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Showing results for tags 'Obstetrics and gynaecology/ Maternity'.
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Content ArticleIn this guest blog for mumsnet, Nadine Montgomery talks about her journey to the Supreme Court to cement patients’ right to make an informed decision. Nadine highlights the lack of information she was given around potential birth risks as a diabetic pregnant women and how, if better informed, she would have made different choices which could have prevented her baby from suffering harm.
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Content ArticleWhen Luce Brett became incontinent at the age of 30, after the birth of her first son, she felt her life had ended. She also felt scared, upset, embarrassed, dirty and shocked. How the hell had she ended up there, the youngest woman in the waiting room at the incontinence clinic? PMSL is her story. A heartfelt, moving and deeply personal account of the decade that followed, told with incredible honesty and wit. Luce has been at the sharp end of a medical issue that affects 1 in 3 women but that remains shrouded in taboo and social stigma. It's sincere, raw and funny - but crucially it is the first memoir to look at incontinence, smashing the stigma and looking at what anyone affected can do to navigate their way through the wet-knickered wilderness. Members of Patient Safety Learning's the hub receive a 20% discount on the book. Follow the steps below to access the discount code: Register with the hub Make sure you are signed in Click on the icon in the top right hand corner and select 'messages' Compose a new message and paste - PatientSafetyLearning Team into the contact field, with the subject 'PMSL member discount' Patient Safety Learning will respond to your message with the code Follow the link below to Bloomsbury Publishing to purchase the book using the code. If you have any difficulties, please email us at: content@pslhub.org
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Content ArticleThis was an Adjournment Debate from the House of Commons on the 24 September 2020 on NHS Hysteroscopy Treatment tabled by Lyn Brown MP.
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Content ArticleSeptember is Gynaecological Cancer Awareness Month. Through September The Eve Appeal runs a national campaign, Go Red, and this year they are raising awareness of the key red flag symptom – abnormal bleeding. They have created this infographic highlighting the signs and symptoms.
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Content ArticleNeonatal herpes simplex virus (HSV) disease, also called 'neonatal herpes' or 'neonatal HSV', is a rare, and potentially fatal, disease which usually occurs in the first four weeks of a baby's life. It is caused by the herpes simplex virus (HSV), the same virus that causes cold sores and genital infections. HSV infections are incredibly common in older children and adults and typically cause mild symptoms, or often no symptoms at all. There are some simple things you can do to help prevent babies from catching herpes infections. These include regular hand washing, covering cold sores and not kissing babies who are not your own. Click on the link below to find out more about neonatal herpes and how to keep your baby safe.
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Content ArticleAt the First Do No Harm All Party Parliamentary Group (APPG) meeting on 26 January 2021 with the Minister for Patient Safety, Nadine Dorries MP, attendees asked a large number of questions, not all of which could be answered by the Minister due to time constraints. The unanswered questions were submitted to the Minister’s office at the Department for Health and Social Care for a written response. The Department has now provided answers.
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Content Article
Maternity and neonatal safety champions toolkit
PatientSafetyLearning Team posted an article in Maternity
This toolkit provides information and resources that will help maternity and neonatal safety champions to develop strong partnerships, promote positive professional cultures, and support the delivery of the safest care possible through best practice. Content includes: National maternity safety ambition Role of the Safety Champion How to support safer maternity care National support offer Further resources. -
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Transvaginal Mesh Case Record Review
PatientSafetyLearning Team posted an article in Women's health
On this site you will find information about the Transvaginal Mesh Case Record Review. This Review has been commissioned by the Scottish Government to address concerns raised by women about whether their case records accurately reflect the treatment they have received, specifically in relation to full and partial removal of mesh.- Posted
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Content ArticleIn this blog Patient Safety Learning reflects on responses received from Robin Swann MLA, Minister of Health (Northern Ireland), Jeane Freeman MSP, Cabinet Secretary for Health and Sport (Scotland) and Vaughan Gething MS, Minister for Health and Social Services (Wales), regarding concerns about painful hysteroscopy procedures in the NHS.
