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I've recorded an audio version of my Big Babies blog post as an experiment for those who like to listen (also on YT). Let me know if you want more audio blog posts. You can find the written version in the usual place: https://midwifethinking.com/2019/09/02/big-babies-the-risk-of-care-provider-fear/We see echoes of this today in midwifery textbooks and knowledge.One of the hardest aspects of being a care provider or educator is managing our egos (I include myself here). We encourage pregnant women to develop self-knowledge, but we also need to develop our own self-knowledge. This is why I include these conversations, reflections and activities in my Reclaiming Childbirth Course.My paper copy arrived today. Another brilliant book by my mate Dr Sara Wickham. I've been waiting eagerly for this one to arrive. It is such an important topic, so many women have their birth experiences de-railed unnecessarily. As per tradition, I attempted to get a pet to participate in a photoshoot. As per tradition, I failed. 🤣 @drsarawickhamSince the wholesale medicalisation of birth, knowledge of birth physiology has continued to decline. This book from the 1940s (post-medicalisation) explains how the amniotic sac functions during labour. It reflects Friedman's findings (see previous post) and current research. Today, this knowledge has been replaced with a belief that amniotomy speeds up spontaneous labour.This realisation was such a game-changer for me.Top Posts
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Archived by the National Library of Australia and Partners
Tag Archives: heart rate
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
In Defence of the Amniotic Sac
Updated: September 2023 Artificial rupture of membranes (ARM) aka ‘breaking the waters’ is a common birth intervention. However, an ARM should not be carried out without a good understanding of how the amniotic sac and fluid function in labour. Women … Continue reading
Posted in birth, intervention, midwifery practice
Tagged amniotic fluid, amniotic sac, ARM, birth, caul, contractions, heart rate, induction, intervention, syntocinon, waterbirth
226 Comments
The Curse of Meconium Stained Liquor
Updated: July 2023 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 and increasing her chance of having … Continue reading
Posted in baby, birth, intervention, midwifery practice
Tagged amniotic fluid, baby, heart rate, intervention, meconium
205 Comments
Listening to Baby During Labour
Updated: October 2022 Listening to the baby’s heart rate during labour is considered to be an important aspect of routine midwifery care. There are two methods of listening—intermittent auscultation (IA) and continuous electronic monitoring (CEFM) via a cardiotocograph machine (CTG). … Continue reading
Posted in baby, birth, midwifery practice
Tagged auscultation, baby, birth, doppler, heart rate, pinnard, pushing
33 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
106 Comments