Category Archives: intervention

Big Babies: the risk of care provider fear

Updated: June 2022 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 … Continue reading

Posted in birth, intervention, midwifery practice, pregnancy, uncategorized | Tagged , , , , , | 25 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

Posted in intervention, publications | Tagged , | 23 Comments

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 , , , , | 41 Comments

Gestational Diabetes: beyond the label

Updated: July 2022 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 | 66 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 , , , , , , , , , , , , | 230 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

The Anterior Cervical Lip: how to ruin a perfectly good birth

Updated: February 2022 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 , , , , , | 443 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 , , , | 348 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 , , , , , , , , , | 115 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 , , , , , , , , , , | 226 Comments