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.
It was a normal birth in a large room in a small house in a city neighborhood. The modern hospital where I had midwifery privileges was just blocks away. I could transfer care easily and quickly if needed.
Read more…. Marion’s Message: A Birth Where I Learned a Lot
Photo by Cassidy Rowell
Learn about the hows and whys of this technique to stop postpartum hemorrhage.
Read more…. Bimanual Compression of the Uterus: Its Place in Midwifery Practice
Photo by Annie Spratt
Read about the essentials of safe motherhood and how they will be the basis for a program in Uganda.
Read more…. The Pillars of Safe Motherhood
Photo by Josef Juchem
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.
Read more…. Interventions in First Stage
Photo by Cristian Newman
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
Photo by Andressa Voltolini
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.
Read more…. The Labor of Giving Birth