Category Archives: midwifery practice

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

Posted on June 15, 2016 by

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 , , , , , | 439 Comments

VBAC: making a mountain out of a molehill

Posted on June 15, 2016 by

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 , , , | 345 Comments

In Celebration of the OP Baby

Posted on June 8, 2016 by

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 →

Posted in baby, birth, midwifery practice | Tagged , , , , , , , , | 203 Comments

The Placenta: essential resuscitation equipment

Posted on April 13, 2016 by

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 , , , , , , , , , | 115 Comments

The Human Microbiome: considerations for pregnancy, birth and early mothering

Posted on April 13, 2016 by

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 , , , , , , , , , , | 119 Comments

Perineal Protectors?

Posted on January 13, 2016 by

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 , , , , , | 107 Comments

In Defence of the Amniotic Sac

Posted on September 16, 2015 by

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 , , , , , , , , , , | 224 Comments

Asynclitism: a well aligned baby or a tilted head?

Posted on September 9, 2015 by

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 , , , | 124 Comments

Supporting women’s instinctive pushing behaviour during birth

Posted on September 9, 2015 by

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 →

Posted in birth, midwifery practice | Tagged , | 56 Comments

Shoulder Dystocia: the real story

Posted on May 13, 2015 by

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 , , , , , | 191 Comments