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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Gathering gold: antenatal colostrum COLLECTing with the use of a milk-collecting shell

Gathering gold: antenatal colostrum COLLECTing with the use of a milk-collecting shell Case study Mary was a 23-year-old primigravida woman who was very keen to breastfeed her first baby. She lived with her mother who was a midwife and who had shared her knowledge and experience of the importance of colostrum as the ideal food […]

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Volunteer and peer support during the perinatal period: a scoping study

VOLUNTEER AND PEER SUPPORT DURING THE PERINATAL PERIOD: A SCOPING STUDY We report findings from a scoping study to explore the focus and range of organised volunteer/peer support projects offering support to parents during pregnancy, birth and early childhood in the UK and Republic of Ireland. An online survey was issued to conference attendees and pre-existing […]

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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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Choice of birthplace for low risk women: a reflection

CHOICE OF BIRTHPLACE FOR LOW RISK WOMEN: A REFLECTION This article reflects on the discussion between a midwife and low-risk woman regarding choice of birthplace. Using the reflective cycle by Rolfe et al (2001), a simple and pragmatic three-stage reflective cycle, I consider whether informed choice was effectively empowered for the client, and consider how […]

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Gestational diabetes: the importance of identification and treatment

GESTATIONAL DIABETES: THE IMPORTANCE OF IDENTIFICATION AND TREATMENT Gestational diabetes mellitus (GDM) is important because it is one of the commonest medical conditions in pregnancy and is associated with an increased risk of short- and longer-term adverse outcomes. Several strategies to identify women with GDM have been recommended; however, it is unclear what strategy is […]

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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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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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Being alongside – with #MatExp!

Charlene Cole BSC (Hons.), PgDL, PhD – student midwife Coventry University The theme for this month’s The Practising Midwife journal is Alongside. When I thought about what this meant to me many ideas sprung to mind – collaboration with the multi-disciplinary team, our new alongside midwifery-led unit at South Warwickshire Foundation Trust, @JennytheM’s latest blog […]

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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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Maternity Voices: Blue-Gloved Touch

Blue-Gloved Touch This is a reflection on Zainab*, with a complex social history, who was having her third baby. The notes revealed that she had had a rocky relationship with her husband over the course of this pregnancy and that, whilst they were separated at the time of booking, they had reconciled and were back […]

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Campaigning 
for change

Implementing optimal cord clamping Healthy neonates benefit from a more physiological and gentle transition from placental to pulmonary respiration. ‘Delayed’ or ‘optimal’ cord clamping provides this. In this paper, Amanda Burleigh and Christina Uwins describe how Amanda worked towards successfully implementing change on a global stage. Supplemented by a News and Views All4Maternity.com blog, they […]

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Evidence Series: NMPA Report Review

NATIONAL MATERNITY AND PERINATAL AUDIT (NMPA) ANNUAL REPORT REVIEW BASED ON BIRTHS IN NHS MATERNITY SERVICES BETWEEN 1ST APRIL 2015 AND 31ST MARCH 2016 This is the first audit of NHS maternity and neonatal services, encompassing all women and their babies and the outcomes of their care. It does not duplicate or incorporate themes covered […]

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The Postcode Lottery of Care

Pregnant women and mothers with severe and complex perinatal mental health needs 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. In this fourth article, Claire […]

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Advancing Practice : Enhancing detection and support

Identifying and caring for women at risk of late miscarriage and spontaneous premature birth Preterm birth rates are on the increase in almost all countries. Midwives are therefore likely to encounter women who are at risk of, or who go on to have a preterm birth or late miscarriage. This article looks at the known […]

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Hopeless women or hopeless care systems?

Reflection on a presentation This reflective piece was written after Hannah Rogers had attended the 2015 MBRRACE-UK launch, where the surveillance of maternal deaths in the UK 2011-13 (Knight et al 2015) was published and presented. During one presentation, the speaker used a phrase in relation to women who led socially complex lives, which prompted […]

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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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Meeting

Who Am I?

I am a post doctorate clinical academic midwife. What does this actually mean? What has urged me to share my thoughts? I was recently challenged by an inter-professional clinical academic colleague that I might not be a ‘proper’ post-doctorate (post-doc) clinical academic (midwife). This caused me inner turmoil, which compounded the uncertainty I already had […]

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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 - Mother Baby

Family Integrated Care

Delivery of family integrated care on the neonatal unit. The introduction of parent-led ward rounds This article explores the introduction of parent-led ward rounds on a neonatal unit as an influential part of Family Integrated Care (FIC). As a growing independent population, parents want to be more involved in the care of their babies 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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