Topical Medications for Breastfeeding Moms

Breastfeeding medicine recently published an update on the safety of the most common topical medications during breastfeeding.1 Topical medications do not generally cause a risk for breast milk.  Instead you must be aware of the potential accidental ingestion by the infant when

Physiologic Labor

Slow dilation is normal

Here’s more evidence the normal rate of dilation is not 1 cm/hour.  Add it to your stacks of evidence in case anyone suggests otherwise. Progression of the first stage of spontaneous labour: A prospective cohort study in two sub-Saharan African countries1 1.


A Project to Watch: Reducing Primary Cesareans

The American College of Nurse Midwives began a project in 2015 that encouraged hospitals to make system changes that result in reduced rates of primary cesarean.  In the first year of the initiative, 15 hospitals participated. You can read more about it