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June 24, 2009
I am a primip currently 29/40. I am worried about tearing during delivery, would moisturising my perineum in the next few weeks help? If so what should I use?
Labour

A. It is perfectly normal to feel apprehensive about your baby's birth and how giving birth might affect your perineum. The perineum is the area of muscle and tissue that lies between the birth canal (vagina) and the anus. This area has to open up and stretch during childbirth to allow your baby's passage down through the b...
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May 19, 2009
I am pregnant and I don`t know if I should keep the baby? I need someone to talk to.
Talking

A. I am sorry to hear that you have such mixed feelings about your pregnancy , but it is not clear whether you are talking about ending the pregnancy by having an abortion or having the baby but then giving it up for adoption after the birth. The situation is really that there are some choices that you can make, and some that you...
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April 28, 2009
hi i am a student and have obtained an iterview for the 3 year midwifery programe and would be gratfull for any advice you coud give me about interview questions or techniques thank you.
Parent holding baby's hand

A. Congratulations on securing an interview to undertake a programme of midwifery education. A career in midwifery remains a very popular choice for many so there is a huge demand for a limited number of places. It is therefore important that you prepare as adequately as possible ahead of your interview to ensure that you have deve...
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April 28, 2009
If at the time of delivery, ie: I need to push, and the midwife finds that what was thought to be a head is actually a bottom, how forcefully would I be pressured to go for a section, why woulnt a midwife just allow me to give birth
Pregnant women facing each other

A. The midwife caring for you in labour will check your and your baby's wellbeing regularly throughout labour and the birth to ensure that everything is progressing as it should. The examinations that the midwife undertakes to monitor your progress include abdominal palpations and internal (vaginal) examinations. During an ...
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January 29, 2009
I am a RN in a level II nursery we have a sickle cell mom that wants to breast feed. Her colostrum is yellow and very thin. It appears to look like urine. Is this normal for SSD and is it safe to give the infant?
Parents & young baby

A. Thank you for your enquiry, which is very interesting and looks at an area that we haven't previously encountered before. I have not found any research evidence that suggests breastfeeding is contraindicated in women with sickle cell disease. As you know, breastfeeding is the optimum nutrition for babies and confers many hea...
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January 28, 2009
I am getting quite a lot of nausea and some associated vomitting. Nothing really comes up apart from bile etc. What do you suggest?
Woman eating cereal

A. Nausea and vomiting in pregnancy (NVP) is a normal, albeit unpleasant, part of being pregnant and is experienced by around 80% of women. It is often referred to as ‘morning sickness', even though the symptoms can persist throughout the entire day - from morning, to noon and through the night. How badly affected y...
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January 19, 2009
I just had my 20 week scan and was diagnosed with an anterior low lying placenta so need to be scanned again at 32 weeks. Is this the same as placenta preavia or is this only if the placenta fails to more up? Should I be taking extra precautions now or only if it`s still a problem at 32 weeks? (I fell in the street twice yesterday while carrying my toddler)
woman being scanned

A. Normally, the placenta (afterbirth) will implant or bury itself into the uterus (womb) towards the middle or top of the uterine cavity. However, sometimes the placenta implants lower down in the uterus and is found to be lying closer to the neck of the womb (cervix), through which the baby needs to pass in order to be born. When...
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January 15, 2009
I had gestational diabetes during my pregnancy and had a terrible labour - induced, continuous monitoring, couldn`t get into a bath for pain relief etc. It`s put me off getting pregnant again. If I do and I get GD again, do I have the right to refuse to be induced?
mum eating breakfast

A. I'm sorry to hear that you went through such a difficult time with your last labour; it can be very upsetting when what you had planned for your baby's birth becomes altered by circumstances that are beyond your control. As you may know, gestational diabetes affects between 3-10% of women in pregnancy, with some women ...
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December 17, 2008
How will myopia affect my labour
Preparation for labour

A. I can see no reason why your myopia (short sightedness) should affect your actual labour. Careful consideration should be given however, to the environment where you choose to give birth - whether this is at home or in hospital. It is important that the midwife caring for you is aware of the extent of your myopia and impaired vi...
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November 17, 2008
could you please tell me the exact dosage for vitamin k if given through the injection and through an oral dose?
Vitamin K for babies

A. Current guidance in the United Kingdom (UK) is that, babies whose parents request that they are given vitamin K by injection receive a single 1 mg intramuscular dose. For oral vitamin K, current UK guidance is that, babies should receive two doses of 2 mgs of vitamin K, within the first week and, for exclusively breastfed bab...
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The MIDIRS Informed Choice website is provided for reference information only. MIDIRS is not responsible or liable for any diagnosis made by a user based on the content of the website. Although great care is taken to ensure reference information is both suitable and accurate, MIDIRS is not liable for the contents of any external internet sites referenced, nor does it endorse any commercial product or service mentioned or advised on any of these sites.


Informed Choice titles
Support in labour
Listening to your baby`s heartbeat during labour
Ultrasound scans - what you need to know
Alcohol and pregnancy
Positions for labour and birth
Epidural pain relief in labour
Feeding your baby - breast or bottle?
Is my baby alright?
If your baby is in the breech position, what are your choices?
Where will you have your baby?
Do you want a waterbirth?
When your baby is overdue
Eating well - for your baby and for you
Non-epidural pain relief
Caring for yourself and feeling well after you have had your baby
How will your baby be born?
Caesarean section and subsequent births
Vitamin K for your baby
Information for women who are Rhesus negative
Mood changes after childbirth
Sickle cell and thalassaemia disorders: screening offered to mothers and babies
Sexual health and contraception before and after childbirth
Anaemia - preventing, detecting and treatment in pregnancy and beyond
Infections in pregnancy - prevention, detection and treatment
Health for parenthood - practical advice on how to maintain a healthy lifestyle for you and your baby