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The Labour Party will call on the government to commit to a target of ending the Black maternal mortality gap during a landmark debate about the topic later on Monday. This comes as shocking figures show Black women are over four times more likely than white women to die during or after pregnancy or childbirth in the UK. MPs will debate a petition relating to Black maternal healthcare and mortality. Scheduled to take place at 6.15pm this evening, the session will be led by Petitions Committee Chair Catherine McKinnell MP. Read full story Source: The Independent, 19- Posted
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Pregnant women should be offered Covid vaccine
Patient Safety Learning posted a news article in News
Pregnant women should be offered a Covid jab when other people their age get one, the UK's vaccine advisers say. They say the Pfizer and Moderna vaccines are preferable because data from the US in 90,000 pregnant women has not raised any safety concerns. Up until now, only women with underlying health conditions or those whose risk of exposure to the virus was high were eligible. The shift in advice brings the UK into line with other countries. The Joint Committee on Vaccination and Immunisation now advises that pregnant women should all be offered the Pfizer-BioNTech or Mo- Posted
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Multilingual maternity resources
PatientSafetyLearning Team posted an article in Maternity
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Mental health "hubs" for new, expectant or bereaved mothers are to be set up around England. The 26 sites, due to be opened by next April, will offer physical health checks and psychological therapy in one building. NHS England said these centres would provide treatment for about 6,000 new parents in the first year. Five years ago, 40% of areas in England had no dedicated maternal mental health services. Things have improved since then with some specialist services available in each of the 44 local NHS areas in England. But in the NHS's Long Term Plan, published in 2019, the hea- Posted
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Miscarriage associated with higher risk of women’s early death
Patient Safety Learning posted a news article in News
Miscarriage may be associated with an increased risk of early death, researchers have said. The BMJ published a study suggesting that this risk is particularly acute for those who have experienced repeated miscarriages, especially ones that occurred early on in a woman’s life. US-based researchers said that women who had experienced a miscarriage were 19% more likely to die prematurely. They pointed out that a miscarriage “could be an early marker of future health risk in women.” The authors of the paper hoped to see if there was any link between miscarriage and a risk of death- Posted
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Pregnant women and new mothers are three times as likely to suffer from poor mental health in the wake of the coronavirus pandemic, according to a new study. The report, carried out by a coalition of leading maternal mental health organisations, suggested before that the public health crisis up to 20% of women developed a mental illness during pregnancy or within the first year after having a baby. But in lockdown, 6 in 10 mothers had substantial concerns around their mental health, according to researchers who polled more than 5,000 pregnant women and parents. The study warned- Posted
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Covid: Confusion over gestational diabetes advice
Patient Safety Learning posted a news article in News
Some pregnant women who have had gestational diabetes say a change to shielding advice in England has caused confusion. Some have been told to stay at home while others have not, based on a new algorithm which calculates an individual's risk from Covid. It identified an extra 1.7 million people as extremely clinically vulnerable in England this week. They will now be prioritised for a Covid vaccine. NHS England says not everyone with the same condition will be advised to shield but suggests people contact their GP to discuss their individual case. Heather Davi -
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‘Legally wrong’ to make pregnant women with Covid give birth alone
Patient Safety Learning posted a news article in News
NHS guidance which often forces pregnant women who test positive with coronavirus to give birth alone is legally wrong, lawyers warned. Official guidance drawn up by NHS England states that if a woman tests positive for Covid, their husband or partner must self-isolate at home and is not allowed to support them during childbirth. But campaigners and lawyers told The Independent their guidance for visitor restrictions in maternity services during the pandemic is legally inaccurate as people have the “right to private and family life” under Article Eight of the Human Rights Act. M -
Content Article
Note: Subtitles are available by turning on the caption mode in YouTube. Would you like to share your insight on the continuity of care model? Perhaps you know women and families who would like to share their experience? You can get in touch with Patient Safety Learning by emailing us at content@pslhub.org Further reading: Measuring Continuity of Carer: A monitoring and evaluation framework (November 2018) NHS: Targeted and enhanced midwifery-led continuity of carer RCM: Can continuity work for us? A resource for midwives -
