Dr Rachel Reed
midwife • author • educator
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Nuchal cords are often incorrectly blamed for 'slow' labour progress and fetal distress.Amazon Australia kindle deal ends today! 😊One of the few good memories from 2022. A little hiatus from the shite with @midwife.dr.clare in Yallinup WA.https://midwifethinking.com/2016/06/15/the-anterior-cervical-lip-how-to-ruin-a-perfectly-good-birth/Guess what this month's Collective lesson is about? 😂No magnets! 🧲Top Posts
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Archived by the National Library of Australia and Partners
Tag Archives: birth
Birthing the Placenta: women’s decisions and experiences
We have just published new research findings. You can access the full journal article free here: BMC Pregnancy and Childbirth There has been a lot of research exploring the outcomes related to interventions during the birth of the placenta. I … Continue reading
Posted in birth, midwifery practice, publications
Tagged Australia, birth, midwifery, placenta, research
9 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
Childbirth Trauma: research findings
A big THANK YOU to all the women and men who shared their experiences of traumatic childbirth for Christian Inglis’ Honours study. There was so much data that Christian chose to focus on paternal mental health for his thesis and publication. Later … Continue reading
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 amniotic fluid, amniotic sac, augmentation, baby, birth, contractions, induction, nuchal cord, oxytocin, prelabour rupture of membrances, risk, syntocinon, waterbirth
230 Comments
The Anterior Cervical Lip: how to ruin a perfectly good birth
Updated: February 2022 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 … Continue reading
Posted in birth, intervention, midwifery practice
Tagged birth, cervical lip, cervix, occipito-posterior, OP, pushing
444 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 birth, caesarean, uterine rupture, vbac
348 Comments
In Celebration of the OP Baby
Updated: February 2022 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 their back … Continue reading
Posted in baby, birth, midwifery practice
Tagged birth, blame, cervix, intervention, labour pattern, occipito-posterior, OP, optimal fetal positioning, positions
217 Comments
The Placenta: essential resuscitation equipment
Updated: August 2022 Premature cord clamping/cutting Premature cord clamping (clamping before placental transfusion is complete) has been the norm since ‘active management’ of the placenta became routine. In recent years, research has highlighted the harms caused by cutting the umbilical … Continue reading
Posted in baby, birth, intervention, midwifery practice
Tagged ARM, baby, birth, heart rate, intervention, nuchal cord, placenta, resuscitation, syntocinon, umbilical cord
117 Comments
The Human Microbiome: considerations for pregnancy, birth and early mothering
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 birth, breastfeeding, Chris Kresser, gut bacteria, gut microbiota, human microbiome, microbiome, nutrition, pregnancy, probiotic, stress
119 Comments
Perineal Protectors?
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 birth, episiotomy, perineum, positions, pushing, water
109 Comments