Dr Rachel Reed
midwife • academic • writer • presenter
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Recent Posts
Top Posts
- The Anterior Cervical Lip: how to ruin a perfectly good birth
- The Curse of Meconium Stained Liquor
- Gestational Diabetes: beyond the label
- Amniotic Fluid Volume: too much, too little, or who knows?
- Shoulder Dystocia: the real story
- In Celebration of the OP Baby
- Induction: a step by step guide
- The Effective Labour Contraction
- Judging Birth
- Cord Blood Collection: confessions of a vampire-midwife
Category Archives: intervention
Big Babies: the risk of care provider fear
Big babies are normal in well resourced countries. Over 10% of babies born in the UK and Australia weigh 4kg (8lb 13oz) or more. Healthy well nourished women grow healthy well nourished babies. Genetic factors also influence the size of … Continue reading
Posted in birth, intervention, midwifery practice, pregnancy, uncategorized
Tagged baby, caesarean, fear, induction, shoulder dystocia, ultrasound
14 Comments
Why Induction Matters: book release
Updated: July 2019 My book Why Induction Matters is now available from all the usual retailers: Amazon; Book Depository; Booktopia; Capers Bookstore; Wordery Around 1 in 4 women have their labour induced (1 in 3 in the UK and Australia). This book is … Continue reading
Perineal ‘Bundles’ and Midwifery
Updated: August 2020 I’ve tried to avoid tackling this issue for months now but it won’t go away. It seems that the ‘bundle’ is one of the main topics of concern amongst midwives and students at the moment. So here … Continue reading
Posted in birth, intervention, law, midwifery practice
Tagged Australia, law, midwifery, midwifery practices, perineum
39 Comments
Gestational Diabetes: beyond the label
Updated: December 2020 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
43 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 amniotic fluid, amniotic sac, augmentation, baby, birth, contractions, induction, nuchal cord, oxytocin, prelabour rupture of membrances, risk, syntocinon, waterbirth
229 Comments
The Anterior Cervical Lip: how to ruin a perfectly good birth
Updated: December 2020 Here is a scenario I keep hearing over and over: A woman is labouring away and all is good. She begins to push with contractions, and her midwife encourages her to follow her body. After a little … Continue reading
Posted in birth, intervention, midwifery practice
Tagged birth, cervical lip, cervix, occipito-posterior, OP, pushing
439 Comments
VBAC: making a mountain out of a molehill
VBAC (vaginal birth after caesarean) is big. A google search for ‘vbac’ results in ‘about 795,000’ results. Reviews, guidelines, policies and statements are being produced by every organisation with an interest in birth. Support groups and networks are growing. I am … Continue reading
Posted in birth, intervention, midwifery practice
Tagged birth, caesarean, uterine rupture, vbac
345 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
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