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Content Article'Continuity of carer' in midwifery is when a woman has consistency in who they see during their pregnancy, labour and postnatal period. In this video, three midwives share their experiences of working in this way and talk about the benefits they've seen for women, babies and their own practice. They provide examples of how this model can improve the safety of services and offer advice for teams and individuals embarking on the continuity of carer journey.
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Through the hysteroscope: Reflections of a gynaecologist
SairaS posted an article in Women's health
At Patient Safety Learning, we’ve been working with others to understand the issues surrounding painful hysteroscopies. In this interview, we talk to Obstetrics and Gynaecology consultant, Saira Sundar, about the process. She offers her clinical insight and highlights some of the challenges involved when it comes to managing pain during hysteroscopies. Saira also offers advice to colleagues and patients seeking to reduce anxiety and improve the patient experience.- Posted
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Content ArticleIn this blog, Patient Safety Learning reflects on a recent response from Nadine Dorries MP, Minister of State for Mental Health, Suicide Prevention and Patient Safety, regarding concerns about painful hysteroscopy procedures in the NHS. Towards the end of last year, Patient Safety Learning published a blog outlining five calls to action that could be taken to improve the safety of hysteroscopy procedures in the NHS.[1] This has been an issue raised by patients, campaign groups and politicians in recent years, highlighting concerns that women having been suffering avoidable harm from hysteroscopies. We wrote to several key stakeholders in healthcare across England, Northern Ireland, Scotland and Wales, to raise awareness of this issue and call for urgent action to prevent future harm. While we welcome the Minister in her response supporting the general principles of informed consent and good practice guidance for hysteroscopy, we know that many women are still not being offered a choice of pain relief or given adequate information before consenting to the procedure. It remains unclear from her response whether the Government will take action to investigate the frequency of these experiences and respond to improve hysteroscopy safety.
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Content ArticleGeneral anaesthesia for obstetric surgery has distinct characteristics that may contribute towards a higher risk of accidental awareness during general anaesthesia. The primary aim of this study from Odor et al. was to investigate the incidence, experience and psychological implications of unintended conscious awareness during general anaesthesia in obstetric patients. Researchers discovered that one in 256 women going through pregnancy-related surgery are aware of what was going on — a far higher proportion than the one in every 19,000 identified in a previous national audit. If a patient is conscious at some point while under general anaesthetic, they may be able to recall events from the surgery such as pain or the sensation of being trapped, the researchers said.
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Content ArticleInadequate access to anaesthesia and surgical services is often considered to be a problem of low- and middle-income countries. However, affluent nations, including Canada, Australia, and the United States, also face shortages of anesthesia and surgical care in rural and remote communities. Inadequate services often disproportionately affect indigenous populations. A lack of anaesthesia care providers has been identified as a major contributing factor to the shortfall of surgical and obstetrical care in rural and remote areas of these countries. In this report, Orser et al. summarises the challenges facing the provision of anaesthesia services in rural and remote regions
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Content ArticleThe United Nations 2015 Millennium Development Goals targeted a 75% reduction in maternal mortality. However, in spite of this goal, the number of maternal deaths per 100,000 live births remains unacceptably high across Sub-Saharan Africa. Because many of these deaths could likely be averted with access to safe surgery, including cesarean delivery, Epiu et al. set out to assess the capacity to provide safe anaesthetic care for mothers in the main referral hospitals in East Africa. The authors identified significant shortages of both the personnel and equipment needed to provide safe anaesthetic care for obstetric surgical cases across East Africa. There is a need to increase the number of physician anaesthetists, to improve the training of non-physician anaesthesia providers, and to develop management protocols for obstetric patients requiring anaesthesia. This will strengthen health systems and improve surgical outcomes in developing countries. More funding is required for training physician anaesthetists if developing countries are to reach the targeted specialist workforce density of the Lancet Commission on Global Surgery of 20 surgical, anaesthetic, and obstetric physicians per 100,000 population by 2030.
