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Clinical Practice

Recurrent and persistent thrush in pregnancy

One of the most common causes of yeast infections in the vulvovaginal area is Candida albicans (Holland et al, 2003; Sobel et al, 2013) During their childbearing years, 75% of women will experience at...

Is the evidence on waterbirth watertight?

Waterbirth has been recognised as a clinically effective means to reduce the intensity of pain during normal physiological labour and increase women's satisfaction with their birth experiences...

Ebola in pregnancy

On 8 August 2014, the World Health Organization (WHO) Director-General declared the recent outbreak of Ebola virus in Africa, ‘a public health emergency of international concern’ (Kennedy, 2014)...

Neonatal skin cleansing revisited: Whether or not to use skin cleansing products

Midwives are commonly asked by parents for advice on how they should clean their newborn infant and what should they use on his/her skin The answers are not as straight forward as might be supposed...

An exploration of the benefits and drawbacks of intrapartum pain management strategies

‘Labour pain is not associated with pathology but with the most basic and fundamental of life's experiences’ (Lowe, 2002: 16) An integral part of the labour process, pain poses challenges to both...

The imperative of implementing delayed cord clamping to improve maternal and neonatal outcomes

The third stage of labour begins at the time the newborn is delivered and continues until the placenta and membranes are expelled Immediately after birth, the newborn remains attached to the mother...

Nausea and vomiting in pregnancy: An ‘alternative’ approach to care

It is thought that as many as 85% of expectant mothers experience nausea, vomiting and associated symptoms such as heartburn (Cardwell, 2012; Pasha et al, 2012; Festin, 2014) The causative factors are...

The role of the midwife in breastfeeding: Dichotomies and dissonance

The role of the midwife in breastfeeding is extensive and includes relaying knowledge about the subject, promoting, encouraging and supporting breastfeeding mothers, complying with policies and...

Hypothermia in the newborn: An exploration of its cause, effect and prevention

Hypothermia is considered to be a major contributing factor to neonatal morbidity and, in extreme cases, mortality (Kumar et al, 2009) Newborns are at risk of hypothermia irrespective of their...

Should midwives measure blood loss in the fourth stage of labour?

The fourth stage of labour is defined in some research as the first 1 to 2 hours following delivery of the placenta (Kashanian et al, 2010; Gungorduk et al, 2011) However, in undertaking a literature...

Induction of labour for post-term pregnancy

Recent decades have seen a theoretical power shift from clinician authority to user autonomy alongside a public and political movement emphasising personal choice and control in relation to maternity...

Termination of pregnancy for fetal abnormality

Antenatal testing for fetal abnormalities allows parents and their health care team to plan appropriately for the pregnancy, birth and beyond, or consider the option of termination While some...

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