Thank you all - keep the converstation going.
I agree with you Soo, we have some time.
I have only had time to be more active, on the media’s etc, because I am on planned holiday (since Friday), though I am working later and through a lot of the next two weeks. There are many who do not have the time, as we are all in continued escalation.
Therefore, we are all depending on you all, to continue to explore findings as they come out from other countries etc.
Please continue to help us - on the floor - by doing this… and keep the conversations going.
We need bite size guidance for midwives.
I won’t be able to attend the Twitter chat, later, as I will be working - so hopefully others will be able to.
Thanks
Mary Edmondson
> On 24 Mar 2020, at 12:18, Soo Downe <[log in to unmask]> wrote:
>
> As long as this isnt extended to all women - there is a risk that the result will be that no-one is allowed to use water, and everyone is persuaded to have an epidural, especially if birth companions are restricted, with a risk of increased rates of CS, increased risk of infection during surgery, increased use of anaestheists time tied up in theatre when they are needed elsewhere, and increased hospital stay for the woman (meaning increased exposure of midwives to potentially infected women due to close care required to deal with abdominal wounds and etc) increased risk of wound infection and readmission, and again, risk to staff of longer term exposure/occupation of scare hospital beds, if sent home early). I really think that some of the theoretical risks in this advice (has anyone actually tested faeces in birth pools to see if it is a vector for covid-19? and by which route would this be?) should be balanced with the known and actual risks of some of these recommendations...
>
> and dont women have a choice anymore?
>
> We really have to be careful, I think, not to cause short and longer term iatrogenic harm by not thinking though the longer term consequences of some of our decisions: we are lucky as we are a few weeks behind the curve in the UK, so, other than in London and maybe Birmingham (where I know some decisions are having to be made very rapidly indeed) we do have time to think these things through, and to consider alternative options other than the one that is the most immediately apparant...
>
> all the best
>
> Soo
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