Category Archives: midwifery practice

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

Posted in birth, midwifery practice | Tagged , | 50 Comments

Shoulder Dystocia: the real story

The media have been reporting on shoulder dystocia. Apparently doctors are having to attend special classes to learn how to break babies’ bones because mothers are fat, and make their babies too big. At least that’s the story – women … Continue reading

Posted in birth, intervention, midwifery practice | Tagged , , , , , | 182 Comments

Nuchal Cords: the perfect scapegoat

To get this blog going I decided to write about a slight obsession of mine: The fear of, and routine midwifery management of nuchal cords at birth (umbilical cord around the neck). I have written and presented about this topic … Continue reading

Posted in baby, birth, intervention, midwifery practice | Tagged , , , | 321 Comments

Vaginal examinations: a symptom of a cervical-centric birth culture

This post is about routine vaginal examinations (VE) during physiological birth ie. an uncomplicated birth without any medical intervention. The VE is a useful assessment in some circumstances, but it’s routine use in an attempt to determine labour progress is … Continue reading

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The Curse of Meconium Stained Liquor

When meconium is noticed in amniotic fluid during labour it often initiates a cascade of intervention. A CTG machine will often be strapped onto the woman reducing her ability to move, labour in water, and increasing her chance of having … Continue reading

Posted in baby, birth, intervention, midwifery practice | Tagged , , , , | 186 Comments

Pushing: leave it to the experts

A birthing woman is the expert regarding when and how she pushes. Providing directions implies she needs our guidance and we are the experts. Of course each woman and birth situation is different and in some circumstances guidance may be … Continue reading

Posted in birth, intervention, midwifery practice | Tagged , , , , | 116 Comments

The Future of Midwifery and Homebirth in Australia?

Updated: April 2017 A lot of changes have occurred in Australian midwifery over the last few years, and I think many midwives and women are unsure or confused by them. I am going to attempt to make a clear and coherent summary … Continue reading

Posted in midwifery practice, opinion and thoughts | Tagged , , , , | 113 Comments