Between 2018 and 2020, eight women in the UK died from complications associated with pre-eclampsia. Despite a decline in maternal mortality rates, the numbers are still higher than the previous triennial review report, 2012 to 2014. Many women and babies will experience substantial morbidities impacting their long-term physical and mental health. To ensure optimal care, it is critical midwives are competent in the detection and management of women at risk of pre-eclampsia. This article will review best practice in relation to the antenatal clinical management of a woman with pre-eclampsia.
{"title":"ANTENATAL CARE OF A WOMAN WITH PREECLAMPSIA","authors":"Anne Leyland","doi":"10.55975/xkux9804","DOIUrl":"https://doi.org/10.55975/xkux9804","url":null,"abstract":"Between 2018 and 2020, eight women in the UK died from complications associated with pre-eclampsia. Despite a decline in maternal mortality rates, the numbers are still higher than the previous triennial review report, 2012 to 2014. Many women and babies will experience substantial morbidities impacting their long-term physical and mental health. To ensure optimal care, it is critical midwives are competent in the detection and management of women at risk of pre-eclampsia. This article will review best practice in relation to the antenatal clinical management of a woman with pre-eclampsia.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"20 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140521335","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}
Research shows that many healthcare professionals lack knowledge of the unique reproductive needs of trans and gender diverse people, leading to possible bias. This opens potential for reduced information sharing, lack of trust and disempowerment.1 Midwives are bound by the Nursing and Midwifery Council (NMC) Code2 to provide care to the best available evidence, keep up-to-date and maintain knowledge and skills to provide safe, holistic care. However, ‘transgender’ is not yet a health research analytic category. Thus, there is a poor evidence base, making it more challenging to understand trans-specific health concerns due to lack of data.3
{"title":"MIDWIFERY CARE FOR TRANS AND GENDER DIVERSE PEOPLE","authors":"Polly Ellis, Kerry Phillips","doi":"10.55975/styz1671","DOIUrl":"https://doi.org/10.55975/styz1671","url":null,"abstract":"Research shows that many healthcare professionals lack knowledge of the unique reproductive needs of trans and gender diverse people, leading to possible bias. This opens potential for reduced information sharing, lack of trust and disempowerment.1 Midwives are bound by the Nursing and Midwifery Council (NMC) Code2 to provide care to the best available evidence, keep up-to-date and maintain knowledge and skills to provide safe, holistic care. However, ‘transgender’ is not yet a health research analytic category. Thus, there is a poor evidence base, making it more challenging to understand trans-specific health concerns due to lack of data.3","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"12 5-6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140517349","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}
Past traumas can significantly affect a person’s mental health and maternity experiences. With this in mind we reviewed service and adopted a trauma-focused two-stage approach: offering trauma-informed care plans and mandating staff training. The intention was to equip staff to recognise and respond to trauma signs and symptoms, while enabling service users to feel more secure and in control. Feedback from staff and patients has been positive, but more research is needed to examine the impact on physical and mental health outcomes.
{"title":"TRAUMA-INFORMED MATERNITY SYSTEM: A SERVICE EVALUATION","authors":"Rebecca Thomas","doi":"10.55975/vcvj2376","DOIUrl":"https://doi.org/10.55975/vcvj2376","url":null,"abstract":"Past traumas can significantly affect a person’s mental health and maternity experiences. With this in mind we reviewed service and adopted a trauma-focused two-stage approach: offering trauma-informed care plans and mandating staff training. The intention was to equip staff to recognise and respond to trauma signs and symptoms, while enabling service users to feel more secure and in control. Feedback from staff and patients has been positive, but more research is needed to examine the impact on physical and mental health outcomes.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"26 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140519609","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 achievement of the England women’s football team, reaching the World Cup Final, epitomises elevation in profile and appreciation of women’s sport in recent times. But can midwifery care for this unique group keep pace with their progression as athletes, and does it matter?
{"title":"ATHLETE MOTHERS – NEW CHALLENGES AND CONSIDERATIONS FOR CARE","authors":"Sarah Stevenson","doi":"10.55975/nrjq4938","DOIUrl":"https://doi.org/10.55975/nrjq4938","url":null,"abstract":"The achievement of the England women’s football team, reaching the World Cup Final, epitomises elevation in profile and appreciation of women’s sport in recent times. But can midwifery care for this unique group keep pace with their progression as athletes, and does it matter?","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"117 1-2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140523335","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}
Obesity is a well-established risk factor for infertility. Consequentially, women living with obesity may require fertility treatment to support them to conceive. Due to evidence suggesting obesity is also linked with poorer outcomes following in vitro fertilisation (IVF), local commissioning guidelines on assisted conception recommend a BMI of <30kg/m2 before IVF can commence. However, it is currently unclear if these guidelines are evidence based. This commentary aims to critically appraise a recent systematic review by Sermondade, et al., (2019) and expand upon the implications of the findings for clinical practice.
