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Clinical Practice

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...

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...

Pain management in labour and childbirth: Going back to basics

As rates of anxiety, tocophobia and post-traumatic stress syndrome increase, there is a need for health professionals to reflect, review and rethink how women could be better prepared for labour and...

Epilepsy in pregnancy: The role of the midwife in risk management

Epilepsy is the most common neurological disease to be found during pregnancy, and has a significant risk of morbidity and mortality to the woman and the developing fetus (Borgelt et al, 2016; Knight...

Perineal trauma: A women's health and wellbeing issue

Perineal trauma and its consequences are important areas for women's health and wellbeing. Many women throughout the world will sustain some degree of perineal and vaginal injury during childbirth....

Overcoming the barriers of vitamin D in pregnancy: A midwifery public health perspective

Guidance from the National Institute for Health and Care Excellence (NICE) (2008, 2017a; 2017b) and Royal College of Obstetricians and Gynaecologists (RCOG) (2014a) recommends vitamin D...

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