Category Archives: midwifery practice

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 , , , | 327 Comments

In Celebration of the OP Baby

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 his back towards his mothers … Continue reading

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The Placenta: essential resuscitation equipment

Knowledge about the short-term and long-term benefits of ‘delayed cord clamping’ is finally making it into practice. Midwives and in some cases obstetricians are realising the importance of allowing the placenta to finish circulating blood before intervening. I personally don’t … Continue reading

Posted in baby, birth, intervention, midwifery practice | Tagged , , , , , , , , , | 109 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 , , , , , , , , , , | 113 Comments

Perineal Protectors?

Perineal tearing and/or grazing is common during birth. Two thirds of women will sustain damage to their perineum during birth (AIHW 2012). You can find out more about types/grading of perineal trauma here. This post will discuss ‘protecting the perineum’ and … Continue reading

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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

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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 , , , | 109 Comments