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Caffeine in pregnancy
Fernandes et al (1998) found an association between intake of >150mg daily and increased miscarriage rates but was not able to modify for other confounding variables including maternal age, smoking or alcohol intake. Chen et al (2014) found that women who regularly drank >300mg caffeine a day were also more likely to smoke and drink alcohol.
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Evidence Based Guidelines for Midwifery-Led Care in Labour ...
www.rcm.org.uk5 Evidence Based Guidelines for Midwifery-Led Care in Labour ©The Royal College of Midwives 2012 Supporting Women in Labour Research suggests that intrapartum support by professionals may not always be prioritised by maternity care professionals and that other technical aspects of care …
Guidance for antenatal and postnatal services in the ...
www.rcm.org.ukwhich could be modified, given national recommendations for social distancing of pregnant women. 2. Providing a safe and responsive antenatal and postnatal care service General guidance for services is provided in the RCOG’s coronavirus guideline. 2.1 Provision of advice for women about antenatal and postnatal care
SPECIALIST MENTAL HEALTH MIDWIVES - RCM
www.rcm.org.ukensure that women with perinatal mental health problems get high quality care within maternity services, and beyond. Specialist Mental Health Midwives are champions and advocates for these women. They help to develop local care pathways; provide training and advice and support for other maternity staff, and provide women with additional
Position Statement - RCM
www.rcm.org.ukCollege of Physicians has estimated that e-cigarettes are likely to carry at most 5% of the risk of smoked tobacco20. They are not harmless, as the vapour they produce contains some toxins, but studies have shown that these are at levels far lower than those found in tobacco smoke.
Getting the midwifery - RCM
www.rcm.org.ukGetting the midwifery workforce right www.rcm.org.uk | 2 Key messages • The role of the midwife is clearly described and demarcated. The evidence shows that it is in the interests of women to receive the majority of their care from a small group of midwives they know and trust. Midwifery services should be staffed to enable this to happen.
Postnatal care planning - RCM
www.rcm.org.ukProviders of NHS maternity care need to ensure that midwives and MSWs are given time to prioritise a postnatal care plan with women. This would be aided by offering models of care that provide continuity. The RCM recognises that continuity of care is a very significant factor in determining the satisfaction
Midwifery care for Induction of Labour - RCM
www.rcm.org.ukMidwives should discuss care plans with women and the wider maternity team where appropriate. Specific evidence-based guidance for women with more complex medical and pregnancy needs can be accessed through national (e.g. …
Maternal mental health - RCM
www.rcm.org.ukNeonatal physical health Maternal mental health Social problem Maternal physical health 22.1% 12.8% 31.7% 6.3% 40.6% 4% Quite Very difficult A quarter of the mothers surveyed reported that they were not asked how they were coping during their postnatal visits. We also found that three out of five midwives find it “quite” to “very ...
High Quality Midwifery Care - RCM
www.rcm.org.ukHigh Quality Midwifery Care Midwifery at the heart of maternity services The UK’s NHS midwifery-based maternity service usually achieves good outcomes. The midwife is central to high quality maternity care, and the principle that ‘all women need a midwife and some need a doctor too’ is widely accepted.
ELECTRONIC RECORD KEEPING GUIDANCE AND AUDIT …
www.rcm.org.ukRecord keeping is an essential part of midwifery practice and maternity care. It is vital to support safe and effective care. All midwives should already be familiar with the NMC guidance on record keeping within the NMC Code.1 Midwives must have a clear understanding of their responsibilities for record keeping in line with local
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Basic Pig Terms - AASV
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www.health.qld.gov.au• Fetal movement pattern may vary between pregnancies and babies (in multiple pregnancy) • Physiological significance of fetal hiccups and association with fetal well-being is unknown: 8: ... demonstrated no change in stillbirth rates from 24 weeks (aOR 0.90, 95% CI 0.75 to …
Green-top Guideline No. 57 - RCOG
www.rcog.org.ukassociation between RFM 4and poor perinatal outcome. ,5 The majority of women (55%) experiencing a stillbirth perceived a reduction in fetal movements prior to diagnosis.6A number of studies of fetal deaths in Norway and the UK identified that an inappropriate response by clinicians to maternal perception of
Pregnancy: First Trimester Complications
www.kemh.health.wa.gov.auIncidence rates for ectopic pregnancy are between 1 in 200-500 pregnancies5. Gestational trophoblastic disease or molar pregnancy is rare occurring between 1 in 1000 pregnancies but is important to consider in assessment5. Support, follow up and access to counselling is an important part of care for women who experience pregnancy loss.
Growth Assessment Protocol (GAP) Guidance
perinatal.org.ukin a small mother with a baby of expected term weight of 3100g, to 32g/d between 34-37 weeks for a larger mother expecting a baby weighing 3700 g - i.e. 50% higher. Similarly, the 10th and 3rd centile growth rates shown on the GROW chart also …
International comparisons of health and wellbeing in early ...
www.nuffieldtrust.org.ukin general. However, rates have declined more slowly than in other comparable countries and, in 2015, over 3,500 children died before their fifth birthday. • Improvements in infant and neonatal mortality rates have stalled since 2013. • In England and Wales, the most common cause of death in the 1 to 4-year-old age group is cancer.
Title: Obstetric Cholestasis (OC) diagnosis and management ...
mft.nhs.ukRisk of stillbirth is unclear but reported to be up to 1-2% when bile acids are > 40mmol/L (Glantz et al, 2004). 2.3. Maternal risks: Maternal morbidity associated with severe pruritus leading to insomnia and exhaustion. Iatrogenic risks from increased rate of induction of labour (Geenes et al, 2014; RCOG, 2011).
Diagnosis and Treatment of Gestational Diabetes
www.rcog.org.ukthe International Association of Diabetes and Pregnancy Study Groups (IADPSG). A further major trial examining the effect on pregnancy outcomes of management of gestational diabetes was reported in 2009,5 while a randomised controlled trial in 2008 examined the efficacy of metformin,6 adding to the