Article three in a series of eight. In this article, surgical wound complications (SWCs) are discussed. Many SWCs after caesarean birth are preventable, therefore it is imperative that patient education is provided. It is important to involve postnatal women, birthing people and partners in the care plans, explaining that five layers are involved in surgical wound healing. Care must be taken not to exert stress on the incision. As midwives we need to be aware of the contributing factors both intrinsic and extrinsic and the preventative interventions. The implementation of evidence-based surgical wound recommendations is vital to healing. The six major surgical wound complications and service-user education recommended by the World Union of Wound Healing Societies (WUWHS) will be discussed.
{"title":"Exploring Caesarean Birth 3: Wound Issues and Protecting the Caesarean Wound From Surgical Wound Complications","authors":"Leonie Rastas","doi":"10.55975/poro1042","DOIUrl":"https://doi.org/10.55975/poro1042","url":null,"abstract":"Article three in a series of eight. In this article, surgical wound complications (SWCs) are discussed. Many SWCs after caesarean birth are preventable, therefore it is imperative that patient education is provided. It is important to involve postnatal women, birthing people and partners in the care plans, explaining that five layers are involved in surgical wound healing. Care must be taken not to exert stress on the incision. As midwives we need to be aware of the contributing factors both intrinsic and extrinsic and the preventative interventions. The implementation of evidence-based surgical wound recommendations is vital to healing. The six major surgical wound complications and service-user education recommended by the World Union of Wound Healing Societies (WUWHS) will be discussed.","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90234469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
At The Royal Surrey Hospital a dedicated team of Specialist Parent Education Midwives (the Birth and Beyond Team founded by Claire Barraud and Kate Conway) provide parent education. Complementary education is funded by optional paid-for classes. In part one we outlined the rationale and model for providing NHS, midwife-led parent education. This article will focus on our antenatal provision and will provide opportunities to reflect on how you and your maternity unit prepare expectant parents for pregnancy and birth. The upcoming part three will outline postnatal services.
{"title":"Parent Education Series – Part 2: The Birth and Beyond Parent Education Model","authors":"Caroline Cousens, Natalie Van Rooyen","doi":"10.55975/kqnq4362","DOIUrl":"https://doi.org/10.55975/kqnq4362","url":null,"abstract":"At The Royal Surrey Hospital a dedicated team of Specialist Parent Education Midwives (the Birth and Beyond Team founded by Claire Barraud and Kate Conway) provide parent education. Complementary education is funded by optional paid-for classes. In part one we outlined the rationale and model for providing NHS, midwife-led parent education. This article will focus on our antenatal provision and will provide opportunities to reflect on how you and your maternity unit prepare expectant parents for pregnancy and birth. The upcoming part three will outline postnatal services.","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136339436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pregnancy marks the beginning of a lifelong connection between women and birthing people and their babies. It’s a common misconception that maternal/infant bonding begins the moment the baby is born; for many, the rush of love felt at the point of birth, is a culmination of feelings – emotional attachment steadily developed during pregnancy. The notion of bonding during pregnancy has been studied for many years and the relationship between a woman and her unborn baby is often described as maternal-fetal attachment (MFA) by researchers.1
{"title":"Building Relationships: Connecting With Baby During Pregnancy","authors":"Marley Hall","doi":"10.55975/nniq8286","DOIUrl":"https://doi.org/10.55975/nniq8286","url":null,"abstract":"Pregnancy marks the beginning of a lifelong connection between women and birthing people and their babies. It’s a common misconception that maternal/infant bonding begins the moment the baby is born; for many, the rush of love felt at the point of birth, is a culmination of feelings – emotional attachment steadily developed during pregnancy. The notion of bonding during pregnancy has been studied for many years and the relationship between a woman and her unborn baby is often described as maternal-fetal attachment (MFA) by researchers.1","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89562494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Caesarean birth is the most common abdominal surgery performed on women and birthing people in developing countries. A literature review has been undertaken to investigate whether chewing gum reduces the incidence of postoperative ileus in women undergoing a caesarean birth. Furthermore, an ileus prevention care bundle has been proposed to expedite the postoperative recovery care pathway, thereby improving the experience of women and families whilst reducing hospital length of stay and adverse outcomes.
