Baby Wearing

Carrying out babies is one of the best ways to bond with them and to answer their physiological needs for closeness, warmth and movement, whilst still getting things done.

Dr Rosie Knowles lists many benefits of baby wearing such as an enhanced sense of security and attachment, more successful breastfeeding journeys, reduction of crying, enhanced neuromotor development and encouragement of sociability and language development. But these are not just add-ons to the parenting experience. As she puts it, it is rather the basis from where we parent, what every baby expects, what every instinct dictates; babies want to be held or carried and mothers or primary care givers want to hold and carry their babies.

Baby carrying independent midwife

Whatismore, this is not one way relationship as mothers or fathers that carry their babies in slings or in-arms also report benefits their end. From reduction in postnatal depression, increased parental confidence, a way to exercise or finally, a way to tune into your baby easier, which helps, for instance, with elimination communication.

 

I personally found it quite enjoyable and so did my partner. This is why I regularly volunteer at the sling library in Colchester (Beautiful bonds) and from the moment I started conceiving my independent midwifery services I knew I wanted to offer support with baby wearing.

So if you hire my services in a package of care with a minimum of 2 weeks postnatal care I can help you start using your stretchy wrap. If you hire a package with an extensive postnatal care of 4 to 6 weeks you will also receive a beautiful goody bag with a bespoke stretchy sling (yes, you heard right, I will give you a sling), a top hat potty for EC, newborn cloth nappies, plus a discount on your first carrier hire from the Colchester sling library, safety information on how to use a sling, lots of other information leaflets and bits and pieces.

As a disclaimer, I am not a baby wearing consultant (yet) so I can only offer basic wearing advice based on my own experience of slings. I am fully insured after completing a peer supporter training with Born to Carry. For more extensive advise, trouble shouting, carrying in special circumstances or carriers I am not familiar with I will direct you to the sling library where we can explore your queries with the baby wearing consultants  I do not offer single consultations for this.

Sling library Suffolk
If you would like a midwife to accompany you in your journey to motherhood that has the knowledge to also support you at the beginning of your carrying journey, check out my packages of care or book a discovery call.

Resources For Fetal Heart Monitoring

1.When did we start monitoring babies in labour?

For more high quality evidence around fetal monitoring please visit Kirsten website here, an obstetrician with a PHD in CTGs. https://birthsmalltalk.com/

In this post she discusses intermittent auscultation: https://birthsmalltalk.com/2023/08/23/what-is-intermittent-auscultation/

Hear her talk about the lack of evidence behind CTGs in this podcast: https://open.spotify.com/episode/1eXZY973Oxbs1ducavpSAk?si=872f8c4077be4ba5

Post on the history of fetal heart monitoring: https://birthsmalltalk.com/2023/08/09/listening-to-the-fetus-the-history-of-fetal-heart-rate-monitoring/

Cochrane review comparing CTG to intermittent ausculation (CTG increases interventions
): https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006066.pub3/full

Does CTG use improve outcomes for high risk women? https://birthsmalltalk.com/2024/10/16/the-story-behind-our-paper/

2. How should we use intermittent auscultation in labour?

These are the NICE guidelines for fetal monitoring in labour: https://www.nice.org.uk/guidance/ng229/chapter/Recommendations

Midwife researcher and lecturer Rachel Reed has a brilliant article and podcast about this where she unpicks the evidence around the recommendations for intermittent auscultation protocols here https://www.rachelreed.website/blog/listening-to-baby-during-labour

and podcast here: https://open.spotify.com/episode/3sJeIR3xUOr20EBRGilHxl?si=818537594dd04457

The WHO recommendations for intrapartum care: https://iris.who.int/bitstream/handle/10665/260178/9789241550215-eng.pdf?sequence=1

3. How does intermittent auscultation detect fetal distress?

For more on normal and abnormal heart rate monitoring watch this explanatory video: https://www.youtube.com/watch?v=Ni48bbtiZgs

4. What happens if there are concerns with the fetal heart rate at a homebirth?

NICE guidelines for fetal monitoring in labour: https://www.nice.org.uk/guidance/ng229/chapter/Recommendations

5.What is better for fetal monitoring in labour: a Doppler or a Pinard/fetoscope?

To read about the research and the experiences of midwives using a fetoscope/pinard antenatally and in labour check these links out.

Short facebook comments compiled in this magazine here: https://www.midwiferytoday.com/mt-articles/wisdom-of-the-midwives-issue-131/

Midwives perceptions of fetoscope vrs Doppler Tanzania https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-018-1736-y

Midwives experiences of Pinard use Norway https://www.sciencedirect.com/science/article/pii/S0266613822000407

Defense of fetoscope article by American midwives

https://hearthandhomemidwifery.com/blog/fetoscope-a-tool-of-the-midwifery-trade#:~:text=Fetoscope%20uses%20go%20beyond%20just,birthing%20person%20and%20the%20baby.

A Cochrane review that compares Doppler and Pinard use in low income countries: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008680.pub2/full

For a compilation of research that compares the use of Doppler to Pinard check this link: https://www.cochranelibrary.com/content?templateType=related&urlTitle=%2Fcentral%2Fdoi%2F10.1002%2Fcentral%2FCN-01110791&doi=10.1002%2Fcentral%2FCN-01110791&p_p_id=scolariscontentdisplay_WAR_scolariscontentdisplay&_scolariscontentdisplay_WAR_scolariscontentdisplay_action=related-content&p_p_lifecycle=0&p_p_mode=view&type=central&contentLanguage=

6. What if you decline some or all fetal auscultations?

Is fetal monitoring essential?: https://birthsmalltalk.com/2024/11/06/myth-busting-3-fetal-monitoring-is-essential/

7. What to bear in mind about intermittent auscultation in labour?

Examples of womens experiences of fetal auscultation in labour: https://www.sciencedirect.com/science/article/pii/S1871519224002658#bib14