RCM MIDWIVES JOURNAL
VOl. 2 , No 2, FEBRUARY 1999
EDITORIAL Pregnancy and poverty: an issue of social justice 36
FEATURE ARTICLES Hillingdon Hospital Maternity Unit: aspects of midwifery 50
christini- Reynolds and Sally Dalinccy highlight the features of the Duchess of Kent
Maternity Unit at Hillingdon Hospital, with photographs by Eddie I-awrence.
Neonatal resuscitation support group 52
parvccn Fatch-Masih describes the aims and strategica of the neonatat
resuscitatation support group in her labour ward.
MidwiFery and the law: a legal round-up of 1998 54
Barbara Hewson discusses the legal highlights ol 1998 that may effect midwives,
Job evaluation and a new pa/ system in the NHS 58
With lhe prospect of a new pay and grading system for the NIIS, Barbara Shepherd
provides a habic introduction to somc oFthc common fcatlirea of job evaluation,
REGULAR FEATURES News 37
RCM Update 40
Public Relations Round-up 41
Behind the scenes 42
Industrial Relations 43
Research Round-up 44
Policy 46
Conference News 53
Viewpoint 57
Letters 60
Study Day Listings 62
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RCM MIDWIVES JOURNAL
Vol. 2, No. 3, March 1999
EDITORIAL
Are you ready for Glasgow '99? 68
FEATURE ARTICLES
Why mothers die: Confidential Enquiry into Maternal Deaths 80
Rosaline Stede examines the recent Department of Health report on maternal
deaths, highlighting the leading causes and the main recommendations.
International Board of Lactation Consultant Examiners 82
Polly Ferglison presents the first of two short articles on lactation consultants.
This first piece highlights the work of the IBLCE, while the second, by Lindsay Cullen,
describes her experiences of studying and qualifying as a lactation consultant.
Position Paper 19: Domestic abuse in pregnancy 84
RCM guidelines to provide midwives with information on how they
can identify and assist a woman who may be suffering from violence at home.
Will the consultant midwife be a 'University of Practice' graduate 86
Sue Macdonald explores some of the possibilities and pitfa'ls of the post ol
consultant midwife, and opens up tile debate around the development of a
consultant role, and the componenis of expert practice.
REGULAR FEATURES
News 69
Public Relations Round-up 72
Behind the scenes 73
Industrial Relations 74
Research Round-up 75
Policy 76
Letters 89
Study Day Listings 91
Resources 93
Products 94
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RCM MIDWIVES JOURNAL Vol 2, No 5 , May 1999 World midwifery: strength, solidarity and support 140
Maternal mortality: piecing together the jigsaw 152 An estimated 585 000 maternal deaths occur each year, mainly in developing countries Ptisan F Murray describes how to bLuld as accuraLe a picture as po
ssible uFthc situation in these countries, and examines ways to develop effective national and local strategies to reduce this number Positit i paper 7a: The HCM: supporting world midwifery 155 The RCM is committed to promoting th
e art and science of midwifery at a worldwide level, and to exchanging information and ideas on the profession tn improve international understanding. This position paper sets out the values and principles underpinning the RCM's aim lo improve cooperatio
n and collaboration among the world's midwives.
Maternity services in the new NHS: a vision for the future 156 The RCM is developing a major policy document, VisiOH 2000, to set out the College's vision for the maternity services of the future . to do this, the HCM asks you lor
your views on three possible models of maternity care, outlined in tills article. Birth technology: electronic fetal monitoring 160 Kenda (.rosier and Marlene Sinclair examine the best evidence for the use o
f electronic fetal nionUoring, from a review of 12 rundomised controlled trials, News 141 RCM Update
142 Public Relations Round-up 143 Behind the scenes
144 Industrial Relations 146 Research Round-up
148 Viewpoint 149 Study Day Listings
166
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RCM MIDWIVES JOURNAL
VOLUME 2, NUMBER 6, JUNE 1999
Caesarean section: the effects of women's choice 172
Clinical information standards: value and benefit 183
Louise Silverton looks at why standards are needed for clinical information
and explains how the RCM can help you to achieve high standards.
Saving babies: advances in neonatat intensive care 184
The Wellcome Trust's latest Witness Seminar tracks the developments that
have taken place in neonatal intensive care over the past 30 years.
Fetal heart rate monitoring using the fetal electrocardiogram 190
Kanwaijit Bhogal et al provide a brief insight into a project that looked at the validity
and reliability of having a small, portable fetal electrocardiogram monitor that can
record the maternal and fetal heart rate for up to 24 hours and can be used at home.
Midwives and cars a taxing issue 194
Scan O'SuUivan outlines what midwives arc entitled to from the taxman for use ofc-arii.
News 173
RCM Update 176
Public Relations Round-up 177
Behind the scenes 178
Industrial Relations 179
Research Round-up 181
Policy 181
1999 Annual Conference 186
Letters 196
Study Day Listings 198
Product News 199
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RCM MIDWIVES JOURNAL
VOL. 2, NO. 7, JULY 1999
CONTENT
EDITORIAL Clinical governance: the new black? 204
FEATURE ARTICLES Working to plan: workforce planning in midwifery 216
With midwifery staffing costs by far the most expensive element of any maternity
services budget, Scan O'Sullivan examines some midwifery workforce planning tools.
International Confederation of Midwives, Manila 1999 220
Matthew Puizer presents some of the highlights of the 1999 International
Confederation of Midwives, which was held in Manila in May.
