Dr Rachel Reed
midwife • author • educator • researcher
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My fail at filming a big male wallaby (he is good at hiding). We usually only see the mamas and joeys on the property.Many modern maternity practices work against physiology. Activating the neocortex with questions or directions can interfere with the separating and settling needed to move into 'established' labour (liminality).https://midwifethinking.com/2015/05/13/nuchal-cords/Home. Flooded in again. 😬Fascinating Physiology FactWhen I first published this blog post, I received some knee-jerk reactions. Disrupting physiology causes risk.
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Recent Posts
Top Posts
- The Anterior Cervical Lip: how to ruin a perfectly good birth
- Amniotic Fluid Volume: too much, too little, or who knows?
- Big Babies: the risk of care provider fear
- The Curse of Meconium Stained Liquor
- Shoulder Dystocia: the real story
- Nuchal Cords: the perfect scapegoat
- Post-Dates Induction of Labour: balancing risks
- Gestational Diabetes: beyond the label
- Supporting women's instinctive pushing behaviour during birth
- Pre-labour Rupture of Membranes: impatience and risk
Category Archives: birth
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
212 Comments
The Placenta: essential resuscitation equipment
Updated: September 2019 The common practice of premature cord clamping has been challenged in recent years due to a greater understanding of how this intervention disrupts the physiology of placental transfusion (Mercer & Skovgaard 2002). Premature cord clamping results in … Continue reading
Posted in baby, birth, intervention, midwifery practice
Tagged ARM, baby, birth, heart rate, intervention, nuchal cord, placenta, resuscitation, syntocinon, umbilical cord
115 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
224 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 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