Birth and the microbiome; what all midwives need to know

BIRTH AND THE MICROBIOME; WHAT ALL MIDWIVES NEED TO KNOW Birth is an important event in many ways, but emerging research is demonstrating that the way we are born may have far-reaching consequences for our future health and wellbeing. This article looks briefly at what is known about the microbiome and health, the importance of birth, […]

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Student survival guide No 8 – Developing a personal philosophy and preparing for qualification

DEVELOPING A PERSONAL PHILOSOPHY AND PREPARING FOR QUALIFICATION Qualification is an exciting, nerve-racking time that ties together three years of hard work, dedication and commitment.In the final article of the Student survival guide series, Georgia Allan and Felicity Harper explore how to develop your personal midwifery philosophy and offer advice on preparing for qualification. This […]

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The Majestic Midwife – a book for children!

by Laura Neale Former and future Midwife and Childminder I began my midwifery journey in September 2002. As a student and then qualified midwife, I felt very privileged to be in a position to care for women and their families during their life-changing events. I met many women for the first time in the community […]

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Understanding the needs of women and midwives as they interact during maternity care provision

Understanding the needs of women and midwives as they interact during maternity care provision For women childbirth can be traumatic. For midwives, the working environment and fulfilling their role can be stressful and sometimes traumatic. How we, as midwives, relate to the women we care for, has been shown to be an important aspect of […]

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Coming Full Circle – Building a sustainable community of mothers

Building a sustainable community of mothers The unexpected experience of social isolation and loneliness for new mothers is a growing issue in caring for postnatal women in the UK. Inadequate support as a result of fragmented communities and extended family, can leave women at risk of poor mental health with a lasting impact on the […]

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Maternity Voices – Bereavement Care 40 Years On

BEREAVEMENT CARE 40 YEARS ON This article is based on a case study by a third-year student midwife who, in the course of writing up an assignment on stillbirth for her degree, opened up discussion with her own mother who experienced a stillbirth 40 years previously. The discussion demonstrates how changes in bereavement care over […]

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Evidence Series – Service Evaluation

Examining postnatal care provided to mothers with infants admitted to neonatal intensive care units Having experienced infants in neonatal intensive care unit (NICU) as both service users and providers, the enormity of the impact on women is felt by both authors. In sharing similar experiences, the use of a service evaluation provides a platform to […]

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Advancing Practice – Midwifery Caseloading

A CRITICAL REVIEW OF CASELOADING AS A MODEL OF MIDWIFERY PRACTICE Continuity of care and team midwifery are buzzwords in maternity, long since a part of the way childbearing, childbirth and childrearing are organised. In the UK, women cared for by professionals call for care by midwives they recognise, and ‘know your midwife’ schemes 
(or […]

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Student Survival Guide No 7 – Medicine Management

MEDICINE MANAGEMENT In this article Alison Anderson and Holly Thorpe explore principles, guidelines and the safe administration of medicines, along with some useful tips for revision and student support resources. Medicine management is an essential part of midwifery practice. The term medicine management incorporates professionalism, safe supply and administration of medicinal products and best practice […]

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Editorial: Getting Alongside You

Getting Alongside You As midwives it is our professional obligation to keep our knowledge and skills up to date to ensure we offer appropriate, safe and evidence-based care to all women and families. It is our aim at All4Maternity.com to support you in your learning throughout your training and career. Our hope is to make […]

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Editorial: Holding on to Support

Holding on to Support Research continues to identify the benefits of effective social and emotional support for physical health and wellbeing (Reblin and Uchino 2008). Throughout maternity services relationship-based care, including one-to-one support from a known midwife, has been shown to enhance outcomes for women, babies and families (Sandall et al 2016). Midwifery-led continuity models, […]

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The Practising Midwife Hand Illustration

Empowering Women And Their Partners

Perinatal mental health enquiry Empowering Women And Their Partners This series stresses the importance of perinatal mental health and wellbeing. Policy and guidelines have been written to help support midwives in delivering care so that a woman’s mental health is treated as comparable with her physical health.This third article in the series emphasises the promotion […]

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The Practising Midwife - Mother & Baby

Neonatal – mental health, bonding and attachment

Nonatal Mental health Nonatal – Mental health, bonding and attachment There has been an emphasis in society on mental health generally and maternal mental health in particular for some time. We also know that the impact of maternal anxiety and depression, for example, can be detrimental to the neonate, potentially having a lasting impact in […]

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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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My Story post-traumatic stress disorder

My story of post traumatic stress triggered after a difficult day on placement, the subsequent difficulty of accessing the right help and diagnosis and, finally, the profound impact of the continuity of support received as a student from a team of caseload midwives; how love, support and encouragement from likeminded midwives aided my healing and […]

