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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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Guideline – ‘Hands on or hands off’ – the management of third and fourth degree perineal tears

EVIDENCE Guideline Commentary ‘Hands on or hands off’ The management of third and fourth degree perineal tears, third edition Royal College of Obstetricians and Gynaecologists (RCOG) (2015a) Green-top guideline, 29 This is a new standard series to supplement our Cochrane Corner and Research Unwrapped evidence series. The aim of Guideline commentary is to support you […]

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Research Unwrapped: Self-hypnosis for intrapartum pain management (SHIP) in pregnant nulliparous women

EVIDENCE Research Unwrapped ‘Self-hypnosis for intrapartum pain management (SHIP) in pregnant nulliparous women: a randomised controlled trial of clinical effectiveness’ Downe S, Finlayson K, Melvin C et al (2015) – Brit Jour Obs Gyn, 122: 1226–1234 Research unwrapped is a popular series to help readers make sense of published research by undertaking a detailed appraisal […]

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Cochrane Corner: Expert systems for fetal assessment in labour

EVIDENCE Cochrane Corner Expert systems for fetal assessment in labour This article discusses a systematic review of the use of ‘expert systems’ to assess the wellbeing of the baby during labour, and considers the implications for practice. Lutomski et al (2015). Expert systems for fetal assessment in labour. Cochrane Database of Systematic Reviews, 4. The […]

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Research Unwrapped: Yoga for prenatal depression: a systematic review and meta-analysis

EVIDENCE Research Unwrapped Yoga for prenatal depression: a systematic review and meta-analysis Gong H et al (2015) BMC Psychiatry, 15(1): 14 This paper explores the role of yoga in reducing depressive symptoms for pregnant women. The research was appraised using the Critical Appraisal Skills Framework (CASP) checklist for systematic reviews (2014) and the Cochrane handbook […]

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Cochrane Corner: Interventions for treating painful nipples among breastfeeding women

EVIDENCE Cochrane Corner Interventions for treating painful nipples among breastfeeding women This article examines the findings of the sytematic review by Dennis et al (2014) of studies on interventions for treating painful nipples among breastfeeding women. CDSR, 12 The aim of this bi-monthly column is to highlight Cochrane Systematic Reviews of relevance to pregnancy and […]

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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 The aim of this bi-monthly 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 an international organisation […]

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Research Unwrapped: ‘Midwives’ experiences of establishing partnerships: working with pregnant women who use illicit drugs’

EVIDENCE Research Unwrapped ‘Midwives’ experiences of establishing partnerships: working with pregnant women who use illicit drugs’ Research unwrapped is a popular series to help readers make sense of published research by undertaking a detailed appraisal of an article in a careful and considered manner. In doing so we can advance our knowledge and understanding of […]

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Cochrane Corner: Early versus late initiation of epidural analgesia for labour

EVIDENCE Cochrane Corner Early versus late initiation of epidural analgesia for labour Sng BL, Leong WL, Zeng Y et al. (2014). ‘Early versus late initiation of epidural analgesia for labour’. CDSR, 10:CD007238. The aim of this bi-monthly column is to highlight Cochrane Systematic Reviews of relevance to pregnancy and childbirth and to stimulate discussion on […]

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Research Unwrapped: ‘Midwives’ experiences of workplace resilience’

EVIDENCE Research Unwrapped ‘Midwives’ experiences of workplace resilience’ Hunter B and Warren L (2014). Midwifery, 30(8): 926-934 The research being discussed here explores resilience amongst midwives. This qualitative study will be appraised using a methodical but flexible approach, incorporating principles from a variety of approaches to critiquing qualitative research. Liz Blamire Midwife at Hinchingbrooke Health […]

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Cochrane Corner: Treatments for breast engorgement during lactation

EVIDENCE Cochrane Corner Treatments for breast engorgement during lactation The aim of this bi-monthly 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 an international organisation that prepares and maintains high quality systematic […]

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Cochrane Corner: Education for contraceptive use by women after childbirth

EVIDENCE Cochrane Corner Education for contraceptive use by women after childbirth The aim of this bi-monthly 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 an international organisation that prepares and maintains high […]

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Research Unwrapped – Continuity of care: what matters to women when they are referred from primary to secondary care during labour?

EVIDENCE Research Unwrapped Continuity of care: what matters to women when they are referred from primary to secondary care during labour? A qualitative interview study in the Netherlands – Ank de Jonge, Rosan Stuijt, Iva Eijke, and Marjan J Westerman (2014). BMC Pregnancy and Childbirth, 14: 103 Research unwrapped is a popular series to help […]

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