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ANTENATAL CARE OF A WOMAN WITH PREECLAMPSIA 子痫前期妇女的产前护理
The Practising Midwife
Pub Date : 2024-01-01 DOI: 10.55975/xkux9804
Anne Leyland
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.
2018 年至 2020 年间，英国有 8 名妇女死于与子痫前期相关的并发症。尽管孕产妇死亡率有所下降，但这一数字仍高于2012年至2014年的上一次三年期审查报告。许多妇女和婴儿将经历严重的疾病，影响其长期的身心健康。为确保提供最佳护理，助产士必须具备检测和管理子痫前期高危产妇的能力。本文将回顾有关先兆子痫产妇产前临床管理的最佳实践。
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引用次数: 0
MIDWIFERY CARE FOR TRANS AND GENDER DIVERSE PEOPLE 为跨性别和性别多元化人群提供助产护理
The Practising Midwife
Pub Date : 2024-01-01 DOI: 10.55975/styz1671
Polly Ellis, Kerry Phillips
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
研究表明，许多医疗保健专业人员对变性人和性别多元化人群的独特生殖需求缺乏了解，从而可能导致偏见。1 助产士受护理与助产委员会（NMC）守则2 的约束，必须根据现有的最佳证据提供护理，不断更新并保持知识和技能，以提供安全、全面的护理。然而，"变性人 "还不是一个健康研究分析类别。因此，证据基础薄弱，由于缺乏数据，要了解变性人特有的健康问题更具挑战性。
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引用次数: 0
TRAUMA-INFORMED MATERNITY SYSTEM: A SERVICE EVALUATION 创伤知情的孕产妇系统：服务评估
The Practising Midwife
Pub Date : 2024-01-01 DOI: 10.55975/vcvj2376
Rebecca Thomas
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.
过去的创伤会严重影响一个人的心理健康和孕产经历。有鉴于此，我们对服务进行了审查，并采取了以创伤为重点的两阶段方法：提供创伤知情护理计划并强制要求对员工进行培训。这样做的目的是让员工能够识别和应对创伤迹象和症状，同时让服务使用者感到更安全、更有掌控感。工作人员和病人的反馈是积极的，但还需要进行更多的研究，以检查对身心健康结果的影响。
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引用次数: 0
ATHLETE MOTHERS – NEW CHALLENGES AND CONSIDERATIONS FOR CARE 运动员母亲--护理方面的新挑战和考虑因素
The Practising Midwife
Pub Date : 2024-01-01 DOI: 10.55975/nrjq4938
Sarah Stevenson
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?
英格兰女子足球队打入世界杯决赛的成就，是近来女性体育运动的形象和价值提升的缩影。但是，对这一独特群体的助产护理能否跟上她们作为运动员的进步步伐，这是否重要？
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引用次数: 0
COMMENTARY PART 1: EVALUATING THE ASSOCIATION OF FEMALE OBESITY WITH THE RISK OF LIVE BIRTH FOLLOWING IVF - IMPLICATIONS FOR CLINICAL PRACTICE 评论第 1 部分：评估女性肥胖与试管婴儿活产风险的关系--对临床实践的启示
The Practising Midwife
Pub Date : 2024-01-01 DOI: 10.55975/mkei9521
Emma Schneider, O. Hamer, Chris Smith, J. Hill
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.
肥胖是一个公认的不孕症风险因素。因此，肥胖妇女可能需要接受辅助受孕治疗。有证据表明，肥胖还与体外受精（IVF）的不良结果有关，因此，当地的辅助受孕委托指南建议，在开始体外受精之前，体重指数（BMI）应小于 30kg/m2。然而，目前尚不清楚这些指南是否以证据为基础。本评论旨在对 Sermondade 等人（2019 年）最近发表的一篇系统综述进行批判性评估，并阐述研究结果对临床实践的影响。
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引用次数: 0
ANTENATAL EDUCATION STRATEGIES DESIGNED TO SUPPORT MOBILITY IN LABOUR: A SCOPING REVIEW PROTOCOL 产前教育策略旨在支持分娩时的行动能力：范围界定审查规程
The Practising Midwife
Pub Date : 2024-01-01 DOI: 10.55975/cqhb3724
Marlene Isabel Lopes, Margarida Vieira, Isabel Mendes, Rosa Moreira, Cláudia Brás, Alexandrina Cardoso
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.
增强妇女的分娩机动性被认为是良好助产护理的一个组成部分，但在医院环境中仍存在挑战。虽然产前教育的益处被认为有助于分娩流动性，但具体细节以及与结果的相关性仍然不足。目前还缺乏对增强产妇分娩机动性的干预措施的全面综述。本研究旨在利用 JBI 方法绘制产前教育促进分娩流动的策略图。综述将以产前教育为中心，强调提高妇女决策和分娩自我效能、促进分娩流动性和分娩过程中直立体位的策略的关键信息。
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引用次数: 0
HOW IT WORKS 4: ANATOMY AND PHYSIOLOGY OF PREGNANCY – WHAT’S IN A MATERNAL HEARTBEAT? 工作原理 4：怀孕的解剖学和生理学--孕产妇的心跳是怎么回事？
The Practising Midwife
Pub Date : 2024-01-01 DOI: 10.55975/zczz8761
Imogen Snowling, Annette Ballard
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.
由于初次怀孕年龄的增加，妊娠期心血管疾病的风险也随之增加，这也是妊娠期孕产妇死亡的主要原因1 。1 良好的孕产妇健康和福祉是母婴获得最佳预后的关键。MBRRACE2 向卫生专业人员传达的一个重要信息就是心脏病。本文的重点是孕产妇健康，但作为助产士，您也需要了解不良的孕产妇健康会如何影响胎儿、婴儿、儿童以及成人的健康。您需要进行大量的额外阅读，以了解有关产妇心脏系统和心血管疾病的知识。
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引用次数: 0
The Midwifery Unit Network: creating a community of practice to enhance maternity services. 助产单位网络:建立一个实践社区，以加强产妇服务。
The Practising Midwife
Pub Date : 2017-06-01
Lucia Rocca-Ihenacho, Mary Newburn, Sheena Byrom

