Dr Rachel Reed
midwife • author • educator • researcher
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Ultrasound is inaccurate when estimating the size of a baby. This is probably why clinical guidelines do not recommend inducing labour based on the estimated size of a baby.Thanks Pip @birthsavvy_bubsavvy 🙏❤I found some cicadas at the Australian Endorsed Midwives Conference @birthtimeworld #cicadas #cicada #cicadatattoo #tattooI never get photos of me at events. So my daughter took some. Here I am at the Australian Endorsed Midwives Conference 😬 #doingthesocialmediathing #bookstallThe puppy crate training is going well 😬Don't trust birth... trust yourself 😊-
Recent Posts
Top Posts
- Big Babies: the risk of care provider fear
- Amniotic Fluid Volume: too much, too little, or who knows?
- Gestational Diabetes: beyond the label
- The Anterior Cervical Lip: how to ruin a perfectly good birth
- The Assessment of Progress
- Shoulder Dystocia: the real story
- Pre-labour Rupture of Membranes: impatience and risk
- The Curse of Meconium Stained Liquor
- Post-Dates Induction of Labour: balancing risks
- VBAC: making a mountain out of a molehill
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Author Archives: MidwifeThinking
Cord Blood Collection: confessions of a vampire-midwife
Updated: February 2022 When I was a bright-eyed and bushy-tailed student midwife, I was awarded with a certificate and a box of chocolates. My achievement was collecting the most ‘cord’ blood in the hospital. At that time, the Local Health … Continue reading
Posted in baby, birth, intervention, law
Tagged baby, cord blood, ethics, information giving, law, placenta, stem cells
178 Comments
Asynclitism: a well aligned baby or a tilted head?
Asynclitism is when the baby’s head is moving through the pelvis ‘tipped’ to one side. This is usually diagnosed by a vaginal examination in labour. However, asynclitism is rarely caused by the baby having his/her head tilted to one side … Continue reading
Posted in birth, midwifery practice
Tagged asynclitism, birth, intervention, labour pattern
124 Comments
Supporting women’s instinctive pushing behaviour during birth
This article was published in The Practising Midwife journal in June 2015 along with ‘practice challenge’ questions for midwives (not included here). Introduction Clinical guidelines recommend that women should be guided by their own pushing urges during birth (National Institute for Health … Continue reading
Shoulder Dystocia: the real story
Updated: August 2019 There is a lot of unwarranted fear about ‘big babies’ getting stuck. The media reflects the usual story – that women are creating a problem that doctors have to fix. The incidence of shoulder dystocia does increase … Continue reading
Posted in birth, intervention, midwifery practice
Tagged birth, complication, intervention, positions, risk, shoulder dystocia
196 Comments
Nuchal Cords: the perfect scapegoat
Updated: April 2022 To get this blog going I decided to write about a slight obsession of mine: The fear of, and routine ‘management’ of nuchal cords at birth (umbilical cord around the neck). I have written and presented about … Continue reading
Posted in baby, birth, intervention, midwifery practice
Tagged baby, birth, nuchal cord, umbilical cord
335 Comments
Vaginal examinations: a symptom of a cervical-centric birth culture
Updated: January 2019 This post is about routine vaginal examinations (VE) during physiological birth ie. an uncomplicated birth without any medical intervention. The VE is a useful assessment in some circumstances, but it’s routine use in an attempt to determine … Continue reading
Induction: a step by step guide
Updated: August 2019 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 what was … Continue reading
Posted in birth, intervention
Tagged amniotic fluid, birth, induction, information giving, intervention, oxytocin, syntocinon
169 Comments
An actively managed placenta may be the best option for most women
Updated: February 2022 The birth of the placenta is my least favourite part of the birth process. Hopefully writing this blog post will be therapeutic as well as informative. I am going to refrain from referring to the birth of … Continue reading
Posted in birth, intervention
Tagged intervention, oxytocin, pitocin, placenta, syntocinon
298 Comments
The Curse of Meconium Stained Liquor
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 her chance of having … Continue reading
Posted in baby, birth, intervention, midwifery practice
Tagged amniotic fluid, baby, heart rate, intervention, meconium
203 Comments
Pushing: leave it to the experts
Updated: July 2019 A birthing woman is the expert regarding when and how she pushes. Providing directions implies she needs our guidance and we are the experts. Of course each woman and birth situation is different and in some circumstances … Continue reading
Posted in birth, intervention, midwifery practice
Tagged birth, cervical lip, cervix, hypnobirthing, pushing
116 Comments