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The effect of maternal position at birth on perineal trauma: A systematic review

Genital tract sepsis is now the leading cause of direct maternal death in the UK, with the incidence rising since 2006 (Cantwell et al, 2011) Perineal trauma can increase the risk of puerperal...

Building resilience: the way forward

We are all aware that there are many forthcoming changes in midwifery recommended in government policies (Dunkley-Bent, 2016). So how do midwives feel about these, and how might they cope with further...

Missing the point of the maternity review

The new National Maternity Review (NMR, 2016) for England has sparked a range of reactions. As this issue went to press, I read a comment in the New Scientist (Wilson, 2016) which is scathing in its...

Optimising women's experiences and outcomes

In my career as a midwife, I have been to many midwifery conferences, but this year's BJM conference was the most valuable It gathered together some of the best speakers in the midwifery profession...

Clinicians in the classroom: The bereavement midwife

One in 200 births in the UK ends in stillbirth, and of those, 1 in 3 occurs at term (37+ weeks' gestation) According to MBRRACE-UK (Draper et al, 2015: 7), ‘although there has been a small reduction...

Plus ça change: Problems with memory and the importance of documentation (again)

A sure sign of ageing (call it experience, if you will) is the realisation that ‘we've been here before’. In 1997, I published an article in this journal concerning practitioners' recall of events...

Don't tell me I can't change the world

Recently, I had a privilege of attending the British Journal of Midwifery Awards, held in Manchester on 8 February I was even more privileged to be awarded joint 2nd place in the Innovation in...

Cell-free DNA fetal blood group testing for RhD-negative pregnant women: Implications for midwifery

Red cell (D) allo-immunisation is a complication of pregnancy that can occur when a pregnant woman does not have the D antigen on her red blood cells (RhD negative) but her fetus does (RhD positive)...

Using the Valsalva technique during the second stage of labour

The Valsalva technique of directed pushing during the second stage of labour is a childbirth intervention that has long been common practice in Western culture (Petersen and Besuner, 1997; O'Connell...

The power of shared philosophy: A study of midwives' perceptions of alternative birth care in Norway

Implementing safe maternal care is a worldwide concern Optimal care should be provided during the antenatal, intrapartum and postpartum periods, and should include both the mother and infant (World...

Tell it Right, Start it Right: An evaluation of training for health professionals about Down syndrome

Down syndrome (DS) is one of the most common and recognisable conditions associated with learning disability, and approximately 27/1000 pregnancies are affected (Morris and Springett, 2014) Many...

Developing a perinatal mental health module: An integrated care approach

Perinatal mental health (PMH) relates to the emotional health and wellbeing of a woman from conception until 1 year following birth Midwives have a key role in identifying at-risk women, acting...

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