Wednesday, December 19, 2018

What's new in midwifery - 19th December 2018


Some recent things you may need to know about.


Bereavement care in neonatal units



 

NICE consultations

NICE is consulting on infant, children and young people's experience of healthcare, looking at the experience of babies, children and young people, as well as looking for views of parents and carers.

The consultation closes on 18 January 2019.


In the news




Thank you for reading these posts.   I hope they have been useful.    The next one will be in 2019.  Until then, here is a carol from the Sheffield pub carol tradition, with my best wishes for a peaceful Christmas and New Year.


Acknowledgements: King’s Fund Library Health Management and Policy Alert; Embed Health Consortium Health Bulletin.



















Wednesday, December 12, 2018

What's new in midwifery - 12th December 2018

Some recent things you may need to know about.


FGM

Evidence to End FGM/C project’s Online Database of FGM/CProgrammes.   Provides information and shares a mapping of recently completed and ongoing interventions and research studies addressing female genital mutilation/cutting (FGM/C) since the year 2000.
Female genital mutilation: July2018 to September 2018, experimental statistics report

Formula milk

Disentangling ourselves from “Big Formula” (BMJ editorial)

Overdiagnosis and industry influence: how cow’s milk protein allergy is extending the reach of infant formula manufacturers (BMJ investigation)


Local Government Association

Fit for and during pregnancy: a key role for local government.  This report contains case studies of health visitors, family workers, midwives, social care and children’s centres staff helping families through pregnancy as well as areas experimenting with a new local government role of consultant public health midwife.


Acknowledgements
Healthcare Information for All discussion group; King’s Fund Library Health Management and Policy Alert; Embed Health Consortium Health Bulletin.

Friday, December 07, 2018

My pronouns

Previously on this blog, this, about preferred pronouns.   Back in March 2017, when I posted that, I reported that I had recently seen an email, the end of which was the statement:

"My pronouns are she/her/hers".


I see more of that now, including emails from some colleagues here, and some of my colleagues have badges like this, through the Students' Union:



Back in March 2017 I said:

"When talking about someone, for example, "go and talk to the librarian, and [pronoun] will help you", which pronoun do you use if you don't know the gender of that person?   If you use "he" or "she", that is gender specific and may not match the gender of the person.  "It" doesn't really work to refer to people.   I'd use "they".

But which pronouns would that person want used to refer to themselves?  That is what "my pronouns are..." is about.  Moves towards gender and transgender inclusion bring this issue to the foreground."


I think that still stands.   But why wear a badge?    I might think it is clear from looking at me what my preferred pronouns are, but actually why would it be?    To assume preferred pronouns is to jump to conclusions.    So, that is one reason for wearing it, to indicate what my pronouns actually are.    I think for me another reason is that it might make people I meet feel able to tell me what their preferred pronouns are, if they want to do that.   

Having thought that through, I now have a badge too.

Two resources, both present in March 2017 and still there now: 
poster from Vanderbilt University, which includes some alternative pronouns ze/zir/zirs and ze/hir/hirs and advice on how to find out which pronouns a person prefers.   And this from University of California Davis points to mypronouns.org, which goes into some detail and has "non binary, gender neutral" titles as well. 

Searches for "my pronouns are", or "preferred gender pronouns" limiting to site:.edu or site:.ac.uk find more.

Thursday, December 06, 2018

Books about HIV and AIDS


I was making a reading list about HIV and AIDS.   

What follows is an observation, not systematic research.

On the shelves we had:

  • ABC of AIDS / edited by Michael W. Adler, 2001.
  • The AIDS knowledge base : a textbook on HIV disease from the University of California, San Francisco, and San Francisco General Hospital / editors, P.T. Cohen, Merle A. Sande, Paul A. Volberding , 1999.
  • Aids and other manifestations of HIV infection / edited by Gary P. Wormser, 2004.
  • AIDS : etiology, diagnosis, treatment, and prevention, 1997.
  • HIV infection in women / Johnson, Margaret A., 1993.
  • HIV treatments directory / edited by Virginia Differding, 2010.


All old.   I can find no newer editions of most of them - there was a later edition of Adler (but 2012 - we have an ebook) and of Differding (2011).

We have newer but different things as ebooks (a reflection of the way we now acquire things).   Two of them involve Merle Sande or Paul Volberding, but nothing is newer than 2012.  I don't think there are newer editions of any of those either.



The Medical core collection has only a few items, (not including Adler’s ABC) but again nothing newer than 2012.

I feel confident in withdrawing most of the older print books, but I wonder if Johnson might still have material of relevance (amongst the material that is likely to be very out of date).    Perhaps this is a close equivalent, but it is also 2012.

In addition to books on the specific topic, there are also chapters in books like Schaechter’s mechanisms of microbial disease and Mandell Douglas and Bennett, the latest editions of which are a bit newer.

Why no new editions since 2012?    Perhaps there has been a stabilisation of knowledge and there has been nothing new to report since 2012.  Or perhaps newer editions are being prepared now.   It would be interesting to know if the same looks to be the case in other fields of medicine, or more specifically infectious diseases or sexual health.    But that is a subject for another post.

