Less is more…

When less may be more. Sara Wickham writes about the human tendency to want to prioritise action and ‘doing more’, when this may not be the best solution.

What’s the chance of having another PPH?

What’s the chance of having another PPH, if you’ve had one before? For some women, that’s an important question. Women who have had a previous postpartum haemorrhage (PPH, or excessive bleeding after birth) are often advised to have their future babies…

Women’s experiences of augmentation of labour

A study looking at women’s experiences of augmentation of labour has highlighted problems with informed decision making and shown that having a synthetic oxytocin infusion in labour can cause an atypically painful labour and lead to negative birth experiences. Alòs-Pereñíguez…

Why your estimated due date might need a rethink

If you’ve ever thought that your or someone else’s estimated due date might need a rethink, this article is for you. It’s my reflection, as a midwife and academic researcher, on what I’ve learned from researching pregnancy calculation tools. In…

Reflecting on risk assessment

Risk assessment is an integral part of midwifery and medical practice and yet also something we need to think about more. A few years ago, I spent some time reflecting on the issues raised by revised guidelines on venous thromboembolism…

May Contain Tigers

Warning: this blog post may contain tigers. As someone who lives with a serious food allergy, I have noticed some interesting changes in the information given on product labels over time. Over the years, I have thoroughly enjoyed the proliferation…

Trends in induction of labour

How are trends in induction of labour changing? And has the publication of the controversial ARRIVE Trial affected this? Two recent studies have added to our knowledge about the effects of changing guidelines and narratives on trends in induction of…

Which induction book do I need?

Which induction book should I read? I’m the author of two books about induction of labour. Inducing Labour: making informed decisions has been popular for nearly twenty years. I frequently update it with new information, so as long as you…

Anti-D information: getting started

Many people visit this website looking for Anti-D information. Anti-D is the name of a medicine offered to rhesus negative women who may have been exposed to rhesus positive blood. It’s known as RhoGAM® in the USA.  Anti-D is given…