Whilst the value of the clinical skills and expertise required to enable safe Vaginal Breech Birth remains high, midwives who possess these skills are becoming a scarce commodity. Additionally, for many midwifery students vaginal breech birth is becoming somewhat of an elusive event, rarely experienced in clinical practice whilst completing their training. Not so long ago this was a standard competency taught and held by obstetricians and midwives alike, but for those in developed nations working within robust health care systems, the frequency of planned vaginal breech birth is on a downward trend reflected in midwifery educational curriculums.
A common concern expressed by women to health professionals providing care during pregnancy and in the postnatal period is whether they will be able to produce enough breast milk to meet the nutritional requirements of their baby. This article will review the use of domperidone as a galactagogue to increase laction. Galactagogues are defined as substances, including drugs and foods, which promote lactation. This term encompasses therapies that have been clinically proven, alongside remedies which have limited current evidence to support the claims associated with them. Domperidone is an antiemetic drug that is gaining in popularity and use as a galactagogue.
As the rates of amphetamine use continue to rise, so do the significant social and health implications associated with substance abuse in communities. This presents unique challenges for women, newborns and providers of perinatal care. This article aims to explore amphetamine use among women of childbearing age, and the subsequent effects on the woman and fetus/newborn. The complexity of these cases require a collaborative, woman-centred and multidisciplinary approach, in addition to specialised interventions and adjustments regarding routine antenatal, intrapartum and postnatal plans of care
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