{"title":"Chewing Gum Following Caesarean Birth: Reducing Rates of Postoperative Ileus","authors":"Samantha Blackburn, Samuel Todd, Kookie Salt","doi":"10.55975/ozxx7714","DOIUrl":"https://doi.org/10.55975/ozxx7714","url":null,"abstract":"Caesarean birth is the most common abdominal surgery performed on women and birthing people in developing countries. A literature review has been undertaken to investigate whether chewing gum reduces the incidence of postoperative ileus in women undergoing a caesarean birth. Furthermore, an ileus prevention care bundle has been proposed to expedite the postoperative recovery care pathway, thereby improving the experience of women and families whilst reducing hospital length of stay and adverse outcomes.","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86062070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In the past decade, there has been an increase in awareness surrounding women’s experiences of birth trauma. ‘Birth trauma’ is a phrase that is often used interchangeably to reference both physical and psychological trauma experienced during childbirth, which can occur concurrently. For the purpose of this article, we use the term ‘birth trauma’ to refer to psychological birth trauma, distressing and frightening events experienced during labour and birth.
{"title":"Recognising Childbirth Related Ptsd And Its Impact On The Early Mother-Infant Relationship","authors":"Rebecca Coddington, Alysha-leigh Fameli","doi":"10.55975/fuca6923","DOIUrl":"https://doi.org/10.55975/fuca6923","url":null,"abstract":"In the past decade, there has been an increase in awareness surrounding women’s experiences of birth trauma. ‘Birth trauma’ is a phrase that is often used interchangeably to reference both physical and psychological trauma experienced during childbirth, which can occur concurrently. For the purpose of this article, we use the term ‘birth trauma’ to refer to psychological birth trauma, distressing and frightening events experienced during labour and birth.","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79858735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara Neiman, Josephine Oamen, Rashida Sanni Abdus-Salaam
A large, urban London teaching hospital has a strategic objective of “develop all our diverse staff to deliver their potential and foster talent” (trust intranet, updated march 04, 2022). In drafting the new strategy, the words “commitment to equality and diversity” were suggested. Was there any change created by the strategy? Do such words on a website stop racist discrimination, bullying and harassment within departments?
{"title":"Reflections on Use of Quality Improvement Methods for Anti-Racism Work in a Maternity Department","authors":"Sara Neiman, Josephine Oamen, Rashida Sanni Abdus-Salaam","doi":"10.55975/nvro5296","DOIUrl":"https://doi.org/10.55975/nvro5296","url":null,"abstract":"A large, urban London teaching hospital has a strategic objective of “develop all our diverse staff to deliver their potential and foster talent” (trust intranet, updated march 04, 2022). In drafting the new strategy, the words “commitment to equality and diversity” were suggested. Was there any change created by the strategy? Do such words on a website stop racist discrimination, bullying and harassment within departments?","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72575068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Many service users and charities feel that implementing midwifery continuity of carer (MCoC), with linked consultant obstetricians in place, is a high priority for the NHS. A community of interest network has been set up for individuals and organisations representing women, parents, interest groups and communities who share this goal. We understand the current pressures on maternity services and want to support action to find solutions to those barriers that pose a challenge to implementation. Here, we introduce the network, our perspective on MCoC and the support we offer.
