Issue 146

Wisdom of the Midwives: Third Stage

Wisdom of the Midwives: Third Stage _ Issue Theme: Third Stage

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Media Reviews – Issue 146

Media Reviews – Issue 146 – Supporting Physiological Birth Choices in Midwifery Practice, by Claire Feeley. 2023. (UK: Routledge, $44.95, 178 pages, paperback.), Flourish: A Practical and Emotional Guidebook to Thriving in Midwifery, by Kate Greenstock. 2023. (London: Pinter and Martin,$19.95, 272 pages, paperback.) Read more…. Media Reviews – Issue 146

Marion’s Message: What is the Fetal Ejection Reflex?

Marion discusses the fetal ejection reflex and an idea for a study comparing it to routine hospital care.

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My Journey as a Doula and Discovering Something More

The author writes about her experiences about becoming a doula and the pitfalls that she has encountered in the US birth world supporting women. Read more…. My Journey as a Doula and Discovering Something More

Emerging Strategies: Helping Mothers Survive Bleeding After Birth

Vicki Penwell, of Mercy In Action, has another fantastic article about providing services for birthing women in low-resource areas. The article discusses new strategies to stop and prevent hemorrhage in third or fourth stage, and the need for ongoing training so that midwives are better able to handle emergencies. Read more…. Emerging Strategies: Helping Mothers Survive Bleeding After Birth

From the Editor: Thoughts on Third Stage

I have only had to do an internal bimanual compression one time. She was a redhead (although I do not believe redheads hemorrhage more). My partner, Monika, and I were at the birth, which progressed normally but was followed by a dreadful postpartum hemorrhage that followed the placenta. Read more…. From the Editor: Thoughts on Third Stage

Midwifery and Matrescence*

In this essay adapted from “The Birth of a Mother,” an article in the New York Times by Alexandra Sacks, MD, the author discusses the concept of matrescence, or becoming a mother.

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Birth Plan: Does the Path Still Fit the Objective? Do the Means Still Fulfill the Purpose?

In the process of establishing a birth plan in the ’80s in the US and Europe, an effort was made to make women aware of their choices during labor. It took about 50 years—two whole generations—until women started to face the medical interventions while exploring their own possibilities during childbirth. The formally written birth plan was introduced in the 1980s as part of childbirth preparation to help women avoid escalating interventions (Lothian 2006). Read more…. Birth Plan: Does the Path Still Fit the Objective? Do the Means Still Fulfill the Purpose?

The Little Midwife: 11 Key Observations about What it Takes to be a Midwife

She was almost 4 years old when she asked about what her birth was like. She was intrigued to hear about the whole process. I told her how, toward the end, even though we had prayed, talked to her, and tried so many things, Anaiyah just didn’t want to come out! Every night, when she was quite “overdue,” big sister would talk to her and ask her to come out because we were excited to see her.

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Third Stage of Labor

The third stage of labor consists of two phases: 1) separation of the placenta and 2) its delivery. Of the three stages of labor, the third stage of labor is usually the shortest and the easiest, especially if it is not rushed. The third stage is important because it is a primary factor in determining whether postpartum hemorrhage will occur.

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