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Clinical Practice

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...

A review of third stage of labour care guidance

Active management aims to accelerate delivery of the placenta to reduce blood loss. A prophylactic uterotonic drug (exogenous oxytocin) is given to accelerate the contractility of the uterus, to cause...

A clinical update on hypermobile Ehlers-Danlos syndrome during pregnancy, birth and beyond

For those with hEDS/HSD, pregnancy is generally well tolerated (Karthikeyan and Venkat-Raman, 2018; Volkov et al, 2018). Yet, in terms of getting pregnant, lower rates of fertility have been reported...

Use of ultrasound in the antenatal space

Obstetrician Ian Donald from Glasgow is credited to have designed and used the first practical ultrasound machine in clinical practice in 1958 (Campbell, 2013) (Figure 1). Since then, rapid progress...

Reflecting on why surgical swabs are being left behind and exploring how this could be prevented

In medical literature, retained surgical swabs are referred to as ‘gossypiboma’ (Williams et al, 1978; Zbar et al, 1998; Kiernan et al, 2008). The etymology for gossypiboma appears to derive from...

Digital health innovation to support sensitive enquiry about female genital mutilation

The ‘Let's talk FGM’ app was an MSA project. App development followed the phases and outputs of NHS Innovations South East (2014) as a project guide, namely: planning, developing app content, design...

Enigma of maternity service safety improvements and increasing expression of patient dissatisfaction

Substantial advances have occurred in the science of healthcare of mothers and babies over time. The NHS is said to have been one of the safest places in the world to have a baby; with stillbirths,...

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