The Great Birth Rebellion Dr Melanie Jackson

In this episode, Mel invites her work-wife Ashlee Anslow from the birthing tree midwifery to discuss how they manage birth emergencies at home. We discuss foetal distress in labour, cord accidents, shoulder dystocia, neonatal resuscitation, retained placenta, postpartum haemorrhage.   

Time stamps

00:00 Introduction to the podcast and gratitude to our sponsor ‘Born at home’ film.

03:55 Outline of the episode 

04:36 Quick points to set the scene

05:54 Changes in foetal heart rate, meconium and foetal distress

23:23 Uterine rupture during VBAC at home

27:27 Shoulder dystocia, cord compression and resuscitation 

44:38 Postpartum haemorrhage

54:11 Our emergency equipment 

54:51 Cord prolapse 

Todays episode was generously sponsored by Born at home Film. To watch the film, head to the Demand Film’s website and search for a screening near you and remember to use the discount code REBEL10 to get 10% off your ticket at the cart.

If you can’t find a screening near you CLICK HERE to request a screening 

You can find out more at bornathomefilm.com.au and follow them on socials @bornathomefilm

 

Todays guest has been Ashlee Anslow:

@thebirthingtreemidwifery 

https://thebirthingtreemidwifery.com.au/ 

 

To get on the mailing list for the podcast and to access the resource folders for each episode, visit www.melaniethemidwife.com 

Premium podcast members Hub

Being a premium podcast member gives you access to the transcript and additional resources for each episode AND the 'ask Mel a question' button so you can submit questions for the monthly 'Ask me anything' episode. Only available in the premium podcast members hub

Find out all the details here

You can find out more about Mel @melaniethemidwife 

Disclaimer:

The information and resources provided on this podcast does not, and is not intended to, constitute or replace medical or midwifery advice. Instead, all information provided is intended for education, with it’s application intended for discussion between yourself and your care provider and/or workplace if you are a health professional.

The Great Birth Rebellion podcast reserves the right to supplement, edit, change, delete any information at any time. Whilst we have tried to maintain accuracy and completeness of information, we do not warrant or guarantee the accuracy or currency of the information. The podcast accepts no liability for any loss, damage or unfavourable outcomes howsoever arising out of the use or reliance on the content.

This podcast is not a replacement for midwifery or medical clinical care.

In this episode Mel draws on her life and midwifery experience (and of course, the research evidence) to discuss care of late pre-term babies born between 34-36.6 weeks gestation. Mel offers some alternative care strategies such as delayed cord clamping, kangaroo care and sunlight for prevention of jaundice, among other things. 

Time stamps

00:00 intro and summary of episode 

03:38 what is a late preterm baby

06:55 Why some babies are born early 

10:50 Keeping your baby well through labour

15:20 Immediate post-birth care of late preterm babies 

21:25 signs of respiratory distress

27:12 feeding behaviour 

28:16 Thermoregulation

31:56 Keeping your baby ‘sweet’

37:20 caring for your baby in the following days with Kangaroo care and Sunlight exposure

 

To get on the mailing list for the podcast and to access the resource folders for each episode, visit www.melaniethemidwife.com

Premium podcast members Hub

Being a premium podcast member gives you access to the transcript and additional resources for each episode AND the 'ask Mel a question' button so you can submit questions for the monthly 'Ask me anything' episode. Only available in the premium podcast members hub

Find out all the details here

You can find out more about Mel @melaniethemidwife 

 

Disclaimer: 

The information and resources provided on this podcast does not, and is not intended to, constitute or replace medical or midwifery advice. Instead, all information provided is intended for education, with it’s application intended for discussion between yourself and your care provider and/or workplace if you are a health professional.

The Great Birth Rebellion podcast reserves the right to supplement, edit, change, delete any information at any time. Whilst we have tried to maintain accuracy and completeness of information, we do not warrant or guarantee the accuracy or currency of the information. The podcast accepts no liability for any loss, damage or unfavourable outcomes howsoever arising out of the use or reliance on the content.

