Category Archives: baby

Gestational Diabetes: beyond the label

Updated: November 2023 I have written this blog post in response to readers’ requests. Trying to make sense of the research and guidelines hurt my brain, and I almost gave up a few times. So, for those who asked – I … Continue reading

Posted in baby, birth, intervention, pregnancy | 71 Comments

Pre-labour Rupture of Membranes: impatience and risk

Updated: July 2019 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 induce labour … Continue reading

Posted in baby, birth, intervention, midwifery practice, pregnancy | Tagged , , , , , , , , , , , , | 232 Comments

Post-Dates Induction of Labour: balancing risks

Updated: August 2019 In Australia 33% of labours are induced (40.5% of first time mothers). The most common reason for induction is to prevent a ‘prolonged pregnancy’. That’s an awful lot of babies outstaying their welcome and requiring eviction. I am … Continue reading

Posted in baby, birth, intervention | Tagged , , , , , , , , , , | 263 Comments

In Celebration of the OP Baby

Updated: October 2023 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 , , , , , , , , | 221 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 , , , , , , , , , | 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 , , , , , , , , , , | 119 Comments

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 , , , , , , | 178 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 , , , | 337 Comments

The Curse of Meconium Stained Liquor

Updated: July 2023 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 and increasing her chance of having … Continue reading

Posted in baby, birth, intervention, midwifery practice | Tagged , , , , | 205 Comments

Listening to Baby During Labour

Updated: October 2022 Listening to the baby’s heart rate during labour is considered to be an important aspect of routine midwifery care. There are two methods of listening—intermittent auscultation (IA) and continuous electronic monitoring (CEFM) via a cardiotocograph machine (CTG). … Continue reading

Posted in baby, birth, midwifery practice | Tagged , , , , , , | 33 Comments