The Midwives' Cauldron

This episode is all about assessment of labour as we interview Dr Clare Davison.  Clare is a midwife, academic and feminist. Clare is passionate about promoting and supporting physiological birth and working with women so that they can be empowered in their birth choices. Clare combines these passions by working as an independent midwife, providing holistic continuity of care to women; and as an academic teaching and hoping to inspire the next generation of midwives.

We delve into those questions you wanna know: 

• What is the cervix saying in labour? 
• How can we properly assess labour progress? 
• How do midwives using their other senses? 
• We ask how can midwives and health professionals trust birth and support women if they are not being given the skills to support physiological birth progress and use their intuition? 

And we even ask:
How many contractions ‘should’ there be for an “effective” labour? 
How quickly ’should’ the cervix dilate? 
How often ‘should’ a vaginal examination occur? 
And when can we assess that labour has actually started?

Find out lots in this episode of the cauldron, so, tie up your shoelaces, plug in your headphones and come with us on a ride into the world of assessing labour progress…. 

Dr Clare Davison:
Instagram @midwife.dr.clare
Twitter @sagefemmeclare 

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

It’s season 4 and to kick us off you have me and Rachel chewing the fat on all things breastfeeding and lactation. In this episode, we delve in to look at what is going on with in-hospital formula milk supplementation for breastfed infants. We ask why the supplementation rates are so high, and discuss it’s impact on breastfeeding, and lactation physiology. We talk about teat/bottle confusion, the best ways to give extra feeds and the acceptable medical reasons for this. We discuss why avoidance of top up feeds can be so hard in the early postnatal days for both the midwifery staff and new mothers, and we talk about the "top-up-trap", or as Rachel has termed it ”the top-up crap-trap”, and why it is so common for new parents to fall into once back at home. Rachel gives us an amazing impression of baby sleeping, please don't miss this it really is a treat for the ears, and following us along the way are the cicadas and noisy guinea fowl all joining us in the background from 'down at farm Rachel'!  

The waiting is over folks, we're back and we're ready to fill ya luggols with all those golden nuggets you've been missing!

RESOURCES & LINKS:

1. WHO/UNICEF 
2. ABM Guideline
3. Biro 2011 
4. Ali 2018
5. Parry et al 2013
6. Tender 2009
7. Bookhart 2021
8. Chantry 2013

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

Thank you to all of you who joined us in season 3, it has been epically wonderful! We are off for a little summer/winter break, but stay tuned as we will be back with some awesome new and exciting offerings for your lugg'ols and eyeballs! Listen in to the trailer to hear more. Until then you can find lots more  below.
LINKS:
Rachel Reed -courses, books, blog, etc
Buy us a coffee to keep the caffeine flowing
 

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

In this episode we talk to Anita Moorhead about all things antenatal hand expression. Anita is a Clinical Nurse/Midwife Consultant (for Lactation), at the Royal Women’s Hospital, Melbourne, a coordinator for the DAME (Diabetes and Antenatal Milk Expressing) trial and PhD candidate at the Judith Lumley Centre, La Trobe University, Australia. Anita has collaborated on breastfeeding papers and reports, hospital, and state clinical guidelines and is a frequent presenter at national and international conferences. 

We start our conversation with Anita about the Diabetes and Antenatal Milk Expressing trial and what was its purpose and why this was a needed study. Then we delve deeper to ask all those common and not-so-common questions around the topic of antenatal hand expression. So in this episode you'll hear us talking about-
What were the feeding outcomes after women initiated antenatal hand expression in the DAME trial?
Does antenatal hand expression help with future breast milk feeding? 
Could antenatal hand expression cause an increase in the number of babies admitted into the special care nursery after birth?
Does antenatal hand expression cause earlier birth?
What were the average expressed milk volumes achieved by the women during the DAME study?
And we take an important deep dive into the psychological aspects of this practice in relation to the newly published paper looking at the views and experiences of the women in the DAME trial . We spoke about what midwives and birth workers should consider in relation to how women felt about this practice and the milk volumes they were expressing. 

