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The Effective Labour Contraction
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...
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In Defence of the Amniotic Sac
Photo from Birthing Way: http://www.birthingway.com/caul.htm Artificial rupture of membranes (ARM) aka ‘breaking the waters’ is a common intervention during birth. However, an ARM should not be carried...
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Pre-labour Rupture of Membranes: impatience and risk
Most women experience their waters breaking towards the end of labour. However, for a significant minority their waters break before labour begins. The standard approach to this situation is to...
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The Assessment of Progress
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 to reproduce...
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Feel the Fear and Birth Anyway
This is just a little post to ease me back into the blogging world (thesis finally submitted). As usual, the content is in response to a reoccurring issue and discussions with mothers and midwives....
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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....
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