A comparison of three models of care for inpatient induction of labour: an observational analysis

A comparison of three models of care for inpatient induction of labour: an observational analysis Case study This study aimed to evaluate the effectiveness of inpatient care models during induction of labour (IOL). A prospective observational study involving 1,133 women undergoing IOL in a tertiary obstetric centre was conducted between March 2009 and August 2010. […]

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Looking back – a midwife’s reflection of her career

By Angela McBennett   A note to start…. It seems that in the ‘blink of an eye’, 27 years have flown by as I retire from general midwifery. My memories of midwifery will always be forever in my heart. Pregnancy and birth is a unique time in a family’s life and, as a midwife, we […]

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The Practising Midwife - Mother & Baby

Midwives’ knowledge of Baby Friendly Hospital Initiative in Uganda

Baby Friendly Hospital Initiative in Uganda The Baby Friendly Hospital Initiative (BFHI) is a worldwide programme well known to midwives globally for supporting the initiation of successful breastfeeding. In low resource countries, initiation of breastfeeding immediately after birth would help to reduce neonatal complications such as infection. Knowledge of the 10 steps is critical for […]

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Evidence Series: Observational Study

EVIDENCE SERIES Observational Study Does Waterbirth Affect The Risk Of Third Degree Tears? An observational study was undertaken during 2016 following concerns raised by Corte (2011). A question often raised at study days I host worldwide asks, ‘Does waterbirth increase the percentage of third degree tears?’ The original observational study reviewed third degree tears following a […]

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Report Review: State Of The World’s Fathers – Time For Action

REPORT REVIEW State of the world’s fathers: time for action State of the world’s fathers: time for action presents a summary of the current issues facing fathers with suggestions of what action is needed to improve the experience of fathers and the wellbeing of families across the world. Helman B, Levov R, van der Gaag […]

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Original Research: Effect Of Husband Participation On Mental Health During Antenatal Care – A Randomised Clinical Trial

ORIGINAL RESEARCH Effect of husband participation on mental health during antenatal care: a randomised clinical trial This study evaluated the effect of husband participation on pregnant women’s mental health during 2014. A randomised clinical trial was adopted. By randomised sampling, the data of 66 participants were collected among women who regularly attended health centres for […]

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Guideline Commentary: Midwifery And Human Rights – A Practitioner’s Guide

GUIDELINE COMMENTARY Midwifery and human rights: a practitioner’s guide Alys Einion analyses this guideline (British Institute of Human Rights [BIHR] 2016) on human rights for midwives, and explains its implications for women in pregnancy and birth and for midwives. Guideline commentary aims to help readers make sense of published guidelines by offering a detailed appraisal […]

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Original Research: A Prospective Chart Review On The Management Of Postpartum Acute Perineal Pain

ORIGINAL RESEARCH A prospective chart review on the management of postpartum acute perineal pain Postpartum acute perineal pain can cause a significant impact on maternal morbidity (Dahlen and Homer 2008). The purpose of this article is to enhance midwives’ understanding and knowledge regarding the management of postpartum perineal pain following perineal lacerations sustained during vaginal […]

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Articles - Evidence

Research Unwrapped: Discussions between midwives and women around place of birth

EVIDENCE Research Unwrapped Discussions between midwives and women around place of birth The research discussed here involves two reviews focusing on discussions which midwives have with women on place of birth; the research considered the discussions which took place from the midwives’ perspective. A systematic review to examine the evidence regarding discussions by midwives, with […]

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From a rabbit in the headlights to a confident user of research evidence

From a rabbit in the headlights to a confident user of research evidence In this paper student midwife Rachel and her teacher Susanne tell the story of Rachel’s journey through her ‘research module’. The story offers hope to students and teachers about engaging with research evidence for safe and effective practice. Despite having encountered evidence-based […]

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Articles - Evidence

Report Review – The new Irish maternity strategy 2016-2026

EVIDENCE Report Reviews The new Irish maternity strategy 2016-2026 In 2016, Ireland launched its first ever maternity strategy (Department of Health [IDH] 2016). This followed many high-profile controversies, including maternal and neonatal deaths due to medical misadventure. This article reviews Ireland’s history of maternity services, the new strategy and current perinatal mental health services. Irish […]

