Large disparities in miscarriage care are experienced by women belonging to ethnic minorities and those living in deprived areas of the UK, with Black women having a more than 40% increased risk of miscarriage than White women. Too many women, especially those from disadvantaged backgrounds, do not get enough information, support or care following a miscarriage. The Miscarriage Support Tool aims to tackle the unjust inequalities facing these women through personalised support and advice, to empower them to advocate for their own care. We aim to give these groups equity in access to care, otherwise unavailable, and reduce their risk of miscarriage.
{"title":"MISCARRIAGE SUPPORT TOOL: EQUITY OF CARE","authors":"Rebecca Sweetman, S. Quenby","doi":"10.55975/yzgz9415","DOIUrl":"https://doi.org/10.55975/yzgz9415","url":null,"abstract":"Large disparities in miscarriage care are experienced by women belonging to ethnic minorities and those living in deprived areas of the UK, with Black women having a more than 40% increased risk of miscarriage than White women. Too many women, especially those from disadvantaged backgrounds, do not get enough information, support or care following a miscarriage. The Miscarriage Support Tool aims to tackle the unjust inequalities facing these women through personalised support and advice, to empower them to advocate for their own care. We aim to give these groups equity in access to care, otherwise unavailable, and reduce their risk of miscarriage.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"7 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141025019","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}
Adult and mental health nurses, while not specialists in maternity care, often encounter pregnant women and birthing people in their daily work. Nurses’ ability to understand and empathise with the pregnancy journey is therefore essential. As part of the maternity curriculum for a rural first-year BSc adult/mental health nursing cohort, students attended new, interactive ‘gamified’ online lectures. The lectures encouraged students to explore experiences and choices from the client’s perspective during the antenatal period and labour.
{"title":"ONLINE MATERNITY LEARNING JOURNEYS WITH STUDENT NURSES","authors":"Morag Forbes","doi":"10.55975/txgu9465","DOIUrl":"https://doi.org/10.55975/txgu9465","url":null,"abstract":"Adult and mental health nurses, while not specialists in maternity care, often encounter pregnant women and birthing people in their daily work. Nurses’ ability to understand and empathise with the pregnancy journey is therefore essential. As part of the maternity curriculum for a rural first-year BSc adult/mental health nursing cohort, students attended new, interactive ‘gamified’ online lectures. The lectures encouraged students to explore experiences and choices from the client’s perspective during the antenatal period and labour.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"369 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140286756","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}
Anna Marsh, Sallie Ward, Sarah Collins, Abbie Milnes, Karen Sinaga, Helen Smith, Claire Welford
Identifying novel ways to improve communication is vital for an inclusive health service. Ask A Midwife is a collaborative social media innovation introduced during the COVID-19 pandemic. It provides a platform for women and birthing people to contact a midwife directly using social media. The aim of this service evaluation was to explore the frequency and content of messages received to inform future service provision and health promotion campaigns.
{"title":"ASK A MIDWIFE: A SERVICE EVALUATION","authors":"Anna Marsh, Sallie Ward, Sarah Collins, Abbie Milnes, Karen Sinaga, Helen Smith, Claire Welford","doi":"10.55975/qrrg5014","DOIUrl":"https://doi.org/10.55975/qrrg5014","url":null,"abstract":"Identifying novel ways to improve communication is vital for an inclusive health service. Ask A Midwife is a collaborative social media innovation introduced during the COVID-19 pandemic. It provides a platform for women and birthing people to contact a midwife directly using social media. The aim of this service evaluation was to explore the frequency and content of messages received to inform future service provision and health promotion campaigns.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140404564","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}
For healthy pregnant women, exercise, defined as physical activity (PA), is a safe and effective way of reducing adverse health risks. The lack of exercise reported by women in pregnancy is currently a significant concern, particularly in review of present maternal obesity statistics and associated risk factors. For instance, in pregnancy, obesity is recognised within 21.3% of antenatal clients.1 Adding to this, fewer than half of pregnant women (47.3%) have a normal ranged BMI.1 Urgent action is required, yet despite the well documented benefits, still 60 to 80% of pregnant women do not participate in PA.2,3,4 This is inclusive of women that are both overweight and classed as obese.2 From a health professional stance, there is an element of lack of professional education around the topic of PA in pregnancy. This article reviews the current obstacles and potential enablers, for midwives and student midwives. It critically considers how women and pregnant people can be effectively supported with PA throughout their pregnancy and, more specifically, by our future midwives.
