Advocacy, Research

State Level Midwifery Policy and Midwives Integration

I have been eagerly awaiting the publication of this paper on midwifery policy the United States.1 It represents several years of work by a large group of researchers to identify and measure the ways that state midwifery policies affect the overall performance

Birth Challenges, Physiologic Labor

A labor curve is NOT a labor management policy

I understand the commenters complaint is not that we have not successfully identified a problem with our labor curve, but that if we just assume you can drop this new labor curve into the existing practice structure (that was built on incorrect assumptions of labor progress) we are making a big mistake.

Physiologic Labor

Students underestmate blood loss

Remember last week when I lamented that no one pays enough attention to communication skills? I’m excited to share this paper with you because it shows that at least someone is paying attention to the “hands on” skills acquisition. Unfortunately, the evidence

Advocacy, Global Midwifery

Implementing the midwifery framework

I live in a state that has legal restrictions on midwifery practice. You might as well, full scope midwifery is an uncommon element in health care systems. The International Confederation of Midwives has been working to change that. In 2015 they launched

Birth Professionals

Communicating with women in labor

Have you ever noticed that some topics get more research time than others? A recent systematic review identified a big hole in the evidence for practice: how can we improve communication between maternity care staff and women during labor and birth?1

Healthy Pregnancy

Exercise and the pelvic floor

Looking for more motivation to incorporate regular exercise into your day? In addition to all the other benefits, regular exercise gives you stronger pelvic floor muscles.1 The benefit was identified mid-pregnancy, a time when some women may begin to experience incontinence in

Birth Challenges, Research

The gentle cesarean

What if I told you it was possible to have a hospital where the staff overwhelming supported the idea of a gentle cesarean for women who needed surgical birth? This hospital achieved it.1  The researchers surveyed all professionals who work in labor

Advocacy, Healthy Pregnancy

Preconception Health Matters

I understood from the public health side that the health of the woman when she entered pregnancy was a driving force of our maternity outcomes. But clinically, a preconception visit was a distinct appointment a woman would make where she asked questions and worked to improve her health to prepare for pregnancy.