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.....well life is certainly not boring in the UK right now.....😁

Lucia Rocca-Ihenacho

Lecturer in Midwifery and NIHR Research Fellow
Centre for Maternal and Child Health Research
School of Health Sciences
City University London
1 Myddelton Street
London
EC1R 1UW

07989 230313
Skype contact: luciainsky



On 28 June 2016 at 09:30, Laura Iannuzzi <[log in to unmask]> wrote:

> Dear Soo
> thanks infinitely for that, this is exactly what I told this morning to
> our coordinator, that first of all they have to provide the evidence! but
> the reply was 'well we need to be prepared'...
> and you are absolutely right also in saying that  actions are taken at
> times without looking at the presence of robust evidence but following sort
> of syllogism such as
> there is an operating theatre in labour ward= labour ward is an operating
> theatre are= midwives in labour ward should behave as staff of operating
> theatres....
>
> strong of your suggestion, first of all I'll try not to give up in telling
> that they have the onus..
>
> life is never boring in the Italian system.....
> thanks infinitely
> laura
>
> 2016-06-28 10:14 GMT+02:00 Soo Downe <[log in to unmask]>:
>
>> Laura, how about requiring those who are telling you to do this to
>> provide you with evidence that it will reduce infections without increasing
>> unnecessary labour interventions/CS?. If the organisation wants to
>> introduce something new, the onus is on them to prove that the new change
>> will be beneficial with no increased adverse unexpected consequences,
>> before you need to agree to take on those new practices. This doesn’t stop
>> you gathering your evidence, of course, but they must not introduce new
>> practices (which will also be more costly) without strong evidence that
>> these new practices will result in the benefits they are claiming.
>>
>>
>>
>> All the best
>>
>>
>>
>> Soo
>>
>>
>>
>> *From:* A forum for discussion on midwifery and reproductive health
>> research. [mailto:[log in to unmask]] *On Behalf Of *Laura
>> Iannuzzi
>> *Sent:* 28 June 2016 08:48
>> *To:* [log in to unmask]
>> *Subject:* use of behaviours of operating theatres in labour wards
>>
>>
>>
>> Hello,
>>
>> In our hospital in Florence we have been asked to modify our 'behaviours'
>> in the labour wards and follow the operating theatre 'rules' such as
>>  conforming our dress code in labour rooms and all labour ward areas (thus
>> not only when in the operating theatre within there) under the discourse of
>> infection controls and best practice.
>>
>>
>>
>> As the scenario seems that we are going to face a big step backward ( we
>> fought for years to remove all those things that were making our labour
>> wards like little operating theatres and midwives like operating staff for
>> the sake of women and families and normal of birth..)
>>
>>
>>
>> my request of help is on this: have you got any references, evidence and
>> anything relevant to suggest me to look at that can help in supporting the
>> fact that midwives do not need to dress and behave as in operating staff in
>> all areas and that is not impacting on infections while is crucial in
>> facilitating normal birth and all the connected themes (e.g. birth is not a
>> pathology, environment matters).
>>
>> this morning I was so happy for the fact that why I was looking for
>> literature I knew I had a forum like that can support, that it was even
>> more evident for me the importance of the network you created. thanks
>> infinitely for that
>>
>>
>>
>> Laura Iannuzzi
>>
>>
>>
>>
>>
>
>