Clinical Practice

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...

Pain in labour and the intrapartum use of intramuscular opioids—how effective are they?

In order to consider how to work with pain in labour it is important to understand its function in labour and birth By understanding the physiological role of intrapartum pain, it is possible to...

Providing sun safety advice: The midwife's role

Of all the different types of cancer diagnosed globally, skin cancer is the most prolific (Nguyen et al, 2012), and melanoma remains the major cause of death from skin cancer (Trakatelli et al, 2012)...

Periodontal health and pregnancy

This article discusses factors that affect periodontal (gum) health and implications associated with delay in conception and reported adverse pregnancy outcomes Periodontal disease is the result of a...

A clinical assessment tool for midwives undertaking the Newborn Infant Physical Examination

The purpose of the Newborn and Infant Physical Examination (NIPE) is to identify and refer all children born with congenital abnormalities of the eyes, heart, hips, and testes, where these are...

Clinical practice: Perineal suturing

It is estimated that 1 000 women per day will experience perineal suturing following vaginal birth in the UK alone (Kettle et al, 2010) The aim of suturing perineal trauma is to achieve haemostasis,...

Caring for pregnant women with long-term conditions: maternal and neonatal effects of epilepsy

Worldwide, epilepsy is thought to affect approximately 1% of people (Grant, 2016) Though subject to various methodological (definitions of disease) and clinical issues (diagnostic criteria) this...

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