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- Anaesthesia
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Content ArticleWe’ve come to the final instalment of our 2020 blog series, where we’ve reflected on key patient safety issues we’ve seen this year and our work in those areas. First, our Chief Executive, Helen Hughes, introduced the series, giving an overview of the year. We then looked at: The impact of the COVID19 pandemic on patient safety Advice and support for people living with Long COVID Painful hysteroscopies Staff safety. Lastly, we turn our attention to one of the most significant reports we’ve responded to this year, First Do No Harm – also known as the Cumberlege Review – by the Independent Medicines and Medical Devices Safety Review.
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Content ArticleThis month, we’ve been looking back over 2020 and highlighting some of the key areas of health and care that Patient Safety Learning has worked in this year. First, Chief Executive, Helen Hughes, gave an overview, detailing some of the main ways we’ve been achieving our aims as an organisation. Following that, we looked at the impact of the COVID-19 pandemic on patient safety, and, earlier this week, we focused on advice and support for people living with Long COVID. In this blog, Patient Safety Learning reflect on the work we’ve been doing to highlight serious patient safety concerns relating to hysteroscopy procedures in the NHS and how we’ve been making the case for change.
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Content Article
Care Quality Commission: Choosing a baby scanning service
Patient Safety Learning posted an article in Maternity
Ultrasound scans are important for checking the health of you and your baby. There are different types of scanning service and it's important to understand what each type offers. The Care Quality Commission provides some guidelines.- Posted
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- Screening
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Content Article
The normalisation of women’s pain
LiSaRa posted an article in Women's health
In this wonderfully personal reflection, Junior Doctor and Clinical Fellow, Lisa Rampersad, argues that women are taught to apologise for their pain from an early age. Lisa draws on her own experiences, including those as a patient herself, to highlight a need for a better understanding of the female anatomy. She concludes by sharing her own approach as a clinician, encouraging others to listen and believe their patients when they talk about pain.- Posted
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Content ArticleThis webinar from the British Intrapartum Care Society, asks whether the medicalisation of childbirth gone too far. UK maternity services have become medicalised in an attempt to reduce pregnancy risks. But what are the risks that we use to justify these interventions and how well do we communicate these to women? How do we provide care for those who request alternative or non-recommended pathways of care? Speakers include Andrew Weeks, Jim Thornton, Maria Booker and Kemi Johnson and the webinar is Chaired by Natalie Carter from the British Intrapartum Care Society.
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Continuity of Carer in Worcestershire
PatientSafetyLearning Team posted an article in Midwifery Continuity of Carer
More and more women in Worcestershire are benefiting from having an individual named midwife throughout their maternity journey. In this short video, new Continuity of Carer (CoC) midwives from Worcestershire Acute Hospitals NHS Trust, and some local mums explain what it's like to be part of a CoC model.- Posted
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COVID-19: managing an obstetric emergency (November 2020)
PatientSafetyLearning Team posted an article in Maternity
The COVID-19 pandemic provides new challenges for the safety of people receiving and providing maternity care. This project, conducted in collaboration with the PROMPT Maternity Foundation and THIS.institute, involved a rapid-response consultation exercise to understand what good looks like for managing obstetric emergencies in women with suspected or confirmed COVID-19.- Posted
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- Obstetrics and gynaecology/ Maternity
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Content ArticleThis is a guest post for the Hysterical Women website, by Kath Sansom, founder of the Sling the Mesh campaign. Content warning: mention of self-harm.
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Content ArticleIn this short video produced by Endometriosis Explained, retired gynaecologist, MJ Quinn, talks about the neuropathic causes of painful hysteroscopy. This includes seven recommendations for how to avoid severe pain outpatient hysteroscopy.
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- Pain
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Content ArticleThe aim of this review, published in Archives of Gynaecology and Obstetrics, is to provide an overview of the literature about the perception and management of anxiety and pain in women undergoing an office hysteroscopic procedure.
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