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Content Article
The MASIC Foundation is the only multi-disciplinary UK charity to support women who have suffered severe maternal perineal trauma during childbirth known as OASI (Obstetric Anal Sphincter Injury). They carried out an online survey in January 2021, exploring the impact of severe maternal perineal trauma on the physical and mental health of the women who sustained the injuries and on their relationship with their child. This report outlines the results and calls for several actions to improve care. -
Content Article
The charity Group B Strep Support (GBSS) has produced an information leaflet, written in partnership with the Royal College of Obstetricians and Gynaecologists (RCOG), aimed particularly at pregnant people and new parents and includes information on: What group B Strep is What group B Strep could mean for a baby How to reduce the risk of group B Strep infection to a baby The key signs of group B Strep infection in a newborn baby The leaflet, Group B Streptococcus in Pregnancy & Newborn Babies, has been translated from English into 14 other languages and is available in Arabic, Bengali, Chinese, English, French, Hebrew, Latvian, Lithuanian, Polish, Portuguese, Punjabi, Romanian, Somali, Urdu and Welsh. Follow the link below to the GBSS website to access and download all versions for free. -
Content Article
Royal College of Midwives Podcasts
Patient-Safety-Learning posted an article in Maternity
A new series of podcasts by the Royal College of Midwives (RCN). Each month for 2021, there will be podcasts by the RCN that will focus on new developments and work being done by the College with it's midwife and and maternity support worker members. -
Content ArticleThis is the transcript of a backbench debate in the House of Commons regarding the implementation of the recommendations of First Do No Harm report, published by the Independent Medicines and Medical Devices Safety Review on the 8 July 2020, chaired by Baroness Cumberlege (also known as the Cumberlege Review).
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Content ArticleThis review was undertaken as part of the remit of MBRRACE-UK to ensure that key learning and recommendations for changes to care and services for pregnant women during the second wave of the SARS-CoV-2 infection in the UK are identified in a timely manner in order to implement rapid change. The report’s authors reviewed the care of all pregnant and postnatal women who died with SARS-CoV-2 infection, and women who died and whose care or engagement with care was influenced by changes as a consequence of the pandemic between 1 June 2020 and 1 March this year. Fourteen women died with SARS-CoV-2 infection, ten from COVID-19 and four from other causes, three further women's deaths were influenced by changes as a consequence of the pandemic. The report identifies several themes affecting the care of pregnant and postpartum women in the context of the pandemic and suggests that there needs to be wider awareness of how best to treat pregnant and postnatal women with COVID-19.
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Content ArticleThis is the report of an inquiry conducted by the Health and Social Care Select Committee in 2020/21 which examined the ongoing safety concerns with maternity services and the action needed to improve safety for mothers and babies. It suggests that improvements to maternity services have been too slow to date and recommends several changes, including increasing in the budget for maternity services and reforming existing to litigation processes.
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Content ArticleThe national Perinatal Mortality Review Tool (PMRT) was developed with clinicians and bereaved parents in 2017 and launched in England, Wales and Scotland in early 2018; it was subsequently adopted in Northern Ireland in autumn 2019. The aim of the PMRT programme is introduce the PMRT to support standardised perinatal mortality reviews across NHS maternity and neonatal units Unlike other review or investigation processes, the PMRT makes it possible to review every baby death, after 22 weeks’ gestation, and not just a subset of deaths. This report presents data from the 3,693 reviews which were completed between March 2019 and February 2020.
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Content ArticleIn midwifery practice, skin assessment is an important element of any physical examination of women. Fundamentally, key practice recommendations are centred on visual and tactile cues to assist with the identification of changes in skin appearance. Although visual signals are more readily discernible in women with light skin tones, they may be more challenging to detect in women with darker skin tones. As a means of decolonising midwifery theory and practice, this article published in The Practising Midwife, highlights ways in which midwives can develop confidence in skin assessment when caring for women with dark skin tones. Read the full article Related content – Decolonising midwifery education part 2: neonatal assessment
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Content ArticleThis article from the Transforming Maternity Care Collaborative discusses midwifery a public health strategy, highlighting midwives in continuity of care models, evidence on midwifery public health interventions, and how the COVID-19 pandemic has shown the importance of investing in public health care to meet population health needs.
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Content ArticleIn addition to older individuals and those with underlying chronic health conditions, maternal and newborn populations have been identified as being at greater risk from COVID-19. It became critical for hospitals and clinicians to maintain the safety of individuals in the facility and minimise the transmission of COVID-19 while continuing to strive for optimised outcomes by providing family-centered care. Rapid change during the pandemic made it appropriate to use the plan–do–study–act (PDSA) cycle to continually evaluate proposed and standard practices. Patrick and Johnson describe how their team established an obstetric COVID-19 unit for women and newborns, developed guidelines for visitation and for the use of personal protective equipment, initiated universal COVID-19 testing, and provided health education to emphasize shared decision making.
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Content ArticleMaternal near miss is a major global health issue; approximately 7 million women worldwide experience it each year. Maternal near miss can have several different health consequences and can affect the women’s quality of life, yet little is known about the size and magnitude of this association. The aim of this study from von Rosen et al. was to assess the evidence of the association between women who have experienced maternal near miss and quality of life and women who had an uncomplicated pregnancy and delivery.
