Dr Rachel Reed
midwife • author • educator
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Similar sized hens = different sized eggs. Nature is full of normal variations. Just like childbirth.Rather than change (or eliminate) prescribed timeframes, women are subjected to unnecessary medical interventions. Blog post: https://midwifethinking.com/2015/05/02/vaginal-examinations-a-symptom-of-a-cervix-centric-birth-culture/Thanks for the feedback Melissa! 💜Certain books have helped me understand what is going on around me during particular phases of life. The Beauty Myth by Naomi Wolf provided insight into my experience as a teenage girl in a world that expected 'too much'. Today, I am navigating the perimenopause, and these two books have put the feelings and experiences of this phase of life into words. I am so grateful to the authors @sharonblackiemythmakings and Victoria Smith (not on IG).Updated blog post: Five years on, there is still no good evidence supporting the effectiveness of the 'perineal bundle' in reducing perineal trauma during physiological birth. However, there is research showing its negative impact on women's experience of birth and midwives' practice. Like most routine interventions, the bundle was introduced without evidence and remains despite new evidence. The 'perineal bundle' is here to stay because it meets the needs of the maternity system. Blog post: https://midwifethinking.com/2018/05/09/the-perineal-bundle-and-midwifery/Considering childbirth as a rite of passage allows us to acknowledge that self-transformation occurs regardless of where it happens or how it unfolds. It supports women to find their individual pathways through their rite of passage and requires care providers to consider how their actions and interactions influence women’s experiences.Top Posts
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Recent Posts
Archived by the National Library of Australia and Partners
Author Archives: MidwifeThinking
Responsibilities in the mother-midwife relationship
Updated: April 2020 When I facilitate workshops with midwives and students, there is always a lot of discussion and debate about professional responsibilities in the mother-midwife relationship. These debates often get heated, and the complexities of legal, professional, and ethical issues … Continue reading
Posted in law, midwifery practice, opinion and thoughts, uncategorized
Tagged information giving, law, risk
29 Comments
The Anterior Cervical Lip: how to ruin a perfectly good birth
Updated: February 2022 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 … Continue reading
Posted in birth, intervention, midwifery practice
Tagged birth, cervical lip, cervix, occipito-posterior, OP, pushing
444 Comments
VBAC: making a mountain out of a molehill
VBAC (vaginal birth after caesarean) is big. A google search for ‘vbac’ results in ‘about 795,000’ 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
348 Comments
In Celebration of the OP Baby
Updated: February 2022 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 their back … Continue reading
Posted in baby, birth, midwifery practice
Tagged birth, blame, cervix, intervention, labour pattern, occipito-posterior, OP, optimal fetal positioning, positions
219 Comments
The Placenta: essential resuscitation equipment
Updated: August 2022 Premature cord clamping/cutting Premature cord clamping (clamping before placental transfusion is complete) has been the norm since ‘active management’ of the placenta became routine. In recent years, research has highlighted the harms caused by cutting the umbilical … Continue reading
Posted in baby, birth, intervention, midwifery practice
Tagged ARM, baby, birth, heart rate, intervention, nuchal cord, placenta, resuscitation, syntocinon, umbilical cord
117 Comments
The Human Microbiome: considerations for pregnancy, birth and early mothering
This post was co-authored by Jessie Johnson-Cash and based on her presentation at the USC Midwifery Education Day. The human microbiome is rather fashionable in the world of science at the moment. The NIH Human Microbiome Project has been set up to … Continue reading
Posted in baby, birth, midwifery practice, pregnancy
Tagged birth, breastfeeding, Chris Kresser, gut bacteria, gut microbiota, human microbiome, microbiome, nutrition, pregnancy, probiotic, stress
119 Comments
Perineal Protectors?
Updated: September 2019 Most women will sustain some damage to their perineum during birth (AIHW 2018). Around 50% will have a tear or graze in the skin and/or vaginal wall (1st / 2nd degree). Occasionally (1% of non-instrumental vaginal births) … Continue reading
Posted in birth, midwifery practice
Tagged birth, episiotomy, perineum, positions, pushing, water
109 Comments
In Defence of the Amniotic Sac
Updated: May 2022 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. … Continue reading
Posted in birth, intervention, midwifery practice
Tagged amniotic fluid, amniotic sac, ARM, birth, caul, contractions, heart rate, induction, intervention, syntocinon, waterbirth
226 Comments