Clinical Practice

Nappy rash: current evidence for the prevention and management

Nappy rash, also known as diaper rash, nappy dermatitis, diaper dermatitis or irritant diaper dermatitis, is one of the most common skin conditions found in infants and is an acute inflammatory...

Reducing the incidence of stillbirth in black women

A stillbirth is a baby delivered at or after 24 weeks of pregnancy showing no signs of life, irrespective of when the death occurred The UK is noted to have one of the highest stillbirth rates in...

Revised standards of proficiencies for midwives: an opportunity to influence childhood health?

The first 1 000 days of life, from conception until a child's second birthday, are significant in terms of influencing childhood health (Black et al, 2016; Cusick and Georgieff, 2018; House of Commons...

Understanding the vulnerability of a baby's skin to help treat and prevent nappy rash

The first breath taken within seconds of birth is a vital role allowing the lungs to fill with air (Kenner and Lott, 2014)—signifying the moment the baby is now living in a gaseous (air) environment...

Congenital heart disease: issues with screening at the newborn physical examination

Congenital heart disease (CHD) is a significant cause of infant death and accounts for between 3-75% of deaths in infancy in the developed world (Singh et al, 2014) For this reason, screening for CHD...

Vaginal birth after caesarean: how NICE guidelines can inform midwifery practice

The National Institute for Health and Care Excellence ([NICE], 2019a) published new intrapartum care guidelines for women with existing medical conditions or obstetric complications and their babies...

Chronic heart disease in pregnancy: exploring Marfan syndrome

Marfan syndrome (MFS) was first described by the French doctor Bernard JA Marfan in 1896 It is a hereditary autosomal dominant disorder of connective tissue and affects collagen and elastin in many...

Sociological and psychological effects of stillbirth: theory, research, and midwifery

When a baby dies after 24 weeks gestation, it is defined as stillbirth (Tommy's, 2019) and, according to the Office for National Statistics (ONS, 2018), 3 200 babies are stillborn in the UK every year...

Managing women in pregnancy after bariatric surgery: the midwife as the co-ordinator of care

Obesity is graded according to a BMI measurement >35 kg/m2 Morbid obesity is classified as a BMI measurement >40 kg/m2 (National Institute for Health and Care Excellence (NICE), 2014) It is predicted...

Sharing the decision about VBAC: introducing the ARCS-V motivational learning model

The World Health Organization (WHO) (2015a) estimates that in the UK, 249−291% of births are by caesarean section, despite evidence illustrating that caesarean section rates greater than 10% fail to...

Diabetes, pregnancy and mental health: a tricky triad

Diabetes is one of the most common complications of pregnancy and encompasses gestational diabetes mellitus, which is diagnosed during pregnancy; and pre-existing diabetes, which includes type 1...

Diabetes in pregnancy: a practical guide for midwives

The incidence of diabetes mellitus is increasing, alongside the increased prevalence of obesity, sedentary lifestyle, older age at conception and younger age at onset of type 2 diabetes, meaning that...

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