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The Practising Midwife - Heart Tree

Courage and compassion

The importance of being a caring advocate This article aims to explore some of the limitations that student midwives experience within the clinical setting. Courage and compassion form part of the six basic competencies, commonly known as the six Cs. Compassion is an innate trait, whereas courage is a value that can be fostered. It […]

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The Practising Midwife - Mother Baby Hands

Zero separation

Promoting togetherness of mothers and babies This article explores issues surrounding the separation of mothers and babies during the postnatal period, highlighting the importance of keeping mothers and babies together wherever and whenever possible. The aim is to raise awareness of the detrimental effects that the act of separation has on the mother and the […]

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Research Symposium: Childbearing in Europe

The qualitative research network BfiN and Network for Women’s Health in childbearing, with the focus on migrants and minorities – WoMBH-net Helsinki, 14-15 September 2017 Symposium summary runs alongside Guideline commentary and the other evidence series articles; it examines local, national and international conferences that have implications directly or indirectly for midwives. It helps readers […]

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Navigating Spaces:


Fetal Navigation Techniques “I turned my OP baby and regulated my own contractions in an hour, directly avoiding induction and possibly other interventions. This was my second labour, which from this point on flowed smoothly to a physiological birth in just a few hours. My first baby had also started labour in a less than […]

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Working in the dark

Creating a space for birth The phenomenon of birth environment as an influencer of physiology and birth outcome is a relatively new concept within academic research and birth space design. Yet the publication of the Birthplace study (Brocklehurst et al 2011) and consonance of National Institute for Health and Care Excellence (NICE) guidelines (2014), in […]

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SHARED VOICES

Perinatal mental health and wellbeing This series stresses the importance of perinatal mental health and wellbeing. Policy and guidelines have been written to help support midwives in delivering care so that a woman’s mental health is treated as comparable with her physical health. Between January and August 2016, as part of a project reviewing perinatal […]

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BFI GOLD: Achieving sustainability

BFI GOLD: Achieving sustainability of the Unicef UK Baby Friendly Initiative standards The Unicef UK Baby Friendly Initiative accreditation scheme is based on a set of interlinking evidence-based standards for maternity, health visiting, neonatal and children’s centre services. The programme improves standards of care for all babies, their mothers and families, with a particular focus […]

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CULTIVATING EDEN

MIDWIVES IN CONVERSATION ABOUT THE HOME BIRTH TEAM IN POOLE, DORSET Current conversations about home birth in the UK tend to refer to the Birth place study (Birthplace in England Collaborative Group [BECG] 2011) based on nearly 80,000 birthing women in England, of whom 18,000 planned to have a home birth. The researchers found that […]

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A place for student resilience

A place for student resilience Student survival guide (formerly Midwifery basics) is targeted at practising midwives and midwifery students. The aim of these articles is to provide information to student midwives, consider the implications for midwives’ practice and encourage readers to seek further information through a series of activities relating to the topic.In this fourth […]

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Editorial: A Place For You

A PLACE FOR YOU What a busy and exciting month we have had. Thank you to all our subscribers for being part of our growing community. This month, as we focus on the issues relating to space and place, it is a great chance to celebrate and share our All4Maternity.com platform: your place for learning, […]

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FAB CHANGE WEEK: Calling All Rebels… What Will You Pledge?

FAB CHANGE WEEK Calling All Rebels… What Will You Pledge? INTRODUCTION Change management and the implementation of service improvements to enhance care have historically been considered to be within the remit of formal midwifery leaders, but radical alternatives are emerging. Our real change agents are often diverse individuals: the rebels and positive deviants of healthcare. […]

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Editorial: Challenging Choices

Challenging Choices As midwives and maternity care workers, we are called upon to support choice and informed decision-making as a fundamental part of our caring roles. Yet evidence demonstrates the ongoing challenge of consistently enabling choice and effective decisionmaking in daily practice. We are living in world where our choices can seem at once prolific […]

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MATERNITY VOICES: Still Born

MATERNITY VOICES Still Born The Importance Of The Birthing Experience Losing a baby before or shortly after birth is one of the most devastating events that can happen to a family. It will change their life in an instant, almost in its entirety. Caring for a bereaved family and their child is not easy, but […]

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Informed Consent In Theatre

INFORMED Informed Consent In Theatre As part of my job, when I meet families in antenatal sessions, I always speak to women and their partners about consent. For most of them, this means being informed and being given the freedom to make important choices for the health of themselves and their babies, physically and emotionally. […]

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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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