Membrane sweep
54Membrane sweep Membrane sweeping or stripping is thought to increase the probability of physiological onset of labour by encouraging the local release of prostaglandin. Evidence suggests that the process of…
Recognising deterioration in the neonate
63Recognising deterioration in the neonate Early recognition of the unwell and/or deteriorating neonate is essential to ensure a timely referral, diagnosis, treatment and management to prevent problems that can lead…
Recognising the deteriorating woman
57Recognising the deteriorating woman The most recent confidential enquiries into maternal death in the UK have identified that practitioners fail to recognise the deteriorating woman. This has far reaching consequences…
Insertion of vaginal prostaglandin E2
55Insertion of vaginal prostaglandin E2 Approximately 1 in 5 labours are induced in the UK. Induction of labour can be a very frightening time for women and partner. The midwife…
Use of a vaginal speculum and taking a vaginal swab
53Use of a vaginal speculum and taking a vaginal swab The vaginal speculum has been in use for over 2000 years. It is used for both obstetric and gynaecological examinations….