In this episode Mel interviews wise woman midwife Sheryl Sidery who has been a private midwife for 40 years. Learning from experienced midwives, in our western culture, is one of the only ways to learn new things about physiological birth and today Sheryl offers up her 40 years of experience. Sheryl is not currently taking private midwifery clients but you can still check her out online at www.sherylsidery.com.au and benefit from her work with https://birthcircle.com.au/ 

In this episode we discussed:


What Sheryl Sidery has done for the world
What should midwives do in the birth space if the aim is physiological birth
How to respectfully enter the birth space without interrupting the woman
Men at birth
The difference continuity of care makes
What does Sheryl do after entering the birth space
Listening to the babies heart rate with a doppler
What uninterrupted birth is like
Appropriate ways to talk to a labouring woman
Transferring to hospital for pain relief
What to do when the baby is emerging
Unique learnings for physiological birth
Strategies for posterior babies
Strategies for physiological placental birth
Shoulder dystocia techniques, and 
The power of seeing homebirth for the first time

Todays episode was generously sponsored by Born at home Film. To watch the film, head to the Demand Film’s website and search for a screening near you and remember to use the discount code REBEL10 to get 10% off your ticket at the cart.

If you can’t find a screening near you CLICK HERE to request a screening You can find out more at bornathomefilm.com.au and follow them on socials @bornathomefilm

To get on the mailing list for the podcast and to access the resource folders for each episode, visit www.melaniethemidwife.com

Premium podcast members Hub

Being a premium podcast member gives you access to the transcript and additional resources for each episode AND the 'ask Mel a question' button so you can submit questions for the monthly 'Ask me anything' episode. Only available in the premium podcast members hub

Find out all the details here

You can find out more about Mel @melaniethemidwife and www.melaniethemidwife.com 

Disclaimer:

The information and resources provided on this podcast does not, and is not intended to, constitute or replace medical or midwifery advice. Instead, all information provided is intended for education, with it’s application intended for discussion between yourself and your care provider and/or workplace if you are a health professional.

The Great Birth Rebellion podcast reserves the right to supplement, edit, change, delete any information at any time. Whilst we have tried to maintain accuracy and completeness of information, we do not warrant or guarantee the accuracy or currency of the information. The podcast accepts no liability for any loss, damage or unfavourable outcomes howsoever arising out of the use or reliance on the content.

This podcast is not a replacement for midwifery or medical clinical care.

In this episode Mel describes what the current research says about meconium stained amniotic fluid. What is it? Is meconium truly ‘sterile’? Is meconium always a problem? and what might happen to your baby if there is meconium in your waters. 

Time stamps

00:55 Summary of episode content

02:35 What is meconium

04:40 Microbiome of meconium

08:00 Types of meconium and their level of ‘seriousness’ 

10:50 Primary vs secondary meconium

16:50 why would there be meconium stained liquor

20:15 Consequences of meconium stained fluid

To get on the mailing list for the podcast and to access the resource folders for each episode, visit www.melaniethemidwife.com 

Premium podcast members Hub

Being a premium podcast member gives you access to the transcript and additional resources for each episode AND the 'ask Mel a question' button so you can submit questions for the monthly 'Ask me anything' episode. Only available in the premium podcast members hub. Find out all the details here

You can find out more about Mel @melaniethemidwife 

Disclaimer:

The information and resources provided on this podcast does not, and is not intended to, constitute or replace medical or midwifery advice. Instead, all information provided is intended for education, with it’s application intended for discussion between yourself and your care provider and/or workplace if you are a health professional.

The Great Birth Rebellion podcast reserves the right to supplement, edit, change, delete any information at any time. Whilst we have tried to maintain accuracy and completeness of information, we do not warrant or guarantee the accuracy or currency of the information. The podcast accepts no liability for any loss, damage or unfavourable outcomes howsoever arising out of the use or reliance on the content. 

This podcast is not a replacement for midwifery or medical clinical care.

