Tag Archives: pushing

Understanding and assessing labour progress

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

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The Anterior Cervical Lip: how to ruin a perfectly good birth

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 while the midwife … Continue reading

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Perineal Protectors?

Updated: March 2017 Perineal tearing and/or grazing is common during birth. Two thirds of women will sustain damage to their perineum during birth (AIHW 2012). You can find out more about types/grading of perineal trauma here. This post will discuss ‘protecting … Continue reading

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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

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Pushing: leave it to the experts

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 guidance may be … Continue reading

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Listening to Baby During Labour

Intermittent auscultation (IA) is considered to be an important aspect of midwifery care for women during a ‘low risk’ labour. The expectation of surveillance of the baby is reflected in guidelines and hospital policies. The recommended frequency of IA is generally … Continue reading

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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 , , , | 98 Comments