APGAR, birth center, birth team, First Baby, Home Birth, hospital birth, Midwife, Midwife's Assistant, Newborn, Nurse, OB, Pediatrician, Postpartum

Testing Tuesday: APGARS!

Baby’s First Test: The APGAR APGAR scoring was developed in 1952 by Dr. Virginia Apgar who noticed that providers didn’t have a standardized way of evaluating a baby after birth. She created the APGAR score (a handy acronym that is also her name) to get everybody on the same page. Since then, the APGAR score… Continue reading Testing Tuesday: APGARS!

birth center, birth team, Cervical Checks, cervical dilation, Failure to Progress, Fear, First Baby, Home Birth, hospital birth, Labor, Long Labor, Midwife, Midwife's Assistant, OB, Patient Safety, Pelvic floor, start-and-stop contractions, Vaginal Exam

The Beautiful and Mysterious Resting Phase

"OHMYGODIWANTTOPUUUUUUUSH!!!!" This was Zoey's second baby and second planned home birth. She was 37 years old, had an uncomplicated pregnancy, and had been in fairly meandering labor - contractions maybe 4-5 minutes apart, at their most frequent, since 2 AM. Her last cervical check, at 4 AM, had her at 4 cm. Her sudden announcement… Continue reading The Beautiful and Mysterious Resting Phase

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