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A welcome boost for perinatal mental health

Perinatal mental health has been lingering near the top of the midwifery agenda for a while—at least in terms of rhetoric—but now some of the talk is being translated into action. The Perinatal Mental...

Will supervision changes lead to more Fitness to Practise referrals?

Last month, I was asked to present at the Local Supervising Authority (LSA) summer conference focusing on ‘the midwife in the dock’, from Nursing and Midwifery Council (NMC) fitness to practise (FtP)...

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)...

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...

‘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...

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...

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...

‘Do more with less’ must have its limits

Along with ‘thinking outside the box’ and ‘touching base’, another annoying phrase that corporate jargon has inflicted on the English language is ‘do more with less’. This little gem has been...

Improving outcomes for women and babies: A midwife's priority

Midwives everywhere strive to provide the best care for women and their families, and make a significant contribution to reducing the stillbirth and maternal mortality rates. In England, the...

Smoking and pregnancy

‘Smoking during pregnancy can cause serious pregnancy-related health problems These include complications during labour and an increased risk of miscarriage, premature birth, stillbirth, low birth...

Personalising care for every woman

Fulfilling its meaning of ‘with woman’, midwifery has been present throughout the centuries. The International Confederation of Midwives (ICM, 2011) refers to midwifery as one of the oldest and most...

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...

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