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Found 399 results
  1. Content Article
    One woman's account, published by Care Opinion, of her traumatic experience of having a hysteroscopy. "At no point was any pain relief, sedation or anaesthetic offered to me or discussed at all."
  2. Content Article
    Patients are not always given a choice between an outpatient hysteroscopy and a general anaesthetic. Radio's 4's Women's Hour discusses the issue of inadequate pain relief for hysteroscopies. The discussion includes one patient's story of the trauma she suffered and a response from a consultant in reproductive health. The interview was published on the Hysteroscopy Action website, please follow the link below to listen. 
  3. Content Article
    This patient story essay was produced by the Campaign against painful hysteroscopy to highlight the extreme levels of pain many women experience when undergoing the procedure. The campaign calls for an end to inadequate pain relief for hysteroscopies.
  4. Content Article
    This leaflet, produced by Kingston Hospital, is designed to prepare women for hysteroscopy procedures that are performed in the gynaecology outpatients department. Join the conversation on the hub about hysteroscopies.
  5. Content Article
    The Secret Midwife is a heart-breaking, engrossing and important book. Joyful and profoundly shocking, this is the story of birth, straight from the delivery room. The author argues that the system which is supposed to support the midwives and the women they care for is starting to crumble. Short-staffed, over worked and underappreciated – these crippling conditions are taking their toll on the dedicated staff doing their utmost to uphold our NHS, and the consequences are very serious indeed.
  6. Content Article
    This question and answer web page from the World Health Organization provides key information about pregnancy, birth and breastfeeding in relation to the Covid-19 outbreak. Questions include:Are pregnant women at higher risk from Covid-19?I’m pregnant. How can I protect myself against Covid-19?Should pregnant women be tested for Covid-19?Can Covid-19 be passed from a woman to her unborn or newborn baby?What care should be available during pregnancy and childbirth?Do pregnant women with suspected or confirmed Covid-19 need to give birth by caesarean section?Can women with Covid-19 breastfeed?Can I touch and hold my newborn baby if I have Covid-19?I have Covid-19 and am too unwell to breastfeed my baby directly. What can I do?
  7. Content Article
    This American Society for Reproductive Medicine (ASRM) guidance is in response to the coronavirus (COVID-19) global pandemic. Their goal is to provide practices with recommendations that guard the health and safety of their patients and staff, and recognise our social responsibility, as an organisation and as a community of providers and experts, to comply with national public health recommendations.
  8. Content Article
    ECRI Institute's Top 10 Patient Safety Concerns for 2020 features new topics, with an emphasis on concerns that have the biggest potential impact on patient health across all care settings. However, the number one topic on this year's list is one revisited from 2019: missed and delayed diagnoses.
  9. Content Article
    The author of this article, published in The Guardian, argues that centuries of female exclusion has meant women’s diseases are often missed, misdiagnosed or remain a total mystery.
  10. Content Article
    Girls and women need effective, safe, and affordable menstrual products. Single-use products are regularly selected by agencies for resource-poor settings; the menstrual cup is a less known alternative. The authors of this study, published in The Lancet, reviewed international studies on menstrual cup leakage, acceptability, and safety and explored menstrual cup availability to inform programmes.
  11. Content Article
    As well as designing specific products, ergonomists and human factors specialists can help understand how the space within which we work can be best designed. This can help encourage effective communication in a workplace, as well as considering the comfort of all those present.  The Chartered Institute for Ergonomics and Human Factors have come together with stakeholders involved in the care of neonates to design a space that is safe for newborn babies and staff that care for them.
  12. Content Article
    This resource from Best Beginnings provides information about many national and local charities offering remote support for pregnant families and new paretns during COVID-19. The list includes organisations offering support and advice around: Pregnancy and birth Health conditions in pregnancy Parents of twins, triplets and more Premature Unwell babies Babies with disabilities or health conditions Breastfeeding and infant nutrition Mental health Bereavement Birth trauma.
  13. Content Article
    The COVID-19 outbreak has had an impact on all areas of health and social care. While understandably the focus of the healthcare system currently rests on the pandemic, it is important that we also consider the impact on non COVID-19 treatment and care. This has been recently highlighted by the UK Chief Medical Officer Professor Chris Whitty, who has warned about the impact that the pandemic will have on other areas as the health system is “reorientated towards COVID”.[1] Patient Safety Learning believe that in this context the need to pay attention to patient safety is now more important than ever. Pregnant women represent a unique patient group, facing very specific challenges. Although early evidence indicates that babies and children are less severely affected by the virus, many are concerned for the safety of their baby within the unfamiliar backdrop of COVID-19. It is understandable that fears persist when there are reports of pregnant women, children and midwives who have tragically lost their lives. This is the first blog where we will look at the impact of the pandemic on maternity services. Here we will focus on the safety implications of both low and high-risk women choosing to birth at home due to fears of contracting the virus in hospital. We also raise questions as to whether a blanket suspension of home birth services is putting some women and babies at greater risk.
  14. Content Article
    Birthrights are working hard to support maternity healthcare professionals to make thoughtful decisions even in these challenging times and to support pregnant individuals and their families. This webpage includes further information about pregnant women's rights, Birthrights position statement in light of the pandemic and a list of FAQs.
  15. Content Article
    This briefing, from the Royal College of Midwives, sets out the potential impact of the COVID-19 pandemic on the number of women choosing to birth unassisted (freebirth). It highlights that anecdotal evidence suggests the number of women choosing to have their babies in this way is on the rise, due to a reduction in birth options. This briefing looks at the safety and legal implications, key guidance around freebirthing and lists some important considerations for midwives when caring for women who make this decision.
  16. Content Article