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Articles - Evidence

Guideline Commentary: Prevention and management of postpartum haemorrhage

EVIDENCE Guideline Commentary Prevention and management of postpartum haemorrhage This commentary examines a recent ‘Green Top’ guideline from the Royal College of Obstetricians & Gynaecologists, (RCOG) Green-Top Guideline No 52, Prevention and management of postpartum haemorrhage (Mavrides et al 2016) Alys Einion Associate Professor of Midwifery at Swansea University Guideline commentary is a series to […]

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Articles - Evidence

Research Unwrapped: Midwifery practice during birth: ritual companionship

EVIDENCE Research Unwrapped Midwifery practice during birth: ritual companionship The research being discussed here is a qualitative study focusing on perhaps the most fundamental dimension and function of midwifery practice: that of the impact of a midwife on a woman’s birth experience. Reed R, Rowe J and Barnes M (2016) Women and Birth, 29(3): 269-278. […]

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Articles - Evidence

Report Reviews – MBRRACE-UK: Saving lives, improving mothers’ care

EVIDENCE Report Reviews MBRRACE-UK: Saving lives, improving mothers’ care The third annual MBRRACE-UK report, Saving lives, improving mothers’ care report provides us with a picture of maternal deaths in the UK between 2012-14 and information on the lessons learned from the UK and Ireland Confidential enquiries into maternal deaths and morbidities between 2009-14. Globally, maternal […]

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Physiological breech birth: Evaluation of a training programme for birth professionals

Physiological breech birth Evaluation of a training programme for birth professionals This paper reports an evaluation of the Breech Birth Network (BBN) physiological breech birth (PBB) training programme, which has been developed out of consensus research with highly experienced health professionals. The training was delivered in four National Health Service trust hospitals in the north […]

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Articles - Evidence

Report Reviews: Perinatal mortality and morbidity: a retrospective

EVIDENCE Report Reviews Perinatal mortality and morbidity: a retrospective The UK stillbirth and neonatal mortality rate has fallen by a fifth in the last decade; however, stillbirth rates continue to be among the highest of high-income countries. The Government wants to halve the rate of stillbirths and neonatal deaths in England by 2030, with a […]

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Hypnosis and hypnobirthing for labour – a critical selective narrative review

Hypnosis and hypnobirthing for labour – a critical selective narrative review The provision of woman-centred care is at the heart of midwifery practice, and there appear to be increasing numbers of women choosing alternative forms of support for their childbearing journey. Women are often fearful of the experience of labour and birth, and in particular […]

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Articles - Evidence

Research Unwrapped: Mindfulness and perinatal mental health: a systematic review

EVIDENCE Research Unwrapped Mindfulness and perinatal mental health: a systematic review Fenwick J, Cullen D, Gamle J et al (2016) ‘Being a young midwifery student: a qualitative exploration’. Midwifery, 39: 27-34. The research being discussed here is a systematic review of articles which look at the implementation of mindfulness approaches and whether these can enhance […]

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Articles - Evidence

Original Research: Factors associated with postpartum shivering: a cross-sectional study

EVIDENCE Original Research Factors associated with postpartum shivering: a cross-sectional study The objective of this study was to investigate the postpartum shivering phenomenon. We carried out a cross-sectional study on a sample of 597 pregnant women. Logistic regression analyses were built. Independent variables were: parity, labour induction with prostaglandin agonist, oxytocin infusion during labour, amniotomy, […]

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Articles - Evidence

Cochrane Corner – Early additional food and fluids for healthy breastfed full-term infants

EVIDENCE Cochrane Corner Early additional food and fluids for healthy breastfed full-term infants The current international recommendation (World Health Organization (WHO) 2011) is that healthy infants should be exclusively breastfed, where possible, for the first six months of life. In practice, many breastfed infants are given other fluids and/or food before that age but, is […]

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Articles - Evidence

Guideline Commentary: The management of nausea and vomiting of pregnancy and hyperemesis gravidarum

EVIDENCE Guideline Commentary The management of nausea and vomiting of pregnancy and hyperemesis gravidarum This month, Alys Einion welcomes the RCOG guideline on nausea and vomiting and hyperemesis gravidarum, which recommends a holistic approach, but she questions the advice not to use hypnosis and the recommendation – but lack of guidance – as to the […]