{"title":"A Midwife Of My Own: Public Support For Implementation Of Midwifery Continuity Of Carer","authors":"M. Newburn, Johanne Dagustun","doi":"10.55975/zgws5612","DOIUrl":"https://doi.org/10.55975/zgws5612","url":null,"abstract":"Many service users and charities feel that implementing midwifery continuity of carer (MCoC), with linked consultant obstetricians in place, is a high priority for the NHS. A community of interest network has been set up for individuals and organisations representing women, parents, interest groups and communities who share this goal. We understand the current pressures on maternity services and want to support action to find solutions to those barriers that pose a challenge to implementation. Here, we introduce the network, our perspective on MCoC and the support we offer.","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74823367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Welcome to a snippet of a small but important antenatal model of care called Binya Winyangara (BW) offered to Aboriginal and Torres Strait Islander mothers and babies at Liverpool Hospital in the South West Sydney Local Health District (SWSLHD). The following paragraphs offer insight into the reason for the implementation of the service, the day-to-day running, services offered and the importance of BW for the future. It is a privilege as the BW midwife to share this with you but more importantly I feel honoured to be able to work with and care for all the beautiful mothers and babies that access this service within the local area.
{"title":"Binya Winyangara: Culturally-Safe Midwifery Care","authors":"Kaarina Paasila","doi":"10.55975/ssmp7280","DOIUrl":"https://doi.org/10.55975/ssmp7280","url":null,"abstract":"Welcome to a snippet of a small but important antenatal model of care called Binya Winyangara (BW) offered to Aboriginal and Torres Strait Islander mothers and babies at Liverpool Hospital in the South West Sydney Local Health District (SWSLHD). The following paragraphs offer insight into the reason for the implementation of the service, the day-to-day running, services offered and the importance of BW for the future. It is a privilege as the BW midwife to share this with you but more importantly I feel honoured to be able to work with and care for all the beautiful mothers and babies that access this service within the local area.","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89459267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This is the first in a Maternity Voices series about those in the maternity space that have become published authors. I decided on this series as last year I became a published author of a book and it made me reflect on my journey to that point and wonder what other authors journeys have been like. I hope this series is inspirational for you all and maybe encourage you to also explore putting your experiences down on the page! I have a great line up of authors for you and we start with the story of Pixie Willo. Pixie is a mother and poet and published her first book of poetry in 2020. ‘In Clarity’s Absence’ Buy Book here Her next book of poetry based on open text comments from the Birth Experience Study national survey is due for release mid-2023.
{"title":"The Poetry Of Birth","authors":"Pixie Willow","doi":"10.55975/gwmw4760","DOIUrl":"https://doi.org/10.55975/gwmw4760","url":null,"abstract":"This is the first in a Maternity Voices series about those in the maternity space that have become published authors. I decided on this series as last year I became a published author of a book and it made me reflect on my journey to that point and wonder what other authors journeys have been like. I hope this series is inspirational for you all and maybe encourage you to also explore putting your experiences down on the page! I have a great line up of authors for you and we start with the story of Pixie Willo. Pixie is a mother and poet and published her first book of poetry in 2020. ‘In Clarity’s Absence’ Buy Book here Her next book of poetry based on open text comments from the Birth Experience Study national survey is due for release mid-2023.","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82132949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The importance of assessing mental health during and after pregnancy is being increasingly recognised. Rates of mental health problems during and after pregnancy are higher among those from minority ethnic groups living in the United Kingdom (UK) compared with White British women and birthing people. However, there are cultural differences in understanding mental health struggles, acceptability of admitting symptoms and willingness to accept help. This paper explores the literature about perinatal mental health screening for minority ethnic women and birthing people in the UK.
{"title":"Mental Health Screening for Refugee Minority Ethnic Women in the UK","authors":"Sarah Farrell","doi":"10.55975/vkyv4619","DOIUrl":"https://doi.org/10.55975/vkyv4619","url":null,"abstract":"The importance of assessing mental health during and after pregnancy is being increasingly recognised. Rates of mental health problems during and after pregnancy are higher among those from minority ethnic groups living in the United Kingdom (UK) compared with White British women and birthing people. However, there are cultural differences in understanding mental health struggles, acceptability of admitting symptoms and willingness to accept help. This paper explores the literature about perinatal mental health screening for minority ethnic women and birthing people in the UK.","PeriodicalId":35678,"journal":{"name":"Practising Midwife","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74776601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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