{"title":"Asthma in pregnancy - a clinical update.","authors":"Lauren Rive, Sadie Geraghty","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Midwives recognise that asthma in pregnancy is a common chronic condition that can lead to serious complications. Asthma has been defined as a complex polygenic disease which can result from genetic susceptibility and environmental exposure (Gunawardhana et al 2014), and is characterised by experiencing tightness in the chest, wheezing, production of thick sputum, cough and breathlessness (van der Wiel et al 2013). These symptoms occur in episodes, either daily, weekly, monthly or even only a few times a year, affecting approximately 8-9 per cent of pregnant women (Chan et al 2015; Gent et al 2015). When asthma occurs in pregnancy, the woman can experience poor pulmonary function, hypoxia that can lead to adverse health outcomes for the mother and fetus. This clinical update discusses the aetiology of asthma in pregnancy; how asthma affects the woman and fetus, and the role of the midwife caring for pregnant women with asthma.</p>","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"19 9","pages":"26-28"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36975364","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}
{"title":"The management of nausea and vomiting of pregnancy and hyperemesis gravidarum.","authors":"Alys Einion","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"19 9","pages":"33-35"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36926055","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}
{"title":"Building enhanced midwifery services.","authors":"Mags Deakin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As midwives in 2016, we find ourselves in an ever-more challenging environment when it comes to providing effective care throughout the pregnancy continuum. Social deprivation and poverty seem to be common denominators when taking booking histories and, as a result, we see a steady increase in families where there may be multiple social complexities, especially in inner-city areas, which are having an impact on maternal health and/or that of the unborn baby. It is recognised that women with complex social factors often need additional support to engage with antenatal services as social disadvantage leads to vulnerability and affects health and wellbeing (Acheson 1998; Local Government Chronicle (LGC) 1998). This can impact heavily on caseloads, as more time and resources are required to address the social issues that are emerging as more commonplace than medical problems in a generally healthy population of women of childbearing age.</p>","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"19 9","pages":"14, 16, 18"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36975362","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}
{"title":"Becoming a mother in prison.","authors":"Laura Abbott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There are around 600 pregnant women incarcerated in one of the 12 prisons in England and Wales each year and approximately 100-150 babies are born while their mothers are in prison. It is understood that a significant proportion of these women have complex physical, social and psychological needs. I have carried out qualitative research studying the experience of being pregnant in prison. This article will consider the narrative of one of my research participants, Becky, and is dedicated to her.</p>","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"19 9","pages":"8, 10-2"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36975361","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}
{"title":"[Not Available].","authors":"Natalie Buschman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Postnatal care differs around the world and, in many Western countries, the debate involves optimum hospital stay after birth and the required visits afterwards, if any. Whilst UK postnatal care is at breaking point and struggling, in the Netherlands, they think they have had the answer to good postnatal care for centuries: the 'Kraamverzorgster' - or specialised maternity care assistant. Providing family-centred care in the woman's home, between 24-49 hours, divided into several hours per day in the first 10 days postpartum, the kraamverzorgster is in the unique position of making a difference for mothers and babies and picking up on any pathology that may arise early on. Whilst kraamzorg seems like an obvious answer to improve postnatal care, there is a surprising lack of evidence on the benefits that kraamzorg can offer. Nevertheless the Dutch are convinced, and see kraamzorg as essential for every mother and baby.</p>","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"19 7","pages":"17-20"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39978309","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}
{"title":"Detecting fetal compromise during active labour and managing neonatal after-effects.","authors":"Dawn Meredith, Kevin Hugill","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Evaluating fetal wellbeing during the intrapartum period to detect fetal compromise and hypoxia is a topic of considerable importance to midwives. In part this is because the events during this time can have profound significance for the physical and emotional wellbeing of all those involved, including the infant, mother and midwife. This article explores the ways midwives can detect fetal compromise, what they can do to limit the effects of cerebral hypoxic-ischaemia, and reviews neonatal treatments that,can optimise infant neurological outcome.</p>","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"19 7","pages":"8, 10-3"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39978859","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}
{"title":"Tell me your story: recovering from a difficult birth.","authors":"Roma Norriss, Binnie Dansby","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors discuss their experience of running after birth workshops as an intervention for women struggling to come to terms with a difficult birth experience. Midwives can use this approach in their practice with women in the postnatal period and also when preparing for a subsequent birth or even during a labour that follows a challenging experience. This article explores the value of supporting women to tell their story and how to do that with suggestions to build on listening skills. It also offers suggestions for self care, so that midwives can be well resourced for emotional support.</p>","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"19 7","pages":"24-6"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39979035","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}
{"title":"Understanding eating disorders in midwifery practice.","authors":"Fallon Dyer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Eating disorders (ED) are characterised as a severe disturbance in an individual's eating behaviours and are one of the most misdiagnosed and overlooked mental health conditions in the United Kingdom. Six- eight per cent of the general population are reported to be affected by an ED, although the number is rising. There are two main diagnostic categories of ED: anorexia nervosa and bulimia nervosa, though those that do not meet the specific criteria are categorised as having an'eating disorder not otherwise specified' (Dooner 2015). Eating disorders predominantly present in women of childbearing age and, although many women experience alleviation of their symptoms during pregnancy, they are at significant risk of relapse in the postpartum period. This article aims to explore the impact that an eating disorder has on the woman and her family, with a focus on the postnatal period, as well as the challenges that midwives may face in identifying and caring for women with the condition.</p>","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"19 7","pages":"30-2"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39978418","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}
{"title":"Induction of labour for suspected fetal macrosomia, Boulvain et al (2016).","authors":"Sarah Chapman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":517977,"journal":{"name":"The Practising Midwife","volume":"19 7","pages":"33"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39978903","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}