I agree Trixie - but also, as academics who are actually also still working full time, to maybe offer support for example through video links to women in pregnancy/postnatal who have queries (being available when not scheduled for academic meetings/students support and etc, or in our off-duty time), or those in early labour at home, so that labour ward midwives can concentrate on women who are in the hospitals, and to help women to stay at home as long as they can?
Or for those of us who have notified our intention to practice, but who havent been on the wards for a while, to offer to complete notes/do other tasks that take up midwives time/require midwifery knowledge but that can be done by others (though, of course, midwives might also need the break that writing up notes can afford them, if they are working flat out face to face with women).
Or maybe even acting as transport support for women moving from home to hospital in labour, though Im not sure about the insurance and etc of this - if taxi services are being used as I think is being considered in some places due to ambulance shortages, maybe there could be a pool of academic/recently retired/midwives on the register but not currently in employment who could accompany the woman in the taxi to give her support/be in a position to give a rapid assessment of her condition on arrival at the labour ward? Just so community support can enable women to stay at home as much as possible.
Just some thoughts, anyway...
All the best
Soo
________________________________
From: Trixie McAree <[log in to unmask]>
Sent: Friday, March 27, 2020 8:20 AM
To: A forum for discussion on midwifery and reproductive health research. <[log in to unmask]>; Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>
Subject: RE: Situation in New Zealand - positive!
We need to be very calm and logical in this period, remembering this is a marathon not a sprint. One size will not fit all. In every case we need to humanise birth, keeping individual needs central. Clearly the Chinese model has so over medicalised birth that they have lost sight of some of the important therapeutic elements of human interaction as well as cost/benefit of intervention for many cases.
The biggest fear in my mind is that actually there wont be sufficient midwives to provide the care making any argument about place of birth redundant. In BHam we are keeping our HBT and C of C teams running as long as possible however as midwives are self-isolating this will become more difficult. We need to monitor using our academic skills but where possible consider also working clinically (if we dont already do so) maintaining moral, influencing guidelines supporting decision making.
Best wishes
Trixie
From: A forum for discussion on midwifery and reproductive health research.
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========================================================================Date: Fri, 27 Mar 2020 09:09:47 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Linda Wylie <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Linda Wylie <[log in to unmask]>
Subject: Re: Solutions?
Comments: To: Soo Downe <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Soo
The last time I was in practice it was the notes I needed more help with. And I got into dire trouble when I forgot to tick a non essential box!!!!!
Linda
Sent from my iPhone
> On 27 Mar 2020, at 08:31, Soo Downe <[log in to unmask]> wrote:
>
> ï»żI agree Trixie - but also, as academics who are actually also still working full time, to maybe offer support for example through video links to women in pregnancy/postnatal who have queries (being available when not scheduled for academic meetings/students support and etc, or in our off-duty time), or those in early labour at home, so that labour ward midwives can concentrate on women who are in the hospitals, and to help women to stay at home as long as they can?
>
> Or for those of us who have notified our intention to practice, but who havent been on the wards for a while, to offer to complete notes/do other tasks that take up midwives time/require midwifery knowledge but that can be done by others (though, of course, midwives might also need the break that writing up notes can afford them, if they are working flat out face to face with women).
>
> Or maybe even acting as transport support for women moving from home to hospital in labour, though Im not sure about the insurance and etc of this - if taxi services are being used as I think is being considered in some places due to ambulance shortages, maybe there could be a pool of academic/recently retired/midwives on the register but not currently in employment who could accompany the woman in the taxi to give her support/be in a position to give a rapid assessment of her condition on arrival at the labour ward? Just so community support can enable women to stay at home as much as possible.
>
> Just some thoughts, anyway...
>
> All the best
>
> Soo
>
> ________________________________
> From: Trixie McAree <[log in to unmask]>
> Sent: Friday, March 27, 2020 8:20 AM
> To: A forum for discussion on midwifery and reproductive health research. <[log in to unmask]>; Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>
> Subject: RE: Situation in New Zealand - positive!
>
>
> We need to be very calm and logical in this period, remembering this is a marathon not a sprint. One size will not fit all. In every case we need to humanise birth, keeping individual needs central. Clearly the Chinese model has so over medicalised birth that they have lost sight of some of the important therapeutic elements of human interaction as well as cost/benefit of intervention for many cases.
>
>
>
> The biggest fear in my mind is that actually there wonât be sufficient midwives to provide the care making any argument about place of birth redundant. In BâHam we are keeping our HBT and C of C teams running as long as possible however as midwives are self-isolating this will become more difficult. We need to monitor using our academic skills but where possible consider also working clinically (if we donât already do so) â maintaining moral, influencing guidelines supporting decision making.
>
>
>
> Best wishes
>
> Trixie
>
>
>
> From: A forum for discussion on midwifery and reproductive health research.
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
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========================================================================Date: Fri, 27 Mar 2020 09:12:05 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Claire Feeley <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Claire Feeley <[log in to unmask]>
Subject: Re: Situation in New Zealand - positive!
Comments: To: Trixie McAree <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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I'd like to add that some of us are desperately trying to get back in to our local trusts to support staff shortages, but it is taking an extraordinarily long time. It took 3 days to get through to the bank office at my local trust, they took my name and number and I've not yet heard anything (8 days now) It is only because another ex-colleague was further along the process than me, that I've gotten the initial form they're sending out which I've emailed back yesterday. I fully appreciate that all departments are up against it, but I wanted to point out the challenges some of us are facing trying to get back to clinical.
Added to which, the rapid response recruitment drive from NHS Professionals doesn't include midwives at the moment!! That, I'm frustrated and somewhat cross about to be honest. Time and time again midwives are ignored, or not factored in.
IM's are inundated with women making inquiries but can't provide care unless the women pay (which most can't) or unless HOM's are willing to secure temp contracts for them. -some are doing so, but there are many examples of IM's being blocked from offering this essential support to keep home birth services going.Â
So at the moment, I feel like my hands are literally tied, I have the clinical skills and recent experience to offer support and very much wish to do so, but am waiting!Â
Best wishesClaire FeeleyMidwife/Researcher
On Friday, 27 March 2020, 08:21:01 GMT, Trixie McAree <[log in to unmask]> wrote:
We need to be very calm and logical in this period, remembering this is a marathon not a sprint. One size will not fit all. In every case we need to humanise birth, keeping individual needs central. Clearly the Chinese model has so over medicalised birth that they have lost sight of some of the important therapeutic elements of human interaction as well as cost/benefit of intervention for many cases.
