Degrees of vaginal lacerations, Episiotomy, First Baby, Husband stitch, Labial adhesions, Labial tears, Midwife, OB, Pelvic floor, Perineal healing, Prolapse, Scar tissue, Silver nitrate, Stitches, Uncategorized, Vaginal atrophy, Vaginal Exam, Vaginal tear, Wound healing

All The Things That Can Happen to Your Pelvic Floor After Baby (And What to Do!)

Fear of pelvic floor damage during birth is reasonable, especially given the existence of Mother's Day cards like this: http://www.omgcards.co.uk Prevention of pelvic floor damage is a worthwhile topic out of the scope of this post. Most care providers have their bag of tricks they use (evidence-based or not) that they believe will reduce tearing… Continue reading All The Things That Can Happen to Your Pelvic Floor After Baby (And What to Do!)

birth center, birth team, Co-Dependency, Home Birth, hospital birth, Labor, Long hours, Long Labor, Midwife, Midwife's Assistant, Nurse, OB, Patient Safety

Gambling with Safety: Hours Worked and Quality of Care

On April 16th, 2019, Washington Senator Maureen Walsh (R) stated she didn't support a bill that would give nurses mandatory, uninterrupted rest breaks. Her hesitation was rooted in her belief that in districts like hers, where hospitals are small (fewer than 25 beds), nurses have plenty of down time, and thus are not in need… Continue reading Gambling with Safety: Hours Worked and Quality of Care

birth center, birth team, Cervical Checks, cervical dilation, Co-Dependency, Epidural, Failure to Progress, Fear, First Baby, Home Birth, hospital birth, Labor, Long Labor, Midwife, Midwife's Assistant, optimal fetal positioning, Sexual Abuse, Trauma, trauma informed care, Vaginal Exam

Long Labors, Part 3: Psychosocial Strategies

Long Labors, Part 3: Psychosocial Strategies, is a follow-up and final installment to Long Labors, Parts I and 2. Meredith Westin Photography When a client is having a very long labor, I tend to assume mechanical challenges are the direct cause and problem-solve on that basis, first. Many emotional and spiritual forces can arise during… Continue reading Long Labors, Part 3: Psychosocial Strategies

AROM, Cervical Checks, Epidural, Failure to Progress, Fear, Fetal Malposition, First Baby, Home Birth, Labor, Long Labor, Midwife, Midwife's Assistant, optimal fetal positioning, start-and-stop contractions, Vaginal Exam

Long Labors: Part 2, Physiologic Strategies

Meredith Westin Photography Long Labors: Part 2 is a follow-up to Long Labors, Part I. We don't need to feel entirely helpless when labor lasts a long time. The following physical strategies can help shift challenging labor patterns and keep a person's strength up: Consider that you may not be in labor at all. Start-and-stop contractions… Continue reading Long Labors: Part 2, Physiologic Strategies

Cervical Checks, Failure to Progress, Fear, Fetal Malposition, First Baby, Home Birth, Labor, Long Labor, Midwife, Vaginal Exam

Long Labors, Part 1: But Why?!

Meredith Westin Photography Last year I had an astounding cluster of long* labors**. We're talking two, three, four days of mother's stated experience of painful contractions, plus one nearly five day induction in the hospital for a medical indication.  A couple of the planned out-of-hospital births played out in their intended location. Several transitioned into… Continue reading Long Labors, Part 1: But Why?!

Cervical Checks, Fear, Home Birth, Labor, Midwife, Midwife's Assistant

Writer’s Workshop Birth Story

In June 2017 I attended a writer's workshop in which participants were asked: "In UNDER 1000 words, write about a time you overcame a fear. Whether by choice or necessity, write about a time when you were afraid, but took the action anyway, and came out the other side. It doesn't have to be a… Continue reading Writer’s Workshop Birth Story