Category Archives: midwifery practice

The Curse of Meconium Stained Liquor

Edited and updated: January 2015 When meconium is noticed in amniotic fluid during labour it often initiates a cascade of intervention. A CTG machine will often be strapped onto the woman reducing her ability to move, labour in water, and increasing … Continue reading

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Information Giving and the Law

Edited and updated: June 2013 I was writing a blog post on induction for prolonged pregnancy but got side tracked reflecting on a recent study day I attended about law. So, I will get this out of my system before … Continue reading

Posted in law, midwifery practice | Tagged , , , , , | 48 Comments

Pre-labour Rupture of Membranes: impatience and risk

Edited and updated: November 2015 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

Edited/Updated: October 2015 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 … Continue reading

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In Defence of the Amniotic Sac

Edited/Updated: September 2015 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 in labour. Women … 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: June 2015 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

Posted in baby, birth, midwifery practice | Tagged , , , , , , , , | 180 Comments