The biggest fear in my mind is that actually there won't be sufficient midwives to provide the care making any argument about place of birth redundant. In B'Ham we are keeping our HBT and C of C teams running as long as possible however as midwives are self-isolating this will become more difficult. We need to monitor using our academic skills but where possible consider also working clinically (if we don't already do so)Â - maintaining moral, influencing guidelines supporting decision making.
Best wishes
Trixie
From: A forum for discussion on midwifery and reproductive health research.
########################################################################
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########################################################################
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<html><head></head><body><div class="ydp5b506847yahoo-style-wrap" style="font-family: Helvetica Neue, Helvetica, Arial, sans-serif; font-size: 13px;"><div></div>
<div dir="ltr" data-setdir="false">I'd like to add that some of us are desperately trying to get back in to our local trusts to support staff shortages, but it is taking an extraordinarily long time. It took 3 days to get through to the bank office at my local trust, they took my name and number and I've not yet heard anything (8 days now) It is only because another ex-colleague was further along the process than me, that I've gotten the initial form they're sending out which I've emailed back yesterday. I fully appreciate that all departments are up against it, but I wanted to point out the challenges some of us are facing trying to get back to clinical.</div><div dir="ltr" data-setdir="false"><br></div><div dir="ltr" data-setdir="false">Added to which, the rapid response recruitment drive from NHS Professionals doesn't include midwives at the moment!! That, I'm frustrated and somewhat cross about to be honest. Time and time again midwives are ignored, or not factored in.</div><div dir="ltr" data-setdir="false"><br></div><div dir="ltr" data-setdir="false">IM's are inundated with women making inquiries but can't provide care unless the women pay (which most can't) or unless HOM's are willing to secure temp contracts for them. -some are doing so, but there are many examples of IM's being blocked from offering this essential support to keep home birth services going. </div><div dir="ltr" data-setdir="false"><br></div><div dir="ltr" data-setdir="false">So at the moment, I feel like my hands are literally tied, I have the clinical skills and recent experience to offer support and very much wish to do so, but am waiting! </div><div dir="ltr" data-setdir="false"><br></div><div dir="ltr" data-setdir="false">Best wishes</div><div dir="ltr" data-setdir="false">Claire Feeley</div><div dir="ltr" data-setdir="false">Midwife/Researcher</div><div dir="ltr" data-setdir="false"><br></div><div dir="ltr" data-setdir="false"><br></div><div><br></div>
</div><div id="yahoo_quoted_5430185810" class="yahoo_quoted">
<div style="font-family:'Helvetica Neue', Helvetica, Arial, sans-serif;font-size:13px;color:#26282a;">
<div>
On Friday, 27 March 2020, 08:21:01 GMT, Trixie McAree <[log in to unmask]> wrote:
</div>
<div><br></div>
<div><br></div>
<div><div dir="ltr">We need to be very calm and logical in this period, remembering this is a marathon not a sprint. One size will not fit all. In every case we need to humanise birth, keeping individual needs central. Clearly the Chinese model has so over medicalised birth that they have lost sight of some of the important therapeutic elements of human interaction as well as cost/benefit of intervention for many cases.<br></div><div dir="ltr"><br></div><div dir="ltr">The biggest fear in my mind is that actually there won't be sufficient midwives to provide the care making any argument about place of birth redundant. In B'Ham we are keeping our HBT and C of C teams running as long as possible however as midwives are self-isolating this will become more difficult. We need to monitor using our academic skills but where possible consider also working clinically (if we don't already do so) - maintaining moral, influencing guidelines supporting decision making.<br></div><div dir="ltr"><br></div><div dir="ltr">Best wishes<br></div><div dir="ltr">Trixie<br></div><div dir="ltr"><br></div><div dir="ltr">From: A forum for discussion on midwifery and reproductive health research.<br></div><div dir="ltr">########################################################################<br></div><div dir="ltr"><br></div><div dir="ltr">To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:<br></div><div dir="ltr"><a href="https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1" target="_blank">https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1</a></div></div>
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------=_Part_5701003_1966888700.1585300325298--
========================================================================Date: Fri, 27 Mar 2020 09:12:37 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Re: Solutions?
Comments: To: Linda Wylie <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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========================================================================Date: Fri, 27 Mar 2020 09:14:28 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Claire Feeley <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Claire Feeley <[log in to unmask]>
Subject: Re: Solutions?
Comments: To: Linda Wylie <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
MIME-Version: 1.0
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Yes good point, the notes and the electronic systems take forever to learn!
On Friday, 27 March 2020, 09:10:55 GMT, Linda Wylie <[log in to unmask]> wrote:
Soo
The last time I was in practice it was the notes I needed more help with. And I got into dire trouble when I forgot to tick a non essential box!!!!!
Linda
Sent from my iPhone
> On 27 Mar 2020, at 08:31, Soo Downe <[log in to unmask]> wrote:
>
> ï»żI agree Trixie - but also, as academics who are actually also still working full time, to maybe offer support for example through video links to women in pregnancy/postnatal who have queries (being available when not scheduled for academic meetings/students support and etc, or in our off-duty time), or those in early labour at home, so that labour ward midwives can concentrate on women who are in the hospitals, and to help women to stay at home as long as they can?
>
> Or for those of us who have notified our intention to practice, but who havent been on the wards for a while, to offer to complete notes/do other tasks that take up midwives time/require midwifery knowledge but that can be done by others (though, of course, midwives might also need the break that writing up notes can afford them, if they are working flat out face to face with women).
>
> Or maybe even acting as transport support for women moving from home to hospital in labour, though Im not sure about the insurance and etc of this - if taxi services are being used as I think is being considered in some places due to ambulance shortages, maybe there could be a pool of academic/recently retired/midwives on the register but not currently in employment who could accompany the woman in the taxi to give her support/be in a position to give a rapid assessment of her condition on arrival at the labour ward? Just so community support can enable women to stay at home as much as possible.
>
> Just some thoughts, anyway...
>
> All the best
>
> Soo
>
> ________________________________
> From: Trixie McAree <[log in to unmask]>
> Sent: Friday, March 27, 2020 8:20 AM
> To: A forum for discussion on midwifery and reproductive health research. <[log in to unmask]>; Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>
> Subject: RE: Situation in New Zealand - positive!
>
>
> We need to be very calm and logical in this period, remembering this is a marathon not a sprint. One size will not fit all. In every case we need to humanise birth, keeping individual needs central. Clearly the Chinese model has so over medicalised birth that they have lost sight of some of the important therapeutic elements of human interaction as well as cost/benefit of intervention for many cases.
