Marion’s Message

Marion’s Message: Shoulder Dystocia: Midwifery Care

Shoulder dystocia (SD) is a complication that is rare, hard to predict, and potentially fatal to the birthing baby. Baby and mother can sustain lasting damage. No wonder it is commonly feared by birth practitioners.

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Hemorrhage in Pregnancy, Childbirth, and Postpartum

Hemorrhage is the number one cause of maternal death worldwide, and in the US as well. In most developed countries it is a less frequent cause. A study of the differences between the US and other developed countries might yield clues to prevention of unnecessary maternal deaths.

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Marion’s Message: Healthy Childbirth Boundaries

In childbirth, the needs of the one giving birth and the baby—who is transitioning from unborn to born—are primary. The events of the birthing day will affect them for their whole lives. Without their presence, no birth will take place.

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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. Read more…. Physiologic Third Stage

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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Marion’s Message: Too Many or Not Enough Cesarean Sections?

Editor’s note: This article first appeared in Midwifery Today, Issue 82, Summer 2007.Join Midwifery Today Online Membership What is the ideal cesarean section rate? That rate associated with the least possible morbidity and mortality for mother/baby. This is the suggestion of Fernando Althabe of the Perinatal Research Unit, Montevideo, Uruguay, and Jose Belizan of the Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina, in their recent article in The Lancet.(1) They acknowledge that the appropriate rate is debatable. One to five percent is a range for the minimum. Fifteen percent, as suggested by WHO (2), is a commonly accepted goal for a maximum rate. Althabe and Belizan are commenting on a study of cesarean rates in developing countries, reported in the same issue of The Lancet.(3) One way to determine whether 1% or more is really a minimum safe cesarean rate, look at three conditions that can be fatal without surgical intervention. The rates of these conditions are variable, depending on the population and other factors. Placenta previa at term occurs in about one in 200 births. However, it is more common in multipara and in older women, occurring in more than 1% of the time, even more… Read more…. Marion’s Message: Too Many or Not Enough Cesarean Sections?

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MDG 5: Something We Can Work With

With maternity mortality in childbirth so high around the world, Millenium Development Goal 5, maternal health, is something that we all can work toward.

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Marion’s Message: Working in Afghanistan with Siri

Marion recounts her visit to Afghanistan, arranged by her friend Siri, to volunteer as a teacher and insert IUDs

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Marion’s Message: Midwives, Mothers and Mothers-in-law

Associate Editor Marion McLean shares stories of the interconnectedness and complexities of dealing with birthing women and their mothers and mothers-in-law.

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