Category Archives: birth

In Celebration of the OP Baby

Updated: October 2023 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 their back … Continue reading

Posted in baby, birth, midwifery practice | Tagged , , , , , , , , | 222 Comments

The Placenta: essential resuscitation equipment

Updated: August 2022 Premature cord clamping/cutting Premature cord clamping (clamping before placental transfusion is complete) has been the norm since ‘active management’ of the placenta became routine. In recent years, research has highlighted the harms caused by cutting the umbilical … Continue reading

Posted in baby, birth, intervention, midwifery practice | Tagged , , , , , , , , , | 117 Comments

The Human Microbiome: considerations for pregnancy, birth and early mothering

This post was co-authored by Jessie Johnson-Cash and based on her presentation at the USC Midwifery Education Day. The human microbiome is rather fashionable in the world of science at the moment. The NIH Human Microbiome Project has been set up to … Continue reading

Posted in baby, birth, midwifery practice, pregnancy | Tagged , , , , , , , , , , | 119 Comments

Perineal Protectors?

Updated: August 2023 Most women will sustain some damage to their perineum during birth (AIHW 2023). Around half will have a tear or graze in the skin and/or vaginal wall (1st / 2nd degree). A quarter will be cut with … Continue reading

Posted in birth, midwifery practice | Tagged , , , , , | 111 Comments

In Defence of the Amniotic Sac

Updated: September 2023 Artificial rupture of membranes (ARM) aka ‘breaking the waters’ is a common birth intervention. However, an ARM should not be carried out without a good understanding of how the amniotic sac and fluid function in labour. Women … Continue reading

Posted in birth, intervention, midwifery practice | Tagged , , , , , , , , , , | 227 Comments

Cord Blood Collection: confessions of a vampire-midwife

Updated: February 2022 When I was a bright-eyed and bushy-tailed student midwife, I was awarded with a certificate and a box of chocolates. My achievement was collecting the most ‘cord’ blood in the hospital. At that time, the Local Health … Continue reading

Posted in baby, birth, intervention, law | Tagged , , , , , , | 178 Comments

Asynclitism: a well aligned baby or a tilted head?

Asynclitism is when the baby’s head is moving through the pelvis ‘tipped’ to one side. This is usually diagnosed by a vaginal examination in labour. However, asynclitism is rarely caused by the baby having his/her head tilted to one side … Continue reading

Posted in birth, midwifery practice | Tagged , , , | 124 Comments

Supporting women’s instinctive pushing behaviour during birth

This article was published in The Practising Midwife journal in June 2015 along with ‘practice challenge’ questions for midwives (not included here). Introduction Clinical guidelines recommend that women should be guided by their own pushing urges during birth (National Institute for Health … Continue reading

Posted in birth, midwifery practice | Tagged , | 57 Comments

Shoulder Dystocia: the real story

Updated: August 2023 There is a lot of unwarranted fear about ‘big babies’ getting stuck. The media reflects the usual story – that women are creating a problem. This post was initially written in response to a news article entitled … Continue reading

Posted in birth, intervention, midwifery practice | Tagged , , , , , | 196 Comments

Nuchal Cords: the perfect scapegoat

Updated: April 2022 To get this blog going I decided to write about a slight obsession of mine: The fear of, and routine ‘management’ of nuchal cords at birth (umbilical cord around the neck). I have written and presented about … Continue reading

Posted in baby, birth, intervention, midwifery practice | Tagged , , , | 337 Comments