From: Macfarlane, Alison
Sent: 02 April 2012 18:05
To: Macfarlane, Alison; 'A forum for discussion on midwifery and reproductive health research.'; 'Christine Grabowska'
Subject: RE: maternal deaths rising in London

 

 

 

From: Macfarlane, Alison
Sent: 02 April 2012 18:04
To: Macfarlane, Alison; 'A forum for discussion on midwifery and reproductive health research.'; 'Christine Grabowska'
Subject: RE: maternal deaths rising in London

 

 

 

From: Macfarlane, Alison
Sent: 02 April 2012 18:02
To: [log in to unmask]; 'Christine Grabowska'
Subject: RE: maternal deaths rising in London

 

Dear Christine,

 

I think you have misunderstood what I meant. I wasn’t blaming migrants or non-English speaking people. If you read past analyses on the subject you will see that they have higher mortality rates and there is concern that the NHS is not giving them the care they need. Yes, there are some units in London with high intervention rates, but high intervention rates can also be found in other parts of England. http://www.hesonline.nhs.uk/Ease/servlet/ContentServer?siteID=1937&categoryID=1815

The way midwives practise is not documented in official statistics, so it isn’t possible to comment on that.

 

Alison

 

From: Christine Grabowska [mailto:[log in to unmask]]
Sent: 02 April 2012 15:53
To: [log in to unmask]
Subject: Re: maternal deaths rising in London

 

It is easy to blame non English speaking peoples.  The NHS has a culture of directing blame outside of itself.

Consider the obstetric nurses who call themselves midwives.  It it here we see women separated from themselves through the use of epidurals and other obstetric interventions. 

How much more evidence do we need - that women need support from midwives who provide continuity and that women have worse outcomes with interventions.

I suspect we're going to find that interventions and obstetric nurses are higher in London.

Christine

 

From: A forum for discussion on midwifery and reproductive health research. [[log in to unmask]] On Behalf Of Debra [[log in to unmask]]
Sent: 31 March 2012 11:26
To: [log in to unmask]
Subject: Re: maternal deaths rising in London

An individual case review would be interesting as I think that recent immigrants and non English speaking women may feature high. Which may account for London and possibly other inner city areas having an increase . Debra Kroll community midwife / Expert  Midwifery Adviser FtP directorate NMC


Sent from my iPhone


On 31 Mar 2012, at 10:20, "Page, Lesley" <[log in to unmask]> wrote:

Is there any possibility of individual case review?

 

Lesley

Professor Lesley Page

Visiting Professor in Midwifery

mobile 07747708630

 

 

 

 

 

 

 

From: A forum for discussion on midwifery and reproductive health research. [[log in to unmask]] On Behalf Of Soo Downe [[log in to unmask]]
Sent: 30 March 2012 16:12
To: [log in to unmask]
Subject: Re: maternal deaths rising in London

Thanks Alison – very interesting Susan – though could another explanation be rising risk aversion, increasing diversion of staff to record keeping, reduced personal relationships and etc.? It is interesting that the highest CS rates are also in London, beyond the expected rates for casemix. So might increased surveillance paradoxically add to the risk, rather than being part of the solution? What did Einstein say? The significant problems we have cannot be solved at the same level of thinking with which we created them.

 

 

All the best

 

Soo

 

From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Macfarlane, Alison
Sent: 30 March 2012 15:06
To: [log in to unmask]
Subject: FW: maternal deaths rising in London

 

 

 

From: Susan Bewley [mailto:[log in to unmask]]
Sent: 30 March 2012 14:54
To: Susan Bewley
Subject: maternal deaths rising in London

 

FYI, published today

Please forward as you see fit

Susan Bewley