Category Archives: midwifery practice

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 , , , , , , , , , , , , | 225 Comments

Responsibilities in the mother-midwife relationship

When I facilitate workshops with midwives and students, there is always a lot of discussion and debate about professional responsibilities in the mother-midwife relationship. These debates often get heated, and the complexities of legal, professional, and ethical issues can become confusing. … Continue reading

Posted in law, midwifery practice, opinion and thoughts, uncategorized | Tagged , , | 29 Comments

Information Giving and the Law

I was writing a blog post on induction for prolonged pregnancy but got side tracked reflecting on a recent study day I attended about law. So, I will get this out of my system before finishing the induction post. It … Continue reading

Posted in law, midwifery practice | Tagged , , , , , | 49 Comments

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

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 while the midwife … Continue reading

Posted in birth, intervention, midwifery practice | Tagged , , , , , | 432 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 , , , | 343 Comments

In Celebration of the OP Baby

Updated: February 2018 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 … Continue reading

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The Placenta: essential resuscitation equipment

Updated: January 2018 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. … Continue reading

Posted in baby, birth, intervention, midwifery practice | Tagged , , , , , , , , , | 112 Comments