This website is intended for healthcare professionals.
Subscriber log in
Trial log in

Venepuncture: a guide for learning

Elaine Uppal

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

 (October 2016)

This guide provides information about performing the clinical skill of venepuncture and the wider context of communication, informed choice, consent, advocacy and care associated with any procedure involving direct client contact. The technique and care surrounding the skill of venepuncture will be discussed.

Breech birth: an unusual normal

Shawn Walker

Independent midwife in Norwich and a bank hospital midwife

 (June 2016)

Over the last decade, there has been a loss in confidence and eroded skills due to the near universal policy of advising caesarean section in the wake of the Term Breech trial (Hannah et al 2000). Breech birth has been increasingly viewed as a complication, and management of the breech presenting baby at term has shifted firmly into the realm of obstetric practice in most parts of the UK. Small pockets of exception remain, among NHS and independent midwives who have maintained their skills with breech birth and are sought out by women denied the choice of a vaginal birth elsewhere. With continued focus on consumer choice, women led care and increasing normality, we urgently need to address the issue of how the NHS can safely provide the option of normal breech birth before these skills are permanently lost. This article suggests ways midwives may play a role within the NHS in ensuring women have a choice to birth their breech babies normally, in the safest possible way.

EXAMINATION OF THE NEWBORN: THE KEY SKILLS Part 2 The cardiovascular system and congenital heart disease

Natasha Carr

Senior lecturer in midwifery and supervisor of midwives at Birmingham City University

Paula Foster

Senior lecturer in midwifery at the University of Wolverhampton

 (February 2014)

Midwives are increasingly performing the examination of the newborn. In the second of a four-part series, this article considers the importance of the cardiovascular examination in the screening process. The significance of history taking, knowledge of risk factors and auscultation of the heart will be explored. The necessity for early detection and treatment of congenital cardiac abnormalities, along with the prerequisite referral pathways that the Newborn infant physical examination (NIPE) requires will also be highlighted.

MIDWIFERY BASICS: MIDWIFERY SUPERVISION 5. Supporting continuing professional development

Rachel Jokhi

Midwifery lecturer and a supervisor of midwives at the University of Sheffield

 (February 2014)

Midwifery supervision is the 13th series of ‘Midwifery basics’ targeted at practising midwives. The aim of these articles is to provide information to raise awareness of the impact of the work of midwives on women’s experience and encourage midwives to seek further information through a series of activities relating to the topic. In this fifth article of the series, Rachel Jokhi discusses the requirement for lifelong learning and continued professional development, and how the Supervisor of midwives is a crucial part of supporting this process.