>
>
>
> The biggest fear in my mind is that actually there wonât be sufficient midwives to provide the care making any argument about place of birth redundant. In BâHam we are keeping our HBT and C of C teams running as long as possible however as midwives are self-isolating this will become more difficult. We need to monitor using our academic skills but where possible consider also working clinically (if we donât already do so)Â â maintaining moral, influencing guidelines supporting decision making.
>
>
>
> Best wishes
>
> Trixie
>
>
>
> From: A forum for discussion on midwifery and reproductive health research.
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<html><head></head><body><div class="ydp2797e3b1yahoo-style-wrap" style="font-family:Helvetica Neue, Helvetica, Arial, sans-serif;font-size:13px;"><div></div>
<div dir="ltr" data-setdir="false">Yes good point, the notes and the electronic systems take forever to learn!</div><div><br></div>
</div><div id="yahoo_quoted_5948546433" class="yahoo_quoted">
<div style="font-family:'Helvetica Neue', Helvetica, Arial, sans-serif;font-size:13px;color:#26282a;">
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On Friday, 27 March 2020, 09:10:55 GMT, Linda Wylie <[log in to unmask]> wrote:
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<div><div dir="ltr">Soo<br clear="none"><br clear="none">The last time I was in practice it was the notes I needed more help with. And I got into dire trouble when I forgot to tick a non essential box!!!!!<br clear="none"><br clear="none">Linda<br clear="none"><br clear="none">Sent from my iPhone<br clear="none"><br clear="none">> On 27 Mar 2020, at 08:31, Soo Downe <<a shape="rect" ymailto="mailto:[log in to unmask]" href="mailto:[log in to unmask]">[log in to unmask]</a>> wrote:<br clear="none">> <br clear="none">> ï»żI agree Trixie - but also, as academics who are actually also still working full time, to maybe offer support for example through video links to women in pregnancy/postnatal who have queries (being available when not scheduled for academic meetings/students support and etc, or in our off-duty time), or those in early labour at home, so that labour ward midwives can concentrate on women who are in the hospitals, and to help women to stay at home as long as they can?<br clear="none">> <br clear="none">> Or for those of us who have notified our intention to practice, but who havent been on the wards for a while, to offer to complete notes/do other tasks that take up midwives time/require midwifery knowledge but that can be done by others (though, of course, midwives might also need the break that writing up notes can afford them, if they are working flat out face to face with women).<br clear="none">> <br clear="none">> Or maybe even acting as transport support for women moving from home to hospital in labour, though Im not sure about the insurance and etc of this - if taxi services are being used as I think is being considered in some places due to ambulance shortages, maybe there could be a pool of academic/recently retired/midwives on the register but not currently in employment who could accompany the woman in the taxi to give her support/be in a position to give a rapid assessment of her condition on arrival at the labour ward? Just so community support can enable women to stay at home as much as possible.<br clear="none">> <br clear="none">> Just some thoughts, anyway...<br clear="none">> <br clear="none">> All the best<br clear="none">> <br clear="none">> Soo<br clear="none">> <br clear="none">> ________________________________<br clear="none">> From: Trixie McAree <<a shape="rect" ymailto="mailto:[log in to unmask]" href="mailto:[log in to unmask]">[log in to unmask]</a>><br clear="none">> Sent: Friday, March 27, 2020 8:20 AM<br clear="none">> To: A forum for discussion on midwifery and reproductive health research. <<a shape="rect" ymailto="mailto:[log in to unmask]" href="mailto:[log in to unmask]">[log in to unmask]</a>>; Soo Downe <School of Community Health & Midwifery> <<a shape="rect" ymailto="mailto:[log in to unmask]" href="mailto:[log in to unmask]">[log in to unmask]</a>><br clear="none">> Subject: RE: Situation in New Zealand - positive!<br clear="none">> <br clear="none">> <br clear="none">> We need to be very calm and logical in this period, remembering this is a marathon not a sprint. One size will not fit all. In every case we need to humanise birth, keeping individual needs central. Clearly the Chinese model has so over medicalised birth that they have lost sight of some of the important therapeutic elements of human interaction as well as cost/benefit of intervention for many cases.<br clear="none">> <br clear="none">> <br clear="none">> <br clear="none">> The biggest fear in my mind is that actually there wonât be sufficient midwives to provide the care making any argument about place of birth redundant. In BâHam we are keeping our HBT and C of C teams running as long as possible however as midwives are self-isolating this will become more difficult. We need to monitor using our academic skills but where possible consider also working clinically (if we donât already do so) â maintaining moral, influencing guidelines supporting decision making.<br clear="none">> <br clear="none">> <br clear="none">> <br clear="none">> Best wishes<br clear="none">> <br clear="none">> Trixie<br clear="none">> <br clear="none">> <br clear="none">> <br clear="none">> From: A forum for discussion on midwifery and reproductive health research.<br clear="none">> ########################################################################<br clear="none">> <br clear="none">> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:<br clear="none">> <a shape="rect" href="https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1" target="_blank">https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1</a><div class="yqt6735869862" id="yqtfd57066"><br clear="none"><br clear="none">########################################################################<br clear="none"><br clear="none">To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:<br clear="none"><a shape="rect" href="https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1" target="_blank">https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1</a></div></div></div>
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------=_Part_5702571_1849484859.1585300468589--
========================================================================Date: Fri, 27 Mar 2020 09:26:07 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Mary Edmondson <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Mary Edmondson <[log in to unmask]>
Subject: Re: Solutions?
Comments: To: Claire Feeley <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Priorities for frontline delivery care RE: note keeping:
Assessment: Palpataion, gestation, communication,Basic care, maternal and fetal observations,drugs, and timings, etc. Risk assessments, keeping safe, equipment. PPE.
> On 27 Mar 2020, at 09:14, Claire Feeley <[log in to unmask]> wrote:
>
> Yes good point, the notes and the electronic systems take forever to learn!
>
> On Friday, 27 March 2020, 09:10:55 GMT, Linda Wylie <[log in to unmask]> wrote:
>
>
> Soo
>
> The last time I was in practice it was the notes I needed more help with. And I got into dire trouble when I forgot to tick a non essential box!!!!!
>
> Linda
>
> Sent from my iPhone
>
> > On 27 Mar 2020, at 08:31, Soo Downe <[log in to unmask] <mailto:[log in to unmask]>> wrote:
> >
> > ï»żI agree Trixie - but also, as academics who are actually also still working full time, to maybe offer support for example through video links to women in pregnancy/postnatal who have queries (being available when not scheduled for academic meetings/students support and etc, or in our off-duty time), or those in early labour at home, so that labour ward midwives can concentrate on women who are in the hospitals, and to help women to stay at home as long as they can?
