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Clinical Practice

An appraisal of the East of England ‘sixty supportive steps to safety’ tool

The regional maternity team co-produced the sixty supportive steps to safety tool, alongside a maternity service user representative, the local maternity and neonatal system (involved with providing,...

A brief overview of obstetric brachial plexus palsy

Brachial plexus injuries can be classified in several ways, such as by severity, where the injury is categorised as avulsion, rupture, neuroma or neuropraxia (Synder-Warwick, 2021) (Figure 2)..

Trans and non-binary experiences of maternity services: cautioning against acting without evidence

This article presents a critique of the ITEMS study, based on its report (LGBT Foundation, 2022). The authors of this article argue that the study framing lacks clarity and balance, that there is a...

Obstetric anal sphincter injuries: are defunctioning colostomies required?

Anatomically, a stoma is simply an opening in the body between the skin and a hollow viscus. Common types of intestinal stomas are colostomies and ileostomies. Colostomies are formed from the colon...

Beyond body mass index: a synthesis of lifestyle factors that may influence in vitro fertilisation outcomes

The impact of alcohol consumption on in vitro fertilisation outcomes has been assessed in several studies (Firns et al, 2015; Chandravati and Tripathi, 2021; Rao et al, 2022). Consensus among these...

Safety netting in midwifery

The concept of safety netting is particularly relevant in midwifery given the fundamental nature of midwifery care, which depends on working in partnership with women to recognise and support normal...

Does training affect understanding of implicit bias and care of black, Asian and minority ethnic babies?

The training package created during this project aimed to bring to the forefront the inequity faced by mothers from black, Asian and minority ethnic groups by enabling midwives to reflect on the...

Midwife scan clinic: response to increased demand for third trimester ultrasound

In January 2019, a midwife scan clinic was started at Kingston Hospital maternity unit. The unit delivers approximately 5000 babies annually in an obstetric-led delivery suite, a midwife-led birth...

Developing a fast-track COVID-19 vaccination clinic for pregnant people

The first pilot fast-track COVID-19 vaccination clinic for pregnant people was held on 28 June 2021. Phase 2, ‘community expansion’, commenced 29 July 2021. Community midwives provided women and...

A proposed psychological model for understanding and supporting individuals living with tokophobia

This article discusses a psychological model that medical, health and mental health professionals working with pregnant woman and expectant fathers can use if they detect signs of tokophobia. It is...

Birth after previous caesarean section

Planned successful vaginal birth overall presents the fewest complications past 39 weeks' gestation with a single previous caesarean section and remains a suitable and clinically safe option for those...

Motivational interviewing to increase physical activity in women with gestational diabetes

Gestational diabetes mellitus (GDM) is defined as glucose intolerance first identified in pregnancy that resolves postpartum (Basri et al, 2018). It has an increasing prevalence worldwide and is...

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