Thursday, August 22, 2024

What's new in midwifery - 22nd August 2024

Some things that might be useful.   Librarian help or a subscription may be needed to access some items.


Vaccinations and treatments during pregnancy

Covid-19 infection and vaccination during first trimester and risk of congenital anomalies: Nordic registry based study.

Perinatal Outcomes Associated With Metformin Use During Pregnancy in Women With Pregestational Type 2 Diabetes Mellitus.

Pregnancy Outcomes of Nifedipine Compared With Labetalol for Oral Treatment of Mild Chronic Hypertension, PubMed record.

UK Health Security Agency, Guidance on the investigation, diagnosis and management of viral illness (plus syphilis), or exposure to viral rash illness, in pregnancy  (PDF file)

UK Health Security Agency, Respiratory syncytial virus: maternal vaccination


Position statements and papers, and Good practice papers

Royal College of Midwives Position Statement, Advanced practice in midwifery, PDF

Royal College of Obstetricians and Gynaecologists, Good Practice Paper no. 19, Prevention and treatment of work-related post-traumatic stress symptoms in the maternity and gynaecology workforce.

Royal College of Obstetricians and Gynaecologists Position Statement, Poverty, deprivation and women's health, PDF 


Research

Comparing cervical cerclage, pessary and vaginal progesterone for prevention of preterm birth in women with a short cervix (SuPPoRT): A multicentre randomised controlled trial.

Panniculus retractor use for visualization of fetal anatomy: a randomized controlled trial, PubMed record. 

Vaginal progesterone for pregnancy prolongation after arrested preterm labor: a randomized clinical trial

Postpartum primary care engagement using default scheduling and tailored messaging, a randomized clinical trial.


Statistics

Breastfeeding at 6-8 weeks, quarterly data for 2023-2024, Office for Health Improvements and Disparities.

Friday, August 16, 2024

Mpox information - updated 3rd September 2024

Last updated on the date given in the title.     Anything added on that date is labelled NEW.

Because of the rise in cases of Mpox, and the resulting declaration by the WHO of a "public health emergency of international concern", this is an updated list based on one made in 2022/23, in a new post to make it more visible.

List divided (for now) into: 

  • Point of care resources
  • NEW - travel health
  • UK information (including NHS and UKHSA)
  • Worldwide information and information from outside the UK
  • Sources of genetic sequence data
  • A link to PubMed to get a list of articles
  • Other resources (that is, things which don't fit anywhere else!)
  • Resources in French / informations en francais

Note: The disease is officially called Mpox but some resources may still use the term monkeypox.  The virus itself is still officially named monkeypox virus.


Point of care resources

BMJ Best Practice entry on mpox, free access to this information.

Wolters Kluwer free content, including UpToDate, plus some Wolters Kluwer/Lippincott journal articles and guidelines from the Orthopoxvirus Society.   There is also patient information from UpToDate.   Free access to the UpToDate material.     

DynaMed entry on mpox, subscription needed.


NEW - Travel health

NEW - Fitfortravel (Public Health Scotland, NHS Scotland)


Clinical and disease outbreak resources - UK

Message from UK Health Security Agency to all health providers about Clade 1 mpox virus infection, dated 15th August 2024

UK Health Security Agency Monkeypox outbreak: epidemiological overview.  About the situation in the UK, updated on 8th August 2024.

UK Health Security Agency  - background information including epidemiology, symptoms, diagnosis and management.  Last updated 19th August 2024.

The UKHSA response to the World Health Organization's declaration of a public health emergency of international concern, 15th August 2024.

UK Health Security Agency HAIRS risk assessment (risk that mammalian pets exposed to the virus present to the human population)

UK Health Security Agency - information on the status of mpox as a high consequence infectious disease (HCID)

NHS Health A-Z

NHS Inform (NHS Scotland).   Turas, NHS Education for Scotland's learning platform has several things about vaccination*.

Public Health Wales - mpox information for health professionals (in English)
Iechyd Cyhoeddus Cymru - mpox gwybodaeth i weithwyr iechyd proffesiynol (yn Gymraeg)

Welsh Medicines Advisory Service Mpox information for healthcare professionals* (Click Cymraeg in the top right of the screen to have the information in Welsh, same link)

NI Direct - Monkeypox

Medicines and Healthcare products Regulatory Agency  - CAS Alert - immediate actions in response to cases in the UK with no known travel history.  Dated May 2022, I can see nothing newer.

