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Clinical Practice

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,...

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...

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...

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...

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...

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...

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...

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...

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...

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)...

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