Category Archives: intervention

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

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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

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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

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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

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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

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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

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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

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