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Alcohol, pregnancy and the precautionary principle

Philosopher Mary Midgley (1992: 3) observed: ‘As the gap between professional science and everyday thinking widens, it gets increasingly hard to work out in what sense most of us can be said to be...

From medicalisation to humanisation

In my visits around the UK and to different parts of the world over recent years, I have been struck by how intractable and pervasive the medicalisation of childbirth has become

Advancing attitudes towards maternal age

A former school friend of mine, who had her first child this year, told me about her anger when an obstetrician referred to her pregnancy as ‘geriatric’. Inappropriate though this term may seem...

Summer reading: The NHS Litigation Authority Annual Report

Readers in England will be aware of the role of the NHS Litigation Authority (NHSLA), the body which manages litigation on behalf of the NHS in England. In Scotland, the equivalent is the Clinical...

Amendments in electronic fetal monitoring and intermittent auscultation

Interpretation of cardiotocography (CTG) remains a controversial topic, despite attempts by the national professional bodies to standardise the terminology and decision-making systems The National...

Should left-handed midwives and midwifery students conform to the ‘norm’ or practise intuitively?

It has been suggested that the growing proportion of left-handed people—or, more specifically, the greater acknowledgement of left-handedness over the past century—may be the result of fewer...

‘Bump, Baby and Beyond’: Participant-led antenatal sessions using creative collaboration

The publication of the Francis report (Francis, 2013) led to a recommendation for greater emphasis on interventions to support frontline clinical teams to perform effectively The Patients First...

Newborn examination on full-term neonate whose mother had group B streptococcus colonisation

In the UK, all parents are offered the newborn infant physical examination (NIPE) for their baby as part of the Child Health Promotion Programme (Department of Health (DH), 2004; National Institute...

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...

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...

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)...

‘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...

Time for UK water companies to stop swinging the lead

Lead is a naturally occurring toxic metal that can harm human health (US Environmental Protection Agency (EPA), 2016) Fetuses, infants and children are especially vulnerable; low levels of exposure...

Conscientious objection

According to Holroyd (1971: 628), in March 1916 the author Lytton Strachey attended a tribunal, seeking exemption from conscription on the grounds of conscientious objection (CO) He was asked by a...

Initiative empowers pregnant women to know when to seek help

MAMA Academy is a pregnancy charity empowering women and midwives to help more babies arrive safely We educate expectant mothers on how to keep healthy, and when they should call their midwife for...

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