> >
> > Or for those of us who have notified our intention to practice, but who havent been on the wards for a while, to offer to complete notes/do other tasks that take up midwives time/require midwifery knowledge but that can be done by others (though, of course, midwives might also need the break that writing up notes can afford them, if they are working flat out face to face with women).
> >
> > Or maybe even acting as transport support for women moving from home to hospital in labour, though Im not sure about the insurance and etc of this - if taxi services are being used as I think is being considered in some places due to ambulance shortages, maybe there could be a pool of academic/recently retired/midwives on the register but not currently in employment who could accompany the woman in the taxi to give her support/be in a position to give a rapid assessment of her condition on arrival at the labour ward? Just so community support can enable women to stay at home as much as possible.
> >
> > Just some thoughts, anyway...
> >
> > All the best
> >
> > Soo
> >
> > ________________________________
> > From: Trixie McAree <[log in to unmask] <mailto:[log in to unmask]>>
> > Sent: Friday, March 27, 2020 8:20 AM
> > To: A forum for discussion on midwifery and reproductive health research. <[log in to unmask] <mailto:[log in to unmask]>>; Soo Downe <School of Community Health & Midwifery> <[log in to unmask] <mailto:[log in to unmask]>>
> > Subject: RE: Situation in New Zealand - positive!
> >
> >
> > We need to be very calm and logical in this period, remembering this is a marathon not a sprint. One size will not fit all. In every case we need to humanise birth, keeping individual needs central. Clearly the Chinese model has so over medicalised birth that they have lost sight of some of the important therapeutic elements of human interaction as well as cost/benefit of intervention for many cases.
> >
> >
> >
> > The biggest fear in my mind is that actually there wonât be sufficient midwives to provide the care making any argument about place of birth redundant. In BâHam we are keeping our HBT and C of C teams running as long as possible however as midwives are self-isolating this will become more difficult. We need to monitor using our academic skills but where possible consider also working clinically (if we donât already do so) â maintaining moral, influencing guidelines supporting decision making.
> >
> >
> >
> > Best wishes
> >
> > Trixie
> >
> >
> >
> > From: A forum for discussion on midwifery and reproductive health research.
> > ########################################################################
> >
> > To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
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>
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>
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<html><head><meta http-equiv="Content-Type" content="text/html; charset=utf-8"></head><body style="word-wrap: break-word; -webkit-nbsp-mode: space; line-break: after-white-space;" class="">Priorities for frontline delivery care RE: note keeping:<div class=""><br class=""></div><div class=""><br class=""></div><div class="">Assessment: Palpataion, gestation, communication,Basic care, maternal and fetal observations,drugs, and timings, etc. Risk assessments, keeping safe, equipment. PPE. </div><div class=""><br class=""></div><div class=""><br class=""><div><br class=""><blockquote type="cite" class=""><div class="">On 27 Mar 2020, at 09:14, Claire Feeley <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>> wrote:</div><br class="Apple-interchange-newline"><div class=""><div class=""><div class="ydp2797e3b1yahoo-style-wrap" style="font-family:Helvetica Neue, Helvetica, Arial, sans-serif;font-size:13px;"><div class=""></div>
<div dir="ltr" data-setdir="false" class="">Yes good point, the notes and the electronic systems take forever to learn!</div><div class=""><br class=""></div>
</div><div id="yahoo_quoted_5948546433" class="yahoo_quoted">
<div style="font-family:'Helvetica Neue', Helvetica, Arial, sans-serif;font-size:13px;color:#26282a;" class="">
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On Friday, 27 March 2020, 09:10:55 GMT, Linda Wylie <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>> wrote:
</div>
<div class=""><br class=""></div>
<div class=""><br class=""></div>
<div class=""><div dir="ltr" class="">Soo<br clear="none" class=""><br clear="none" class="">The last time I was in practice it was the notes I needed more help with. And I got into dire trouble when I forgot to tick a non essential box!!!!!<br clear="none" class=""><br clear="none" class="">Linda<br clear="none" class=""><br clear="none" class="">Sent from my iPhone<br clear="none" class=""><br clear="none" class="">> On 27 Mar 2020, at 08:31, Soo Downe <<a shape="rect" ymailto="mailto:[log in to unmask]" href="mailto:[log in to unmask]" class="">[log in to unmask]</a>> wrote:<br clear="none" class="">> <br clear="none" class="">> ï»żI agree Trixie - but also, as academics who are actually also still working full time, to maybe offer support for example through video links to women in pregnancy/postnatal who have queries (being available when not scheduled for academic meetings/students support and etc, or in our off-duty time), or those in early labour at home, so that labour ward midwives can concentrate on women who are in the hospitals, and to help women to stay at home as long as they can?<br clear="none" class="">> <br clear="none" class="">> Or for those of us who have notified our intention to practice, but who havent been on the wards for a while, to offer to complete notes/do other tasks that take up midwives time/require midwifery knowledge but that can be done by others (though, of course, midwives might also need the break that writing up notes can afford them, if they are working flat out face to face with women).<br clear="none" class="">> <br clear="none" class="">> Or maybe even acting as transport support for women moving from home to hospital in labour, though Im not sure about the insurance and etc of this - if taxi services are being used as I think is being considered in some places due to ambulance shortages, maybe there could be a pool of academic/recently retired/midwives on the register but not currently in employment who could accompany the woman in the taxi to give her support/be in a position to give a rapid assessment of her condition on arrival at the labour ward? Just so community support can enable women to stay at home as much as possible.<br clear="none" class="">> <br clear="none" class="">> Just some thoughts, anyway...<br clear="none" class="">> <br clear="none" class="">> All the best<br clear="none" class="">> <br clear="none" class="">> Soo<br clear="none" class="">> <br clear="none" class="">> ________________________________<br clear="none" class="">> From: Trixie McAree <<a shape="rect" ymailto="mailto:[log in to unmask]" href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br clear="none" class="">> Sent: Friday, March 27, 2020 8:20 AM<br clear="none" class="">> To: A forum for discussion on midwifery and reproductive health research. <<a shape="rect" ymailto="mailto:[log in to unmask]" href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>; Soo Downe <School of Community Health & Midwifery> <<a shape="rect" ymailto="mailto:[log in to unmask]" href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br clear="none" class="">> Subject: RE: Situation in New Zealand - positive!<br clear="none" class="">> <br clear="none" class="">> <br clear="none" class="">> We need to be very calm and logical in this period, remembering this is a marathon not a sprint. One size will not fit all. In every case we need to humanise birth, keeping individual needs central. Clearly the Chinese model has so over medicalised birth that they have lost sight of some of the important therapeutic elements of human interaction as well as cost/benefit of intervention for many cases.