The Midwifery Unit Network (MUNet) is a community of practice which aims to promote and support the implementation and improvement of midwifery units (MUs) in the UK and internationally. It was launched in April 2016 and has been growing fast since its inception. In this article, three co-leads of MUNet describe why they set up the network and how they established it. The aim of the article is to inspire more midwives to consider establishing a community of practice, and to offer some guidance in doing so.

助产单位网络(MUNet)是一个实践社区，旨在促进和支持在英国和国际上实施和改进助产单位(mu)。它于2016年4月推出，自成立以来发展迅速。在本文中，MUNet的三位联合负责人描述了他们为什么建立网络以及如何建立网络。这篇文章的目的是激励更多的助产士考虑建立一个实践社区，并在这方面提供一些指导。
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引用次数: 0
Global maternal health. 1. Traditions and birth in the Philippines. 全球孕产妇保健。1. 菲律宾的传统和出生。
The Practising Midwife
Pub Date : 2017-06-01
Tara Billinge

This occasional series aims to share, discuss and promote midwifery in a global context. Midwifery is a truly global profession and even those of us who work solely in the UK will care for women from many different cultures; these articles reflect the experiences of midwives and students working in both the UK and in Asia, Australasia, Africa and Europe. The first few articles of the series have been developed by students undertaking a global maternity module at The University of Leeds. Each of these articles will be presented in a two-part format: a feature in print and an accompanying reflection hosted on our website. We encourage you to review both to support your full engagement with the series.

这个不定期的系列旨在分享、讨论和促进全球背景下的助产学。助产是一个真正的全球职业，即使我们这些只在英国工作的人也会照顾来自不同文化背景的女性;这些文章反映了助产士和学生在英国和亚洲、大洋洲、非洲和欧洲工作的经验。本系列的前几篇文章是由在利兹大学参加全球产妇模块的学生撰写的。每篇文章将以两部分的形式呈现:一篇专题文章和一篇附在我们网站上的反思。我们鼓励您回顾这两篇文章，以支持您与本系列的全面接触。
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引用次数: 0
The new Irish maternity strategy 2016-2026. 爱尔兰2016-2026年新生育战略。
The Practising Midwife
Pub Date : 2017-06-01
Catherine Wood

Report review runs alongside Guideline commentary and the other evidence series articles, examining local, national and international reports that have implications directly or indirectly for midwives. It helps readers to understand what reports mean for midwifery practice and to place report recommendations into context. As with all our evidence series articles, report reviews support you to critique recommendations and implications for your own practice. In 2016, Ireland launched its first ever maternity strategy (Department of Health (IDH) 2016). This followed many high-profile controversies, including maternal and neonatal deaths due to medical misadventure. This article reviews Ireland's history of maternity services, the new strategy and current perinatal mental health services.

报告审查与指南评论和其他证据系列文章一起进行，审查对助产士有直接或间接影响的地方、国家和国际报告。它帮助读者理解报告对助产实践的意义，并将报告建议置于上下文中。与我们所有的证据系列文章一样，报告评论支持您对您自己的实践的建议和含义进行评论。2016年，爱尔兰推出了首个孕产妇战略(卫生部2016年)。在此之前，发生了许多引人注目的争议，包括因医疗事故导致的孕产妇和新生儿死亡。这篇文章回顾了爱尔兰的历史产妇服务，新的战略和目前围产期心理健康服务。
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