Clinical Practice

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...

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...

Caring for women with chronic hypertension

Hypertension in pregnancy affects approximately 10% of women The reported incidence varies between studies, but it is estimated that 13-3% of pregnant women will have chronic hypertension (Sibai,...

Chiropractic care of the pregnant woman and neonate

Chiropractic practice is based on the theory that alterations to the biomechanics of the spinal and extraspinal structures, such as the cranial and mandible bones, can lead to altered neural signals...

Pregnancy-specific health anxiety: symptom or diagnosis?

Anxiety is an innate human response to situations that cause fear, worry or concern It is experienced cognitively, emotionally and somatically Certain levels of anxiety are expected and typical when...

Physical activity in pregnancy: practical advice for women who run

Running is embraced globally as a pastime to keep fit and health, and yet there is little information for midwives to give to women runners Running is, according to Audickas (2017), the most common...

Eating disorders in pregnancy: practical considerations for the midwife

It is estimated that 5–8% of women may be experiencing an eating disorder in early pregnancy (Micali et al, 2016; Bye et al, 2018a) Eating disorders fall into four main categories: anorexia nervosa,...

Use of technology in simulation training in midwifery

Midwifery education is facing many challenges in finding clinical placements to meet curriculum requirements to educate and prepare midwifery students in specialised areas (Brady et al, 2015)

Postpartum psychosis and management: a case study

Postpartum (or puerperal) psychosis is a severe mood disorder characterised by acute onset manic or affective psychosis (Dias and Jones, 2016), usually within 2 weeks after childbirth (Norhayati et...

The influence of partners on feeding: A personal reflection

In this article, I will critically reflect on an encounter with a breastfeeding woman and her husband that highlights issues of partner support, cultural influences and, in light of these, meaningful...

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