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KEY STUDY On cognitive development, McNulty et al. BMC Medicine (2019)1 CConfirms beneficial intake of 400µg folic acid for all 9 months of pregnancy For over 30 years, Vitabiotics has recommended supplementation with Pregnacare for all 9 months BEFORE DURING AFTER 2 0 2 2 0 2 2 2 _ A D P R G P R O F 2 A 4 P _ E UK'S No1 PREGNANCY SUPPLEMENT BRAND* www.pregnacare.com 1. McNulty et al. BMC Medicine (2019) 17:196 Children of mothers taking folic acid throughout pregnancy scored significantly higher on cognitive development at age 3 years and word reasoning at age 7 years, compared to those in whom folic acid supplementation was stopped after the first tr imester. 2. L Brough, GA Rees, MA Crawford, RH Morton, EK Dorman (2010) Br J Nutr. 2010 Aug;104(3):437-45 3. Agrawal, R. et al. Prospective randomised trial of multiple micronutrients in women undergoing ovulation induction, Reproductive BioMedicine Online December 2011. 4. A beneficial effect is obtained with a daily intake of 200mg DHA in addition to the recommended daily intake of omega-3 fatty acids for adults. *Nielsen GB ScanTrack Total Coverage Value and Unit Retail Sales 52 w/e 29 January 2022. To verify contact Vitabiotics Ltd, 1 Apsley Way, London, NW2 7HF. †For more information on this research, please visit www.pregnacare.com/mostrecommended. ‡Vitabiotics has received the Queen’s Award for Innovation on two occasions, in addition to twice for International Trade. WITH RECOMMENDED 10µg VITAMIN D & 400μg FOLIC ACID • Pregnacare® pioneering nutrition in pregnancy for over 30 years • Developed with world renowned scientists • Supported by unique published clinical research with mums to be 2,3 • All Pregnacare® supplements contain the exact 400µg folic acid as it contributes to maternal tissue growth during pregnancy. Folic acid also contributes to normal psychological function • Pregnacare® Plus provides Omega-3 DHA. Maternal intake of DHA contributes to the normal brain and eye development of the foetus4 The ONLY vitamin company to twice receive Queen’s Award for innovation and International Trade.‡ First Awarded for Innovation in the Development & Research of the Pregnacare® range. The pregnancy multivitamin brand MIDWIVESRECOMMENDMOST†

Contents Editorial Board Tom McEwan Principal Educator (Midwifery), NHS Education for Scotland Corina Casey-Hardman Head of Midwifery, Halton Midwifery Services, Bridgewater Community Healthcare NHS Trust Sadie Geraghty Associate Professor, University of Notre Dame, Australia Jacque Gerrard MBE Former Director, RCM England Catherine Hamilton Principal Lecturer; Assistant Associate Dean Academic Quality Practice Enhancement and Professional Lead Midwifery/Lead Midwife Education, University of Hertfordshire Eve Powell Student Midwife, Cardiff University Alison Power Senior Lecturer in Midwifery, Faculty Lead for Interprofessional Learning, Education and Collaboration, University of Northampton Janine Stockdale Lecturer in Midwifery Education at Queen’s University Belfast td Healthcare L 2022 MA © The British Journal of Midwifery aims to provide midwives, students and maternity services professionals with accessible, original clinical practice and research articles, while also providing summaries of high-quality research evidence, promoting evidence-based practice. 282 research Determinants of caesarean section Editorial 245 The Ockenden report: what are the next steps? Suzannah Allkins Birthwrite 246 The infant microbiome Kate Nash, Debra Sloam Charity spotlight 248 Raising awareness of cytomegalovirus Sharon Wood Research 250 Third stage of labour management approaches and postpartum haemorrhage in midwife-led units Dr Karen Baker, Dr John Stephenson 258 Photobiomodulation: a cultural nursing intervention for physical and psychological adaptation Rosnani Rosnani, Setyowati Setyowati, Raldi Artono Koestoer, Bernard Tirtomoeljono Widjaja, Devi Mediarti, Hidayat Arifin May 2022 Volume 30 Number 5 270 The experiences of black, Asian and minority ethnic student midwives at a UK university John Pendleton, Dr Claire Clews, Aimee Cecile 282 Determinants of caesarean section delivery: a nationwide study in Indonesia Aria Aulia Nastiti, Mira Triharini, Ni Komang Ayu Santika, Yulis Setiya Dewi, Najla A Barnawi, Hidayat Arifin Professional 290 Coaching and mentoring skills: a complement to the professional midwifery advocate role Cheryl Thomas Comment 297 A new opportunity for midwives Sarah Paxman, Sascha Koutrouza, Anna Temke 297 comment The clinical leadership scheme for midwives British Journal of Midwifery, May 2022, Vol 30, No 5 243

Page Text

KEY STUDY On cognitive development, McNulty et al. BMC Medicine (2019)1

CConfirms beneficial intake of 400µg folic acid for all 9 months of pregnancy

For over 30 years, Vitabiotics has recommended supplementation with Pregnacare for all 9 months

BEFORE

DURING

AFTER

2 0 2 2 0 2 2 2 _ A D P R G P R O F 2 A 4 P _ E

UK'S

No1

PREGNANCY SUPPLEMENT BRAND*

www.pregnacare.com

1. McNulty et al. BMC Medicine (2019) 17:196 Children of mothers taking folic acid throughout pregnancy scored significantly higher on cognitive development at age 3 years and word reasoning at age 7 years, compared to those in whom folic acid supplementation was stopped after the first tr imester. 2. L Brough, GA Rees, MA Crawford, RH Morton, EK Dorman (2010) Br J Nutr. 2010 Aug;104(3):437-45 3. Agrawal, R. et al. Prospective randomised trial of multiple micronutrients in women undergoing ovulation induction, Reproductive BioMedicine Online December 2011. 4. A beneficial effect is obtained with a daily intake of 200mg DHA in addition to the recommended daily intake of omega-3 fatty acids for adults.

*Nielsen GB ScanTrack Total Coverage Value and Unit Retail Sales 52 w/e 29 January 2022. To verify contact Vitabiotics Ltd, 1 Apsley Way, London, NW2 7HF. †For more information on this research, please visit www.pregnacare.com/mostrecommended. ‡Vitabiotics has received the Queen’s Award for Innovation on two occasions, in addition to twice for International Trade.

WITH RECOMMENDED 10µg VITAMIN D & 400μg FOLIC ACID • Pregnacare® pioneering nutrition in pregnancy for over 30 years • Developed with world renowned scientists • Supported by unique published clinical research with mums to be 2,3

• All Pregnacare® supplements contain the exact 400µg folic acid as it contributes to maternal tissue growth during pregnancy. Folic acid also contributes to normal psychological function • Pregnacare® Plus provides Omega-3 DHA. Maternal intake of DHA contributes to the normal brain and eye development of the foetus4

The ONLY vitamin company to twice receive Queen’s Award for innovation and International Trade.‡

First Awarded for Innovation in the Development & Research of the Pregnacare® range.

The pregnancy multivitamin brand MIDWIVESRECOMMENDMOST†

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