Tag Archives: ARM

Induction of Labour: balancing risks

Posted on July 13, 2016 by

In Australia 26% of labours are induced. The most common reason for induction is a ‘prolonged pregnancy’. That’s an awful lot of babies outstaying their welcome and requiring eviction. I am not going to get stuck into the concept of a … Continue reading →

Posted in baby, birth, intervention | Tagged , , , , , , , , , , | 259 Comments

The Placenta: essential resuscitation equipment

Posted on April 13, 2016 by

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 , , , , , , , , , | 109 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 , , , , , , , , , , | 219 Comments

Amniotic Fluid Volume: too much, too little, or who knows?

Posted on August 14, 2013 by

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 , , , , , , , | 151 Comments

The Assessment of Progress

Posted on September 14, 2011 by

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 to reproduce the article … Continue reading →

Posted in birth, midwifery practice | Tagged , , , , , , , | 95 Comments