Tag Archives: induction

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 , , , , , , , , , , , , | 220 Comments

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 →

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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

Induction: a step by step guide

Posted on March 18, 2015 by

This post has been inspired by conversations I’ve had with women about their experiences of induction. Induction of labour is increasingly common, yet women often seem to be very mis-informed about what it involves, or what was done to them … Continue reading →

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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 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