Chapter 10: “The Color of Goldenrod” by Janice Marsh-Prelesnik

Chapter 11: “The Problem Is Induction, Not Meconium” by Gail Hart

Chapter 12: “Tsunami Midwives: Learning to Burn the Umbilical Cord” by Robin Lim, Harvest Rowena Alcock and Kelly Dunn

Chapter 13: “Velamentous Birth Story” by Jana Voelke Studelska

Chapter 14: “Knitted Noggins: Rethinking the Newborn Cap” by Nicole Deelah

Chapter 15: “A Natural Approach to the Third Stage of Labour: A Look at Early Cord Clamping, Cord Blood Harvesting and other Medical Interference” by Sarah J. Buckley



Placenta Accreta

by Marion Toepke McLean

Copyright 2011 Midwifery Today, Inc. All rights reserved.

Editor’s note: This article first appeared in Midwifery Today, Issue 97, Spring 2011.


The baby is born successfully and begins to nurse on its own. The delighted family crowds around. The midwife has her eye on the cord, watching for signs of placental separation: the lengthening of the cord, the little gush of blood. From time to time she gently and unobtrusively palpates the fundus, checking for firmness and for a rise in fundal height. She does not massage or press down on the fundus. She has not pulled on the cord, nor has she made any attempt to deliver the placenta. The vital signs are normal. So far, so good!

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