Royal College of Nursing  - podcast on how nurses can spot and treat it, and protect themselves.  Made in July 2022.

* Perplexity found the asterisked items - prompt was "resources for health professionals about mpox", and follow up prompt "are there any resources from the NHS in the UK"



Worldwide information  - outside the UK (= mainland Europe, USA, WHO, global)

WHO Mpox page  - includes disease outbreak outputs and details of which countries have reported cases.

WHO general fact sheet - available in English, Arabic, Chinese, French, Russian, Spanish.

WHO outbreak information

WHO - interim guidance on laboratory testing for the virus, dated 10th May 2024.

For current case data, try ProMED (search mpox for newer reports, monkeypox for older ones).

Africa CDC (Centres for Disease Control and Prevention) - an African Union organisation.   Translation available into Arabic, Chinese, French, Portuguese, Spanish, Swahili.

Centers for Disease Control and Prevention (CDC)

European Centre for Disease Prevention and Control - includes fact sheet for health professionals, links to news items and to communicable disease reports.

Medbox – online library to improve quality of healthcare in humanitarian action.

MedlinePlus resource page (links to US resources)

NEWRijksinstituut voor Volksgezondheid en Milieu (RIVM), Mpox (the Dutch National Institute for Public Health and the Environment).   Ook in Nederlands.

NEW - UNICEF Mpox and children


Genetic sequence data

NCBI Insights item about access to Mpox data through NCBI Virus (dated 21st August 2024)

Entry in NCBI Taxonomy dataset, with links to information in the NCBI MPXV Data Hub (click "Browse all genomes in NCBI Virus").

MPXV data on virological.org (more here about the forum itself). 


Current literature

A search of PubMed for items (includes case reports and news items, as well as research - results are sorted by date)

A search of Trip Database for items including guidelines, systematic reviews and high quality grey literature.


Other resources

Free resources on the Elsevier Health Hub, including overviews, guidelines, links to articles in Elsevier journals, drug monographs and patient information.


Resources in French / Informations en francais

Africa CDC (Centres for Disease Control and Prevention) - an African Union organisation.   Translation available into other languages including French.

BBC News Afrique - Looking at some of the myths.

Institut Pasteur

Le Manual MSD

Medbox – online library to improve quality of healthcare in humanitarian action.  Resources in English et francais

Nations Unies: Centre Regional d’Information pour l’Europe Occidentale

Open WHO: Variole du singe : Cours d'introduction aux contextes d'épidémies en Afrique - online learning

Pan American Health Organization

WHO Factsheet

WHO Questions - Reponse

Automatic translation into French is available from the ECDC mpox page.

There is also information from health agencies and organisations in European French speaking countries, and Canada.   Search terms I've found: mpox, variole du singe, variole simien (du singe), variole simienne (du singe), orthopoxvirus simien, orthopoxvirus simienne.

Thursday, July 11, 2024

What's new in midwifery - research - 11th July 2024

Some things it might be useful to know about.  Subscriptions or a librarian will be needed for access to some.


Anti seizure medications

Research into the risk of autism after prenatal topiramate, valproate, or lamotrigine exposure.  These are three anti seizure medications.   All three are in the BNF (assuming valproate = sodium valproate) and all three have safety warnings about use in pregnancy.  The BNF entry for topiramate reports the MHRA are conducting a review and there is a news item on the MHRA website reporting this.

For interest, there is also an updated practice guideline from three American organisations, published in Neurology.


Metformin

Research into the use of metformin in early pregnancy.


Induction for hypertension of pregnancy

Oral misoprostol, compared with oral misoprostol and oxytocin, in women induced for hypertension of pregnancy


Episiotomy

Lateral episiotomy compared with no episiotomy.

Pain relief after episiotomy.


Magnesium sulfate (sulphate) as a fetal neuroprotective agent

There is an updated Cochrane review on magnesium sulfate as a fetal neuroprotective agent given to individuals at risk of preterm birth, with an open access article about it, and the actual review itself available in the Cochrane Library.


RSV vaccination in pregnancy

Another updated Cochrane review, on respiratory syncytial virus vaccination in pregnancy for improving infant outcomes.


Water births

The Guardian reports a recent research study into the safety of water births.   It does not link to the research, but I think it's this open access study from the splendidly named POOL study.   

Lactation

Does relaxation therapy improve lactation?   