    Midwifery during COVID-19: A personal account

    Anonymous

    Anonymous posted an article in Blogs

    I am a case loading midwife, working during the coronavirus pandemic. This is my personal account of what we are doing in my area to keep our women and ourselves safe, and the barriers we are facing.
  17. Content Article
    Radio 4's Women's Hour programme discusses coronavirus and the impact the current pandemic is having on access to cervical screening services. Later in the programme, the discussion turns to the topic of dealing with addiction during the lockdown. Cervical screening (listen from the start of the recording) Speakers, Kate Sanger, Head of Public Affairs at Jo's Cervical Cancer Trust, and consultant gynaecologist Dr Christine Ekechi stress that patients should not hesitate to contact their GP if they have any concerns or symptoms. Symptoms might include: abnormal bleeding, bleeding after sex, bleeding after the menopause, bleeding in between periods, unexplained pelvic pain and in some cases increased vaginal discharge. Addiction (21:45) According to the charity Action on Addiction, one in three people are addicted to something. How difficult can it be to remain sober or clean in lockdown, and what support can you still access? Speakers include Holly Sexton, Substance Misuse Practitioner at We Are With You, and Caroline Turriff, a freelance journalist who is 15 years in recovery. They discuss whether opiate painkillers and methadone being more easily available through pharmacies creates safety issues. Caroline argues that it will reduce the risk of people obtaining opiates online or heroin via street dealers which she says could enable them to obtain life-threatening amounts. 
  18. Content Article
    This guidance was published on 9 April 2020 by the Royal College of Obstetricians and Gynaecologists and the Royal College of Midwifery. It highlights that childbearing women and newborn infants continue to require safe person-centred care during the current COVID-19 pandemic and they represent a unique population. The majority are healthy, experiencing a life event that may bring clinical, emotional, psychological, and social needs. Women and newborn infants therefore require access to quality midwifery care, multidisciplinary services and additional care for complications including emergencies, if needed. When staff and services are under extreme stress there is a real risk of increasing avoidable harm, including an increased risk of infection, morbidity and mortality, and reductions in the overall quality of care. Safety, quality and preventing avoidable harm must be key priorities in decision making. Continuation of as near normal care for women should be supported, as it is recognised to prevent poor outcomes. 
  19. Content Article
    This webpage from the Primary Care Women's Health Forum (PCWHF), contains the latest guidelines, patient materials and articles from the board alongside recommended external resources. Resources include: Intrauterine methods for all indications. How to manage contraceptive provision without face to face consultations. Having a pessary fitted for a vaginal prolapse. Advice following insertion or removal of your contraceptive implant.
  20. Content Article
    Do all your staff receive training for the management of anaphylaxis as part of their mandatory training? Do you have a specific maternal cardiac arrest emergency call to include obstetricians and neonatologists? Do all resuscitation trolleys in your trust have a scalpel and umbilical cord clamps as an essential kit requirement? Are you aware of the obstetric cardiac arrest quick reference guide from the Resus Council, OAA and MBRRACE? Obstetric cardiac arrest is rare but devastating. This quick reference guidance, produced by Resuscitation Council UK and Obstetric Anaesthetists’ Association (and endorsed by MBRRACE), has been developed to aid Advanced Life Support providers response to this. It aims to help structure the team response, with reminders of modifications required for the pregnant patient and causes of cardiac arrest to consider.
  21. Content Article
    The purpose of this investigation by the Healthcare Safety Investigation Branch (HSIB) was to help improve patient safety in relation to the instructions 999 call handlers give to women and pregnant people who are waiting for an ambulance because of an emergency during their pregnancy. The HSIB investigation reviewed the case of Amy, who was 39 weeks and 4 days pregnant with her first child. She contacted 999 after experiencing abdominal cramps and bleeding. While waiting for an ambulance to arrive, Amy received pre-arrival instructions which were generated through a clinical decision support system (CDSS) from a non-clinical call handler. Amy was then taken by ambulance to hospital where her baby, Benjamin, was delivered by emergency caesarean section. Amy had excessive blood loss due to a placental abruption and was admitted to the high dependency unit for 12 hours following the birth. Benjamin required resuscitation to help him breathe on his own, he was intubated, and he received 72 hours of therapeutic cooling. He spent 13 days in hospital.
  22. Content Article
    In March 2020, the Healthcare Safety Investigation Branch (HSIB) published a national learning report to highlight the themes emerging from the initial investigations carried out as part of their maternity investigation programme. These initial investigations were carried out between April 2018 and December 2019. One of these themes was babies significantly larger than average who were at increased risk of a birth injury, brain damage or very rarely death because their shoulders get stuck during birth (known as shoulder dystocia). This was identified as an area where further analysis could benefit system-wide learning.
  23. Content Article
    Women share their personal experiences to Endometriosis UK of getting diagnosed with endometriosis.
  24. Content Article
    Since April 2018, the Healthcare Safety Investigation Branch (HSIB) has been responsible for initiating over 1000 independent safety investigations in NHS maternity services in England. This report summarises eight prominent themes that have emerged through analysis of completed maternity investigations, and how HSIB will explore these themes in more detail during the coming year. 
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