Tag Archives: syntocinon

Amniotic Fluid Volume: too much, too little, or who knows?

This post is in response to readers asking me to cover the topic of induction for low amniotic fluid volume (AFV). Most of the content is available in textbooks, in particular Coad and Dunstall 2011 and Beall and Ross (2011), … Continue reading

Posted in birth, intervention, pregnancy | Tagged , , , , , , , | 48 Comments

An actively managed placental birth might be the best option for most women

The birth of the placenta is my least favourite part of the birth process. I know I have ‘issues’ and I’m working on them. Hopefully writing this blog post will be therapeutic as well as informative. I am going to … Continue reading

Posted in birth, intervention, uncategorized | Tagged , , , , | 187 Comments

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 , , , , , , , | 89 Comments

Induction: a step by step guide

Updated and edited: February 2014 This post has been inspired by conversations I’ve had with women about their experiences of induction. Induction of labour is increasingly common, yet women often seem to be very mis-informed about what it involves, or … Continue reading

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Induction of Labour: balancing risks

Edited and updated: February 2014 In Australia 25% 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 … Continue reading

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Pre-labour Rupture of Membranes: impatience and risk

Edited and updated: May 2013 Most women experience their waters breaking towards the end of labour, and amniotic fluid plays an important role in the labour process.¬†However, a significant minority of women experience their waters breaking before labour begins. The … 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

Posted in birth, intervention, midwifery practice | Tagged , , , , , , , , , , | 195 Comments

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

Posted in birth, midwifery practice | Tagged , , , , , , | 74 Comments