Clinical Practice

More needs to be done to prevent Group B strep infection in the UK

Group B streptococcus (GBS) is the most common cause of sepsis and meningitis in infants less than 3 months of age (Heath and Schuchat, 2007; Stoll et al, 2011) Of those babies infected, about 10% die...

What constitutes good trial evidence?

Evidence-based practice has been the mantra within health settings over the last 2 decades It is a phrase that can be found in the majority of academic texts and assignments of most midwifery students...

Gastro-oesophageal reflux in the neonate: Clinical complexities and impact on midwifery practice

Gastro-oesophageal reflux (GOR) is a commonly reported phenomenon encountered in the initial weeks of neonatal life, and is a normal physiological process which usually occurs following feeding...

The senses of touch and olfaction in early mother–infant interaction

For the human newborn, being able to recognise (and be recognised by) his/her own mother, locate the breast, latch on and feed are clearly evolutionarily important survival abilities Clear indication...

Helping parents achieve safer male infant circumcision

Male circumcision or the removal of the foreskin holds a deep spiritual significance in Judaism and Islam The Judaic origins are reflected in our language as no other part of the human body is...

Diagnosis and management of pre-eclampsia: A clinical perspective on recent advances in the field

Pre-eclampsia is a global health problem, which complicates 2–8% of all pregnancies and contributes to 15% of preterm births and 9–26% of maternal deaths worldwide (World Health Organization (WHO),...

Midwifery management of asthma and allergies during pregnancy, birth, and the postpartum

Asthma, often complicated by allergies, is a common health problem that can cause complications in pregnancy (World Health Organization (WHO), 2014) The UK has an asthma prevalence during pregnancy of...

Hand expressing in pregnancy and colostrum harvesting—preparation for successful breastfeeding?

Breastfeeding initiation rates in the UK have risen; in 2010, 81% of mothers chose to breastfeed their babies at birth, compared with 76% in 2005 However, breastfeeding is often short-lived as 24% of...

Infant massage: The practice and evidence-base to support it

The practice of infant massage is not a new phenomenon It is a part of nature—at birth, mammals massage their newborns by licking and grooming them to encourage their body systems to normalise...

Constipation and haemorrhoids: A midwifery perspective for the childbearing continuum

Constipation and haemorrhoids are common disorders and women who have previously experienced these issues are at risk of recurrence during pregnancy and the puerperium; however, they may develop for...

Delayed cord clamping in the compromised baby

When a baby is born it begins its adaption to extra-uterine life Delayed cord clamping is a normal part of gentle transition (Mercer and Erikson-Owens, 2010) and has been widely advocated as a means...

Mind matters: Developing skills and knowledge in postnatal depression

Depression is a condition that affects millions of people worldwide and is the highest cause of disease burden in women (Dennis and Dowswell, 2013) Postnatal depression has been defined by Diagnostic...

Placenta praevia: Diagnosis and management

Placental development begins upon implantation of the blastocyst into the maternal endometrium during the initial stages of human embryogenesis Implantation involves localisation to the most optimal...

Candida and breastfeeding

Candida albicans is the most common naturally occurring candida species found as a commensal on the mucosal tissue of mother and child It is also a pathogen that can cause fungal infections in both...

Urinary catheterisation in labour

Care of the bladder in labour is essential to supporting the physiological process of labour A full bladder can often be palpated above the brim of the pelvis, may hinder descent of the presenting...

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