<br clear="none" class="">> <br clear="none" class="">> <br clear="none" class="">> <br clear="none" class="">> The biggest fear in my mind is that actually there wonât be sufficient midwives to provide the care making any argument about place of birth redundant. In BâHam we are keeping our HBT and C of C teams running as long as possible however as midwives are self-isolating this will become more difficult. We need to monitor using our academic skills but where possible consider also working clinically (if we donât already do so) â maintaining moral, influencing guidelines supporting decision making.<br clear="none" class="">> <br clear="none" class="">> <br clear="none" class="">> <br clear="none" class="">> Best wishes<br clear="none" class="">> <br clear="none" class="">> Trixie<br clear="none" class="">> <br clear="none" class="">> <br clear="none" class="">> <br clear="none" class="">> From: A forum for discussion on midwifery and reproductive health research.<br clear="none" class="">> ########################################################################<br clear="none" class="">> <br clear="none" class="">> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:<br clear="none" class="">> <a shape="rect" href="https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1" target="_blank" class="">https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1</a><div class="yqt6735869862" id="yqtfd57066"><br clear="none" class=""><br clear="none" class="">########################################################################<br clear="none" class=""><br clear="none" class="">To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:<br clear="none" class=""><a shape="rect" href="https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1" target="_blank" class="">https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1</a></div></div></div>
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--Apple-Mail=_366EDC3D-A7E0-44BE-A6C4-1AF0AA8A5B21--
========================================================================Date: Fri, 27 Mar 2020 09:28:31 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Trixie McAree <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Trixie McAree <[log in to unmask]>
Subject: solutions
Comments: To: Claire Feeley <[log in to unmask]>
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--_000_DB7PR02MB49550FAD267FB55F3D861972BACC0DB7PR02MB4955eurp_--
========================================================================Date: Fri, 27 Mar 2020 09:32:56 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Trixie McAree <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Trixie McAree <[log in to unmask]>
Subject: Re: Solutions?
Comments: To: Mary Edmondson <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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--_000_DB7PR02MB495576BA68F67F441F3A0FBDBACC0DB7PR02MB4955eurp_--
========================================================================Date: Fri, 27 Mar 2020 09:41:01 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Mary Edmondson <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Mary Edmondson <[log in to unmask]>
Subject: Re: Solutions?
Comments: To: Soo Downe <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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We need you to follow and trac the evidence and issues - which you are - If you donât nobody will. We need you all - keep sharing - the challenges -
I am Working hard when not working in a hospital, to trac everything and feed back re evidence, PPE, maintaining good care and attitude - etc.
Mary E.
> On 27 Mar 2020, at 08:30, Soo Downe <[log in to unmask]> wrote:
>
> --_000_DB3PR0302MB3241A36D3B3B8EC4F6DE4A0097CC0DB3PR0302MB3241_
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>
> I agree Trixie - but also, as academics who are actually also still working=
> full time, to maybe offer support for example through video links to women=
> in pregnancy/postnatal who have queries (being available when not schedule=
> d for academic meetings/students support and etc, or in our off-duty time),=
> or those in early labour at home, so that labour ward midwives can concent=
> rate on women who are in the hospitals, and to help women to stay at home =
> as long as they can?
>
> Or for those of us who have notified our intention to practice, but who hav=
> ent been on the wards for a while, to offer to complete notes/do other task=
> s that take up midwives time/require midwifery knowledge but that can be do=
> ne by others (though, of course, midwives might also need the break that wr=
> iting up notes can afford them, if they are working flat out face to face w=
> ith women).
>
> Or maybe even acting as transport support for women moving from home to hos=
> pital in labour, though Im not sure about the insurance and etc of this - i=
> f taxi services are being used as I think is being considered in some place=
> s due to ambulance shortages, maybe there could be a pool of academic/recen=
> tly retired/midwives on the register but not currently in employment who co=
> uld accompany the woman in the taxi to give her support/be in a position to=
> give a rapid assessment of her condition on arrival at the labour ward? Ju=
> st so community support can enable women to stay at home as much as possib=
> le.
>
> Just some thoughts, anyway...
>
> All the best
>
> Soo
>
> ________________________________
> From: Trixie McAree <[log in to unmask]>
> Sent: Friday, March 27, 2020 8:20 AM
> To: A forum for discussion on midwifery and reproductive health research. <=
> [log in to unmask]>; Soo Downe <School of Community Health &=
> Midwifery> <[log in to unmask]>
> Subject: RE: Situation in New Zealand - positive!
>
>
> We need to be very calm and logical in this period, remembering this is a m=
> arathon not a sprint. One size will not fit all. In every case we need to h=
> umanise birth, keeping individual needs central. Clearly the Chinese model =
> has so over medicalised birth that they have lost sight of some of the impo=
> rtant therapeutic elements of human interaction as well as cost/benefit of =
> intervention for many cases.
>
>
>
> The biggest fear in my mind is that actually there won=92t be sufficient mi=
> dwives to provide the care making any argument about place of birth redunda=
> nt. In B=92Ham we are keeping our HBT and C of C teams running as long as p=
> ossible however as midwives are self-isolating this will become more diffic=
> ult. We need to monitor using our academic skills but where possible consid=
> er also working clinically (if we don=92t already do so) =96 maintaining m=
> oral, influencing guidelines supporting decision making.
>
>
>
> Best wishes
>
> Trixie
>
>
>
> From: A forum for discussion on midwifery and reproductive health research.=
>
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
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========================================================================Date: Fri, 27 Mar 2020 09:42:34 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Mary Edmondson <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Mary Edmondson <[log in to unmask]>
Subject: Re: Situation in New Zealand - positive!
Comments: To: Soo Downe <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Yes, re: ICM
> On 26 Mar 2020, at 22:56, Soo Downe <[log in to unmask]> wrote:
>
> Fabulous to hear Susan. We really need to collect positive stories of good quality care (for women, families, and care providers).
>
> All the best
>
> Soo
>
> From: The normal birth research list <[log in to unmask] <mailto:[log in to unmask]>> on behalf of Susan Crowther <[log in to unmask] <mailto:[log in to unmask]>>
> Sent: Thursday, March 26, 2020 8:55 PM
> To: [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>>
> Subject: Re: Situation in Slovakia - grim
>
> Agree Lesley, what can we do for regions where sensitive community relational care is threatened. It seems that this is the time for more compassion and sensitivity not institutional uncaring dictates.
