Marion Toepke McLean

Marion Toepke McLean, CNM, attended her first birth as primary midwife in August 1971. She received her nursing degree from Pacific Lutheran University in 1966 and her midwifery and family nurse practitioner degree from Frontier Nursing Service in 1974. From 1976 through 2001 she did home, clinic and hospital births, while also working as a family nurse practitioner. In 1980 she taught a year-long program for local midwives, returning to Frontier Nursing Service to teach during the summer. She had a homebirth practice until 1985, when she went to work at the Nurse-Midwifery Birthing Service, a freestanding birth center. In June 2000 she completed a BA in International Studies at the University of Oregon, with concentrated studies on Mexico. Since 2002 she has worked in a reproductive health clinic and attended an occasional homebirth. She lives in Eugene, Oregon, and is a contributing editor to Midwifery Today.

Physiologic Third Stage

“Physiologic” third stage of labor means that this stage happens on its own—with no interference or treatment whatever—and is within the bounds of normal functioning.

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Marion’s Message: The First-time Women’s Health Exam

Midwives serve women in a variety of ways. Midwife Marion McLean shares how she works with women in their first-time health exams.

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Saving Women’s Lives in Uganda

The death of childbearing women is a challenge to health workers worldwide. Why are pregnant and postpartum women so vulnerable to death?

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Bimanual Compression of the Uterus: Its Place in Midwifery Practice

Learn about the hows and whys of this technique to stop postpartum hemorrhage.

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The Pillars of Safe Motherhood

Read about the essentials of safe motherhood and how they will be the basis for a program in Uganda.

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Interventions in First Stage

Childbirth. Straightforward, simple; complex, and variable. Essentially stated, it is the mammalian way to continue life down through the generations.
Years ago the “Four Pillars of Safe Motherhood” were developed. They are antenatal care, birth in a clean safe place with skilled attendant, access to emergency obstetrical care, and family planning.

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Complications of Childbirth

Complications of childbirth are frightening for moms-to-be—yet they exist. Luckily, in our present day and age, there are effective treatments for most. Learning to deal with complications—to bring moms and babies through safely—is an important part of a midwife’s learning. Read more…. Complications of Childbirth

The Labor of Giving Birth

Labor can be long or short—it’s all normal. Organizations that make policy regarding birth are finally beginning to come to terms with that fact.

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The Death of a Childbearing Black Woman

Shalon Irving died on January 28, 2017, from complications of high blood pressure and heart problems. She left behind a four-week-old baby girl. Shalon, 36 years old, was an epidemiologist and commissioned officer in the US Public Health Service (USPHS) at the Centers for Disease Control and Prevention (CDC).

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Why Did Lauren Bloomstein Die?

In May 2017, Pro Publica and National Public Radio (NPR) published a story entitled “The Last Person You’d Expect to Die in Childbirth” (Martin and Montagne 2017). Read more…. Why Did Lauren Bloomstein Die?

Cancer of the Cervix and the Midwife

The current research-based recommendation for screening in the US is a Pap smear every three years, starting at age 21, then Pap and high-risk HPV DNA screening every five years, starting at age 30. Read more…. Cancer of the Cervix and the Midwife

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