Tag Archives: contractions

Understanding and assessing labour progress

Posted on February 3, 2017 by

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 me to write … Continue reading →

Posted in birth, midwifery practice, uncategorized | Tagged , , , , | 13 Comments

Pre-labour Rupture of Membranes: impatience and risk

Posted on January 11, 2017 by

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 by using prostaglandins … Continue reading →

Posted in baby, birth, intervention, midwifery practice | Tagged , , , , , , , , , , , , | 222 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

Feel the Fear and Birth Anyway

Posted on March 27, 2013 by

This is just a little post to ease me back into the blogging world (thesis finally submitted). As usual, the content is in response to a reoccurring issue and discussions with mothers and midwives. And I welcome your experiences and comments … Continue reading →

Posted in birth, opinion and thoughts | Tagged , , | 134 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

The Effective Labour Contraction

Posted on August 18, 2010 by

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 contractions?’ or ‘is … Continue reading →

Posted in birth, midwifery practice | Tagged , , , , , , | 100 Comments