> What can we do â perhaps ICM could release some guidance to all regions? The risk and childbirth discourse appears to be escalating in some regions in the face of Covid 19. We all need practical solutions not fear based knee jerk reactions.
>
> NZ has its own issues at this time but CoCer and maintaining womenâs rights to choose continues to be central to the partnership model. I am truly impressed on how New Zealand midwives, both hospital based and the continuity of carer midwives, are addressing the needs of their communities and supporting each other to practice proactively to do so. It is heart-warming.
> Go well
> Susan
>
>
> From: The normal birth research list <[log in to unmask] <mailto:[log in to unmask]>> On Behalf Of Page, Lesley
> Sent: Friday, 27 March 2020 5:14 am
> To: [log in to unmask] <mailto:[log in to unmask]>
> Subject: Re: Situation in Slovakia - grim
>
> I am so disturbed to hear what is happening in Slovakia. Why is the humanisation of birth so difficult?
>
>
> Lesley
>
> Professor Lesley Page CBE
> Visiting Professor in Midwifery KCL
> Adjunct Professor UTS Australia
> Griffith University Australia
> Honorary research fellow Oxford Brookes University
>
> mobile +44(o)7747708630
>
>
> https://www.all4maternity.com/humanising-birth-hope-for-the-future-even-in-war/ <https://www.all4maternity.com/humanising-birth-hope-for-the-future-even-in-war/>
>
> https://www.all4maternity.com/author/lesleypage/ <https://www.all4maternity.com/author/lesleypage/>
> twitter: lesleypageCBE@humanisingbirth
>
>
>
>
>
>
> From: The normal birth research list <[log in to unmask] <mailto:[log in to unmask]>> on behalf of Soo Downe <[log in to unmask] <mailto:[log in to unmask]>>
> Sent: 26 March 2020 15:35
> To: [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>>
> Subject: Situation in Slovakia - grim
>
>
>
> From: Zuzana Kriskova <[log in to unmask] <mailto:[log in to unmask]>>
> Sent: Thursday, March 26, 2020 3:33 PM
> To: Soo Downe <School of Community Health & Midwifery> <[log in to unmask] <mailto:[log in to unmask]>>
> Cc: Brenda Dmello <[log in to unmask] <mailto:[log in to unmask]>>; Rebecca Brown <[log in to unmask] <mailto:[log in to unmask]>>; Jennifer Stevens <[log in to unmask] <mailto:[log in to unmask]>>; Elena Skoko <[log in to unmask] <mailto:[log in to unmask]>>; [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>>
> Subject: Re: Thinking out of the box - an alternative covid approach for birth
>
> Dear all,
>
> in Slovakia, we hear disturbing news. Some hospitals decided to follow protocols from China (enclosed) and decided that - no companions, forceps birth or ceaserians section are mandatory for women with COVID-19, mandatory 14 days separation of the baby. Some women need to wear the mask non-stop, during birth and after birth (even in sleep). In another hospital epidurals are postponed (we are not in crises, only 2 people are officialy in critical condition). As visits are banned parents of premature children are not allowed to see them. From Czech rep. we heard that some women are allowed to be with their baby in room, but the baby needs to be 2m from mother.
>
> We are afraid that more and more "creative" directives would be forced upon women.
>
> I understand that you as midwifes and other healthcare professional are in front lines, risking your own health. And many of you are in the risk group. I understand the need of protection and we see that in many countries and hospitals personnel doesn't have sufficient protection - we are missing masks, respirators, gloves.... But still as human rights activist I call for your help. Pregnant women are in very vulnerable position, they can not wait until the pandemic is over. We need to hear that even the time of crisis respectful maternity care is not a luxury. We need to call out those who use this time as opportunity to bully and mistreat women.
>
> Zuzana Kriskova
> Women's circles
> NGO from Slovakia
>
> ĆĄt 26. 3. 2020 o 14:40 Soo Downe <[log in to unmask] <mailto:[log in to unmask]>> napĂsal(a):
> And maybe some good news about an alternative approach, where this is possible?:
>
> From: Nieuwenhuijze M (AV-M) <[log in to unmask] <mailto:[log in to unmask]>>
>
> Subject: RE: CORONAVIRUS - COST activities
>
> Women in the Netherlands are still giving birth at home. Actually, low risk women in certain areas are more often choosing a home birth to avoid the hospital or because some hospital restrict admittance as much as possible. Additionally, they are setting up birth units (e.g. in hotels) very close to the hospital to avoid delay in time and still keep women outside the hospital.
> If women need to be admitted for medical reasons, they are allowed one person to accompany them during birth.
>
> Met vriendelijke groet | Kind regards,
>
> Marianne Nieuwenhuijze PhD MPH RM
> Professor of Midwifery
> Lectoraat Midwifery Science | Research Centre for Midwifery Science
> Academie Verloskunde Maastricht
> Zuyd University
> +31(0)43 388 54 11
> [log in to unmask] <mailto:[log in to unmask]>,
> MailScanner has detected a possible fraud attempt from "eur03.safelinks.protection.outlook.com" claiming to be www.av-m.nl <https://eur03.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.av-m.nl%2F&data=01%7C01%7Clesley.page%40KCL.AC.UK%7C80f93327c7dd459c47c508d7d19b53c2%7C8370cf1416f34c16b83c724071654356%7C0&sdata=s77jNrUTvEcLLtHsXjHdAuDQP82IIB0pkBTRHLe0mOk%3D&reserved=0>
> Universiteitssingel 60, 6229 ER Maastricht
>
>
> From: Brenda Dmello <[log in to unmask] <mailto:[log in to unmask]>>
> Sent: Thursday, March 26, 2020 7:39 AM
> To: Rebecca Brown <[log in to unmask] <mailto:[log in to unmask]>>
> Cc: Soo Downe <School of Community Health & Midwifery> <[log in to unmask] <mailto:[log in to unmask]>>; Jennifer Stevens <[log in to unmask] <mailto:[log in to unmask]>>; Elena Skoko <[log in to unmask] <mailto:[log in to unmask]>>; [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>>
> Subject: Re: ITALY: COVID-19 & RMC Position statement
>
> Hello,
>
> May I share a few thoughts on respectful care at childbirth in the time of COVID 19.
>
> It is indeed a tough time- a novel virus - overwhelming health systems- the world is in panic. The scientific community has not had the time to really determine the facts - it is a time of transition - we can expect multiple changes in protocols as new evidence emerges.
> It will take us some time to figure out what is best for mum and baby and the community at large. We do not yet know enough about the interaction between COVID19 and pregnancy- how to manage a patient that is infected and how to manage a patient that is not infected. We may need to be gracious and patient but not complacent.
