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28/05/2026

📊 A baby on the 9th centile is just as healthy as a baby on the 90th.

If nobody has told you that before, this video is for you.

Centile charts are one of the most misunderstood tools in baby care - and one of the most anxiety-inducing. Higher does not mean healthier. The number itself means very little in isolation. What matters is that your baby follows their own curve over time.

In this video I talk through what centile charts actually show, what centile crossing means, why we don’t recommend weighing your baby too frequently, and how to use these charts as the tool they are - not as a verdict on your baby’s health.

Drop any questions below (but no personal advice) 👇

babyadvice newmum midwife IBCLC midwifemiranda ukmidwife evidencebasedcare breastfeedingsupport newparents infantfeeding

23/05/2026

🚨 Engorged in the first week and wondering if you should pump to get relief?

At seven days postpartum, making more milk than your baby needs isn’t oversupply. It’s normal for this stage of lactation, and is your body rushing in before it’s worked out how many babies it’s actually feeding.

Pumping on top of what your baby takes tells your body to make more. In that early sensitive window, this can tip you into a genuine oversupply problem down the line.

If you’re uncomfortable and baby’s asleep - hand express. Take off the minimum you need to feel comfortable, and stop. This is the signal your body needs.

It will regulate. It just needs a bit of time and a baby, not a pump.

🛟 Save this for the first week - or send it to someone who needs it.

💫 CLIENT TESTIMONIAL 💫I supported Ciara from her third trimester to five months postpartum - and this is why continuity ...
22/05/2026

💫 CLIENT TESTIMONIAL 💫

I supported Ciara from her third trimester to five months postpartum - and this is why continuity counts.

You’re not retelling your story. You’re not starting from scratch. You’re supported by someone who already knows you - and remembers what was worrying you last week.

I light up walking into your home - that oxytocin bubble is real. This means you get the best of me too. Supporting you in pregnancy helps me get ahead of the game, anticipate the postpartum hurdles, and meet them with you before they really bite.

Ciara came to me feeling anxious about her planned caesarean. We worked through it all together - what to expect, what to ask, how to prepare.

So when Sienna arrived and feeding became complex, we were already a step ahead. Already a team. And she knew I’d get them through.

This is continuity of care. And it’s as good for me as it is for you 🤍

Get in touch if you need to feel this.

✨💫✨💫✨💫✨💫✨💫✨💫✨💫✨💫✨💫

If you’re thinking about engaging Miranda to support you pre- or post- birth, don’t hesitate to do so!

Miranda is a very special person who combines professionalism and expert midwifery and lactation knowledge with empathy, humour and kindness.

She prepared me brilliantly for my first birth (via c-section), something I’d been anxious about, providing very detailed information about what to expect and tailoring her advice to my specific needs.

Miranda was also a huge support to us following the birth, identifying a tongue tie in our baby which had been ‘missed’ by a number of other health professionals, and giving me much-needed - and timely - breastfeeding support which simply wouldn’t have been available via the NHS.

We have a very healthy, content and happy baby, and I have had a wonderful post-partum experience as a new mum. I credit Miranda for much of that, and we cannot speak more highly of her. She’s wonderful!

🚨 Breasts feeling like rocks in the first week?This is one of the most common things I see in my first home visits - and...
22/05/2026

🚨 Breasts feeling like rocks in the first week?

This is one of the most common things I see in my first home visits - and one of the most misunderstood parts of early feeding.

Engorgement in the first week isn’t a supply problem. It’s a normal hormonal transition - your body flooding in milk, blood and fluid to your breasts before it’s worked out how many babies it’s actually feeding.

Which is why what you do in this window REALLY matters.

Feeding responsively - when baby cues and when you feel full - is how things starts to regulate. You don’t have to empty the breast, but focus on regular, effective drainage.

And if someone suggests pumping to get relief... please read slide seven first.

It will settle. With time, responsive feeding, some cool compresses and a bit of trust in the process.

