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The miracle of fertilisation - life begins


Elaine Uppal

Senior Lecturer (teaching and scholarship) in Midwifery; and Pathway Lead Midwifery MSc Advanced Professional Practice and Leadership at the University of Manchester

 (September 2016)


It is important for midwives to understand fertilisation in order to consider: the impact on events in pregnancy; causes of infertility and failed pregnancy; measures to promote fertility such as in vitro fertilisation (IVF), amongst many other scientific developments; and finally in terms of preventing fertility (contraception). Whilst this article largely considers the anatomical and physiological aspects, it is also important to acknowledge the considerable legal and ethical debates surrounding fertilisation, such as consideration of when life actually begins and the arguments for and against scientific and medical intervention in conception.
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Atrial fibrillation case study


Sarah Johnson

Former cardiothoracic intensive care nurse, now a student midwife

Tracey Wilson

Associate lead midwife at East Lancashire NHS Trust

 (March 2016)


This article discusses the irregular heart rhythm caused by atrial fibrillation (AF). A brief overview of the pathophysiology will be provided. A case study is discussed to highlight the treatment and management of AF. The care provision describes common signs and symptoms and also the treatment and management of AF within the maternity care setting. The importance of maintaining the mother-baby dyad is highlighted. For the purpose of maintaining confidentiality the woman will be referred to as Shama.
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