RCOG Green Top Guidelines

No. 31, on the care of the small for gestational age or growth restricted fetus


Labour and delivery nurses

A concept analysis of psychological trauma in labour and delivery nurses.

What's new in midwifery - 11th July 2024

Some recent (or fairly recent) reports and statistics that might be useful:

Smoking status at time of delivery, NHS Digital, statistics for quarter 4 of 2023/24

British Association for Perinatal Medicine, draft Framework for Practice: Routine pulse oximetry testing for newborn babies  (PDF file)

Royal College of Obstetricians and Gynaecologists - Our Impact, July 2022 - December 2023

Nursing and Midwifery Council Independent Culture Review, Nazir Afzal and Rise Associates, July 2024 (PDF file)

Royal College of Midwives, How to fix and improve maternity safety, May 2024 (PDF file).

Nuffield Trust project report on Maternity & neonatal independent senior advocates (a rapid mixed methods evaluation)



Acknowledgements: King's Fund Library alerts, Rotherham Hospital Library and Knowledge Service Latest Health News.

Wednesday, July 10, 2024

Escherichia coli

An outbreak of E. coli infection in the UK, linked to salad leaves which ended up in prepacked sandwiches and similar foods from several retailers, makes me revisit a post from 2015 (that long ago!) and update it.  Here are some resources, first about Shiga toxin producing E. coli (STEC), which is causing the problem in the UK, and then about E. coli and E. coli infection in general.

There is a United Kingdom Health Security Agency press release about the current STEC outbreak in the UK.

Public Health Scotland have information specifically about STEC, as does the Northern Ireland Public Health Agency, and the European Centre for Disease Prevention and Control.

Then there is general E. coli and health information from the United Kingdom Health Security Agency, and information from NHS Scotland (NHS Inform) and the Centers for Disease Control and Prevention.

And then information in EcoliWiki, about non pathogenic E. coli.  PortEco, the producer of this site, is described in this 2014 paper in the annual Database issue of Nucleic Acids Research (if you use the data resource, it is accepted practice to cite the paper, and not the website where the resource lives).   EcoCyc is a database for E. coli K-12 MG1655, performing "literature-based curation of the entire genome" and covering transcriptional regulation, transporters, and metabolic pathways.   There is an overview in the Encyclopedia of Life, which includes articles, data and maps.

A page of results for a search of the National Center for Biotechnology Information site for sources from all NCBI databases includes a direct link to the Taxonomy database.    It includes a PubMed link which gives you absolutely everything, so this PubMed link, specifically for Shiga toxin producing E. coli papers from 2024, might be more effective.

Tuesday, June 11, 2024

Systematic review search filter for Ebsco APA PsycInfo

I needed one of these but couldn't find one.   I did find a multi-database filter for Ovid, including APA PsycInfo, from Canada's Drug Agency, CADTH, so modified it to use in EbscoHost.

I could find no relevant publication types to match line 1 of the original filter, so replaced it with a modification of line 17, and then omitted line 17, so my filter has 22 and not 23 lines.    I changed Ovid's adj3 into N2 (and changed any other adjn in the same way).

This is the result.   I have not validated or tested this filter, although the original one is labelled as having had "pragmatic" testing.


S1 MR (systematic review or meta analysis)

S2 DE "systematic review" OR DE "meta analysis"

S3 ((systematic* N2 (review* or overview*)) or (methodologic* N2 (review* or overview*)))

S4 ((quantitative N2 (review* or overview* or synthes*)) or (research N2 (integrati* or overview*)))

S5 ((integrative N2 (review* or overview*)) or (collaborative N2 (review* or overview*)) or (pool* N2 analy*))

S6 (data synthes* or data extraction* or data abstraction*)

S7 (handsearch* or hand search*)

S8 (mantel haenszel or peto or der simonian or dersimonian or fixed effect* or latin square*)

S9 (met analy* or metanaly* or technology assessment* or HTA or HTAs or technology overview* or technology appraisal*)

S10 (meta regression* or metaregression*)

S11 (meta-analy* or metaanaly* or systematic review* or biomedical technology assessment* or bio-medical technology assessment*)

S12 (medline or cochrane or pubmed or medlars or embase or cinahl)

S13 (cochrane or (health N1 technology assessment) or evidence report)

S14 (comparative N2 (efficacy or effectiveness))

S15 (outcomes research or relative effectiveness)

S16 ((indirect or indirect treatment or mixed-treatment or bayesian) N2 comparison*)