LINKS:

Dr Rachel Reed - Courses- Books 

Anita Moorhead

Advising women with diabetes in pregnancy to express breastmilk in late pregnancy (Diabetes and Antenatal Milk Expressing [DAME]): a multicentre, unblinded, randomised controlled trial

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

In this episode we interview Ellie Young. Ellie is an Australian edge-dwelling registered midwife, qualitative researcher and writer. She has worked with women and families for over 15 years within the permaculture and traditional nutrition space whilst supporting women choosing to give birth outside the system. After midwifery training, Ellie went back to attending homebirth within her community, whilst undertaking a research study on women's experience of the transition phase of physiological labour during freebirth. This inquiry led her down the rabbit warren of all things nervous system, somatics and the Polyvagal Theory, whilst exploring women's unique perceptions of peak intensity within physiological labour processes. She's now a self-confessed geek for the rewilding of childbirth through understanding the social nervous system at play during birth and positioning it within a biopsychosocial model. Her work in the world is now firmly centred on supporting women and midwives on their paths to reconnection with self, the body, intuition, female physiology, birth and this precious earth. We discuss all this and more in this episode of cauldron.

LINKS:
Ellie Young: @newmoonmidwife
Blog Post: No Woman's Land
Dr Rachel Reed website

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

In this episode we have Dr Hazel Keedle and we are talking all things VBAC, vaginal birth after caesarean!

Hazel is a lecturer of midwifery at Western Sydney University, Australia. Hazel has worked in midwifery group practices, an aboriginal medical service, a variety of hospital settings and as a privately practising midwife in both city and regional locations.  Hazel’s passion for VBAC followed her own experience of having a VBAC with her daughter in 2008 and since then has published research on women's experience of having a VBAC at home and on her PhD work exploring women’s experiences of planning a VBAC across Australia. Hazel is currently the lead researcher on Australia's largest survey on women's experiences of maternity care, the Birth Experience Study. Hazel is passionate about improving support for women during pregnancy, birth, and the early transition to mothering.  

We asked Hazel all the questions you’ve been asking us for months to discuss! So here it is folks the topic you’ve been waiting for. Hazel definitely left us with some golden nuggets, you want to have your pen and paper ready. 

LINKS:
Dr Hazel Keedle
Dr Rachel Reed 

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

In this episode we have Professor Helen O'Connell and we are talking all things clitoris!
Professor O'Connell was elected Vice -President of USANZ in 2021. She was the first female Urologist in Australia and New Zealand, completing training in Melbourne in 1993 followed by a Fellowship in Female and Functional Urology in Houston, USA in 1994-5. Her doctoral studies in female pelvic anatomy have achieved international renown leading to significant conceptual changes in both medical and lay literature. Her higher degrees were conferred at the University of Melbourne where she became Professor in 2013 and Head of Department of Urology and Surgery in 2016. 
In 2014 Professor O'Connell became a Fellow of the Australian Institute of Company Directors, completing its diploma in 2011 whilst a director for the Royal Australasian College of Surgeons and Urological Society of Australia and New Zealand. In 2019 she led a successful Australian Government bid to establish the Australasian Pelvic Floor Procedure Registry to improve the outcomes associated with mesh SUI and POP implantation and explantation procedures. It is a collaborative effort with Monash University Registries, the Australian Commission for Quality and Safety in Health Care, the Therapeutic Goods Administration and leading pelvic floor surgeons and consumers. 
She has been Principal investigator on a large number of clinical trials for drugs and devices for overactive bladder, stress incontinence in men and women and benign prostatic hyperplasia. Her current clinical interests are native tissue pelvic floor repairs, minimally invasive approaches to pelvic floor mesh removal and benign prostate surgery. 
In 2021 Professor O'Connell was named an Officer (AO) in the Order of Australia: For distinguished service to medical education, and to medicine, in the field of urology, as an academic and clinician, and to professional groups.
We asked Professor O'Connell to come and talk to us specifically about the clitoris in all it’s glory. We learn about how medical training used to use pornographic images of the breast to teach anatomy. We discuss the nerves of the clitoris, what the anatomy textbooks don't tell us... Yet! Rachel ends up telling us about her broken clitoris! We ask about labiaplasty & FGM (

