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Clinical Practice

Blood transfusion in the context of maternity care

In contemporary midwifery practice, the administration of blood transfusion (BT) has been relatively rare, compounded by the scarcity of blood, with an approximate incidence of 6% of BT in maternity...

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)...

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