S17 (multi* N2 treatment N2 comparison*)

S18 (mixed N2 treatment N2 (meta-analy* or metaanaly*))

S19 umbrella review*

S20 (multi* N1 paramet* N1 evidence N1 synthesis)

S21 (multiparamet* N1 evidence N1 synthesis)

S22 (multi-paramet* N1 evidence N1 synthesis)

S23 S1 OR S2 OR S3 OR S4 OR S5 OR S6 OR S7 OR S8 OR S9 OR S10 OR S11 OR S12 OR S13 OR S14 OR S15 OR S16 OR S17 OR S18 OR S19 OR S20 OR S21 OR S22

Sunday, May 26, 2024

Avian influenza (bird flu)

At the time of writing, there have been two human cases of avian influenza in the USA, connected to dairy farming,  and the Dutch daily newspaper De Volkskrant is asking if we are ready for a major outbreak of avian influenza in humans (in Dutch, and subscription needed).  

There are other posts on this blog about avian influenza, but from some time ago, so this is a more up to date list of suggested links.

The UK government's page on the latest situation in England, last updated on 26th April 2024, is a comprehensive page including links to information on how to spot avian influenza in birds, and a link to a page to get information on cases in animals in England (that page enables you as well to find details of any case of any notifiable disease in animals), and separate links to case information in the other home nations.

Direct links to government information in the other home nations are:

Northern Ireland

Scotland

- Wales - English, Cymraeg (ffliw adar)

Information from our geographical neighbours from the European Centre for Disease Prevention and Control.

Information from the Centers for Disease Control and Prevention in the United States.

Information from the NHS (last updated in January 2022).

Click this link for PubMed results, sorted by date with most recent first.   The search is filtered to humans, which may lose the most recent references, so to remove the human filter, untick the human filter in the options on the left of the results.  You will then find reports of research in birds or animals as well.   If there are articles at the top of the list under a "Found by citation matching" heading, note they may not be very recent.

Thursday, May 23, 2024

Defibrillators - an update

I have been browsing (sorry) back through some older posts on this blog.   An earlier post  from March 2023 was about the church's investigations into getting a public defibrillator (AED).

Things have progressed, so I think an update is needed.   This is it, and it also corrects a faulty assumption I had made!

I am involved with two churches, and both were discussing getting an AED.   I did the investigating for both, so could use experience gained in one for the benefit of the other.   

One church had a donation of money specifically to acquire a defibrillator, so just needed to decide how to acquire it, and how to maintain it.   

The other church had to decide those same things, but also raise the money.  That church applied to a Department of Health and Social Care fund (I don't know if it is still open), and paid £750 towards the device.  I don't know what criteria were used to decide who was successful.   The £750 was raised through donations, sales from a church book stall, and donations from external groups that use the building.

Both churches now have a defibrillator, installed late last year or early this year.   Here is what we have learned.

You need a qualified electrician to install the cabinet.   The cabinet is permanently connected to the mains via a trip switch, but not to charge the battery (this was my mistaken assumption) but to keep the cabinet lit, and heated if the external temperature is low.   The battery has a fixed lifespan (several years) and when it's flat, it gets replaced.

Then you need to register the device on The Circuit.   The person registering it ends up as the contact, and if the code to unlock the cabinet is given out by the emergency services, that contact person gets an email to say the device "may have been used today".     If the code is given out, the device is made unavailable on The Circuit, so the code is not given to anyone else.

We decided in both churches not to put the code on display or give it to church members or groups, or to external groups using the building.   The reasons for that were 1) we would not know if the device had been used unless remembered to tell us, and 2) the emergency services would not know the device had been used and could give the code to someone who then could potentially not access the device.

Both churches decided who would get emails if the code was issued, and who would then check if the device is present, and if it is, whether it has been used.  I am the Circuit contact and the checker for one of the churches and have had three emails since the start of the year.

The device has not actually been used on any of the three occasions.  On receipt of the email, I check if the pads are present, and if they are, if they are still sealed, and if the "rescue kit" (razor, scissors, wipes) has been used.   Pads and rescue kit would need replacing if not sealed, or of course if not present.    I then test the device.    If nothing needs replacing and all is working, I make the device available again on The Circuit.

For that church, I perform weekly checks on the device.   The devices in both churches actually test themselves.  The device in one church displays an error sign if there's something wrong, then we would need to read the manual or contact the supplier to find out what to do.    Someone else keeps an eye on this.

