Category Archives: midwifery practice

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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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

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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

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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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