Postwar RCM branch meetings: talk, tea and petrol rationing 224
Deborah Hughes looks back through the archives of minutes from Halifax midwives'
branch meetings 1946-49, and finds a unique record of the social and professional
life of 50 years ago.
Protocol/training for midwives dealing with domestic violence 226
Yvonne Bronsky and Kate Munro provide an insight into the development of a
protocol of care and training package that equips midwives with the necessary
knowledge to support women experiencing abuse.
REGULAR FEATURES News 205
RCM Update 208
Public Relations Round-up 209
Behind the scenes 210
Industrial Relations 212
Research Round-up 213
Policy 214
Conference Report 218
Letters 228
Study Day Listings 230
Product News 231
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RCM MIDWIVES JOURNAL
Vol. 2, No. 8, August 1999
EDITORIAL
The changing state of midwifery legislation 236
FEATURE ARTICLES
Clinical governance and the midwife 250
Matthew Plilzer reports on a recent talk given by RCM General Secretary Karlene
Davis to midwives in City University, London, on the issue of 'clinical governance'.
Vitamin K: an accident waiting to happen or a storm in a teacup 251
RCM Head of Policy Tara Kaufmann explains the context for the RCM's updated
position paper on vitamin K.
Position paper 13b: Vitamin K 252
This updated position paper provides guidance for midwives on issues relating
to the administration of vitamin K to the newborn.
Union learning fund supporting information technology training 254
Sue Jacob describes how the union learning fund lias funded an RCM project
lo develop a programme for midwives lo acquire IT skills and knowledge.
International report: Europe and Kenya 256
RCM Head of Midwifery Affairs Frances Day-Stirk reports on the RCM's
international role.
REGULAR FEATURES
News 237
RCM Update 239
Behind the scenes 240
Industrial Relations 242
Research Round-up 243
Policy 244
Viewpoint 247
Letters 258
Study Day Listings 261
Product News 262
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RCM MIDWIVES JOURNAL
Vol. 2, No. 9, September 1999
EDITORIAL The RCM's contribution to Wealth for All' 268
FEATURE ARTICLES Teenage pregnancy: a challenge or a problem for whom? 280
Rosemary Mander looks at some of the comnion assumptions made about
teenage mothers, and how these can be unhelpful and inaccurate.
What the College did next: Conference motions 1999 282
RCM Head uf Policy Tara Kaufmann provides an early report on the progress of
the 1999 RCM Conference motions
The roll of the dice: the six billionth baby 284
As we approach the end of the 20th century, Carol Bellamy, Executive Director of
UNICES, describes what lies ahead for the world's six billionth baby
6th Confidential Enquiry into Stillbirths and Deaths in Infancy 288
Polly Ferglison examines this ycar's CESDI report and how it should impacl
on midwives' practice.
Hyperbaric oxygen therapy for fetal carbon monoxide poisoning 291
Susan Mary Nice and Pauline Hudson look at the diagnosis and treatment of
an antenatal woman who was affected by a faulty gas central heating boiler,
to raise the midwife's awareness of the dangers of carbon monoxide poisoning,
REGULAR FEATURES News 270
RCM Update 272
Industrial Relations 274
Research Round-up 275
Policy 276
Viewpoint 278
Letters 294
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RCM MIDWIVES JOURNAL
Vol. 2, No. 10 , October 1999
A higher level of practice: will it protect the public? 300
Midwives delivering the new NHS 309
Edith Hillan looks at the role of the midwife in view of the historic changes
about to lake place in the NHS, in this inaugural Zepherina Veilch lecture.
Strategic plans for College operations 314
RCM Head of Corporate Affairs Simon Barber describes the College's aims and
objectives for 1999/2000.
Position paper 5a: support workers in the maternity services 317
Tills position paper provides guidelines on the role of support workers.
The Millennium Bug - the facts 320
As we approach the end of 1999, AnneJackson-Baker examines the possible
impact of the millennium bug on the health service,
Meeting your PREP requirements with the RCM 322
PREP will soon be fully operational for midwives. jacqui Williams reports on the
requirements and study activity possibilities.
Strategic frameworks for England and Wales 324
Polly Ferglison and AnneJackson-baker explain the main points of the recently-
launched frameworks for midwifery, nursing and health visiting.
News 302
RCM Update 303
Industrial Relations 304
Research Round-up 306
Policy 316
Letters 325
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RCM MIDWIVES JOURNAL
Vol.2, No. 11, November 1999
EDITORAL
Make 2000 the year of the midwife 332
FEATURE ARTICLES
A message to midwives on pay 340
Following the launch of the 2000 PAY Campaign, Head of Industrial
Relations Jon Skewes examines the pay Review Body process.
Able to work — midwives and disability 342
RCM Industrial Relations Advisor Scan O'Sullivan deserihes the problem
of disability discrimination and the help available to ils victims.
The midwife's experience of the death of a mother 346
Rosemary Mander reports on the preliminary findings of her study to
determine how the midwife copes when a mother she is caring for dies.
Multiple births in the NHS — how was it for us? 350
Jill Walton of the Twins and Multiple Births Association reports on a study
examining the provision of maternity care to multiple-birth mothers.
Consultant midwives: pitfalls, potential and prospects 353
The Government lias proposed tile introduction of a consultant role in midwifery.
RCM Head of Midwifery Affairs Frances Day-Stirk explains the implications.
Benevolent Fund appeal 357
An appeal on behalf of the 85-year-old RCM lk-nevolenl Fund.
REGULAR FEATURES
News 333
RCM Update 335
Public Relations 337
Industrial Relations 338
Research Round-up 339
Letters 358
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