Author Archives: midwifethinking

About midwifethinking

independent midwife, lecturer and student of all things birthy

Induction of Labour: balancing risks

Edited and updated: July 2014 In Australia 26% 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 , , , , , , , , , , | 212 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: July 2014 Amniotic sac and fluid play an important role in the labour process and usually remain intact until the end of labour. However, around 10% of women will experience their waters breaking before labour begins. The standard approach to this situation is to … Continue reading

Posted in baby, birth, intervention, midwifery practice | Tagged , , , , , , , , , , , , | 143 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 , , , , , , , , , , | 198 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 , , , , , , , , | 150 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 , , , , , | 66 Comments

Pushing: leave it to the experts

Edited and updated: April 2014 A birthing woman is the expert regarding when and how she pushes. Providing directions implies she needs our guidance and we are the experts. Of course each woman and birth situation is different and in some … Continue reading

Posted in birth, intervention, midwifery practice | Tagged , , , , | 75 Comments