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Showing results for tags 'Obstetrics and gynaecology/ Maternity'.
Found 403 results
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Content ArticleIn this article, Dr Ivan Ramos-Galvez, Consultant in Pain Medicine at the Royal Berkshire Hospital, discusses the physical and psychological issues that can arise following surgery for pelvic mesh implants. Dr Ramoz-Galvez highlights that around a third of reported complications are systemic symptoms such as runny nose, muscle pain, brain fog and lethargy, which may be the result of a chronic inflammatory state within the body. Their link to pelvic mesh implants is suggested by the fact that many women report that these symptoms resolve after their implant is removed. He also discusses the wide-ranging impact of pelvic mesh side effects for women who experience them, highlighting that the consequences are not only physical, but also psychological, social and financial. He calls for the medical profession to recognise this and develop treatments that cover all aspects of pelvic mesh complications.
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Content ArticlePoppy Harris was born at Milton Keynes University hospital on 23 November 2020. Following a protracted labour, she was delivered using Kielland's forceps. She was transferred to John Radcliffe Hospital in Oxford where it was discovered that she had suffered a spinal cord injury and despite all efforts and care she died on 24 March 2021.
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RCOG: Recurrent miscarriage guidelines (19 October 2021)
Patient Safety Learning posted an article in Maternity
A new medical guideline has been released for consultation by the Royal College of Obstetricians and Gynaecologists, bringing together all the available evidence on possible risks and causes of recurrent miscarriage, potential treatment options, management of subsequent pregnancies and best practice in supportive care. The new draft Recurrent Miscarriage guideline – last published in 2011 – supports a move towards a graded model of care where women are provided with individualised care earlier. In the UK, women can only access support after they have experienced three miscarriages in a row. The new approach would see women offered information and guidance to support future pregnancies after one miscarriage, an appointment at a miscarriage clinic for initial investigations after two miscarriages, and a full series of evidence-based investigations and care – as described in this guideline - after three miscarriages. -
Content ArticleGetting It Right First Time (GIRFT) is designed to improve the quality of care within the NHS by reducing unwarranted variations. By tackling variations in the way services are delivered across the NHS, and by sharing best practice between trusts, GIRFT identifies changes that will help improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings.
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Content ArticleOn Friday 17 September 2021 the World Health Organization (WHO) held their World Patient Safety Day 2021 Virtual Global Conference, focused on the theme of ‘Safe maternal and newborn care’. This page contains links to a number of presentations from the event.
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Content ArticleThis blog in The BMJ Opinion by Steph O'Donohue, content and engagement manager at Patient Safety Learning, looks at the benefits and potential risks of the midwifery continuity of carer model. Steph highlights that seeing the same midwife throughout pregnancy and during labour allows patient and midwife to build a relationship of trust and results in improved outcomes for patients and their babies. She argues that patients and families would be more vocal advocates for continuity of carer if they better understood the benefits of the model. Further reading: Midwifery Continuity of Carer: What does good look like?' Midwifery Continuity of Carer: Frontline insights The benefits of Continuity of Carer: a midwife’s personal reflection
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Leaflet on reduced fetal movement
PatientSafetyLearning Team posted an article in Maternity
This leaflet has been developed by Tommy’s and NHS England to help pregnant people understand more about their baby's movements, why it is important and when to seek advice. The leaflet contains clear messaging on reduced fetal movements consistent with national guidelines. -
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Solace is a London-based charity working to end violence against women and girls. In this blog, Chief Executive, Fiona Dwyer highlights the increased risk of abuse during pregnancy and how healthcare staff can help identify and reduce significant harm. -
Content ArticleThis article discusses evidence that doctors-in-training and medical students are still performing pelvic exams on anesthetized women without their consent.
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The Lancet: Miscarriage matters (26 April 2021)
Patient Safety Learning posted an article in Maternity
Miscarriage is common, affecting one in ten women in their lifetime, with an estimated 23 million miscarriages globally. Despite this, the impact and consequences of miscarriage are underestimated, resulting in an attitude of acceptance of miscarriage and system of care which is currently fragmented and can be of poor quality. A new series of three papers published in The Lancet reviews this evidence on miscarriage and challenges many misconceptions. The authors, Siobhan Quenby, Arri Coomarasamy, and colleagues, call for a complete rethink of the narrative around miscarriage and a comprehensive overhaul of medical care and advice offered to women who have miscarriages. -
Content ArticleShabazz et al. explore incidents of bullying and undermining among obstetrics and gynaecology consultants in the UK, to add another dimension to previous research and assist in providing a more holistic understanding of the problem in medicine.
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Content ArticleThis article, published in The Journal of Patient Safety and Risk Management, Albert Wu argues a focus on maternal and newborn safety are critical to getting a strong start in the first 1000 days. "Simply providing skilled care to mothers during pregnancy, during and after birth would contribute greatly. But families and communities concerned about the quality of local services may still need to be convinced that such care is needed. And there is a continued need identify additional factors that can save lives in childbirth and to improve systems to address them."