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Content Article
Assessment of the skin is an important element of neonatal examination. Midwives need to develop knowledge and skills in this area to recognise changes in the skin and understand what these signify. Historically, teaching in this area has been skewed towards changes seen in newborns with light skin tones, resulting in a gap in clinical knowledge and resources on the assessment of skin in newborns with darker skin tones. This article, published in The Practising Midwife, on the decolonisation of midwifery education and practice, focuses on clinical assessment of the skin when examining newborns. -
Content ArticleThis study, published in Women and Birth, aimed to: 1. analyse clinical outcomes for women experiencing CMC with CoCE by students 2. analyse clinical outcomes for women in a fragmented care model with CoCE by students; 3. compare clinical outcomes according to women’s primary model of care. Authors conclude that continuity of care experiences should be offered to all women early in their pregnancy to ensure optimal benefits. Acknowledging midwifery students’ potential to make positive impacts on women’s clinical outcomes may prompt more health services to reconceptualise and foster continuity of care experiences.
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Content ArticleAuthors of this study conclude that among infants with a birth weight between 1.0 and 1.799 kg, those who received immediate kangaroo mother care (continuous skin-to-skin contact) had lower mortality at 28 days than those who received conventional care with kangaroo mother care initiated after stabilisation. Follow the link below to access the paper in full via The New England Journal of Medicine.
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Content ArticleThe aim of this study from Gurol-Urganci et al. was to determine the association between COVID-19 infection at the time of birth and maternal and perinatal outcomes. Covid infection at the time of birth is associated with higher rates of fetal death, preterm birth, preeclampsia and emergency Caesarean delivery. There were no additional adverse neonatal outcomes, other than those related to preterm delivery. Pregnant women should be counseled regarding risks of covid infection and should be considered a priority for vaccination.
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Content ArticleMollie Daisy Dimmock died from perinatal asphyxia due to hypoxia 34 minutes after being delivered. This was caused by umbilical cord compression from shoulder dystocia which lasted for five minutes before Mollie was fully delivered. In his report, the Coroner Crispin Butler raises concerns about the NICE guidance in relation to intrapartum care for women with existing medical conditions or obstetric complications and their babies.
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Content ArticleIn this podcast, Gill Phillips speaks to Nadia Leake and Rachel Collum, parents of premature babies who had long stays in neonatal care after birth, about the importance of Family Integrated Care. Gill developed Whose Shoes?® as a tool to allow people to 'walk in other people's shoes'. Through a wide range of scenarios and topics, Whose Shoes?® helps groups explore many of the concerns, challenges and opportunities facing the different groups affected by the transformation of health and social care.
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Content ArticleIn this study in BMC Pregnancy and Childbirth, the authors examined the views of men from Uganda currently living in the UK of an educational board game used to promote engagement in maternal health. Men can play a significant role in reducing maternal morbidity and mortality in low-income countries and maternal health programmes are increasingly looking for innovative interventions to engage men to help improve health outcomes for pregnant women. The study found that men were receptive to the board game and reported that easy-to-understand visual aids and messages helped change their perspective. Participants suggested that the game needs to be adapted to the local context for use with men in rural Uganda.
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Content ArticleThis presentation was given to the Colab Partnership virtual conference in July 2021. Gill Phillips, creator of the Whose Shoes? approach to coproduction and Dr Mary Salama, Consultant Paediatrician at Birmingham Children's Hospital, speak about genuine coproduction and why is it needed for children with medical complexity, giving practical examples from their work. A mother of a child with complex needs shares her lived experience, and paediatric surgeon Joanne Minford shares her experience of coproduction using Whose Shoes?
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Content ArticleThis poster from the Royal College of Midwives (RCM) provides information for midwives and midwife support workers on appropriate PPE for different scenarios in maternity care. It covers what to wear in different stages of care in both hospital and community settings if a patient has, or does not have, confirmed or suspected Covid-19.
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Content ArticleIn this podcast, Gill Phillips speaks to Dr Alice Ladur who has used the Whose Shoes?® board game in her PhD project in Uganda, working with men to bring about culture change and improve maternal outcomes. Gill developed Whose Shoes?® as a tool to allow people to 'walk in other people's shoes'. Through a wide range of scenarios and topics, Whose Shoes?® helps groups explore many of the concerns, challenges and opportunities facing the different groups affected by the transformation of health and social care.
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Content ArticleIn a recent survey, the Patient Information Forum asked women how to make information on induction better. Here presented in poster form are the top 5 suggestions from an analysis of 1,200 comments. Read full survey results here.
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Content ArticleLindsey's doctor was so focused on the 52 pounds she'd gained during her third trimester, she missed a pregnancy disorder that could have killed Lindsey and her unborn child. Watch Lindsey's video where she talks about her experience and why it is important to find a doctor who respects you and who you can trust.
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Content ArticleThis leaflet by the Royal College of Midwives provides information for patients on how to prepare for a home visit from a midwife. It covers steps that patients should take to reduce the risk of spreading Covid-19 including handwashing, wearing a face mask and reducing the number of people in the room.
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Content Article
Webinar - Inequalities in maternity care (8 December 2021)
Patient-Safety-Learning posted an article in Maternity
This is the recording of a webinar about inequalities in maternity care hosted by the National Maternity and Perinatal Audit (NMPA). The webinar features presentations on a Lancet article 'Adverse pregnancy outcomes attributable to socioeconomic and ethnic inequalities in England: a national cohort study' and on the NMPA report 'Ethnic and socio-economic inequalities in NHS maternity and perinatal care for women and their babies'. The Q&A panel features: Professor Eddie Morris Clo and Tinuke, Five X more Bell Ribeiro-Addy MP Professor Jacqui Dunkley-Bent Professor Marian Knight Professor Asma Khalil
