Clinical Practice

Supporting vegans through pregnancy and lactation

The number of British people who identify as vegan has quadrupled in the last five years (The Vegan Society, 2019) Indications are that nearly half of the vegans in the UK made the change in 2018...

Latch-related nipple pain in breastfeeding women: the impact on breastfeeding outcomes

Breastfeeding rates in the UK remain some of the lowest in the world The World Health Organization (2020) recommends exclusive breastfeeding for the first six months of an infant's life, followed by...

The Poole approach to a smoke-free pregnancy

Targeted and personal support for pregnant women to stop smoking as early as possible in pregnancy is an important intervention to optimise the health of both unborn babies and their mothers, and for...

Importance of vitamin D during the antenatal period for maternal well-being

The best source of vitamin D is exposure to natural sunlight and 90% of vitamin D is derived from sunlight with 10% derived from food and plant sources (Paxton et al, 2013; Cannell, 2019)...

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...

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...

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...

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