Category: Quotes and shares

The risks of documentation

“Documentation of care is at risk of overtaking the delivery of care in terms of time, clinician focus, and perceived importance. The medical record as currently used for documentation contributes to increased cognitive workload, strained clinician–patient relationships, and burnout. We…

The stages of labour – bunkum!

Inspired by a friend’s request to look out an old TPM article to which she wanted to refer in a book that she is writing, I have decided to start an occasional series featuring my favourite extracts from old midwifery…

The false economy of “busy-ness”

“Place shapes the ability of midwives to “be with” women. In the labour ward, strong cultural norms press midwives to engage in “busy work” while they feel more able to sit quietly with women in primary birth settings. Midwives are…

Staffing shortages and the culture of midwifery

“Midwives fear that the deep-seated culture of their profession is under threat. A main source of this threat is the overall and ongoing context of economic stringencies that increasingly impact on their working conditions. This is exacerbated by regulatory and…

Newborn gazing and the three-foot halo…

“There are not, nor have there ever been, confirming studies to support taking babies from their mothers at birth to suction, cut their cord, listen to their heart, observe them breathing, weigh them, measure them, treat their eyes, give them…

“You are your own treat…”

“A dancing girl is a revolutionary act – even more so if she is dancing alone, at night, in her bedroom, with her headphones on. A girl who knows how to give herself pleasure is a revolutionary girl. A girl…

Quote of the month (October 2015): a marginal benefit

“The implausibility of the hypothesis that more than half of all first labours were intrinsically abnormal did not stop widespread adoption from the 1980s onwards of high rates of oxytocin augmentation whenever labour was slower than average. Unfortunately, this has…