对于健康的孕妇来说，运动，即体力活动（PA），是降低不良健康风险的一种安全有效的方法。目前，孕妇缺乏运动是一个值得关注的重大问题，特别是考虑到目前的孕产妇肥胖统计数据和相关风险因素。例如，21.3% 的产前客户在怀孕期间发现肥胖。1 此外，只有不到一半的孕妇（47.3%）的体重指数（BMI）在正常范围内。1 我们需要采取紧急行动，然而，尽管有大量文件证明了运动的益处，但仍有 60% 至 80% 的孕妇没有参加体育锻炼。本文回顾了助产士和助产士学生目前面临的障碍和潜在的促进因素。它批判性地探讨了如何在妇女和孕妇的整个孕期为其提供有效的 PA 支持，更具体地说，如何为我们未来的助产士提供有效的 PA 支持。
{"title":"STUDENT MIDWIVES: SUPPORTING PHYSICAL ACTIVITY UPTAKE IN PREGNANCY","authors":"Kristie Fisher, Tania Staras","doi":"10.55975/reri1164","DOIUrl":"https://doi.org/10.55975/reri1164","url":null,"abstract":"For healthy pregnant women, exercise, defined as physical activity (PA), is a safe and effective way of reducing adverse health risks. The lack of exercise reported by women in pregnancy is currently a significant concern, particularly in review of present maternal obesity statistics and associated risk factors. For instance, in pregnancy, obesity is recognised within 21.3% of antenatal clients.1 Adding to this, fewer than half of pregnant women (47.3%) have a normal ranged BMI.1 Urgent action is required, yet despite the well documented benefits, still 60 to 80% of pregnant women do not participate in PA.2,3,4 This is inclusive of women that are both overweight and classed as obese.2 From a health professional stance, there is an element of lack of professional education around the topic of PA in pregnancy. This article reviews the current obstacles and potential enablers, for midwives and student midwives. It critically considers how women and pregnant people can be effectively supported with PA throughout their pregnancy and, more specifically, by our future midwives.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"30 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140401846","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}
Helen Elliott-Mainwaring, Charlotte Phillips, Paul Bowie
Throughout this four-part Advancing Practice series, we have explored the science and practice of human factors and ergonomics in healthcare, and how a systems approach can support maternity, midwifery care and patient safety. In this final article, we explore the Maternity Support Worker (MSW) role and how registered midwives and MSWs can work together to support the delivery of safe and efficient maternity care. The reflection points in this article are adapted from NHS Education for Scotland’s Safety Culture Discussion Cards.1 In this series, we hope to support an improved understanding of the current maternity safety landscape.
{"title":"WORKING TOGETHER TO DELIVER SAFE CARE","authors":"Helen Elliott-Mainwaring, Charlotte Phillips, Paul Bowie","doi":"10.55975/aoul4437","DOIUrl":"https://doi.org/10.55975/aoul4437","url":null,"abstract":"Throughout this four-part Advancing Practice series, we have explored the science and practice of human factors and ergonomics in healthcare, and how a systems approach can support maternity, midwifery care and patient safety. In this final article, we explore the Maternity Support Worker (MSW) role and how registered midwives and MSWs can work together to support the delivery of safe and efficient maternity care. The reflection points in this article are adapted from NHS Education for Scotland’s Safety Culture Discussion Cards.1 In this series, we hope to support an improved understanding of the current maternity safety landscape.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"39 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140401022","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}
Emma Schneider, Dr Oliver Hamer, Dr Chris Smith, James Hill
Infertility is a widespread issue which is estimated to affect up to 17.5% of the global population. Evidence suggests that the most common causes of female infertility are ovulation disorders. That said, lifestyle factors such as dietary patterns, alcohol consumption, smoking and obesity are key determinants which have been shown to impact female physiology and significantly decrease the chances of conception. Obesity has been widely recognised as a significant factor that negatively impacts ovarian stimulation in women and is associated with several reproductive disorders. Despite improvements in fertility treatments, obesity remains a challenge particularly for fertility clinics because of the poorer pregnancy outcomes observed within the population. In this article, we will explore the effects of weight loss on female fertility and review the various strategies that have been shown to be effective in reducing obesity and improving reproductive outcomes.