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

In this episode we have the fabulous Kemi Johnson on to chat with us. Kemi is a mother, birthkeeper in the birthroom, birth educator and birth activist. Formerly an independent midwife, registered in the UK she is now freely following her calling to facilitate healthy ecstatic births for mothers, and their babies. We chat with Kemi about home birth, free-birth, and why the reported outcomes can often be misunderstood. We look at induction, and childbirth outcomes, time frames in birth, as well as breech birth. 

We find out why Kemi left midwifery and started speaking out. Her thoughts on becoming a "safe" midwife and working as an independent birth keeper. We talk tough about the difficulty midwives & doulas are currently facing in our maternity systems, and how we can best serve families as birth keepers and protectors whilst maintaining our own health. 

This will be a brilliant but tough listen at times, however a conversation we need to be having and acknowledging. 

LINKS:
Kemi Johnson website, courses, more https://www.kemibirthjoyjohnson.com/
Find Kemi on Instagram @kemibirthjoyjohnson

Rachel Reed website: blog, books, courses https://www.rachelreed.website/

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

In this episode, we answer your questions! We take a dive into, inverted nipples and what you can do during pregnancy and with breastfeeding. Answer whether vaginal examinations are necessary during pregnancy, why milk teeth are called milk teeth, look into informed non-consent in the hospital setting, and discuss declining interventions during labour & birth. We delve into the ethics and copyright of how to share information. Whether you can or should breastfeed whilst pregnant, how placental function is checked on an ultrasound scan, and more on placenta previa. As well as also squeezing in why some women experience lower libido and vaginal dryness whilst breastfeeding and the KICO - knees in, calves out birthing position.

Phew! That was a lot and we hope you enjoy it.

LINKS:
Childbirth Physiology Course: https://www.rachelreed.website/store
Dr Rachel Reed Website, blog, books and more https://www.rachelreed.website/
Sara Wickham article re. sharing information: https://www.sarawickham.com/riffing-ranting-and-raving/how-to-share-blog-posts-so-that-everyone-benefits/

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

In this episode in the cauldron, we have Pippa Grace, the author of Mother in the mother. 

Pippa is a socially engaged artist, writer, and sculptor. Her work brings together over 26 years of training and working in the worlds of holistic health, bodywork, dance, creative writing, film, and sculpture. 

 Pippa facilitates the sharing of stories and the creation of ‘visual narratives’ at beautifully held workshops. Pippa is particularly interested in helping to give voice to the quiet, everyday stories that may otherwise be overlooked or forgotten. Where voices have been silenced, her practice helps them find a creative way to speak out. A passionate feminist for as long as she can remember, Pippa specialises in working with women, exploring issues including motherhood, grand-motherhood, menarche, the female body, and trauma.
 
All of her work is grounded by an ongoing fascination with, and research into, the healing qualities of literature, myth, fairytale, storytelling, dream, and archetype.

In this episode, we explore the themes of maternal lineage and women's experiences when they themselves became a mother. We touch on what are some of the challenges or joys women often encounter in their own relationships when they themselves become a mother, how becoming a mother in itself, can be healing for some women, and we look at how Pippa explored the role of being both a mother and a daughter in the same body.

I know you will enjoy this fascinating discussion which really looks deeper into themes of transitioning into motherhood and what it means for our relationships, both past, present, and the future. 

Thank you to all of you that support the show over on our Patreon page, and if this is something you think you like the sound of doing then all the links are below.  We are so thrilled to have you with us, stirring up the bubbles in the cauldron! Please share this podcast with your friends, family and social circle to keep getting these messages out there.

LINKS:
Pippa Grace
www.one-story.co.uk

https://one-story.co.uk/product/mother-in-the-mother-book/

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.