>
> To allow birth companions or not- that is the question...separate mum and baby- we have had a similar scenario before when we had to decide to breastfeed or not to breastfeed in the time of HIV.
>
> Are we making decisions on what is best and convenient for the health care provider- like we do here in Tanzania or what is best for the client? While we do not know everything about how to handle pregnancy in the time of COVID, we know for SURE what the woman needs and wants and, what keeps her and her baby safe. For centuries we have know, but the progress to give the woman what is 'RIGHT' has been hard fought and gains have been slow...and that is why this group exists.
>
> We need to recognize that pregnancy management is not an individual sport- it requires a team approach and is a family/community affair.We have managed TB and HIV in pregnancy in the past.Maybe there are lessons we can learn.
>
> My hunch is that time will tell us that we should prioritise what the mother wants, she knows what is best for her and her baby.
>
> A few more thoughts and an advocacy pitch for a birth companion....
>
> Birth companion is not a soft science- it is the single most important intervention to ensure Right care which includes respectful birth. More importantly the management of the psyche in a pregnant woman is critical during labour. It is one of the four pillar in labour management- along with the other 'P's - Passage (the pelvis), the Passenger(the baby size and position) and Power(the strength of uterine contractions). It will be sad for our fellow pregnant mums in the developed world to move backwards and now experience the trauma of labouring alone or with strangers. It is too painful and sad to hear women scream 'nursi'...'nursi'- mostly out of panic and fear in her loneliness. It kills the joy that should be there at childbirth. Sometimes it kills more than that.
>
> I understand we need to be wise in this new era- but a few more thoughts...
> Who is the birth companion ban protecting?
> The companion ? - who most likely lives with the woman.
> The health care provider ? - who is highly trained to deal with COVID cases, infectious disease and is fully kitted with IPC gear (that could be stepped up to ebola prevention levels)
> or
> The pregnant woman? who irrespective whether she has COVID or not needs urgent and right delivery care with access to emergency management/PPH/blood transfusion/ and a few other unpredictable emergencies etc
>
> Once we decide that both the clinical provision of care and the experience of care are of equal and non negotiable priority- then the health specialists should tell us what to do to keep the various participants in the delivery process safe without withholding any basic rights.
>
> I agree maybe the companion will need extra training - we may need to clarify and ensure no vulnerable groups selected as companions and include training on how not to acquire and how not to spread infection. I am sure that is possible.
>
> I am believing that together we will come up with a best way forward with public health specialists, virologists, nurse midwives, mothers and partners engaged in decision making.Together we will make the right decision. We always have.
>
> Warmest regards
> Brenda
>
>
>
>
> Dr. Brenda Sequeira D'mello,MD, MMed (OBGYN)
> Technical Advisor & Project Manager,
> Capacity Building Project
> Maternal and Newborn Health program
> CCBRT
>
> phone 255 754295465
>
>
> On Wed, Mar 25, 2020 at 8:05 PM 'Rebecca Brown' via Global RMC Council <[log in to unmask] <mailto:[log in to unmask]>> wrote:
> Hi All,
>
> In New York, so far two large hospital systems (New York Presbyterian and Mt Sinai) have instituted a policy allowing no additional support into the labor and delivery units â no spouses, doulas or family. Itâs causing outrage here and petitions have been launched.
>
> Best,
> Rebecca
>
> <image002.jpg>
>
> REBECCA BROWN* (she/her/hers)
> Senior Director of Global Advocacy
> [log in to unmask] <mailto:[log in to unmask]>
>
> 199 Water Street, 22nd Floor
> New York NY 10038
> Tel 917 6373606 Fax 917 637 3666
> Skype rbrown_crr
>
> Website <https://eur03.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.reproductiverights.org%2F&data=01%7C01%7Clesley.page%40KCL.AC.UK%7C80f93327c7dd459c47c508d7d19b53c2%7C8370cf1416f34c16b83c724071654356%7C0&sdata=RP5MyXRyBolqJB7YbWHIPpjP9mvQBaFZhoeXWHSzoy8%3D&reserved=0> | Facebook <https://eur03.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.facebook.com%2Freproductiverights&data=01%7C01%7Clesley.page%40KCL.AC.UK%7C80f93327c7dd459c47c508d7d19b53c2%7C8370cf1416f34c16b83c724071654356%7C0&sdata=ghe0faj%2BsypJvMwnYs117OTAr9dS0y0RZQ4%2F9XEb%2FSs%3D&reserved=0> | Twitter <https://eur03.safelinks.protection.outlook.com/?url=https%3A%2F%2Ftwitter.com%2Freprorights&data=01%7C01%7Clesley.page%40KCL.AC.UK%7C80f93327c7dd459c47c508d7d19b53c2%7C8370cf1416f34c16b83c724071654356%7C0&sdata=gx%2Bg1xp1eLwKxTRmuTukzvnjJ62h5Zou7eGEAw%2F6xOY%3D&reserved=0>
>
> *JD, admitted in New York (active status)
>
> This message may contain confidential or privileged information. If you are not the intended recipient, please advise the sender immediately by reply e-mail and delete this message and any attachments without retaining a copy.
>
> From: [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>> On Behalf Of Soo Downe
> Sent: Wednesday, March 25, 2020 12:03 PM
> To: Jennifer Stevens <[log in to unmask] <mailto:[log in to unmask]>>; Elena Skoko <[log in to unmask] <mailto:[log in to unmask]>>
> Cc: [log in to unmask] <mailto:[log in to unmask]>
> Subject: Re: ITALY: COVID-19 & RMC Position statement
>
> This is a recommendation from the WHO intrapartum guidelines Jennifer, that has applied to all settings since the guidelines were published:
>
> Companionship during labour and childbirth 3. A companion of choice is recommended for all women throughout labour and childbirth. Recommended
>
> I think the idea is that the lack of privacy and etc should not be used as an excuse to limit companionship - rather that the human right of companionship should lead to a change in hospital design/ward set up so that it can be provided.
>
> I know there is debate about this in the light of covid-19 for some settings in Europe - but in others it is still absolutely seen as a right, and, indeed, as a way of minimising cross-infection for staff, as, if a woman has a birth companion she is better able to labour without the need for constant staff support, is less likely to need an epidural (so to need an anaesthetist) and is less likely to need a CS (and so, again, less likely to occupy a theatre and need theatre staff, and more likely to be able to leave hospital quicker).
