Dr Rachel Reed
midwife • academic • writer • presenter
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Archived by the National Library of Australia and Partners
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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?
- An actively managed placental birth might be the best option for most women
- Shoulder Dystocia: the real story
- In Celebration of the OP Baby
- Induction: a step by step guide
- VBAC: making a mountain out of a molehill
- Post-Dates Induction of Labour: balancing risks
- The Curse of Meconium Stained Liquor
- Big Babies: the risk of care provider fear
Category Archives: birth
In Defence of the Amniotic Sac
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. Women need to … 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: September 2019 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
177 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
191 Comments
Nuchal Cords: the perfect scapegoat
Updated: January 2020 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 … Continue reading
Posted in baby, birth, intervention, midwifery practice
Tagged baby, birth, nuchal cord, umbilical cord
334 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