The device in the church where I am the tester could give us a report if we had bought a particular software (we didn't) and had a way to connect to the device.  (I need to check if the device will connect with the church wifi, which we installed after we had got the device).   In that church, once a week I make the device run a test.  I keep a note that I have done this, in a folder in the church office.  When I test it, I also check the cabinet for damage, and check the power supply is working.   

Tuesday, May 14, 2024

What's new in midwifery - Listen to mums

This is the report from the All-Party Parliamentary Group on Birth Trauma, which was published yesterday.  There was an enquiry set up in January 2024 to look at the reasons for birth trauma, and to develop policy recommendations.

The report itself, on the website of Theo Clarke MP, one of the APPG chairs.  This is a PDF file.

The Guardian's summary of the themes.

The Guardian's report about the launch of the report.

Monday, April 15, 2024

What's new in midwifery - 15th April 2024

Selected new (or newish) items of interest.  I am trying with this one to use DOIs as the link, please consult your library service, if you have access to one, if you have trouble accessing full text.

In the news, Guardian analysis of NHS figures shows black women in England are more likely to have serious birth complications, 


Some systematic reviews and research

Effectiveness of care bundles in preventing postpartum haemorrhage, a systematic review,  

Socio-economic disadvantage and utilisation of labour epidural analgesia, a study carried out in Scotland, 

A systematic review of maternal and neonatal outcomes associated with water birth,

Use of a peanut ball, positioning and pelvic mobility in parturient women shortens labour and improves maternal satisfaction with childbirth: a randomised trial,   

Deferred cord clamping to improve neonatal blood values: A systematic review and meta-analysis


Society of Radiographers guidance

Competencies for ultrasound practice in private baby scan clinics 


NHS staff policy

NHS England National pregnancy and baby loss people framework, policy that applies to NHS staff themselves who experience pregnancy or baby loss.

Monday, February 19, 2024

What's new in midwifery - 19th February 2024

Not sure where the time went, but here are some things that might be useful to know.    

Respectful maternity care

Respectful maternity care, a systematic review .  This is a systematic review of definitions and valid measurements of "respectful maternity care".  There is a published correction detailing errors in some of the published tables.  There is also an AHRQ (the US Agency for Healthcare Research and Quality) Comparative Effectiveness Review on the topic. 

Recommendations and research

WHO recommendations on the assessment of postpartum blood loss and use of a treatment bundle for postpartum haemorrhage.

Effect of Dexmedetomidine on Postpartum Depression in Women With Prenatal Depression: A Randomized Clinical Trial.

American College of Obstetricians and Gynecologists Clinical Practice Guideline no. 8: first and second stage labor management.

Other things

Tales from Call the Midwife podcast series, including stories from people who have experienced or remember events described or portrayed in the series.   

Observer article on perinatal mental healthincluding information about organisations.



Acknowledgements: Rotherham Hospital Library and Knowledge Service Latest Health News blog; McMaster Evidence Alerts, Heather Dawson (LSE)'s Social sciences updates.

Thursday, January 04, 2024

What's new in midwifery - 4th January 2024 (Happy New Year!)

Some things that might be useful to know about

Perinatal bereavement

SANDS Listening Project, learning from the experiences of Black and Asian bereaved parents (PDF)

Infant feeding

Breastfeeding and once-daily small-volume formula supplementation to prevent infant growth impairment,  (open access research article)

Perinatal mental health

Perinatal mental health conditions, SIGN (Scottish Intercollegiate Guideline Network) Guideline 169
 

Delivery

Perinatal morbidity among women with a previous caesarean delivery (PRISMA trial): a cluster-randomised trial, link to PubMed record (subscription needed to read the article)

Vaginal compared with oral misoprostol induction at term: a cluster randomized controlled trial, link to PubMed record (subscription needed to read the article) 


Statistics

NHS Digital Maternity services monthly statistics, final for September 2023, provisional for October 2023, and experimental statistics.


Acknowledgements: McMaster Evidence Alerts, Rotherham Hospital Library and Knowledge Service Latest Health News.


Tuesday, December 19, 2023

What's new in midwifery - 19th December 2023

First of all, season's greetings and best wishes for a peaceful and happy 2024.

Some new things you might find useful.

