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Midwifery Today Issue Number 98 (Summer 2011) Second Stage
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Theme: Second Stage

The “second stage” of labor can be quick and painless, or long and threatened by potential complications that require quick action on the midwife’s part. This informative issue critically examines both the medical and midwifery models of care in attending second stage. Therapeutic bodywork techniques for motherbaby, globetrotting birth stories and new articles from Michel Odent, Cornellia Enning and Jean Sutton are also included.

Articles include:

  • Allowing Birth to Be Birth: Re-mystifying Second Stage by Kristi Zittle
    As she recounts the difficult birth experience that helped lead her to birth work, Zittle reconsiders the delineation of labor into stages and calls for a return to a more holistic assessment of the labor process.
  • Midwifing Second Stage by Sister MorningStar
    Regular contributor Sister MorningStar shares her thoughts and experiences on the importance of communication, community and constancy in this article about the midwife’s role during second stage.
  • Prenatal Vitamins: Helpful or Harmful? by DJ Nelson
    Are prenatal vitamins necessary, or are there other, healthier ways for women to get the vitamins and minerals they need during pregnancy? DJ Nelson considers the question.
  • Birth from Baby’s View by Jean Sutton
    Author Jean Sutton takes you back to basics, reviewing the few simple conditions needed for the safest birth, and challenges the notion that deliberate pushing is necessary for a smooth second stage.
  • An Exploration of Unusually Long Second Stage: Redefining Normal by Elizabeth Perry
    The author reviews recent research and shares her own experiences with second stage as she explores “the acceptable parameters of a normal, healthy second stage.”
  • Understanding Stages of Labour after the Paradigm Shift by Michel Odent
    Michel Odent covers the importance of the fetal ejection reflex as it relates to the second stage of labor.
  • A VBAC in the Kitchen by Jennifer Woodmansee
    A midwife recounts one clients empowering decision to birth at home after a previous cesarean birth.
  • Second Stage Evolution by Elizabeth Allemann
    Physician Elizabeth Allemann’s training in the medical-model of care taught her to fear second stage. What happened when the research lead her to the midwifery model? Find out in an illuminating story that is sure to remind you how doctors and midwives can work together for the best health of mother and baby.
  • Getting Pushy by Alison Bastien
    A childbirth educator considers “the place of change” in labor that transcends stages and what she sees as the overemphasis on pushing.
  • Vitamin K: Did Nature Get It Right? by Maria Cranford
    Though many infants are given vitamin K after birth, the author questions the efficacy of this practice through a review of current literature on the subject.
  • Labor Pattern and Management during a Prolonged Second Stage by Kate Prendergast
    In this thoughtful article, author Kate Prendergast discusses the use of management techniques for a prolonged second stage.
  • Getting to Second Stage by Carol Gautschi
    The positive presence of the midwife, and her belief in the abilities of the laboring woman, can affect birth outcomes. Carol Gautschi considers the influence of the midwife’s believes and attitudes on labor.
  • Why Wait until Second Stage? by Carol Gray
    Learn how therapeutic bodywork techniques can help baby achieve the optimal position prior to birth, as well as address Torticollis and Plagiocephaly after birth.
  • Gathering at the Well: Eugene 2011 Conference
  • An Overview of Upright Positions during Second Stage Labor by Jeri Layer
    Not only do upright positions work with gravity, offering numerous benefits to mother and baby, but they also have an interesting history. Layer uncovers the story behind their wane in popularity during the 18th century and relatively recent resurgence.
  • How to Support the Autonomy of Motherbaby in Second Stage of Waterbirth by Cornelia Enning
    Waterbirth expert Cornelia Enning explores how the newborn’s prenatal abilities are especially suited to birthing in water, and how a waterbirth can help to facilitate optimal communication between mother and baby.
  • Birth and Freedom by Terri LaPoint
    A student midwife takes on state governments’ encroachment of women’s rights to birth where and how they choose.
  • Transitional Phase of a New Childbirth Paradigm: Slovenia on the Crossroad by Zalka Drglin
    Researcher and birth activist Zalka Drglin takes you inside Slovenia for a first-hand look at a country very much at the crossroad.
  • In Search of Hope by Gomer Ben Moshe and Mindy Levy
    “In recent years, 20,000 asylum seekers have arrived in Israel from Africa, by way of the Egyptian desert.” Authors Ben Moshe and Levy recount the stories of four refugee women who found their way to the Carmel Shelter for women and children.
  • Three Stories, Two Continents, One Birth Journey by Indira Lopez-Bassols
    Starting in her native Mexico and ending up in London, England, doula and mama Indira Lopez-Bassols birthed three children—and herself—through a transformative birth journey.
  • Planned Homebirth in Brazil with Nurse-Midwife Assistance: Perceptions of Women and Companions by Mayra de Freitas Calvette, Evanguelia Kotzias Atherino dos Santos, Vania Sorgatto Collaço, Bruna Granemann and Leonara De Bona Dario
    The birth culture in Brazil is complex and the country’s private hospitals have some of the highest c-section rates in the world. This article by a group of nurse-midwives shares the results of a recent study investigating Brazilian women’s perceptions of planned homebirth assisted by a nurse-midwife.
  • The Story of Bridget Shevlane: A Labor of Love by Rose Mary Danforth
    Take a trip to 19th century Ireland, where the village midwife was truly a “Jill of all trades.”

View complete Table of Contents here.


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