Birth Outside the Box – #TheatreChallenge!

By midwife Katherine Mabey   What is Birth Outside the Box? Derby Birth Outside the Box team is an informal forum at Royal Derby Hospital which aims to bring midwives, doctors and other team members together, with the common goal of increasing rates of physiological birth and improving women’s experience for all births regardless of […]

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Advancing Practice: Communication Skills

ADVANCING PRACTICE Communication Skills Life After Attending And Participating In Nhs Connected Course In Advanced Communication Skills; A Midwife’S Perspective Communication is a process of giving and receiving messages and is essential to providing competent care (England and Morgan 2012; Silverman et al 2016). The poor quality of communication identified in reports (Knight et al 2014; 2016), […]

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Mind your own business! Business skills training for midwives in Pakistan

Mind your own business! Business skills training for midwives in Pakistan In Pakistan, community midwives (CMWs) are educated and deployed in their respective communities to provide maternity services in the form of a business. However, most of the CMWs struggle to initiate businesses and very few are able to maintain their finances, so they cannot […]

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Viewpoint: Empathic midwifery – radical listening, curiosity and imagination

VIEWPOINT Empathic midwifery: radical listening, curiosity and imagination COMPASSION There is widespread agreement that women have a profound need for compassion during childbirth (Byrom and Downe 2015; Moloney and Gair 2015; Hall 2013). In the UK, the Nursing and Midwifery Council (NMC) Code (2015) instructs midwives to practise with compassion. However, lack of research has […]

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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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Stand up and deliver: enhancing your presentation skills

Stand up and deliver: enhancing your presentation skills In this article I discuss the value and importance of presentation skills for midwives and offer recommendations for how to enhance these skills in practice. My aim is to support your development and confidence in delivering presentations. I include a series of practical tips to help you […]

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Thinking Outside The Box: The Ungentle Art Of Persuasion

THINKING OUTSIDE THE BOX The ungentle art of persuasion A number of health care practitioners and papers have mooted the idea that sales techniques can be used to identify reasons for non-compliance and then offer information tailored to the recipient’s concerns. This month, Sara argues that this is inappropriate, paternalistic and not in alignment with […]

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Non-verbal communication skills for enhancing midwifery practice

Non-verbal communication skills for enhancing midwifery practice Midwives and others who care for childbearing women use their eyes to observe, but also to communicate. As practitioners, we become skilled at noticing details about women and babies that improve our care of them, while also becoming comfortable with an acceptance of the hidden aspects of pregnancy […]

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Articles - Basics

Prolonged jaundice in neonates

MIDWIFERY BASICS Practice Skills Prolonged jaundice in neonates Jaundice is common in neonates and is often the reason for a parent to consult a community midwife or health visitor. It is known that up to 40 per cent of breastfed infants are jaundiced at 14 days of age and a proportion of these infants are […]

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Articles - Basics

We’ve got it covered: graduated compression stockings

MIDWIFERY BASICS Practice Skills We’ve got it covered: graduated compression stockings Hypercoagulability is a well documented feature of pregnancy and contributes to the increased incidences of venous thromboembolism (VTE) in pregnancy. Thromboembolism remains a leading cause of maternal death in the UK, though it’s predicted that up to two thirds of these deaths could be […]

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Articles - Basics

Catherisation: best practice in bladder care

MIDWIFERY BASICS Preceptorship Catherisation: best practice in bladder care Bladder care is an integral part of caring for a woman in labour and the immediate postpartum period (National Institute for Health and Care Excellence (NICE) 2014a). To ensure effective bladder care, the skill of urinary catheterisation is often undertaken by a midwife and can be […]

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Umbilical cord prolapse in primary midwifery care in the netherlands; a case series – Part 1

We aimed to gain insight into umbilical cord prolapse (UCP) reported by primary care midwives in the Netherlands. Cases of UCP were reported by midwives who participated in a postgraduate training programme developed for community-based midwives. Cases were analysed using midwifery charts, ambulance report forms and discharge letters. Procedures to alleviate cord pressure, ambulance timing, […]

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Mobility and upright positioning in labour

A study by the Royal College of Midwives (RCM) (2010) concluded that 49 per cent of women gave birth in the supine position. The RCM advocates getting women ‘off the bed’ in its campaign for normal birth (RCM 2005a). There has been much speculation as to why women labour on the bed, with some suggesting […]

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Developing specialist perinatal mental health services

Perinatal mental illness (PMI) represents a significant public health concern affecting considerable numbers of pregnant women and mothers of infants. Depression and anxiety are key issues; however accurate identification of PMI, suitable intervention and provision of adequate services are salient contemporary challenges. Coherence in the commissioning of PMI services, appropriate and contextually sensitive to the […]

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Striving for better maternal mental health

Mental health is an integral part of health and a state of wellbeing. The concept of ‘parity of esteem’ increases awareness that mental health needs to be treated as seriously as physical health. During the childbirth continuum, women and their partners can be at increased risk of mental health problems; therefore it is important to […]

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Examination of the Newborn: The Key Skills – Part 1. The eye

FEATURE The Practising Midwife – January 2014 Examination of the Newborn: The Key Skills – Part 1. The eye Midwives are increasingly performing the examination of the newborn. In the first of a four-part series, this article considers the importance of the eye examination in the screening process. The significance of history taking, knowledge of […]

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