Royal Colleges

Royal College of Nursing resource for nursing and midwifery practice about female genital mutilation (PDF).  There is also this supplement about sexual health care (also PDF)

Royal College of Obstetricians and Gynaecologists Good Practice Paper no. 17, Maternity triage (PDF)


New publications from MBRRACE

Perinatal confidential enquiry, A comparison of the care of Black and White women who have experienced a stillbirth or neonatal death, published December 2023 (PDF)

Perinatal confidential enquiry, A comparison of the care of Asian and White women  who have experienced a stillbirth or neonatal death, published December 2023 (PDF)


House of Lords Library

Maternal mortality rates in the Black community, published 12th December 2023


Research

Active pelvic movements on a Swiss ball reduced labour duration, pain, fatigue and anxiety in parturient women: a randomised trial.   Link to record in PubMed - follow full text link to access the article, which is open access.


My usual thanks to colleagues at the Library and Knowledge Service at Rotherham Hospital for their Latest Health News, which alerted me to a lot of the above, and McMaster's Evidence Alerts.

Friday, December 08, 2023

What's new in midwifery - 8th December 2023

Guidance and education resources

Royal College of Nursing, Genital examination in women: a resource for skills development and assessment (PDF)

NHS England, Maternity and neonatal voices partnership guidance,  part of the Three year delivery plan for maternity and neonatal services 


Research

Labour and childbirth

Barriers and facilitators of implementing the practice programme for upright positions in the second stage of labour: A mixed‐method study   Research undertaken in Chinese healthcare settings.    Subscription or library access may be needed to see the full text.

Impact of discontinuing oxytocin in active labour on neonatal morbidity: an open-label, multicentre, randomised trial    Report of the STOPOXY trial carried out in France.  PubMed record.  Subscription or library access needed for access to full text.

Insights of healthcare professionals regarding waterbirths and water immersion during labour: A mixed studies review.  Subscription or library access needed for access to full text.

Intravenous calcium to decrease blood loss during intrapartum cesarean delivery: a randomized controlled trial, PubMed record.  Subscription or Library access needed for access to the full text.

Short, medium, and long deferral of umbilical cord clamping compared with umbilical cord milking and immediate clamping at preterm birth: a systematic review and network meta-analysis with individual participant data.   PubMed record. Subscription or Library access needed for access to the full text.

Infant feeding

Complementary feeding interventions for infants and young children under age 2: scoping of promising interventions to implement at the community or state level , report commissioned by the (US) Centers for Disease Control and Prevention, 

How resources combining expertise and social support help breastfeeding women address self-doubt and increase breastfeeding self-efficacy: a mixed-methods study.  Subscription or Library access needed for access to the full text.

Antenatal education and care

Diabetes group prenatal care: a systematic review and meta-analysis.  PubMed record.  Subscription or Library access needed for access to the full paper.

Women's experiences of online antenatal education: An integrative literature review.  Open access.   

Other

Desmopressin to prevent and treat bleeding in pregnant women with an inherited bleeding disorder: a systematic literature review.  Open access.


Acknowledgements: Rotherham Hospital Library and Knowledge Service Latest Health News; McMaster Evidence Alerts.

Friday, November 17, 2023

What's new in midwifery - other things - 17th November 2023

Some other new (ish) items, that don't fit one of the previous posts...

RCOG Green top guideline on recurrent miscarriage

RCM report on the state of maternity services Scotland 

RCM Engaging dads pocket guide 


Three news stories:

Why is pre eclampsia still causing deaths 

Death rate of black babies rising - report about National Child Mortality Database, 

Home help for 8 days after giving birth, the Dutch kraamzorg (="maternity care") scheme. This page from Amsterdam Mamas, in English, tells you more about the scheme. 


Infant feeding: 

WHO guideline for complementary feeding of infants and young children 6-23 months of age (PDF)


Many of these are from the Rotherham Hospital Library and Knowledge Service's Latest health news blog , with grateful acknowledgement

What's new in midwifery - research - 17th November 2023

Not so new, again, but still useful, I hope.

Can we improve discussions with pregnant women about previous trauma,  NIHR plain language summary of a research study.

Role of midwives (and other health professionals) in responding to gender based violence,  an editorial (open access); and a research study on the preparedness of nurses and midwives about domestic violence and abuse (also open access).

Peripartum cardiomyopathy - 20 year population study (also open access).

What's new in midwifery - audit - 17th November 2023

Quite some time since the last post, apologies, so some of this is not so new anymore.    