🛟 Save this for the first week - or send it to someone in the thick of it.

⬇️ Did you feel prepared for this?

☀️ HEATWAVES AND NEWBORNS ☀️The heat is about to arrive in the UK - and if you’re home with a newborn, here’s what you n...
21/05/2026

☀️ HEATWAVES AND NEWBORNS ☀️

The heat is about to arrive in the UK - and if you’re home with a newborn, here’s what you need to know.

🌡️ Get a room thermometer. The ideal sleeping temperature is 16-20°C, but in a heatwave this isn’t always achievable. Use it to guide clothing and bedding choices rather than stress about hitting the perfect number.

🪟If it’s cooler outside than in, open windows. If it’s hotter outside, keep windows closed and blinds or curtains shut during the day, opening them once the outside air cools.

🪭Consider decamping to the coolest room temporarily. A bowl of ice in front of a fan can help cool the air, just make sure your baby is never in the direct airflow.

🛁 A cool (not cold) bath is a safe, gentle way to bring your baby’s temperature down.

✌️Place the back of two fingers on the nape of their neck or chest. Hot and clammy means too warm, remove a layer. Hands and feet always feel cooler and are not a reliable guide.

🤍Keep clothing and bedding cotton. Over 27°C, a nappy alone is fine for sleep. Avoid swaddling as it prevents heat release through the skin.

🧦No socks, no hats. Feet and heads help babies regulate temperature so keep them uncovered.

🍼Breastfed babies may want to feed more often — follow their lead. No water before 6 months, breastfed or formula-fed. More frequent feeds are the answer.

☀️Stick to the shade and never cover the pram with a muslin as this traps heat rapidly. If shade is not possible, apply mineral sunscreen (zinc oxide or titanium dioxide, SPF 30+) to exposed skin.

🚨Seek urgent advice if your baby has a high-pitched cry, is unusually drowsy, has flushed hot skin, a sunken fontanelle, fewer wet nappies, or a temperature above 38°C. When in doubt, call your midwife or NHS 111.

⬇️ Any top tips? Drop them below!

🛟 Save this and tag someone who needs it!

🚨 Told your baby lost too much weight on day three?The timing of that weight might matter more than you think. Following...
14/05/2026

🚨 Told your baby lost too much weight on day three?
The timing of that weight might matter more than you think. Following on from this week’s case study story…...

Every newborn loses weight in the first few days - that’s completely expected. Most hit their lowest point around day three, which is also around the time when milk starts to transition and volume starts to increase. So that number, at that moment, is catching the very bottom of the dip before things have even had a chance to turn a corner.

Day five gives a much more accurate picture of how feeding is actually going.

Having said that, there are absolutely times when weighing earlier is the right call - jaundice, a sleepy baby, nappies not tracking, concerns about transfer.

But if feeding was going well, nappies were on track, baby was alert and behaving well - and the only flag was a day three weight - it’s worth understanding why that number looked the way it did.

If earlier weighing is being recommended and you’re not sure why, it’s a good idea to ask what the clinical indication is.

Save me, share me, post me 🛟

13/05/2026

✌️2cm and sent home. I know that feels rubbish. But let’s talk about what’s actually happening.

Your cervix doesn’t just have to open. Before it can even get to that stage it has to shorten from 3-4cm long, thin right out like a piece of paper, and shift its position so it’s in line with the birth canal. All of this has to happen first.

So by the time you’ve got to 2cm, your body has already done a huge amount. It’s just that it doesn’t feel like it when you’ve gone to hospital absolutely certain that you’re right in the throws of active labour.

4cm is the point that guidance recognises active labour - but that’s a fairly arbitrary cut off. 2cm needs its recognition!

Think like cycling up a hill. At 2cm you’re on the climb (as is your oxytocin) - the hardest climb in your journey. And this is the thing with this stage of labour - it is really sensitive to the (weather) conditions around you. Think wind, rain, hail, burning sun (you have to keep stopping for shade) on that climb. This is the same as the hospital - bright lights, strange smells, noises, anxiety, not being in your own space - they all of that plays havoc with your hormones during this stage of labour and can genuinely slow things down. Oxytocin does not like that environment.

