Author Archives: midwifethinking

About midwifethinking

Midwife and Senior Lecturer

Cord Blood Collection: confessions of a vampire-midwife

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 District was trialling a … Continue reading

Posted in baby, birth, intervention | Tagged , , , , , | 175 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 , , , | 109 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

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Shoulder Dystocia: the real story

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 that’s the story – women … Continue reading

Posted in birth, intervention, midwifery practice | Tagged , , , , , | 182 Comments

Nuchal Cords: the perfect scapegoat

To get this blog going I decided to write about a slight obsession of mine: The fear of, and routine midwifery management of nuchal cords at birth (umbilical cord around the neck). I have written and presented about this topic … Continue reading

Posted in baby, birth, intervention, midwifery practice | Tagged , , , | 321 Comments

Vaginal examinations: a symptom of a cervical-centric birth culture

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 labour progress is … Continue reading

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Induction: a step by step guide

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 done to them … Continue reading

Posted in birth, intervention | Tagged , , , , , , | 165 Comments