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Articles - Evidence

Research Unwrapped: Being a young midwifery student: a qualitative exploration

EVIDENCE Research Unwrapped Being a young midwifery student: a qualitative exploration Fenwick J, Cullen D, Gamle J et al (2016) ‘Being a young midwifery student: a qualitative exploration’. Midwifery, 39: 27-34. For many, entry into midwifery occurs directly or soon after leaving full time education, at the time when they first cross the threshold into […]

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Articles - Evidence

Report Reviews: ‘Montgomery consent’: decision of the UK Supreme Court – Montgomery v Lanarkshire Health Board [2015].

EVIDENCE Report Reviews ‘Montgomery consent’: decision of the UK Supreme Court – Montgomery v Lanarkshire Health Board [2015]. [2015] UKSC 11; [2015] WLR 768 This landmark legal case has changed the law on consent in health care. All health care workers must be aware of the implications of this for their practice when ‘sharing information’ […]

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The national maternity review: The four C’s: Choice, Continuity of carer, Communication and Continuous quality improvement

The national maternity review: The four C’s: Choice, Continuity of carer, Communication and Continuous quality improvement In this article, Victoria Morgan looks at the recent National maternity review and picks out some encouraging implications. Guideline NHS England (2016). National maternity review. Better births, Improving outcomes of maternity services in England, a five year forward view for […]

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Articles - Evidence

Original Research: Women’s experience of post-term pregnancy

EVIDENCE Original Research Women’s experience of post-term pregnancy In recent years, induction of labour has become increasingly common in many countries and has moved towards an earlier gestational age. The aim of this study was to describe how low-risk pregnant women experienced post-term pregnancy in a large university hospital in Denmark. Qualitative interviews were carried […]

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Articles - Evidence

Cochrane Corner: Inhaled analgesia for pain management in labour

EVIDENCE Cochrane Corner Inhaled analgesia for pain management in labour Inhaled analgesia, and in particular nitrous oxide, is a common pain relief option for women during labour across many developed countries (Rooks 2007). It is important that midwives have a thorough understanding of the benefits and harms of different methods that women might choose to […]

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Articles - Evidence

Cochrane Corner: Cardiotocography versus intermittent auscultation of fetal heart

EVIDENCE Cochrane Corner Cardiotocography versus intermittent auscultation of fetal heart on admission to labour ward for assessment of fetal wellbeing. The aim of this column is to highlight Cochrane Systematic Reviews of relevance to pregnancy and childbirth and to stimulate discussion on the relevance and implications of the review for practice. The Cochrane Collaboration is […]

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Articles - Evidence

Cochrane Corner: Antibiotics for meconium-stained amniotic fluid in labour for preventing maternal and neonatal infections

EVIDENCE Cochrane Corner Antibiotics for meconium-stained amniotic fluid in labour for preventing maternal and neonatal infections Valerie Smith highlights a Cochrane systematic review by Siriwachirachai et al which was published in Issue 11 of 2014 of the CDSR. The aim of this bi-monthly column is to highlight Cochrane Systematic Reviews of relevance to pregnancy and […]

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Articles - Evidence

Guideline Commentary: EMBRACE – Confidential enquiries into maternal death

EVIDENCE Guideline Commentary MBRRACE – Confidential enquiries into maternal death ‘Saving lives, improving mothers’ care – surveillance of maternal deaths in the UK 2011-2013 and lessons learned to inform maternity care 2009-2013′. Knight et al (2015)./h3> Guideline commentary takes its place alongside Cochrane corner and Research unwrapped as part of our evidence series. The aim […]

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Articles - Evidence

Cochrane Corner: Midwife-led continuity models versus other models of care for childbearing women

EVIDENCE Cochrane Corner Midwife-led continuity models versus other models of care for childbearing women Sandall J, Soltani H, Gates S et al (2015). ‘Midwife-led continuity models versus other models of care for childbearing women’. Cochrane Database of Systematic Reviews, 9: CD004667. DOI: 10.1002/14651858.CD004667.pub4. Sarah Chapman Knowledge broker at Cochrane UK BACKGROUND The best way to […]

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