A small ‘seeding’ rant

May I jump into the microbiome/seeding debate really briefly, while acknowledging that the issues are much larger and more complex than I have room to discuss in one blog post? Because I have been watching several recent conversations in medical…

Pondering placentophagy – part 1

I am by now used to the kind of spin that internet discussion can put on birth-related stories, and I’m not usually too surprised when, upon reading the actual research article which has inspired a headline or discussion, I find…

Pelvic checks at the 6-week check

Sometimes, the combination of my travelling and reading of the midwifery and obstetric literature highlights areas where there is variation in what is seen as standard or usual practice in different areas of the world. There are lots of obvious…

Happy Spring (or Autumn!)

Here’s wishing you a very happy spring on this day of fertility, eggs and bunnies 😀 Or if you’re in the southern hemisphere, I hope the autumn leaves are bringing great colour to your life before you bed down for…

Midwife-led care works in Manitoba!

Over the past year or three, I have shared numerous studies and respected reviews that have shown midwifery-led care to be effective all around the world in countries from Australia to Ireland. Midwifery care helps keep birth normal and it…

How are you sleeping?

In your practice, do you routinely ask women how they’re sleeping?  And if you do, what do you do with that information?  Do you use sleep-related questions as a way of triggering and exploring all manner of topics with women? …

When the simplest ideas are the best…

Many women find pelvic examination painful, uncomfortable, embarrassing or traumatic, and there are several elements of this which deserve the attention of those who recommend and/or undertake such screening tests. But a recent study by Neuhaus et al (2016) has…

A heartfelt thank you :D

I’ve got a whole stash of studies lined up that I want to write about over the next couple of weeks, but I have to briefly interrupt my information sharing in order to bring you an announcement and say a…

Being clear about continuity

I remember the first time I encountered the difference between the terms continuity of care and continuity of carer.  I was a student midwife, and a senior midwife was correcting what she felt was my inappropriate use of the term…

Confidential Enquiries 2015

The latest Confidential Enquiry into Maternal Death (2015) report has been published and, while it shows an overall decrease in the rate of maternal death, it has highlighted some key issues relating to perinatal mental health. For those who may…

Perpetuating Myths, Fables, and Fairy Tales…

“Electronic fetal monitoring (EFM) entered clinical medical practice at the same time bioethics became reality. Bioethics changed the medical ethics landscape by replacing the traditional Hippocratic benign paternalism with patient autonomy, informed consent, beneficence, and nonmaleficence. But EFM use represents…

Discussing the new RCOG VBAC Guidelines

Earlier this month, the RCOG released the new version of their Green-top Guideline on vaginal birth after caesarean (VBAC).  In introducing this document, they note that, “There is a consensus (National Institute for Health and Care Excellence [NICE], Royal College…

Rethinking bugs (part 2)

Last month, I wrote about my observation that bacteria seem to be ‘trending’ at the moment, and explained my hope that their current popularity might have a part to play in improving care for women and babies. In that article,…