Wednesday, December 05, 2018

What's new in midwifery - 5th December 2018


Some recent things you might need to know about.

News

CRISPR babies STATNews

CRISPR babies - BMJ


Research

NIHR Signals
Steroids rapidly reduce children’s croup symptoms and shorten hospital stays (includes babies)(NIHR Signals review of a recent Cochrane review).


Hyperemesis gravidarum


 

Shrewsbury and Telford Hospital NHS Trust  

CQC review following perinatal deaths


Statistics

Maternity Services Monthly Statistics - August 2018, Experimental statistics, 
NHS Resolution Maternity incentive scheme year one results,


Articles

Pregnant Women and the Ebola Crisis (New England Journal of Medicine Perspective), 



Acknowledgements: Embed Health Consortium Health Bulletin

Saturday, December 01, 2018

World AIDS Day

Want something to read about HIV and AIDS?    Here is a list, including diagnosis, management and treatment, but also fiction, social aspects and history, and some films and documentaries to watch (you will need to be a member of the University of Leicester or another subscriber to Box of Broadcasts to watch those).

World AIDS Day website.

Wednesday, November 28, 2018

What's new in midwifery - 28th November 2018


Some recent things you might want to know about.

NHS England: Atlas of Shared Learning


Royal College of Midwives

Midwifery care in labour guidance for all women in all settings
Summary of the evidence and recommendations.


Royal College of Obstetricians and Gynaecologists

Care of women with obesity in pregnancy
Recommendations for the care of women with obesity; covering interventions prior to conception, and during and after pregnancy.


Royal College of Psychiatrists

Perinatal mental health leaflets
To help women and their partners develop a better understanding of mental health problems in the perinatal period and specific treatments.  They also support decision-making about the use of medications in pregnancy and breastfeeding by helping women weigh up the risks and benefits of taking certain medications.


Research and opinion from journals

Documentation in the neonatal unit: the support given to parents and their participation in their baby's care (Journal of Advanced Nursing) 



Thanks to: Embed Health Consortium Health Bulletin

Wednesday, November 21, 2018

What's new in midwifery - 21st November 2018


Some recent things you might want to know about.

News




NHS England

Maternity DMA Report – Digital Maturity Assessment of Maternity Services in England 2018, a “complete picture of the digital maternity landscape across England”.

There is the report, and supporting documents.

“Digital maternity” seems to be the use of digital technology in providing maternity care.



Acknowledgements: King’s Fund Library Health Management and Policy Alert, Embed Health Consortium Health Bulletin.



Wednesday, November 14, 2018

What's new in midwifery - 14th November 2018


Some recent things you might need to know about.


Each Baby Counts

This RCOG initiative is a quality improvement programme to reduce stillbirths, neonatal deaths and babies left disabled by incidents at birth.
Discussed in this Guardian article: Too many baby deaths avoidable, report into NHS finds


Public Health England

Updated documents to support commissioning and delivering children's public health services, for children aged 0 to 19 years.  Mostly about early years and school age children but one report looks at the impact of breastfeeding on the early years and the role of the health visitor.


Nuffield Trust

Understanding the health of babies and expectant mothers looks at possible reasons why progress on stillbirths and neonatal and infant mortality has slowed down in the UK in recent years and what can be done about it.  
Also discussed on the 
Nuffield Trust blog.


Global health

A program(me) to support USAID’s goal of preventing maternal and child deaths.    There is a newsletter.


News




Acknowledgements: Embed Health Consortium Health Bulletin.

Wednesday, November 07, 2018

What's new in midwifery - 8th November 2018


Some recent things you might want  to know about:

Perinatal deaths

University of Bristol: PolicyBristol
When a baby dies in hospital, a Perinatal Mortality Review (PNMR) takes place. Currently, parents are largely unaware these reviews even take place and in most cases, bereaved parents are not given the opportunity to be involved and share their perspective of their care. This PARENTS study (Parents’ Active Role and ENgagement in Their Stillbirth/perinatal death review study) tested the hypothesis at two UK hospitals (Bristol and Manchester) that involving parents would have the potential to answer their questions and therefore support them in grieving, drive patient safety improvements, and promote an open culture within healthcare.

Thanks to the Kings Fund Library Health Management and Policy Alert for this summary.


Maternal deaths

Fifth report of the Maternal, Newborn and Infant Clinical Outcome Review Programme concerning maternal deaths and morbidity. The report includes surveillance data on women who died during or up to one year after pregnancy between 2014 and 2016 in the UK.




Acknowledgements: King’s Fund Library Health Managemetn and Policy Alert; Embed Health Consortium Health Bulletin;

Thursday, November 01, 2018

Wednesday, October 24, 2018

What's new in midwifery - 24th October 2018


Some recent things you might want to know about.



Reports
All Party Parliamentary Group for Children who need Palliative Care
End of life care: strengthening choice
About all ages of young people, including babies.





Research
Out of hospital maternal cardiac arrests
Systematic review about cardiac arrest in pregnant women, published in Resuscitation, discussed in McMaster University’s Evidence Alerts.



Acknowledgements: King's Fund Library Health Management and Policy Alert; Embed Health Consortium Health Bulletin. 


