
Rachel Reed
independent midwife, educator and birth nerdFacebook
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amniotic fluid amniotic sac ARM augmentation auscultation baby birth blame caul cervical lip cervix consent contractions doppler episiotomy heart rate hypnobirthing induction information giving intervention labour pattern law meconium negligence nuchal cord occipito-posterior OP optimal fetal positioning oxytocin perineum pinnard pitocin placenta positions pregnancy prelabour rupture of membrances pushing resuscitation risk syntocinon testing ultrasound umbilical cord water waterbirth-
Top Posts
- Nuchal Cords: the perfect scapegoat
- The Anterior Cervical Lip: how to ruin a perfectly good birth
- Cord Blood Collection: confessions of a vampire-midwife
- In Defence of the Amniotic Sac
- Shoulder Dystocia: the real story
- VBAC: making a mountain out of a molehill
- Induction of Labour: balancing risks
- The Curse of Meconium Stained Liquor
- Induction: a step by step guide
- In Celebration of the OP Baby
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Category Archives: midwifery practice
The Assessment of Progress
This article was written for AIMS Journal (2011, vol. 23, no. 2) and expands on my previous post about my New Years resolution – which by the way I have kept. AIMS have kindly allowed me to reproduce the article … Continue reading
Posted in birth, midwifery practice
Tagged ARM, augmentation, birth, contractions, labour pattern, oxytocin, pushing, syntocinon
40 Comments
ACM Homebirth Position Statement & Guidance: My response
The Australian College of Midwives have issued an Interim Homebirth Position Statement and Interim Guidance for Privately Practising Midwives along with a request for comments. Here is the response I have sent… As a privately practising midwife who attends homebirths … Continue reading
Posted in law, midwifery practice, opinion and thoughts
Tagged ACM, ethics, homebirth, midwifery
26 Comments
VBAC: making a mountain out of a molehill
VBAC (vaginal birth after caesarean) is big. A google search for ‘vbac’ results in ‘about 1,390,000′ results. Reviews, guidelines, policies and statements are being produced by every organisation with an interest in birth. Support groups and networks are growing. I am … Continue reading
Posted in birth, intervention, midwifery practice
Tagged birth, caesarean, uterine rupture, vbac
176 Comments
The Anterior Cervical Lip: how to ruin a perfectly good birth
Here is a scenario I keep hearing over and over: A woman is labouring away and all is good. She begins to push with contractions, and her midwife encourages her to follow her body. After a little while the midwife … Continue reading
Posted in birth, midwifery practice
Tagged birth, cervical lip, cervix, occipito-posterior, OP, pushing
201 Comments
Stages of Labour and Collusion
My New Years resolution is to stop colluding in the myth of stages of labour. Will you join me? This may be a little difficult as a midwife and an educator but I’ll give it a go – will you? … Continue reading
Posted in birth, midwifery practice
Tagged birth, documentation, labour pattern, stages of labour
40 Comments
Shoulder Dystocia: the real story
Recently the media have been demonstrating ignorance and lazy journalism with a scattering of items about shoulder dystocia. Apparently doctors are having to attend special classes to learn how to break babies bones because mothers are fat and make their … Continue reading
Posted in birth, intervention, midwifery practice
Tagged birth, complication, intervention, positions, risk, shoulder dystocia
64 Comments
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 amniotic fluid, baby, heart rate, intervention, meconium
61 Comments
Pre-labour Rupture of Membranes: impatience and risk
Most women experience their waters breaking towards the end of labour. However, for a significant minority their waters break before labour begins. The standard approach to this situation is to augment labour by using prostaglandins and/or syntocinon aka pitocin to … Continue reading
Posted in baby, birth, intervention, midwifery practice
Tagged amniotic fluid, amniotic sac, augmentation, baby, birth, contractions, induction, nuchal cord, oxytocin, prelabour rupture of membrances, risk, syntocinon, waterbirth
56 Comments





