When is it appropriate to use a guideline and when is it not? The questions that we should ask before deciciding whether to use the guidance or walk away.
Sara Wickham looks at new research into obstetric cholestasis, which may help determine which babies are really at risk and thus reduce over-intervention.
Sara Wickham considers women who decline to accept the “high-risk” label applied by risk-focused caregivers and make the decisions that are right for them.
In celebration of plateaus; Sara Wickham quotes from Elizabeth Davis’ wonderful article on plateaus, in which she compares how these occur in birth and sex.
A Cochrane review confirms that some research results are more likely to get published than others; one reason why evidence isn’t as reliable as we’d like.
Sara Wickham provides a guide to the oxytocin-related resources available on her website. Benefits of physiology and information about synthetic oxytocin.
A senior midwife has shared her thoughts on a study looking into the work, health and emotional lives of midwives in the UK which does not appear to have been publicised by the organisation that commissioned it, the Royal College of Midwives.
Sara Wickham looks at research which considers the way in which we define and measure postpartum haemorrhage, suggesting we need to re-think this area.
A review of trials comparing induction of labour with expectant management says evidence is lacking for the recommendation to induce labour at 41 weeks.
Sara Wickham writes about an important study which further illustrates disrespectful maternity care and abuse that some women experience during childbirth.
Evidence-based approaches to determining the onset of active labour, assessing progress of labour and determining dystocia may safely decrease intervention.
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