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We’ve got it covered: graduated compression stockings

Cerian Llewelyn, midwife at Withybush Hospital, Haverfordwest, Pembrokeshire

 (June 2016)

Hypercoagulability is a well documented feature of pregnancy and contributes to the increased incidences of venous thromboembolism (VTE) in pregnancy. Thromboembolism remains a leading cause of maternal death in the UK, though it’s predicted that up to two thirds of these deaths could be prevented if appropriate thrombophylaxsis is adopted. This article aims to further midwives’ knowledge in relation to thromboprophylaxsis, focusing in particular on graduated compression stockings (GCS). It aims to assist midwives in identifying those women at high risk of developing a VTE, explain the way in which compression stockings can reduce thromboembolism and provide advice on their application and the clinical observations required.

Catherisation: best practice in bladder care

Megan Blease

Preceptorship support midwife at East Lancashire NHS Trust

 (March 2016)

Bladder care is an integral part of caring for a woman in labour and the immediate postpartum period (National Institute for Health and Care Excellence (NICE) 2014a). To ensure effective bladder care, the skill of urinary catheterisation is often undertaken by a midwife and can be required in a variety of different situations. Catheterisation is a necessary intervention whether it is intermittent, indwelling, short term or, less often, long term. This article addresses the current recommended guidance, highlights best practice measures and provides useful hints and tips to support catheter care.