Clinical Practice

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,...

Identifying adverse childhood experiences in maternity services

The aim of the project was to introduce into maternity services a screening tool for women and their partners at booking, in order to identify adverse childhood exper iences (ACEs) and improve...

Can augmentation with oxytocin be ‘too much, too soon’?

The World Health Organization (WHO, 2019a; 2019b) reported a 38% reduction in worldwide maternal mortality rate between 2000–2017 and a 50% reduction in the neonatal mortality rate between 1990–2018....

Skin-to-skin contact following caesarean section: a narrative review

Skin-to-skin contact (SSC), the deliberate placement of an infant on the bare chest of its mother, is commonly performed after normal vaginal delivery because of its numerous benefits (Moore et al,...

A service evaluation of a hospital-based specialist postnatal breastfeeding clinic

Breastfeeding is described as the gold standard of infant feeding and is beneficial to both infant and maternal health Breastfeeding protects infants against diarrhoea and respiratory infections,...

The Acton Model: support for women with female genital mutilation

Female genital mutilation (FGM) is a global healthcare problem affecting an estimated 200 million women and girls, worldwide (World Health Organization [WHO], 2016) It is defined as ‘all procedures...

Diagnosis of perineal trauma: getting it right first time

It is estimated that 85% of women will sustain some degree of perineal trauma during vaginal delivery and 60–70% of these will require suturing (Kettle and Tohill, 2008) Perineal trauma includes not...

COVID-19 and the risk to black, Asian and minority ethnic women during pregnancy

Recently, concerns have been raised about a possible association between ethnicity and incidence and outcomes of COVID-19, following observational data released from the Intensive Care National Audit...

Tales of two midwives: medical conditions of pregnancy that changed our midwifery practice

The outbreak of COVID-19 has meant that midwifery around the world is currently set against an ever-present backdrop of disease Although pregnancy and childbirth are most often a healthy and normal...

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