MBBRACE  State of the nation surveillance report

MBRRACE Lessons learned from 2019-21 (PDF)

MBRRACE Themed reports, with a second set.   


National Neonatal Audit Programme (NNAP) summary report on 2022 data

National Pregnancy in Diabetes Audit 2021 and 2022


Acknowledgements: Rotherham Hospital Library and Knowledge Service, HQIP.

Thursday, November 02, 2023

Clinical trial protocols and published trials

The Trials part of the Cochrane Library, also referred to as CENTRAL, contains published trials and published protocols, but also trial protocols from a number of trials registries including ClinicalTrials.gov.

For those, the Trials (CENTRAL) record does not seem to record publications.    Of course, an ongoing trial won't have any, but some records record the existence of results, if not details of  where they were published.

Records from ClinicalTrials.gov are linked from CENTRAL.   Those ClinicalTrials.gov records do have a space for publications from the trial, but that may not always be filled in even if there are publications.

As an example, two COVID trials:

https://clinicaltrials.gov/study/NCT04523571

and

https://clinicaltrials.gov/study/NCT04368728

Neither of these record any publications from the trial (I imagine it is down to the investigators, or whoever registered the trial, to provide that information).    The ClinicalTrials.gov ID is included in PubMed as part of the SI field, so is searchable, and searching for those same two trials: 

NCT04523571[si]

and

NCT04368728[si]

finds publications for both.   Some for NCT04368728 may be about the trial, rather than trial results, but some are definitely results.

If there are no publications of results recorded in ClinicalTrials.gov, and searching the NCT number finds nothing, then perhaps other possibilities are:

Searching PubMed for an investigator and some words from the protocol title.  Although for both above there are no named investigators in the trials protocols records.    

I asked other health librarians via the lis-medical email discussion list and had some extra suggestions, reproduced here with grateful thanks:

- Contacting the authors or investigators to ask for results (what started this exploration was an enquiry from an undergraduate, and I think this would be more than we'd expect of an undergraduate.  But for a researcher, or a PhD student, maybe it's a possibility).

- Searching the author on ResearchGate for publications around the date of the trial.

 - This tool: http://arrowsmith.psych.uic.edu/cgi-bin/arrowsmith_uic/TrialPubLinking/trial_pub_link_start.cgi.  I gave this a go with one trial my student was interested in, and it did give details of some articles, after some minutes, but none of them looked to be the trial results.

Checking on Google Scholar for items that cite the trial protocol.  If you have access to Web of Science or Scopus, that might be worth trying there too.

 - Looking at preprint servers.  PubMed includes preprints reporting NIH funded results, because they are in PubMed Central.  A quick search of PubMed for covid[ti], filtering to preprint, finds the same number of results as covid.ti. in Ovid Medline, limited to preprint, so I think Ovid Medline includes just those same preprints (we have Medline ALL).    

Thursday, September 14, 2023

What's new in midwifery - 13th September 2023 - other material

And some other types of material.

First, a House of Commons Library briefing on the quality and safety of maternity care in England (PDF).

Then a review article in the New England Journal of Medicine, on defining the neurologic consequences of preterm birth.  

And the American College of Obstetricians and Gynecologists (ACOG) Clinical Practice Guideline no. 6, on Viral hepatitis in pregnancy.  The link is to the record in PubMed.  

What's new in midwifery - 13th September 2023 - Research

First, some original research that it might be useful to know about:

Cervical Pessary for Prevention of Preterm Birth in Individuals With a Short Cervix: The TOPS Randomized Clinical Trial.  


Mid-trimester uterine artery Doppler for aspirin discontinuation in pregnancies at high risk for preterm pre-eclampsia: Post-hoc analysis of StopPRE trial.  

Prenatal Intravenous Magnesium at 30-34 Weeks' Gestation and Neurodevelopmental Outcomes in Offspring: The MAGENTA Randomized Clinical Trial.  This one was conducted in Australia and Aotearoa/New Zealand.


And some systematic reviews:

Cervical cerclage for prevention of preterm birth and adverse perinatal outcome in twin pregnancies with short cervical length or cervical dilatation: A systematic review and meta-analysis.  

Contingency management interventions for abstinence from cigarette smoking in pregnancy and postpartum: A systematic review and meta-analysis.  

The proportions of term or late preterm births after exposure to early antenatal corticosteroids, and outcomes: systematic review and meta-analysis of 1.6 million infants.