Tag Archives: birth

VBAC: making a mountain out of a molehill

Edited and updated: October 2013 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 … Continue reading

Posted in birth, intervention, midwifery practice | Tagged , , , | 288 Comments

The Anterior Cervical Lip: how to ruin a perfectly good birth

Edited and update: November 2013 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 … Continue reading

Posted in birth, intervention, midwifery practice | Tagged , , , , , | 308 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 , , , | 43 Comments

Shoulder Dystocia: the real story

Edited and updated: September 2013 The media have been reporting on shoulder dystocia. Apparently doctors are having to attend special classes to learn how to break babies’ bones because mothers are fat, and make their babies too big. At least … Continue reading

Posted in birth, intervention, midwifery practice | Tagged , , , , , | 125 Comments

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

Posted in baby, birth, intervention, midwifery practice | Tagged , , , , , , , , , | 100 Comments

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

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

Posted in baby, birth, midwifery practice | Tagged , , , , , , , , | 150 Comments

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

Posted in birth, midwifery practice | Tagged , , , , , | 66 Comments