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Case Study

Kathleen's journey: improving mental health outcomes for women with bipolar affective disorder

Given the statistics related to women with bipolar affective disorder, promoting interdisciplinary mental health services is critical across the perinatal period (Knight et al, 2022). The specialist...

Public health prevention in maternity programme: supporting the local system

Programme priorities were refreshed in 2021, informed by local healthcare data on the scale of potential benefit and maternity system requirements, among other criteria. Objectives for each new...

The importance of the user voice in clinical decision making: a reflective account

When reflecting on the factors affecting the decision-making process, it is useful to consider decision-making theory. The dual processing theory suggests that thought process can be distinguished as...

A critical analysis of a tripartite clinical decision involving a student, midwife and client

Midwives often make clinical decisions with missing or ambiguous information, requiring skill and a degree of managed risk consideration (NHS, 2022) or trade off, as per Sherif et al's (1965) degrees...

Lack of policy consideration for breastfeeding co-mothers in maternity services

The written narratives from both Jane and Ayesha show mothers-to-be in a great deal of emotional distress. NHS antenatal services for lactation support do not always guarantee support for...

A midwifery team's journey implementing and sustaining continuity of care

Caseloading is one way of providing continuity, either antenatally and postnatally or including intrapartum care. Teams provide a named midwife and continuity of care, leading to a safer and better...

Giant placenta chorioangioma with postpartum bleeding and uterine atony

A 35-year-old patient was undergoing routine prenatal checkup at gestational week 35, with suspicion of preterm delivery as a result of advanced stage labor contractions. The patient had a history of...

SARS-CoV-2 infection complicated by intrahepatic cholestasis of pregnancy

This article presents the case of a 28-year-old South Asian woman in her first pregnancy with no past medical history and no family history of ICP. She provided written consent for the publication of...

The effect of COVID-19 on intrapartum care: a case review from early in the pandemic

A 36-year-old primigravida booked at 11 weeks for antenatal care. She was of East Asian ethnicity, with a BMI of 26. She had no significant past medical or surgical history, however, a first-degree...

Induced abortions in Pakistan: an afflicting challenge needing addressal

Unsafe abortion is one of the major causes of maternal mortality that accounts for approximately 4.7%–13.2% maternal deaths every year (Say et al, 2014). In developing countries, every year, nearly...

SARS-CoV-2: do corticosteroids for fetal lung maturation worsen maternal or fetal outcomes?

The SARS-Cov-2 virus is a virulent pathogen which first emerged in December 2019 in Hubei province of China. This virus is thought to cause severe acute respiratory syndrome and the associated illness...

Cerebral venous sinus thrombosis viewed as a postpartum complication

Cerebral venous sinus thrombosis (CVST) is a rare type of stroke caused by a clot forming in one of the intracranial sinuses and subsequent blockage in blood drainage. Even though venous...

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