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.