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Deliberately unassisted birth in Ireland: Understanding choice in Irish maternity services

In Ireland, some women who are unable to access a midwife-attended homebirth are choosing to give birth at home without assistance This paper describes the experience of four such women, whose stories...

The effect of maternal position at birth on perineal trauma: A systematic review

Genital tract sepsis is now the leading cause of direct maternal death in the UK, with the incidence rising since 2006 (Cantwell et al, 2011) Perineal trauma can increase the risk of puerperal...

An audit and trial aiming to reduce the rate of surgical site infections for women having a caesarean section

Although birth by caesarean section (CS) is a common procedure, there are a number of potential complications, of which one is surgical site infection (SSI) (Gould, 2007; Wloch et al, 2012) Mortality...

Urinary catheterisation: Indications and complications

Increasing numbers of women, either during the birth process or in the postnatal period, require an indwelling urinary catheter for a number of reasons This could be because the woman requires a...

Plus ça change: Problems with memory and the importance of documentation (again)

A sure sign of ageing (call it experience, if you will) is the realisation that ‘we've been here before’. In 1997, I published an article in this journal concerning practitioners' recall of events...

Don't tell me I can't change the world

Recently, I had a privilege of attending the British Journal of Midwifery Awards, held in Manchester on 8 February I was even more privileged to be awarded joint 2nd place in the Innovation in...

Clinicians in the classroom: The bereavement midwife

One in 200 births in the UK ends in stillbirth, and of those, 1 in 3 occurs at term (37+ weeks' gestation) According to MBRRACE-UK (Draper et al, 2015: 7), ‘although there has been a small reduction...

Exploring the value of group supervision in midwifery: Part 1

Following the findings from three investigations into complaints from families relating to local midwifery supervision and regulation at University Hospitals of Morecambe Bay NHS Foundation Trust, the...

Mindfulness in maternity: Evaluation of a course for midwives

There is increasing literature to suggest that mindfulness-based interventions may address a variety of psychological problems (eg Grossman et al, 2004; Dimidjian and Goodman, 2009; Duncan and...

Optimising women's experiences and outcomes

In my career as a midwife, I have been to many midwifery conferences, but this year's BJM conference was the most valuable It gathered together some of the best speakers in the midwifery profession...

Can maternity care move beyond risk? Implications for midwifery as a profession

Changes in society, including higher levels of education in the population and higher expectations of health services, have resulted in a belief that risk can be controlled or even prevented, and...

Developing a perinatal mental health module: An integrated care approach

Perinatal mental health (PMH) relates to the emotional health and wellbeing of a woman from conception until 1 year following birth Midwives have a key role in identifying at-risk women, acting...

Pre-registration midwifery education: Clinicians in the classroom

By 1996, midwifery pre-registration education in the UK was fully integrated into higher education and, currently, 92 universities offer approved midwifery courses in England (Nursing and Midwifery...

Tell it Right, Start it Right: An evaluation of training for health professionals about Down syndrome

Down syndrome (DS) is one of the most common and recognisable conditions associated with learning disability, and approximately 27/1000 pregnancies are affected (Morris and Springett, 2014) Many...

The power of shared philosophy: A study of midwives' perceptions of alternative birth care in Norway

Implementing safe maternal care is a worldwide concern Optimal care should be provided during the antenatal, intrapartum and postpartum periods, and should include both the mother and infant (World...

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