Placenta: essential resuscitation equipment

Knowledge about the short-term and long-term benefits of ‘delayed cord clamping’ is finally making it into practice. Midwives and in some cases obstetricians are realising the importance of allowing the placenta to finish circulating blood before intervening. I personally don’t … Continue reading

Posted in baby, birth, intervention, midwifery practice | Tagged , , , , , , , , , | 100 Comments

In Defence of the Amniotic Sac

Edited and updated: July 2013 Artificial rupture of membranes (ARM) aka ‘breaking the waters’ is a common intervention during birth. However, an ARM should not be carried out without a good understanding of how the amniotic sac and fluid function … Continue reading

Posted in birth, intervention, midwifery practice | Tagged , , , , , , , , , , | 195 Comments

The Effective Labour Contraction

One of my failings as a midwife is my inability to assess the strength and effectiveness of a uterine contraction. This presents a problem in the hospital setting as midwives are often asked ‘how strong are her contractions?’ or ‘is … Continue reading

Posted in birth, midwifery practice | Tagged , , , , , , | 74 Comments

In Celebration of the OP Baby

Edited and updated: July 2013 How many times have you heard “I had to have an epidural/c-section/ventouse/etc. because my baby was facing the wrong way”? An occipito posterior (OP) position occurs when the baby enters the pelvis facing forward with … Continue reading

Posted in baby, birth, midwifery practice | Tagged , , , , , , , , | 149 Comments

Birth from the Baby’s Perspective

Edited and updated: March 2013 Picture this… A mother sits holding her newborn son on a postnatal ward during visiting time. One of her visitors reaches forward, grasps the baby by the head and pulls him out of his mothers … Continue reading

Posted in baby, birth, intervention, midwifery practice | Tagged , , , | 85 Comments

Perineal Protectors?

Edited and updated: August 2013 Perineal tearing and/or grazing is common during birth. Two thirds of women will sustain damage to their perineum during birth (AIHW 2012). For most this consists of tearing or grazing, and for around 12% the … Continue reading

Posted in birth, midwifery practice | Tagged , , , , , | 62 Comments