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Hospital reports rise in pregnant Covid patients
Patient Safety Learning posted a news article in News
A hospital has reported a "significant" increase in the number of pregnant women being treated for coronavirus. New Cross Hospital, in Wolverhampton, said part of its maternity ward had been sectioned off for Covid patients. Nationally, the proportion of pregnant women in intensive care has almost doubled since the first wave. The Royal College of Obstetricians and Gynaecologists said pregnant women were at no greater risk of being infected with Covid than the general public. The Royal Wolverhampton NHS Trust's chief executive said the cause of the increase in the city was -
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Pregnant women going for scans alone told they cannot film baby
Patient Safety Learning posted a news article in News
Pregnant women attending scans and appointments alone are repeatedly being told they cannot record or take photographs of their unborn child to show their partner, according to a survey. The poll of more than 3,450 pregnant women by the campaign group Pregnant Then Screwed found that more than half of respondents (52%) attended scans alone and were also told that they could not record or take photographs during the appointment. NHS trusts have been warned that they could be acting unlawfully if they continue to ban partners of pregnant women accessing hospital appointments remotely. -
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When pharmacist Ifeoma Onwuka, known to her friends as Laura, went into hospital to have her daughter, she and her husband hoped the delivery would go smoothly, and that they would soon be able to take their new arrival home to meet her siblings. Onwuka's labor was induced at James Paget University Hospital in Great Yarmouth in late April 2018. Things progressed quickly and there were soon signs that her baby was in distress, causing staff to begin preparations for an emergency Caesarian section, but Onwuka's daughter was born in the recovery room. Shortly after the birth, Onwuka's -
Content Article
The majority of recommendations which MBRRACE-UK assessors have identified to improve care are drawn directly from existing guidance or reports and denote areas where implementation of existing guidance needs strengthening. In a small number of instances, actions are needed for which national guidelines are not available. These are included below. To access the report and the full list of recommendations, please click on the link at the bottom of this page. New recommendations to improve care: For professional organisations 1. Develop guidance to ensure SUDEP awareness, risk asse- Posted
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More women may suffer pain due to being conscious while undergoing caesareans or other pregnancy-related surgery under general anaesthetic than realised, a troubling new study has found. The report, conducted by medical journal Anaesthesia, found being awake while having a caesarean is far more common than it is with other types of surgery. 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 -
News Article
Thousands of women have had abortions after falling pregnant while having difficulties accessing contraception during the pandemic, healthcare providers have warned. Sexual health clinics have been forced to shut or run reduced services while staff are transferred to work with Covid patients or have to self-isolate – with the profound disruption leaving many women unable to access their usual methods of contraception. Many women are struggling to get the most effective long-acting contraceptive choices of a coil or an implant due to these requiring face-to-face appointments which hav- Posted
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Rachel Hardeman has dedicated her career to fighting racism and the harm it has inflicted on the health of Black Americans. As a reproductive health equity researcher, she has been especially disturbed by the disproportionately high mortality rates for Black babies. In an effort to find some of the reasons behind the high death rates, Hardeman, an associate professor at the University of Minnesota School of Public Health, and three other researchers combed through the records of 1.8 million Florida hospital births between 1992 and 2015 looking for clues. They found a tantalising stat- Posted
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The MHRA safety review examined safety data for risks of major birth defects or abnormalities and concerns with the child’s development including learning and thinking abilities for other key antiepileptic drugs. It found that a number of these epilepsy medicines may be associated with some increased risks in pregnancy. Valproate (Epilim) is already known to be seriously harmful if taken in pregnancy and should only be prescribed to a woman if a pregnancy prevention plan is in place. Importantly, two antiepileptic medicines in particular, lamotrigine (Lamictal) and levetiracetam (Keppra), -
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NHS Resolution: Fetal surveillance (16 September 2019)
Patient Safety Learning posted an article in Maternity
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