Clinical Practice

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,...

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...

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)

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...

Weight management during teenage pregnancy: Issues to consider when developing appropriate support

Teenage pregnancy rates continue to decline in England, and are now at their lowest level since 1969 (Office for National Statistics, 2017) While this is heralded as a success, under-18 conception...

Efficacy of oral glucose tolerance testing of pregnant women post bariatric surgery

Globally, an estimated one in five women aged 20 years or older is obese, defined as a body mass index (BMI) ≥30 kg/m2 (Ng et al, 2014) It is becoming increasingly common for pregnant women to have...

Pelvic girdle pain: The Stickmum project 3 years forward

Pelvic girdle pain (PGP), previously known as Symphysis Pubis Dysfunction (SPD), is becoming better recognised by midwives, GPs and women PGP is a result of an asymmetry of movement of the joints...

Can continuity bring birth back to women and normality back to midwives?

There has been much research in recent years into midwifery-led models of maternity care, and this has produced considerable evidence that it can significantly improve outcomes for mothers and their...

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