Showing posts from June, 2014

Cord around the neck

The presence of a nuchal cord is a very common occurrence during birth. Around a third of all babies are born with the umbilical cord around their neck. How and when it ends up there will be different for individual babies.

Definitely read the part that says 'Risks associated with clamping and cutting a tight nuchal cord'. I wish more OB's followed these guidelines.

What a beautiful video at the end! Look how many times that cord is wrapped around!!!

Yes I check out the bum!

I love this article! Finally an article that explains why my assistants and myself are always looking at a laboring woman's bum! The purple line.
I try to give women privacy in labor, it helps with the flow of oxytocin and melatonin plus its more relaxing for her. The goal is to allow the natural process to occur, to allow the women to connect and be in the moment, to allow the bond between spouse to grow, and to allow the baby to do it's job with no interference, right? So why do we try to keep putting our hands in the path of exit? So WE can know how far along a laboring woman is? Seems a bit selfish to me which is why knowing and understanding other ways to observe the progress of labor is critical for an enjoyable, natural birth.
Enjoy the reading!

Your words become your thoughts....

I always find it funny when I sit with one of my moms and we discuss her maternity care. I get a lot of questions about birth, "what should I expect?" and "what should I do?". My answer is always "well what do you want to do?" That's when I chuckle, their face is so perplexed.
By telling moms what is "allowed", or "not allowed" we have removed their power, instincts, and confidence. Pregnancy and birth is a critical time for all of those feelings to be put to use!
This is such a great article that explains how to pick up on providers who fall into this and providers who trust you!

What's a fetoscope and why do midwives use them?

The fetoscope is the modern combination of both the stethoscope and the Pinnard Horn. It uses the practitioner's forehead, or in some cases hand, to conduct sound and has a more modern look to the whole device, being made from metal and plastic compared to the wooden Pinnard Horn. It does not use ultrasound.

I normally introduce the fetoscope around 22wks which is when I can pick up sound. I use this because as a midwife I try to utilize the tools that allow for the most least invasive care to the growing baby. We try to provide the most natural home for the baby and not distrupt the careful flow. 

It's my belief that the baby and body has built in mechanisms to keep itself safe and it is hard to determine if over use of the Doppler can distrupt that.
Discuss this option with your provider  and see if this is a good option for you.