Blooming Moon Midwifery Services

11/11/2025

11/01/2025

10/30/2025

10/29/2025

A 32-year-old woman with an unremarkable medical history and three years of infertility was diagnosed with bilateral endometrioma and peritoneal endometriosis. The couple was offered Assisted Reproductive Technology (ART).

First IVF Cycle: Eight oocytes were retrieved, but the embryo transfer resulted in a miscarriage at four weeks.

Second IVF Cycle (six months later): Eight oocytes were retrieved and fertilized, yielding three embryos. Two blastocysts were transferred. At six weeks, transvaginal ultrasound revealed two gestational sacs, each containing two embryos, confirming a quadruplet pregnancy.

The couple was counseled about maternal and fetal risks and offered fetal reduction, which they declined. First-trimester ultrasounds showed normal fetal anatomy. At 16 weeks, cervical cerclage was performed to prevent preterm delivery, and vaginal progesterone was prescribed at 24 weeks.

Due to limitations in complete fetal anatomical assessment via ultrasound, fetal MRI at 26 weeks was performed. The imaging data were used to construct three-dimensional virtual and physical models of the fetuses.

At 32 weeks, the mother developed uterine contractions and dyspnea, prompting cesarean delivery. Four male neonates were delivered with normal Apgar scores at one and five minutes. Two neonates were discharged at 34 days and the remaining two at 36 days post-delivery.

10/23/2025

The 2025 Cochrane review on immediate and early skin-to-skin contact after birth highlights that further randomized controlled trials comparing skin-to-skin contact with ‘usual care’ are no longer ethical.

The findings show there is now enough evidence to make immediate skin-to-skin contact after birth the global standard of care, and as WHO already recommends skin-to-skin the standard of care, the authors argue that randomizing the separation of mother and newborn may no longer be justifiable.

Read more:
https://centerforbreastfeeding.org/cochrane-review-2025

10/17/2025

Have you ever wondered about food allergies? This month we have a special on this food sensitivity panel. Book at tupelomidwife.com today!

08/26/2025