Tag Archives: risk

Pre-labour Rupture of Membranes: impatience and risk

Updated: July 2019 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 … Continue reading

Posted in baby, birth, intervention, midwifery practice, pregnancy | Tagged , , , , , , , , , , , , | 225 Comments

Post-Dates Induction of Labour: balancing risks

Updated: August 2019 In Australia 33% of labours are induced (40.5% of first time mothers). The most common reason for induction is to prevent a ‘prolonged pregnancy’. That’s an awful lot of babies outstaying their welcome and requiring eviction. I am … Continue reading

Posted in baby, birth, intervention | Tagged , , , , , , , , , , | 261 Comments

Responsibilities in the mother-midwife relationship

When I facilitate workshops with midwives and students, there is always a lot of discussion and debate about professional responsibilities in the mother-midwife relationship. These debates often get heated, and the complexities of legal, professional, and ethical issues can become confusing. … Continue reading

Posted in law, midwifery practice, opinion and thoughts, uncategorized | Tagged , , | 29 Comments

Information Giving and the Law

I was writing a blog post on induction for prolonged pregnancy but got side tracked reflecting on a recent study day I attended about law. So, I will get this out of my system before finishing the induction post. It … Continue reading

Posted in law, midwifery practice | Tagged , , , , , | 49 Comments

Shoulder Dystocia: the real story

Updated: August 2019 There is a lot of unwarranted fear about ‘big babies’ getting stuck. The media reflects the usual story – that women are creating a problem that doctors have to fix. The incidence of shoulder dystocia does increase … Continue reading

Posted in birth, intervention, midwifery practice | Tagged , , , , , | 191 Comments

Amniotic Fluid Volume: too much, too little, or who knows?

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 , , , , , , , | 157 Comments