Research

Women's decision-making about mode of birth after a previous caesarean section

Despite the World Health Organization ([WHO], 2015) consensus that rate of caesarean section (c-section) should be between 10%–15%, because higher percentages are not associated with a reduction in...

The establishment of breastfeeding in the small-for-gestational-age baby

The term small for gestational age (SGA) refers to an infant born with a birthweight ‘lower than expected for a given duration of gestation’ (Tudehope et al, 2013) More specifically, it applies to...

How to have the ‘ideal’ Down syndrome screening discussion at antenatal appointments

This is the fourth in a series of papers. The previous papers inform midwifery practice by providing insight into whether, to what extent and how cognitive status influences understanding of Down...

An exploration of reasons why some women may leave the birth experience with emotional distress

Women use different terms to describe distress in relation to a poor childbirth experience Whereas some women consider it as having been negative, others feel their birth was traumatic (Creedy et al,...

The influence of women's cognitive status on their understanding of Down syndrome screening

The booking appointment is the first antenatal appointment a woman has with her midwife At this appointment, women are offered screening for numerous conditions, including Down syndrome It is vital...

The impact of birth-related injury and pain on breastfeeding outcomes

Human milk is acknowledged to be the optimum source of nutrition for infants, while also being beneficial to maternal health (Victora et al, 2016) As such, the World Health Organization ([WHO], 2019)...

Primiparous women's narratives of confidence in the perinatal period

Pregnancy and childbirth are described as transitional phases or existential thresholds that childbearing women have to cross These events are multifaceted experiences with many dimensions, unique for...

Talking about smoking cessation with postnatal women: exploring midwives' experiences

Maintenance of smoking cessation after pregnancy remains a challenge, with many women who quit during pregnancy relapsing by six months (Logan et al, 2017) Factors relating to relapse postnatally are...

Influence of midwife communication on women's understanding of Down syndrome screening information

All pregnant women in England, Wales and Scotland are offered screening for Down syndrome at their first antenatal (booking) appointment with their midwife (UK National Screening Committee [UK NSC],...

A new tool to assess understanding of Down syndrome screening information presented by midwives

In England, Wales and Scotland, all pregnant women are routinely offered antenatal screening for Down syndrome (DS) at the booking appointment, according to the UK National Screening Committee...

An interpretative phenomenological study of midwives supporting home birth for women with complex needs

The landscape of women presenting for care in pregnancy now compared to the 1970s is vastly different thanks in part to the development of technologies which support women with comorbidities,...

‘We are just obsessed with risk’: healthcare providers' views on choice of place of birth for women

It is a woman's right to make an informed choice regarding where she wishes to give birth (Birthrights, 2013) Globally, it is recommended that women's individual health needs should be taken into...

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