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Clinical Practice

Caring for women with thyroid disorders in pregnancy

Thyroid disorders are prevalent in women of childbearing age and may therefore present during pregnancy Awareness of the implications of thyroid disorders in pregnancy is therefore essential to ensure...

Asthma in pregnancy: Physiology, management and recommendations for midwives

Midwives will be aware that pregnant women are reflective of the society in which they live This incudes the prevalence of medical conditions; therefore, it is useful to set the context for asthma as...

Moxibustion: An alternative option for breech presentation

The safest mode of birth for a breech-presenting fetus has been a topic for debate among researchers and clinicians for decades (Walker, 2012; Evans, 2013; Odent, 2013; Homer et al, 2015) Women with a...

Bilirubin in the newborn: Physiology and pathophysiology

Jaundice in the newborn is usually normal. It is caused by the breakdown of red blood cells, which, as a result of newborn transitional physiology, results in the build-up of bilirubin in the infant's...

Pre-eclampsia: Pathophysiology, screening and prophylaxis

Pre-eclampsia is a pregnancy-specific, multisystem disorder that affects 3-5% of all pregnancies (Phillips and Boyd, 2016; Story and Chappell, 2017) It can affect many organs, including the kidneys,...

Hypermobile Ehlers-Danlos Syndrome during pregnancy, birth and beyond

The Ehlers-Danlos Syndromes (EDS) are a group of multisystemic, inherited conditions that affect connective tissue (Malfait et al, 2017)

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...

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...

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...

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,...

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