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Fairy tale midwifery ten years on: facilitating the transition to newly qualified midwife

Seminal work (Kramer, 1974) indicated that newly qualified practitioners experience a reality shock on initiation of first post, which is supported by subsequent literature (Maben and Macleod-Clark,...

Genetic risk assessment and haemoglobinopathy counselling: two case studies

The role of the antenatal and newborn (ANNB) coordinator is to work as part of a team to deliver the six ANNB programmes commissioned by the NHS, with oversight and quality assurance provided by...

Obtaining and confirming consent

A recent High Court case has highlighted for midwives the importance of obtaining and confirming valid consent Mordel v Royal Berkshire NHS centred on what information had been provided and understood...

Coping with baby loss as a midwife

Every year, more than 6 500 babies and children under the age of five die in the UK (Child Bereavement UK, 2017) While it is widely recognised that bereaved parents should receive high-quality support...

Dealing with burnout

In their study of physician stress, Hannan et al (2018) note that in 1974, the American psychologist Herbert Freudenberger first coined the term ‘burnout’, defining it as ‘a state of mental and...

Book review

Squaring The Circle The book ‘Squaring...

‘Please mind the gap’

As I sat on a busy tube shuttling across London on my way to a regional meeting, I used the time to reflect upon my career I had spent all my life aspiring to be a clinical midwife, guiding women...

Vaginal birth after caesarean: how NICE guidelines can inform midwifery practice

The National Institute for Health and Care Excellence ([NICE], 2019a) published new intrapartum care guidelines for women with existing medical conditions or obstetric complications and their babies...

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...

How do risk management principles fit in with the reality of clinical midwifery?

Risk assessment and management is extremely important in midwifery However, it is unclear how its principles fit with day-to-day clinical midwifery practice While midwives are the inherent leaders of...

Management of first trimester pregnancy loss: mifepristone plus misoprostol versus misoprostol alone

Miscarriage occurs in 20% of all pregnancies (Fernlund et al, 2018) and medical management using misoprostol is now a popular treatment option as opposed to surgical intervention Current research...

Neonatal resuscitation: ‘room side to motherside’

From the moment of birth, around 90% of neonates initiate spontaneous respiration within 30 seconds (Resuscitation Council UK, 2016) For approximately 10% of neonates, this process takes a little...

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