Clinical Practice

Immune thrombocytopaenia in pregnancy: Key principles for the midwife

Midwives are experts in the care of normal pregnancy/birth, but are also professionally accountable for detecting deviations and initiating immediate referral to an appropriate expert (Nursing and...

What should midwives know about Zika virus infection?

On 1 February 2016, the Director General of the World Health Organization (WHO) declared the recent outbreak of cases of fetal microcephaly linked to Zika in South America an international public...

‘Once a caesarean, always a caesarean’? Challenging perceptions around vaginal birth after caesarean

The benefits and safety of vaginal birth after primary caesarean section (VBAC) is a subject of considerable interest to midwives, and one which this journal periodically revisits Some of this...

Alternatives to breastfeeding: The use of goats' milk in infant formula

‘The scaling up of breastfeeding to a near universal level could prevent 823 000 annual deaths in children younger than 5 years and 20 000 annual deaths from breast cancer’ (Victora et al, 2016: 475)...

Retinopathy of prematurity: Causes, prevention and treatment

Retinopathy of prematurity (ROP) is a proliferative disorder of the immature retinal vasculature The retina has no blood vessels until around 16 weeks' gestation; the vessels grow out from the optic...

Safe drug administration in midwifery

Safe drug administration is an NHS priority and fundamental standard of the Care Quality Commission (CQC, 2016); this is important because midwives' errors in drug administration are reflected in...

Platelets in pregnancy: Their role and function in disease

Platelets are ‘anucleate’ cell fragments that circulate in the blood and are critical for haemostasis (Figure 1) They usually exist in a quiescent state but upon vascular injury they become activated...

Non-invasive prenatal testing for Down syndrome in general maternity services

For a woman hoping to start a family, discovering two lines on her urine pregnancy test may initiate profound excitement at a future vision of motherhood This is followed in the subsequent weeks by a...

Creating and maintaining compassionate relationships with bereaved parents after perinatal death

It is well recognised in the literature that the quality of the relationship between the midwife and the woman is central to the quality of care provided during pregnancy, childbirth and the postnatal...

Thalassaemia in pregnancy: Contemporary care for a timeless disease

Thalassaemia is one of the most common genetic blood disorders affecting women's ability to conceive and progress through a normal pregnancy and birth (Hanprasertpong et al, 2013) Currently, there are...

Paternal postnatal depression: How midwives can support families

Men's health is an important public health issue (Baker et al, 2014) Over the past 3 decades, the issue of men's health has moved from the margins to the centre of health discourse (Richardson, 2013)...

Micronutrients and the use of vitamin and mineral supplements during pregnancy and lactation

Optimal birth weight is often seen as the primary indicator of a positive pregnancy outcome, while a low birth weight or a baby born small for gestational age (SGA) is indicative of impaired fetal...

Bladder care in the context of motherhood: Ensuring holistic midwifery practice

The physiological processes of pregnancy and birth involve dramatic changes in the urogenital system, impacting women's bladder health in both the short and long term, and influencing psychological...

Pre-conception care for women with diabetes: A public health issue

Diabetes mellitus continues to be one of the most common pre-existing medical conditions to complicate pregnancy and carries considerable risks for both the woman and the fetus (McCance, 2011; Knight...

Successful tissue donation in the anencephalic baby

Anencephaly is a defect in the closure of the neural tube during the fourth week of gestation, occurring in 47/10 000 births (Collins et al, 2013) The neural tube is a narrow channel that folds and...

Why choose British Journal of Midwifery?

BJM supports midwives by sharing expertise and advice to help you build confidence, grow professionally and improve care.

What's included

  • Evidence-based best practice

  • Peer-reviewed research

  • Practical guidance

  • CPD support

Subscriptions start:

From £12.75 GBP