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ADVANCING PRACTICE Facilitating group antenatal care: a new way of working


Octavia Wiseman

REACH Research Fellow at City, University of London and University of East London

Louise Hunter

REACH Research Fellow at City, University of London

Nicky Leap

Adjunct Professor of Midwifery at University of Technology Sydney

Helliner Robinson

REACH Research Midwife at Barts Health NHS Trust

Nancy Mackeith

Midwife at Barts Health NHS Trust

On behalf of the REACH pregnancy programme team

2017;20(9):18–20

 (September 2017)


  This article outlines the principles and evidence behind group antenatal care and explores how developing group facilitation skills can enhance midwifery practice. The authors discuss the impact of different training models developed by the REACH pregnancy programme to support the implementation of 'Pregnancy Circles' as part of a randomised controlled trial of group antenatal care within an NHS context.
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ADVANCING PRACTICE Advancing maternal age and trisomy screening: the practice challenges of facilitating choice and gaining consent


Maria Birt

Community midwife at Worcestershire Acute Hospitals NHS Trust

 (June 2016)


Antenatal screening for chromosomal anomalies such as Trisomy 13, 18 and 21 (Patau’s, Edward’s and Down’s syndrome, respectively) is offered to all pregnant women in the first two trimesters. This article explores the varying considerations of consent for this type of screening, particularly in relation to women of advancing age who are at increased risk of carrying a pregnancy affected by a trisomy. The practical challenges or barriers of gaining valid, meaningful informed consent are discussed.      
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