Recipes for physiological third stage

Updated: Jun 25, 2019

Maria Mills Shaw (Home Birth Lead, Epsom & St Helier University Hospitals NHS Trust)

Maria Mills Shaw sharing the joy of home birth (copyright approved)

Maria originally trained as a nurse in order to go on to train as a midwife and has never looked back.  

She has a passion for physiological birth and has honed her knowledge and skills by working in community and as a one-case homebirth caseload midwife over many years.  

Maria is currently the Home Birth Lead at Epsom & St Helier University Hospitals NHS Trust where she continues to practice with a wonderful team of dedicated home birth midwives.  

Maria very kindly offered to share her recipe for physiological third stage of labour, one that is facilitating rewards for women within her trusts home birth team.

Lies, damned lies and statistics….(attributed to Benjamin Disraeli, British Prime Minister 1874 -1880)

I love a good statistic but there aren’t that many good statistics, statistically significant statistics that would withstand robust intellectual forensic examination. So when I needed to submit some statistics to demonstrate the work and outcomes of our new Home Birth Team I took to the task like a duck to treacle.

I used a fairly standard process of counting numbers and working out percentages and overall it was a reassuring process that demonstrated that outcomes for women having home births were fabulous! No surprises there then, but when it came to our rate of