Clinical Practice

Postpartum haemorrhage: Aetiology and intervention

Postpartum haemorrhage is a major cause of maternal morbidity and mortality worldwide (Knight and Paterson-Brown, 2017) It accounts for one-quarter of all maternal deaths and 100 000 deaths every...

Are midwifery students adequately prepared for vaginal breech birth in clinical practice?

The heightened focus on risk affects maternity care providers' attitudes towards vaginal breech birth (Berhan and Haileamlak, 2016), and this professional apprehension may have the potential to limit...

Infant dry skin: Clinical practice and the evidence to support it

Many midwives would agree that the priorities in maternity care mostly centre around intrapartum and antenatal care, and that postnatal care has long been the ‘Cinderella’ of the maternity service...

Vulnerable migrant women and postnatal depression: A case of invisibility in maternity services?

Between 12–20% of women will experience a mental health issue during pregnancy or in the first year following birth The most common diagnoses are depression and/or anxiety, first diagnosed in the...

The cyclical and intergenerational effects of perinatal domestic abuse and mental health

Perinatal mental health disorders, such as depression, anxiety, and psychosis, can be present during pregnancy and/or up to 1 year postnatally (O'Hara and Wisner, 2014) Their presence during this...

Pre-eclampsia: Praxis and application

Pre-eclampsia is a pregnancy-specific disorder, characterised by hypertension and multi-organ system involvement, that occurs in approximately 2-8% of pregnancies worldwide Hypertensive disorders,...

Gastroschisis: A review of practice

Gastroschisis is an abdominal wall defect in the fetus, affecting as many as 1 in 2000 pregnancies and growing in prevalence worldwide (Lepigeon et al, 2014) It occurs during the first...

Perinatal mental health and Islam

Islam is the fastest growing religion globally There are currently 18 billion Muslims worldwide and this is projected to increase by 70%, so that, by 2060, Muslims will account for 3 billion of the...

Antimicrobial resistance, antibiotic stewardship, and the midwife's role

Antimicrobial—or antibiotic—resistance poses an urgent problem for midwives and public health authorities on a global level Antimicrobial resistance is defined by the National Institute for Health and...

Tubal ectopic pregnancies: Risk, diagnosis and management

Ectopic pregnancy is defined as a pregnancy that has implanted at a site outside of the endometrial cavity In 95% of cases, this will be in the fallopian tube (Elson et al, 2016) It was first...

Influenza vaccination in pregnancy: A review

Influenza (or ‘flu’) is a highly infectious viral illness of the respiratory tract, with a usual incubation period of 1–3 days (Public Health England, 2013a) It can be spread by respiratory droplets,...

Amphetamine use in pregnancy: Perinatal approaches to improve maternal and neonatal outcomes

Amphetamines are highly addictive, relatively low in cost and are easily procured (Pedersen et al, 2015) Amphetamines, and the issues associated with their use, have overtaken other classes of illicit...

Post traumatic stress disorder post childbirth versus postnatal depression: a guide for midwives

The transition to motherhood is multifaceted, with many biological, physiological, social and psychological changes occurring simultaneously Although the majority of women make the transition to...

Focus on cardiotocography: Intrapartum monitoring of uterine contractions

Uterine contraction monitoring is most often ignored when discussing the benefits of fetal monitoring (Bakker 2007a; Freeman et al, 2012) Monitoring the uterine contraction (UC) and the fetal heart...

Barriers to success: smoking cessation conversations

The concept of public health involves national and local health initiatives, health education and the creation of social and physical environments to protect and promote population health (Dawson and...

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