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!
"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
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
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