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Clinical Practice

Placenta praevia: Diagnosis and management

Placental development begins upon implantation of the blastocyst into the maternal endometrium during the initial stages of human embryogenesis Implantation involves localisation to the most optimal...

Mind matters: Developing skills and knowledge in postnatal depression

Depression is a condition that affects millions of people worldwide and is the highest cause of disease burden in women (Dennis and Dowswell, 2013) Postnatal depression has been defined by Diagnostic...

Delayed cord clamping in the compromised baby

When a baby is born it begins its adaption to extra-uterine life Delayed cord clamping is a normal part of gentle transition (Mercer and Erikson-Owens, 2010) and has been widely advocated as a means...

Reducing the incidence of incontinence

Many women develop problems associated with pelvic floor dysfunction, which often stem from the peripartum period Those at most risk include: women of an older maternal age, those with a high body...

Urinary catheterisation in labour

Care of the bladder in labour is essential to supporting the physiological process of labour A full bladder can often be palpated above the brim of the pelvis, may hinder descent of the presenting...

Helping women prepare for hyperemesis gravidarum

Nausea and vomiting affects around 80% of pregnant women to a greater or lesser degree making it the most common medical condition in pregnancy (Gadsby and Barnie-Adshead, 2011) Around 30% of women...

Recurrent and persistent thrush in pregnancy

One of the most common causes of yeast infections in the vulvovaginal area is Candida albicans (Holland et al, 2003; Sobel et al, 2013) During their childbearing years, 75% of women will experience at...

Is the evidence on waterbirth watertight?

Waterbirth has been recognised as a clinically effective means to reduce the intensity of pain during normal physiological labour and increase women's satisfaction with their birth experiences...

Ebola in pregnancy

On 8 August 2014, the World Health Organization (WHO) Director-General declared the recent outbreak of Ebola virus in Africa, ‘a public health emergency of international concern’ (Kennedy, 2014)...

Neonatal skin cleansing revisited: Whether or not to use skin cleansing products

Midwives are commonly asked by parents for advice on how they should clean their newborn infant and what should they use on his/her skin The answers are not as straight forward as might be supposed...

The imperative of implementing delayed cord clamping to improve maternal and neonatal outcomes

The third stage of labour begins at the time the newborn is delivered and continues until the placenta and membranes are expelled Immediately after birth, the newborn remains attached to the mother...

An exploration of the benefits and drawbacks of intrapartum pain management strategies

‘Labour pain is not associated with pathology but with the most basic and fundamental of life's experiences’ (Lowe, 2002: 16) An integral part of the labour process, pain poses challenges to both...

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