Wednesday, October 17, 2018

What's new in midwifery - 17th October 2018


Some recent things you might need to know about.

News – a lot of things this week

Report of Lancet article.


NICE Consultations


Research
Better pain relief for women in labour.    Appraisal of Intravenous remifentanil patient-controlled analgesia versus intramuscular pethidine for pain relief in labour (RESPITE): an open-label, multicentre, randomised controlled trial, published in the Lancet in August. 




Acknowledgements:  Embed Health Consortium Health Bulletin

Wednesday, October 03, 2018

What's new in midwifery - 3rd October 2018


Some recent things you might need to know about.

NICE consultations


 
News


Research

Discussion of a paper published in PLoS One.


Statistics



RCOG guidelines



Audit
National Neonatal Audit Programme: annual report.  (Healthcare Quality Improvement Partnership).   
This report uses 2017 data to show key achievements made in neonatal care for preterm babies in England, Scotland and Wales. The report contains key findings and selected recommendations for quality improvement of neonatal care going forward.


Acknowledgements: Embed Health Consortium Health Bulletin, NICE Newsletter, King’s Fund Library Health Management and Policy Alert; BMJ alerts

Wednesday, September 26, 2018

What's new in midwifery - 26th September 2018


Welcome to the University of Leicester’s first cohort of midwifery students, who started this week!

Some recent things you (and they) might need to know about.

In the news





Research reported in the news
Midwives call for pregnancy weight targets after studyhighlights health risks
News report of a study in Diabetologia - , The impact of maternal gestational weight gain on cardiometabolic risk factors in children

Too much gluten while pregnant linked to increased diabetesrisk for babyNews report of a study in the BMJ, Association between maternal gluten intake and type 1 diabetes in offspring: national prospective cohort study in Denmark, 


Public Health England: Immunisation schedule
These immunisation schedules have been updated:



NHS England Atlas of Shared Learning
The following case studies have been added to the Atlas of Shared LearningSeeking maternity feedback to improve care – Pennine Acute Hospitals



History
Piece from the (US) National Library of Medicine, about the Frontier Nursing Service and the Frontier Graduate School of Midwifery, set up to work in underserved communities in the USA, in 1925.      The Graduate School survives today as a university.

Wednesday, September 19, 2018

What's new in midwifery - 19th September 2018


Some recent things you might need to know about.


Professional Records Standards Body
Standard for maternity care records to support the introduction of digital maternity records in England.


Research
NIHR Signals
Inducing labour at or after 41 weeks reduces risks to infants
Appraisal of Cochrane Review looking at induction of labour for women at or beyond term



NICE consultations


Royal College of Obstetricians and Gynaecologists’ National Guideline Alliance
Report examining twin pregnancy costs.  Outlines costs to the NHS, and discusses implications of increase in multiple pregnancy rate


Royal College of Midwives


In the news


Wednesday, September 12, 2018

What's new in midwifery - 12th September 2018


Some recent things you might need to know about.


Statistics

Research
New England Journal of Medicine
Perspective: Protecting mothers and babies – a delicate balancing act.
Pregnant women are often not included in clinical trials and this affects the amount of data available about prescribing some medications in pregnancy.


Agency for Healthcare Research and Quality (USA)
Complications during birth climb in U.S. hospitals
From STAT Morning Rounds:
“There’s been a sharp increase in the proportion of women who experience serious complications while giving birth in U.S. hospitals. The Agency for Healthcare Research and Quality reports that the number of women experiencing severe issues during birth — including acute renal failure, shock, and sepsis — rose 45 percent from 2006 to 2015. That year, there were 147 cases of severe maternal complications per 10,000 births. Complications were particularly common among women who were uninsured or covered by Medicaid, those over age 40, and those who lived in large urban areas.”

The report is at https://www.hcup-us.ahrq.gov/reports/statbriefs/sb243-Severe-Maternal-Morbidity-Delivery-Trends-Disparities.jsp




Sources: Embed Health Consortium Health Bulletin, King’s Fund Library Health Management and Policy Alert, STAT Morning Rounds, BMJ

Wednesday, September 05, 2018

What's new in midwifery - 5th September 2018


Some recent things you might need to know about.

There was no post last week as I was on my holidays, so here is two weeks’ worth.


Valproate and pregnancy
Letter in the BMJ about circumstances in which a woman of childbearing age may be unable to stop taking valproate.


Maternal request caesarean
Birthrights report from August 2018, according to King’s Fund Library “This report, the result of a nationwide Freedom of Information Act request, shows that the majority of NHS trusts in the UK make the process of requesting a caesarean lengthy, difficult or inconsistent adding anxiety and distress to women at a vulnerable time.”


NICE
Surveillance reports (these report decisions to update, or not, existing guidance).
Pregnancy and complex social factors: a model for service provision for pregnant women with complex social factors (CG110, 2010) – this will not be updated.  Details of the decision are here

Medtech innovation briefing

In the news (all from the Guardian)



Statistics




Sources
BMJ alerts, King’s Fund Library Health Management and Policy Alert, Embed Health Consortium Health Bulletin ... and reading the Guardian on the train!