In this episode, Dr. Kirsten Small and Dr. Melanie Jackson discuss the place of policy in maternity care. If you think this episode is not for you because you are a woman planning to give birth, remember - you can navigate what you don’t understand. Stick with us as we explore how hospitals are organised, why policies are created, and how they impact the care provided to women. The conversation highlights the importance of understanding hospital structures and policies in order to navigate and advocate for personalised care. We discuss the role of policies in healthcare and how they impact the care provided to women during childbirth. We explore the concept of cookbook medicine or ‘birth by numbers’ and the limitations of strict guidelines in allowing for individualised care. The conversation highlights the need for clinicians to be knowledgeable about policies and research in conjunction with the womans personal needs in order to provide the best care possible. Kirsten also gives us insight into her recent publication, ‘Midwives Must, Obstetricians May’. 

Timestamps:

00:13 Introducing guest Dr Kirsten Small and the Role of Policy in Maternity Care

1:45 Understanding Hospital Structure and Guidelines    

7:41 Hospitals and Their Policies    

18:40 Impact of Policies on Decision-Making

20:04 Maintaining Hierarchy Through Policy

25:22 Empowering Healthcare Consumers

34:17 Birth by Numbers vs. Individualised Care  

46:16 Clinicians' Responsibilities: Understanding Policies

1:00:20 RANZCOG Policies and Evidence Levels  

1:02:46 Navigating Policy Structures for Best Birth

You can learn more about Dr Kirsten Small @birthsmalltalk and  birthsmalltalk.com/

To get on the mailing list for the podcast and to access the resource folders for each episode, visit www.melaniethemidwife.com 

You can find out more about Mel @melaniethemidwife 

Premium podcast members Hub

Being a premium podcast member gives you access to the transcript and additional resources for each episode AND the 'ask Mel a question' button so you can submit questions for the monthly 'Ask me anything' episode. Only available in the premium podcast members hub

Find out all the details here

Disclaimer: 

The information and resources provided on this podcast does not, and is not intended to, constitute or replace medical or midwifery advice. Instead, all information provided is intended for education, with it’s application intended for discussion between yourself and your care provider and/or workplace if you are a health professional.

The Great Birth Rebellion podcast reserves the right to supplement, edit, change, delete any information at any time. Whilst we have tried to maintain accuracy and completeness of information, we do not warrant or guarantee the accuracy or currency of the information. The podcast accepts no liability for any loss, damage or unfavourable outcomes howsoever arising out of the use or reliance on the content. 

This podcast is not a replacement for midwifery or medical clinical care.

In this episode, Mel answers some listener questions in a one and only public ‘Ask me anything’ episode. In the future these episodes are reserved for premium hub members who get one of these per month and have access to the ‘ask Mel a question’ button in the hub. Enjoy this insight into some of my clinical work and tidbits of research scattered about.  

Time stamps:

2:30 - Top tips for achieving a vaginal birth after a previous caesarean section

8:50 - Talking placental insufficiency and do placenta’s give up after 40 weeks 

13:12 - Posterior babies, why are they considered so hard to birth without intervention in the hospital setting?

20:10 - What does the evidence say about anti-D? Is it over prescribed when it may not be needed?

25:50 - Do you think midwives should offer ‘freebirth’ packages for women who want freebirth and support

33:00 - Tips for a first year student midwife going on my first placement?

Premium podcast members Hub

Being a premium podcast member gives you access to the transcript and additional resources for each episode AND the 'ask Mel a question' button so you can submit questions for the monthly 'Ask me anything' episode. Only available in the premium podcast members hub

Find out all the details here

To get on the mailing list for the podcast and to access the resource folders for each episode, visit www.melaniethemidwife.com

You can find out more about Mel @melaniethemidwife 

Disclaimer:

The information and resources provided on this podcast does not, and is not intended to, constitute or replace medical or midwifery advice. Instead, all information provided is intended for education, with it’s application intended for discussion between yourself and your care provider and/or workplace if you are a health professional.

The Great Birth Rebellion podcast reserves the right to supplement, edit, change, delete any information at any time. Whilst we have tried to maintain accuracy and completeness of information, we do not warrant or guarantee the accuracy or currency of the information. The podcast accepts no liability for any loss, damage or unfavourable outcomes howsoever arising out of the use or reliance on the content.

This podcast is not a replacement for midwifery or medical clinical care.