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Compassionate Connections: Turning rhetoric into reality

Woman-centred care, person-centred care, relationship-based care, personalised care, the 6 Cs including compassionate care—these are all central values of modern maternity policy in the UK The words...

Decisions around vaccination

‘We can't change the past but this vaccine will change people's futures’ These were the words of Kelly Mellor, whose daughter contracted meningococcal disease when she was 11 months old, quoted in a...

Vitamin supplementation and nutrition during pregnancy and breastfeeding

The developing baby in the womb is completely dependent on its mother for its nutrient supply, so the quality of the maternal diet is extremely important During pregnancy, increased intake is required...

Supporting the individual needs of obese pregnant women: Effects of risk-management processes

Rates of obesity worldwide have doubled in the past 30 years (World Health Organization (WHO), 2013) and obesity in the UK is reaching epidemic levels The Health and Social Care Information Centre...

Is goat milk infant formula a safe alternative to cows' milk infant formula?

There is no doubt breastfeeding is the gold standard of infant feeding There is extensive evidence of its nutritional benefits for the infant alongside health benefits for both the infant and the...

The acceptability of case-finding questions to identify perinatal depression

Perinatal depression has been defined as encompassing ‘major and minor depressive episodes that occur either during pregnancy or within the first 12 months after delivery’ (Gavin et al, 2005: 1071),...

Caesarean section by maternal request

The emergence of caesarean section by maternal request (CSMR) as a concept is closely related to a shift in the perception of childbirth from a physiological process to a medical one, as has occurred...

Risk of venous thromboembolism during pregnancy and birth

Venous thromboembolism (VTE) is the leading cause of direct maternal deaths in the UK (Royal College of Obstetricians and Gynaecologists (RCOG), 2015) A report published by MBRRACE-UK (Mothers and...

Handwashing and infections

In May 1847, Ignaz Philipp Semmelweis (1818–1865) showed by experiment that handwashing could prevent infections (Noakes et al, 2008) He instigated a hand-washing regime at the maternity clinic of the...

Supervision: Phoenix from the ashes

We are all aware there are going to be changes to statutory supervision of midwifery following recommendations from recent inquiries and reviews. To date, there is no formal decision as to how the...

Additions to the public health evidence-base

Public health is a fundamental aspect of the midwife's role. Regular contact with women and their families during pregnancy and the immediate postnatal period offers a crucial opportunity to maximise...

Preparing for an OSCE

The assessment of clinical skills competencies is an essential part of the midwifery curriculum to ensure women's safety in the clinical environment An Objective Structured Clinical Examination (OSCE)...

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