The Art of Opening

Category: Uncategorized


Above the Brim: Looking to the Whole Body of the Baby

Save the Date:  June 11, 2022 Resolving Shoulder Dystocia full day and June 12, 2022 Breech Basics Full Day. San Diego, CA 2022. After Tema Mercado’s 1 Day Spinning Babies Course on June 10th. If we look at the whole instead of the hole,…

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Outlet Shoulder Dystocia with an Arm Swept Behind the Back

If we have a mid-pelvis or outlet shoulder dystocia wouldn’t we start timing the actual length of the dystocia separate than head to body? In an inlet shoulder dystocia the impact has started to happen with the neck stretching and…

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On My Miscarriage: 1995

Thinking of that place where one is forever changed in pregnancy.  Just found this photograph that David took of me after I miscarried on the bed and then got into the tub to deliver the placenta.  Here I am probably 23…

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Shoulder Dystocia Debrief

It’s not just about the mechanics, it’s also about the nervous system. Today I was thinking about what resources we have as midwives to work through difficult birth experiences.  Some of these difficult experiences may be where everything turned out…

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Charting the Course of Midwifery: Rethinking Translation of the Soul World for Medical Systems

When I had prenatal care in the 1990s, I was given my prenatal chart to bring home with me.  It was my responsibility to bring it back and forth.  Today, I can only imagine how many people would possibly leave…

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External Cephalic Version (ECV): Should I do one? The Difficulties of Answering this Question.

An ECV can look like turning a baby with two fingers while supporting the baby with some follow-through, or it can look like 2 providers with their full weight of their bodies pushing on the belly.  These two experiences are…

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Irregular Labor Patterns: What can be done?

A few blogs back, I wrote about the importance of listening to labor patterns, but I also felt the need to give a tangible map now that we have recognized that the labor pattern is talking to us as far…

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“How to know if someone is fully dilated?” : The Limitations of this Question

Let’s shift that question as many people trying to reduce vaginal exams are already thinking outside of the box.  The cervix-centered approach can sometimes be helpful, but honestly, it usually isn’t about the cervix, it is about the baby.  Let’s…

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Labor Pattern Variations: Don’t Shoot the Messenger

To focus on production, we are working with a standardized system rather than recognizing the need for individualized care. On a production line all of the same things can go into making a product.  One can even have some different molds…

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Repeated Instinctual Movements: Are They Talking to Us?

When watching the birth of a breech baby we know that baby will actively participate in their own birth.  Midwife Jane Evans wrote about “The Tummy Scrunch” as being a missing link of the cardinal movements for breech birth.  In…

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