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24.01.2022 WARNING RANT COMING! Holly and I presented on Friday at a conference on perineal care and the scientific evidence about how to prevent or reduce perineal trauma.... I am really concerned at what I am hearing going on in clinical practice at the moment. We are being dragged back into practice that is not evidence based despite high level evidence to the contrary. Women are back on their backs (if they ever were allowed off them), perineal pinching, increase in episiotomy, not allowing the baby's shoulders to complete an internal roation once the head is born and students being told to 'follow through' and pull the baby out quickly to prevent the shoulder getting trapped under the public bone. What is going on? How have we become so undone by our fear? When will we realise 'doing more' is often not the answer when it comes to childbirth. In fact 'doing more' is often the cause of the problems we then try to resolve by 'doing even more'! A vicious cycle of 'doing' is 'undoing' birth! It appears the science does not matter. At the end of the day we appear to still be stone aged people dancing around our fires and making effigies to invisible and imagined gods and goddesses. We can't dart in and save the perineum when we have messed up everything else! RANT OVER Non ranting academic version can be found here http://www.midwiferyjournal.com//S0266-6138(14)00/abstract

23.01.2022 With one in three pregnancies ending in c section... How is this our reality?

06.01.2022 Unfortunately women often aren’t fully informed of all the risks of epidural analgesia in labour. These risks need to be mentioned both antenatally when discussing pain relief options and when consenting women for EA in labour.