Global Midwifery Matters: 4. Stillbirth In Sri Lanka

GLOBAL MIDWIFERY MATTERS 4. Stillbirth in Sri Lanka This mini series aims to share, discuss and promote midwifery in a global context. Midwifery is a truly global profession and even those of us who work solely in the UK will care for women from many different cultures; these articles reflect the experiences of midwives and […]

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Living with intimate partner violence: a literature review of pregnant women’s experiences

Living with intimate partner violence: a literature review of pregnant women’s experiences Pregnancy brings joy to most women’s lives. However, some women do not enjoy their pregnancy, due to physical and/or emotional health problems, or social circumstances such as being in a relationship characterised by intimate partner violence (IPV). The aim of this review is […]

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Transferring women’s care from midwives to obstetricians: an audit

Transferring women’s care from midwives to obstetricians: an audit This article identifies whether women were appropriately transferred from a low-risk pathway to a high-risk pathway and the accuracy of associated documentation. An audit methodology and audit tool are utilised to obtain the required data. The procedure for transferring women from low-risk to high-risk care pathways […]

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Specialist clinics can reduce pregnancy risks for obese women

Specialist clinics can reduce pregnancy risks for obese women Research published by the University of Edinburgh says that specialist antenatal clinics for severely obese pregnant women help cut rates of pregnancy complications, and that women who received the specialist care were eight times less likely to have a stillbirth. Research published by the University of Edinburgh says that […]

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Best practice in fetal monitoring and neonatal care crucial to improve birth outcomes

Best practice in fetal monitoring and neonatal care crucial to improve birth outcomes Three quarters of babies who die or are brain injured during birth might have had a different outcome with different care, says national investigation. For the first time, the RCOG “Each Baby Counts” initiative has been able to pinpoint and share the […]

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Stillbirth rates improving but overall neonatal mortality almost unchanged

Stillbirth rates improving but overall neonatal mortality almost unchanged The latest MBRRACE-UK report finds that the stillbirth rate in the UK has reduced by almost 8% over the period 2013 to 2015 but still short of the current Government ambition to halve the rates of stillbirth and neonatal death in England by 2030. MBBRACE-UK* (2017) […]

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Barriers to implementing diagnostic domestic violence screening

Barriers to implementing diagnostic domestic violence screening In the United Kingdom, Australia, the United States of America and Europe, universal and routine screening for domestic violence is recommended for pregnant women, extending into the postnatal period. However, the lack of self-confidence among midwives and midwifery students in implementing diagnostic domestic violence screening, is consistent within […]

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Midwifery management of face presentation

Midwifery management of face presentation The 1980 edition of Oxorn and Foote (1980) urges the midwife not to be hasty in employing cæsarean (CS) for face presentation because, with patience, babies are usually born vaginally, with better outcomes. Reviewing how to manage face presentation can prepare the practitioner for this rare event, and decrease CS […]

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Community management of lactational mastitis and/or breast abscess: a retrospective audit

Community management of lactational mastitis and/or breast abscess: a retrospective audit Lactational mastitis has an incidence of around 10 per cent in postpartum women, with breast abscess complicating some of these. The key principles of treatment include: supportive counselling, warm or cold compresses, effective milk removal, oral antibiotic therapy and symptomatic treatment. Patients can be […]

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Obstetric anal sphincter injuries and the role of the midwife

Obstetric anal sphincter injuries and the role of the midwife Obstetric anal sphincter injuries (OASIS) can have a very negative impact on women’s health and quality of life. Literature exists concerning the role of the surgeon and physiotherapist after OASIS, but there is a dearth of literature pertaining to the role of the midwife in […]

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Caring to make a difference with vulnerable women: the impact of targeted support on birth-related outcomes and experiences

Caring to make a difference with vulnerable women: the impact of targeted support on birth-related outcomes and experiences We report findings from a mixed-methods study to compare birth outcomes and experiences between vulnerable women who had or had not received targeted support from a specialist midwifery team and/or a third-sector organisation. Sociodemographic and birth-related outcome […]

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Mothers in immigration detention: the most vulnerable and the hardest to reach

Mothers in immigration detention: the most vulnerable and the hardest to reach Phoebe Pallotti and Morag Forbes are two experienced midwives who volunteered for a charity that works for the health rights of people in immigration detention. They both have other experience of this client group and they both hold diplomas in Tropical Midwifery. Over […]

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Twins, postnatal depression and me

Twins, postnatal depression and me I am a mother to four-year-old twin girls. Life since their birth has not been easy and postnatal depression has blighted our relationship. So, too, has it affected the relationship I have with friends, family, my husband, myself. My reasons for becoming a student midwife were numerous, but my experiences […]

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Articles - Advancing Practice

Mind the gap: diastasis of the rectus abdominis muscles in pregnant and postnatal women

ADVANCING PRACTICE Complications Mind the gap: diastasis of the rectus abdominis muscles in pregnant and postnatal women This article looks at the abdominal physiology of pregnant and postnatal women, the incidence of diastasis recti abdominis and the possible risk factors for this condition. The longer-term implications of this condition, the effects of exercise, indicators for […]

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