Dr Rachel Reed
midwife • author • educator • researcher
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My fail at filming a big male wallaby (he is good at hiding). We usually only see the mamas and joeys on the property.Many modern maternity practices work against physiology. Activating the neocortex with questions or directions can interfere with the separating and settling needed to move into 'established' labour (liminality).https://midwifethinking.com/2015/05/13/nuchal-cords/Home. Flooded in again. 😬Fascinating Physiology FactWhen I first published this blog post, I received some knee-jerk reactions. Disrupting physiology causes risk.
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Recent Posts
Top Posts
- The Anterior Cervical Lip: how to ruin a perfectly good birth
- Amniotic Fluid Volume: too much, too little, or who knows?
- Big Babies: the risk of care provider fear
- The Curse of Meconium Stained Liquor
- Shoulder Dystocia: the real story
- Nuchal Cords: the perfect scapegoat
- Post-Dates Induction of Labour: balancing risks
- Gestational Diabetes: beyond the label
- Supporting women's instinctive pushing behaviour during birth
- In Celebration of the OP Baby
Search Results for: induction
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
347 Comments
Index
Below is a list of all my blog posts in alphabetical order (excluding ‘the’, ‘a’, etc). The posts are updated regularly with new research and resources: An actively managed placental birth might be the best option for most women The … Continue reading
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
224 Comments
Understanding and Assessing Labour Progress
Updated: October 2019 I have previously written about how the current framework for understanding and assessing labour progress is inaccurate, not supported by evidence, and fails to incorporate women’s experience of birth. This post is in response to readers asking … Continue reading
Posted in birth, midwifery practice
Tagged birth, contractions, labour pattern, oxytocin, pushing
15 Comments
An actively managed placenta may be the best option for most women
Updated: February 2022 The birth of the placenta is my least favourite part of the birth process. Hopefully writing this blog post will be therapeutic as well as informative. I am going to refrain from referring to the birth of … Continue reading
Posted in birth, intervention
Tagged intervention, oxytocin, pitocin, placenta, syntocinon
296 Comments
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 amniotic fluid, baby, heart rate, intervention, meconium
202 Comments
Amniotic Fluid Volume: too much, too little, or who knows?
Updated: December 2017 This post is in response to readers asking me to cover the topic of induction for low amniotic fluid volume (AFV). Most of the content is available in textbooks, in particular Coad and Dunstall 2011 and Beall … Continue reading
Posted in birth, intervention, pregnancy
Tagged amniotic fluid, ARM, birth, induction, intervention, pregnancy, risk, syntocinon
157 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 AHPRA, Australia, homebirth, law, midwifery
114 Comments
The Assessment of Progress
Links updated: August 2019 This article was written for AIMS Journal (2011, vol. 23, no. 2) and expands on my previous post about my New Years resolution – which by the way I have kept. AIMS have kindly allowed me … Continue reading
Posted in birth, intervention, midwifery practice, publications
Tagged ARM, augmentation, birth, contractions, labour pattern, oxytocin, pushing, syntocinon
97 Comments
The Effective Labour Contraction
Updated: February 2022 One of my failings as a midwife is my inability to assess the strength and effectiveness of a uterine contraction. This presents a problem in the hospital setting as midwives are often asked ‘how strong are her … Continue reading
Posted in birth, midwifery practice
Tagged contractions, heart rate, induction, labour pattern, oxytocin, pitocin, syntocinon
105 Comments
