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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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Tag Archives: pushing
Understanding and Assessing Labour Progress
Updated: April 2023 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
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
Perineal Protectors?
Updated: August 2023 Most women will sustain some damage to their perineum during birth (AIHW 2023). Around half will have a tear or graze in the skin and/or vaginal wall (1st / 2nd degree). A quarter will be cut with … Continue reading
Posted in birth, midwifery practice
Tagged birth, episiotomy, perineum, positions, pushing, water
109 Comments
Supporting women’s instinctive pushing behaviour during birth
This article was published in The Practising Midwife journal in June 2015 along with ‘practice challenge’ questions for midwives (not included here). Introduction Clinical guidelines recommend that women should be guided by their own pushing urges during birth (National Institute for Health … Continue reading
Pushing: leave it to the experts
Updated: July 2019 A birthing woman is the expert regarding when and how she pushes. Providing directions implies she needs our guidance and we are the experts. Of course each woman and birth situation is different and in some circumstances … Continue reading
Posted in birth, intervention, midwifery practice
Tagged birth, cervical lip, cervix, hypnobirthing, pushing
118 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
Birth from the Baby’s Perspective
Picture this… A mother sits holding her newborn son on a postnatal ward during visiting time. One of her visitors reaches forward, grasps the baby by the head and pulls him out of his mothers arms leaving him dangling by … Continue reading
Posted in baby, birth, intervention, midwifery practice
Tagged baby, birth, intervention, pushing
99 Comments
The Assessment of Progress
Links updated: August 2019 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 … Continue reading
Posted in birth, intervention, midwifery practice, publications
Tagged ARM, augmentation, birth, contractions, labour pattern, oxytocin, pushing, syntocinon
99 Comments