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The place they will be born

Just past ‘Bear Paw Gas and Convenience’ and not far from ‘Talking Earth Pottery’ sits Tsi Non:we Ionnakeratstha Maternal and Child Health Centre The name is Mohawk for ‘the place they will be born’ A...

Vitamin K and ethics

With the Andrew Wakefield MMR and autism scandal, and the subsequent rise of the anti-vaccination movement, today's patients can now be seen as sceptical consumers keen to assert their autonomy, and...

Midwives' voices need to be heard in the safeguarding discussion

There is a growing recognition that safeguarding and protection of young people needs practitioners and professionals to reach beyond the borders of their traditional roles and work together Without...

Migrants and pregnancy

In 2017 there was a global population of 244 million international migrants, including 22 million refugees With the inevitable implications for healthcare as a result of mass population movements,...

Why midwives alone are not enough

Talking to midwives from across Ethiopia and Kenya about the challenges and triumphs of being a clinician, the conversation often turned to where to go next (Box 1) Although there have been...

Smoking and pregnancy

The adverse effects of smoking in pregnancy include miscarriage, ectopic pregnancy, stillbirth and birth defects (Royal College of Obstetricians and Gynaecologists, 2015) According to NHS Digital...

I am a midwife who is proud to work in abortion care

The word ‘midwife’ means ‘with woman’ and since embarking on my midwifery training 17 years ago, that is exactly where I have been I have supported women during the elation of becoming a mother, and I...

Vaccines, pregnancy and ethics

In the late 1950s and early 1960s, the drug thalidomide was taken by pregnant women to counteract morning sickness —with the result that around 10 000 babies globally were born with limb deformities

Anencephaly

Anencephaly is an untreatable and terminal neural tube defect in which most of a fetus' brain, skull and scalp is missing It affects approximately 1 in 1000 pregnancies globally (Cook et al, 2008) and...

New routes to parenthood

Under the Gender Recognition Act 2004, an application for a gender recognition certificate must be granted if a Gender Recognition Panel decides that the applicant has—or has had—gender dysphoria; has...

Guilt, forgiveness and medical error

The writer Ambrose Bierce said that guilt is felt by one who has committed an indiscretion but failed to cover his tracks, while forgiveness aims to throw an offender off his guard and catch him...

HPV during pregnancy

The human papillomavirus (HPV) is an organism that is transmitted by skin-to-skin contact and frequently by vaginal, anal or oral sex The American Centers for Disease Control and Prevention (CDC)...

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