{"title":"COMMENTARY PART 2: WEIGHT LOSS INTERVENTIONS FOR IMPROVING FERTILITYA SYNTHESIS OF CURRENT EVIDENCE","authors":"Emma Schneider, Dr Oliver Hamer, Dr Chris Smith, James Hill","doi":"10.55975/qltp8768","DOIUrl":"https://doi.org/10.55975/qltp8768","url":null,"abstract":"Infertility is a widespread issue which is estimated to affect up to 17.5% of the global population. Evidence suggests that the most common causes of female infertility are ovulation disorders. That said, lifestyle factors such as dietary patterns, alcohol consumption, smoking and obesity are key determinants which have been shown to impact female physiology and significantly decrease the chances of conception. Obesity has been widely recognised as a significant factor that negatively impacts ovarian stimulation in women and is associated with several reproductive disorders. Despite improvements in fertility treatments, obesity remains a challenge particularly for fertility clinics because of the poorer pregnancy outcomes observed within the population. In this article, we will explore the effects of weight loss on female fertility and review the various strategies that have been shown to be effective in reducing obesity and improving reproductive outcomes.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"59 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140405952","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}
Historically, there has been a lack of integrated holistic health care for women during the weeks and months following birth. Iron is a vital but overlooked nutrient during pregnancy and the postpartum period.
{"title":"THE IMPORTANCE OF IRON IN POSTPARTUM CARE","authors":"Marie Louise","doi":"10.55975/aeob9240","DOIUrl":"https://doi.org/10.55975/aeob9240","url":null,"abstract":"Historically, there has been a lack of integrated holistic health care for women during the weeks and months following birth. Iron is a vital but overlooked nutrient during pregnancy and the postpartum period.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"39 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140401033","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}
Equality, diversity and inclusion are core values of both the National Health Service (NHS) and Higher Education healthcare training providers in the UK. It is clear however that there are disparities in course achievement outcomes between students depending on ethnicity.1,2 To what extent midwifery education specifically is impacted has to date not been established. This retrospective cohort observation study looked at the relationship between ethnicity of student midwives, and course outcome in a single higher education midwifery programme in the UK. Findings identify that ethnicity does not impact on course attrition rates but does predict the final degree classification attained.
{"title":"ETHNICITY AND ACADEMIC SUCCESS IN A PRE-REGISTRATION MIDWIFERY EDUCATION PROGRAMME","authors":"Shauna Gnanapragasam","doi":"10.55975/qtxm1338","DOIUrl":"https://doi.org/10.55975/qtxm1338","url":null,"abstract":"Equality, diversity and inclusion are core values of both the National Health Service (NHS) and Higher Education healthcare training providers in the UK. It is clear however that there are disparities in course achievement outcomes between students depending on ethnicity.1,2 To what extent midwifery education specifically is impacted has to date not been established. This retrospective cohort observation study looked at the relationship between ethnicity of student midwives, and course outcome in a single higher education midwifery programme in the UK. Findings identify that ethnicity does not impact on course attrition rates but does predict the final degree classification attained.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"79 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140401703","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 and parenthood are life-changing events for every family. Whether its a first or subsequent pregnancy, support should readily be available and accessible for both parents. This time can be full of great excitement and joy, with many protective and positive long-term effects on mental health (MH).1 It can, however, also be a time of undue pressure, with a significant proportion of fathers experiencing depressive symptoms.1
{"title":"PATERNAL PERINATAL DEPRESSION: A MISSED OPPORTUNITY","authors":"Eleasha Spencer","doi":"10.55975/sbqq8049","DOIUrl":"https://doi.org/10.55975/sbqq8049","url":null,"abstract":"Pregnancy and parenthood are life-changing events for every family. Whether its a first or subsequent pregnancy, support should readily be available and accessible for both parents. This time can be full of great excitement and joy, with many protective and positive long-term effects on mental health (MH).1 It can, however, also be a time of undue pressure, with a significant proportion of fathers experiencing depressive symptoms.1","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"102 s5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140405534","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 this article I talk about physiological birth of the placenta by exploring the anatomy and physiology of the placenta and its role in childbirth, pairing this with the skills required to facilitate a physiological placental birth. It is important for midwives to understand the anatomy and physiology behind the skill set required to provide care during physiological birth of the placenta and to understand how midwifery practice can influence achieving this for women and birthing people.
{"title":"HOW IT WORKS 5: PHYSIOLOGICAL BIRTH OF THE PLACENTA","authors":"Natasha Soliman","doi":"10.55975/nuap7898","DOIUrl":"https://doi.org/10.55975/nuap7898","url":null,"abstract":"In this article I talk about physiological birth of the placenta by exploring the anatomy and physiology of the placenta and its role in childbirth, pairing this with the skills required to facilitate a physiological placental birth. It is important for midwives to understand the anatomy and physiology behind the skill set required to provide care during physiological birth of the placenta and to understand how midwifery practice can influence achieving this for women and birthing people.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"18 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140285736","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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