Dr Rachel Reed
midwife • author • educator
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Nuchal cords are often incorrectly blamed for 'slow' labour progress and fetal distress.Amazon Australia kindle deal ends today! 😊One of the few good memories from 2022. A little hiatus from the shite with @midwife.dr.clare in Yallinup WA.https://midwifethinking.com/2016/06/15/the-anterior-cervical-lip-how-to-ruin-a-perfectly-good-birth/Guess what this month's Collective lesson is about? 😂No magnets! 🧲Top Posts
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Archived by the National Library of Australia and Partners
Category Archives: midwifery practice
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 birth, cervical lip, cervix, occipito-posterior, OP, pushing
444 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
348 Comments
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
217 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 ARM, baby, birth, heart rate, intervention, nuchal cord, placenta, resuscitation, syntocinon, umbilical cord
117 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
226 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