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Content ArticleThe prevalence of facility-based childbirth in low-resource settings has increased dramatically during the past two decades, yet gaps in the quality of care persist and mortality remains high. The World Health Organization (WHO) Safe Childbirth Checklist, a quality-improvement tool, promotes systematic adherence to practices that have been associated with improved childbirth outcomes. This study, published in The New England Journal of Medicine, found that birth attendants’ adherence to essential birth practices was higher in facilities that used the coaching-based WHO Safe Childbirth Checklist program than in those that did not, but maternal and perinatal mortality and maternal morbidity did not differ significantly between the two groups.
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Content ArticleIn this study, King et al. evaluate the knowledge of and nature of training for menopause management in postgraduate residents. The authors surveyed residency programmes, across internal medicine, family medicine and gynecology residents, and found that residents had maybe one or two total hours of education about menopause. About 20% said they’d had no menopause education, and only about 7% said they felt prepared to treat menopausal women.
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Content ArticleIn this article, published in The Practising Midwife, Rachel Crowe argues that in the UK, pregnant women who are hearing impaired or D/deaf (sign language users) and deaf (who are hard of hearing but who have English as their first language and may lipread and/or use hearing aids) are often labelled as high risk and offered a care pathway that is unsuitable and detrimental to their care. Identifying the gaps in maternity that exist in current guidelines and practice can help midwives to ensure women get appropriate, high-quality woman-centred care. This article provides an overview to the needs of D/deaf birthing people with a number of recommendations and tools for use in clinical practice.
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Content Article
Multilingual maternity resources
PatientSafetyLearning Team posted an article in Maternity
This is the Herts and West Essex Local Maternity and Neonatal system multilingual maternity resource padlet. It includes resources in multiple languages including Sign Language an in audio form. The initial concept and content was developed by Charlotte Easton, Better Births Project Midwife at West Hertfordshire Hospitals NHS Trust. -
Content Article
Neonatal herpes – more common than you think?
PatientSafetyLearning Team posted an article in Maternity
Neonatal herpes 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 same virus that causes cold sores and genital infections – the herpes simplex virus (HSV). Early recognition and treatment has been shown to significantly improve babies' chances of making a full recovery. In the first of a series of blogs, Sarah de Malplaquet, Chief Executive and Founder of the Kit Tarka Foundation, explains why they are joint-funding new research into neonatal herpes, and how the findings could help save many lives. -
Content ArticleThis toolkit has been co-produced by the national Maternity Transformation Programme and a selection of service user representatives to help local maternity systems produce their own communications plans and activities. It provides helpful advice and suggestions about how to communicate with women of different backgrounds, about the extra care support that is available to them, as well as signposting to currently available publications, messaging, insights and templates. The aim is to raise awareness amongst pregnant women from Black, Asian and minority ethnic backgrounds that extra support and help is available to them during this uncertain coronavirus period.
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Content ArticleThis article, published by the Medical Journal of Australia, reviews the current evidence for models of maternity care that provide midwifery continuity of care, in terms of their impact on clinical outcomes, the views of midwives and childbearing women, and health service costs.
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Content ArticleS. Dorothy Smith instinctively knew that something was wrong with her daughter Katiana, but was dismissed as a hysterical first-time mum who just couldn't cope with normal newborn crying. She wrote a guest post for the Hysterical Women website, which can be accessed via the link below.
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#NotNeurotic: The keeper of the caesareans
PatientSafetyLearning Team posted an article in Maternity
In this guest post for Hysterical Women, Nicola Chegwin writes about the needless stress, humiliation and anxiety of having to fight for a caesarean birth, as a disabled woman with a spinal injury. -
Content ArticleThis presentation was submitted by the patient group Campaign Against Painful Hysteroscopy, as an oral presentation to the British Society for Gynae Endoscopy’s Annual Scientific Meeting 2021. It includes patient testimonials and statistical data gathered around painful hysteroscopies and informed consent.
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Content ArticleThis is a presentation detailing the manuscript which investigated the presence of pain during hysteroscopy, delivered by pain researcher, Richard Harrison to the annual meeting of the Royal College of Obstetricians and Gynaecologists in 2021.
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Content ArticleIn this blog, pain researcher, Richard Harrison, reflects on the presentation he recently made to the Royal College of Obstetricians and Gynaecologists, based on his research into pain during hysteroscopy. Follow the link below to read Richard's blog, or you can watch the RCOG presentation here.
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Content ArticleEndometriosis is a chronic disease affecting approximately 10% of fertile women. These women often have negative health care experiences. This study from Bach et al. adds new knowledge about endometriosis care in a hospital setting and nurses’ attitudes toward the disease. To explore how the personal attitudes of gynaecological nurses, their specialised knowledge, and their clinical experiences influenced the way they conceptualised and cared for women with endometriosis, participant observations and semi-structured interviews were conducted. Categorisation of patients into certain kinds, with more or less legitimate needs, provided an important framework for practice. Specialised knowledge qualified the nurses’ views of their patients and seemed to be conducive to sustained patient involvement. However, the organisation of care based solely on medical specialisation restricted a holistic approach. An important goal is, therefore, to investigate patients’ perspectives of health and illness and to create participatory relationships with patients, regardless of their diagnosis.
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