Tag: midwifery wisdom

The paracetamol question…

It occurred to me recently, while presenting on the topic of labour progress, that there is a blog post that I use frequently as a reference when I’m speaking about labour and birth – in particular, the question of what…

The true midwives…

“Being with someone, murmuring along with their heartbeat, breathing with them, is a lost art. The true midwives of birth and death, those who keep vigil at the bedposts, are rare. They are the people whose eyes are accustomed to…

The art of knowing when to do nothing

“Our hands are skilled in the art of touching, of catching, of wiping the brow, but they should also be skilled in the art of knowing when to do nothing. Much too frequently eager birth attendants or doulas cannot just…

Exploring the Exceptions

Last month (Wickham 2016), I wrote about a principle that I was taught and have subsequently shared with many other midwives. It involves asking oneself whether offering a screening test would change one’s management, or what one would offer to…

A woman’s decision…

I find it really sad that midwifery regulators don’t seem to understand the enormous value that there is in continuity of care, which has been described as central to gold standard midwifery care. Nor is there much recognition that the…

Is this going to change your management?

I have found, over quite a few years of teaching midwifery, that people who are learning midwifery and similar arts often like to have building blocks in the form of rules, lists and principles that they can learn and explore…

Celebrating the Albany Practice Outcomes

This week, an important paper has been published (currently in draft form) in Midwifery. Titled ‘Midwifery continuity of carer in an area of high socio-economic disadvantage in London: a retrospective analysis of Albany Midwifery Practice outcomes using routine data (1997–2009)’,…

We’ve always done it that way (part 3)

The previous two articles on this topic (part 1 here and part 2 here) explored some of the issues around the advantages and disadvantages of habits, customs and traditions and took a backwards look in order to see how some…

We’ve always done it that way (part 2)

I [recently] wrote about some of the advantages and disadvantages of habits, customs and traditions and suggested that, as well as looking at the bigger issues of the routine interventions that need to be challenged, it may also be beneficial…

We’ve always done it that way (part 1)

Aren’t habit, custom and tradition marvellously labour-saving devices?! It doesn’t matter how rational we might seek to be when making a decision that we have time to ponder; during the course of a day, we each have to make hundreds…