Category Archives: birth

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

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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

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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

Listening to Baby During Labour

Edited and updated: August 2013 Intermittent auscultation (IA) is considered to be an important aspect of midwifery care for women during a ‘low risk’ labour. The expectation of surveillance of the baby is reflected in guidelines and hospital policies. The recommended … Continue reading

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Nuchal Cords: the perfect scapegoat

Edited and updated: July 2014 To get this blog going I decided to write about a slight obsession of mine: The fear of, and routine midwifery management of nuchal cords at birth (umbilical cord around the neck). I have written and … Continue reading

Posted in baby, birth, intervention, midwifery practice | Tagged , , , | 256 Comments