{"title":"COMMENTARY PART 1: EVALUATING THE ASSOCIATION OF FEMALE OBESITY WITH THE RISK OF LIVE BIRTH FOLLOWING IVF - IMPLICATIONS FOR CLINICAL PRACTICE","authors":"Emma Schneider, O. Hamer, Chris Smith, J. Hill","doi":"10.55975/mkei9521","DOIUrl":"https://doi.org/10.55975/mkei9521","url":null,"abstract":"Obesity is a well-established risk factor for infertility. Consequentially, women living with obesity may require fertility treatment to support them to conceive. Due to evidence suggesting obesity is also linked with poorer outcomes following in vitro fertilisation (IVF), local commissioning guidelines on assisted conception recommend a BMI of <30kg/m2 before IVF can commence. However, it is currently unclear if these guidelines are evidence based. This commentary aims to critically appraise a recent systematic review by Sermondade, et al., (2019) and expand upon the implications of the findings for clinical practice.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"20 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140518337","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 risk of cardiovascular disease in pregnancy has increased due to increasing age at first pregnancy and is the major cause of maternal death during pregnancy.1 Good maternal health and wellbeing is key to the best outcomes for both mother and baby. A key message from MBRRACE2 for health professionals is around heart disease. This article focuses on maternal health but as a midwife you also need to have an awareness of how poor maternal health can affect the fetus, baby, child and then ongoing adult health. There are vast amounts of additional reading that you need to do to support your knowledge around the maternal cardiac system and cardiovascular disease.
{"title":"HOW IT WORKS 4: ANATOMY AND PHYSIOLOGY OF PREGNANCY – WHAT’S IN A MATERNAL HEARTBEAT?","authors":"Imogen Snowling, Annette Ballard","doi":"10.55975/zczz8761","DOIUrl":"https://doi.org/10.55975/zczz8761","url":null,"abstract":"The risk of cardiovascular disease in pregnancy has increased due to increasing age at first pregnancy and is the major cause of maternal death during pregnancy.1 Good maternal health and wellbeing is key to the best outcomes for both mother and baby. A key message from MBRRACE2 for health professionals is around heart disease. This article focuses on maternal health but as a midwife you also need to have an awareness of how poor maternal health can affect the fetus, baby, child and then ongoing adult health. There are vast amounts of additional reading that you need to do to support your knowledge around the maternal cardiac system and cardiovascular disease.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"17 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140520469","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}
Empowering women for labour mobility is acknowledged as a component of good midwifery care, yet challenges persist in hospital settings. While the benefits of antenatal education are recognised as supporting labour mobility, specific details and correlations with outcomes remain deficient. A comprehensive synthesis of interventions empowering women for labour mobility is lacking. This study aims to map strategies in antenatal education for labour mobility, utilising JBI methodology. The review will centre on antenatal education, highlighting crucial information for strategies to enhance women’s decision-making and childbirth self-efficacy, fostering labour mobility and upright positions during labour.
{"title":"ANTENATAL EDUCATION STRATEGIES DESIGNED TO SUPPORT MOBILITY IN LABOUR: A SCOPING REVIEW PROTOCOL","authors":"Marlene Isabel Lopes, Margarida Vieira, Isabel Mendes, Rosa Moreira, Cláudia Brás, Alexandrina Cardoso","doi":"10.55975/cqhb3724","DOIUrl":"https://doi.org/10.55975/cqhb3724","url":null,"abstract":"Empowering women for labour mobility is acknowledged as a component of good midwifery care, yet challenges persist in hospital settings. While the benefits of antenatal education are recognised as supporting labour mobility, specific details and correlations with outcomes remain deficient. A comprehensive synthesis of interventions empowering women for labour mobility is lacking. This study aims to map strategies in antenatal education for labour mobility, utilising JBI methodology. The review will centre on antenatal education, highlighting crucial information for strategies to enhance women’s decision-making and childbirth self-efficacy, fostering labour mobility and upright positions during labour.","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"30 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140519802","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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