Marion Toepke McLean

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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The Microbiome and the Midwife

The microbiome is a virtual swarm of micro-organisms which live in, on and around the human body. The Human Microbiome Project, launched by the National Institutes of Health (NIH) in 2008, was a five-year project which analyzed the genetic code of the microbes living in and on the human body, with the ultimate goal of finding how changes in the human microbiome are associated with health and disease. Despite the generation of massive amounts of data, this issue is currently not well understood.

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Essential Midwifery Skills

Midwife Marion Toepke McLean discusses the most essential midwifery skill of them all: to be able to recognize and support normal birth and to keep it normal.

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Motherbaby: How Close Can You Get?

Midwife Marion discusses the special role a mother plays in the life of a growing baby.

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Why Are Mothers Dying?

The maternal mortality rate in the United States is rising. What does that mean to those of us who live in this country?

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