Getting home is your chance for better weather for the climb. It’s your sofa, your bath, your bed, your kitchen. It’s a sleep, proper food, a walk, a light drink in the pub, Schitts Creek on repeat and some final time with your partner - the last stretch you’ll have together ever as just a family of two, so make the most of it!

4cm is when you crest the hill, and you’re on the straight. From there it’s more established, and much less affected by everything around you.

So if you’ve been sent home - try to see it as a reset. And a GOOD one. Dig deep, you’ve got this.

🛟 Save this for your birth prep, or send it to someone who needs to hear it.

​​​​​​​​​​​​​​​​miranda

08/05/2026

Sleep consultant, sleep coach, holistic sleep practitioner - none of these are protected terms. Anyone can use them.

So how do you know who to trust with your baby’s sleep?

Here’s what to ask before you book.

✦ What training have they done, and do they understand and can explain the science of normal newborn sleep?

✦ Do they follow safe sleep guidance and NHS recommendations, e.g. no sleeping on front and not propping up cribs or mattresses?

✦ Do they take a detailed history - birth, feeding, medical background, development, family setup?

✦ Who do they refer to when they’re out of their depth?
This is really important. A good sleep practitioner knows the limits of their scope. They should have a network - GPs, lactation consultants, physios, paediatricians -
and they should use it.

The answer to your baby’s sleep is always in the details.

Work with someone who knows how to find it.

💬 Drop any questions below or send me a message — let’s keep this conversation going.

💤 There’s been a lot of noise online recently about infant sleep, “sleep experts” and what is or isn’t safe.And I’m deli...
07/05/2026

💤 There’s been a lot of noise online recently about infant sleep, “sleep experts” and what is or isn’t safe.

And I’m delighted as I spend a lot of time unraveling the damage that certain books and ‘experts’ have done in terms of breastfeeding, newborn safety, mental wellbeing for parents and overall family health.

However, I know many of you are now feeling more confused and anxious than ever.

So here is a simple visual reminder of some of the key safer sleep recommendations for babies under six months, based on guidance from The Lullaby Trust.

Safer sleep is simple:
✨ Baby on their back
✨ Clear, flat sleep space
✨ Feet to foot
✨ No loose bedding near the face
✨ Same room as parent/carer for sleep

It’s also important that conversations around infant sleep are realistic, compassionate and non-judgemental. Many families will experience moments of exhaustion, contact sleep, night waking and feeding to sleep. And much, if not most, of this will be normal.

If you are ever unsure about safer sleep guidance, I’d encourage using trusted evidence-based resources such as The Lullaby Trust, NHS guidance and the BASIS sleep resources (link in bio).

Save this post for later 🤍

💤 Have you found the noise around sleep advice online overwhelming recently? Tell me below ⬇️

fourthtrimester breastfeeding midwife ibclc newparents babysleep responsiveparenting

31/03/2026

🚨 PSA - if you haven’t seen me talk about this time and time again recently, fl**ge sizing has changed - and many of you will still be being given outdated advice (including AI tools!).

❌ We no longer measure the base of the ni**le or automatically size up.

📏 Instead:
• Measure the ni**le tip (just the ni**le, not the ar**la)
• Measure both sides - they can be different
• Use this as a starting point, not a fixed size
• Trial different sizes to find what works best for your body

☺️ You’re looking for comfort, gentle movement of the ni**le in the tunnel, and effective milk flow.

😞 If pumping feels uncomfortable or isn’t working well, it’s always worth reassessing your fl**ge size.

🔄 Fl**ge fitting isn’t a formula - it’s a process.

🏡 Contact me for a home visit or virtual consultation to take you through fl**ges to using your pump correctly.

www.midwifemiranda.com

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