>
> My understanding, by the way, is that healthy pregnant women are the social group of adults least likely to be infected with C-19/to experience severe disease once infected - the theory being that, paradoxically, because they are immune suppressed they dont mount the catastrophic auto-immune response that characterises the worst effects of the disease -but Im not sure where I got that information from (it could be mis-information!). Can anyone enlighten me on this?
>
> Many thanks
>
> soo
>
> Many thanks
>
> Soo
>
>
> From: [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>> on behalf of Jennifer Stevens <[log in to unmask] <mailto:[log in to unmask]>>
> Sent: Wednesday, March 25, 2020 2:58 PM
> To: Elena Skoko <[log in to unmask] <mailto:[log in to unmask]>>
> Cc: [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>>
> Subject: Re: ITALY: COVID-19 & RMC Position statement
>
> Thank you for sharing this.
>
> I was surprised to see a companion of choice listed on the info graphic. Although a right I fully support during normal circumstances, I have some concerns around it now during the COVID outbreak, especially in LMIC where often inadequate screening and privacy is available. What are others thoughts on this? Also, is this supported in current WHO recommendations?
>
> Thank you!
> Jennifer Stevens
>
> On Tue, Mar 24, 2020 at 9:40 PM Elena Skoko <[log in to unmask] <mailto:[log in to unmask]>> wrote:
> Dear colleagues,
>
> as Italian users' rappresentatives, we have issued a Position statement on COVID-19 and respectful maternity care.
>
> MailScanner has detected a possible fraud attempt from "eur03.safelinks.protection.outlook.com" claiming to behttps://ovoitalia.wordpress.com/2020/03/24/position-statement-emergenza-codiv-19-e-assistenza-rispettosa-alla-maternita-e-nascita/ <https://eur03.safelinks.protection.outlook.com/?url=https%3A%2F%2Fovoitalia.wordpress.com%2F2020%2F03%2F24%2Fposition-statement-emergenza-codiv-19-e-assistenza-rispettosa-alla-maternita-e-nascita%2F&data=01%7C01%7Clesley.page%40KCL.AC.UK%7C80f93327c7dd459c47c508d7d19b53c2%7C8370cf1416f34c16b83c724071654356%7C0&sdata=UogMxJmw6tanwXx2woH9nPzHQoS3NF4fP2ZnItyV%2F54%3D&reserved=0>
>
> Thank you for sharing. If you feel like it, you can endorse the statement with your organisation or association by replying to me. Thank you!
>
> Sorry for not having a translation in English yet.
>
> Best wishes and stay safe
>
> Elena Skoko
> Obstetric Violence Observatory Italy
> MailScanner has detected a possible fraud attempt from "eur03.safelinks.protection.outlook.com" claiming to bewww.ovoitalia.wordpress.com/ <https://eur03.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.ovoitalia.wordpress.com%2F&data=01%7C01%7Clesley.page%40KCL.AC.UK%7C80f93327c7dd459c47c508d7d19b53c2%7C8370cf1416f34c16b83c724071654356%7C0&sdata=zFcIDO3opWo9d3o%2BgksqNSyMdnHBTy%2B7IGN1ot6hRC0%3D&reserved=0>
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<html><head><meta http-equiv="Content-Type" content="text/html; charset=utf-8"></head><body style="word-wrap: break-word; -webkit-nbsp-mode: space; line-break: after-white-space;" class="">Yes, re: ICM <br class=""><div><br class=""><blockquote type="cite" class=""><div class="">On 26 Mar 2020, at 22:56, Soo Downe <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>> wrote:</div><br class="Apple-interchange-newline"><div class=""><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class="">Fabulous to hear Susan. We really need to collect positive stories of good quality care (for women, families, and care providers).</div><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class=""><br class=""></div><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class="">All the best</div><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class=""><br class=""></div><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class="">Soo</div><div id="appendonsend" style="caret-color: rgb(0, 0, 0); font-family: Helvetica; font-size: 12px; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;" class=""></div><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class=""><br class=""></div><hr tabindex="-1" style="caret-color: rgb(0, 0, 0); font-family: Helvetica; font-size: 12px; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; display: inline-block; width: 774.1875px;" class=""><span style="caret-color: rgb(0, 0, 0); font-family: Helvetica; font-size: 12px; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; float: none; display: inline !important;" class=""></span><div id="divRplyFwdMsg" dir="ltr" style="caret-color: rgb(0, 0, 0); font-family: Helvetica; font-size: 12px; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;" class=""><font face="Calibri, sans-serif" style="font-size: 11pt;" class=""><b class="">From:</b><span class="Apple-converted-space"> </span>The normal birth research list <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>> on behalf of Susan Crowther <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class=""><b class="">Sent:</b><span class="Apple-converted-space"> </span>Thursday, March 26, 2020 8:55 PM<br class=""><b class="">To:</b><span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class=""><b class="">Subject:</b><span class="Apple-converted-space"> </span>Re: Situation in Slovakia - grim</font><div class=""> </div></div><div lang="EN-NZ" style="caret-color: rgb(0, 0, 0); font-family: Helvetica; font-size: 12px; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;" class=""><div class="x_WordSection1"><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span class="">Agree Lesley, what can we do for regions where sensitive community relational care is threatened. It seems that this is the time for more compassion and sensitivity not institutional uncaring dictates.</span></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span class="">What can we do â perhaps ICM could release some guidance to all regions? The risk and childbirth discourse appears to be escalating in some regions in the face of Covid 19. We all need practical solutions not fear based knee jerk reactions.</span></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span class="">NZ has its own issues at this time but CoCer and maintaining womenâs rights to choose continues to be central to the partnership model. I am truly impressed on how New Zealand midwives, both hospital based and the continuity of carer midwives, are addressing the needs of their communities and supporting each other to practice proactively to do so. It is heart-warming.</span></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span class="">Go well<span class="Apple-converted-space"> </span></span></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span class="">Susan</span></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span class=""> </span></p><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span class=""> </span></p><div class=""><div style="border-style: solid none none; border-top-width: 1pt; border-top-color: rgb(225, 225, 225); padding: 3pt 0cm 0cm;" class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><b class=""><span lang="EN-US" class="">From:</span></b><span lang="EN-US" class=""><span class="Apple-converted-space"> </span>The normal birth research list <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><span class="Apple-converted-space"> </span><b class="">On Behalf Of<span class="Apple-converted-space"> </span></b>Page, Lesley<br class=""><b class="">Sent:</b><span class="Apple-converted-space"> </span>Friday, 27 March 2020 5:14 am<br class=""><b class="">To:</b><span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" class="">[log in to unmask]</a><br class=""><b class="">Subject:</b><span class="Apple-converted-space"> </span>Re: Situation in Slovakia - grim</span></div></div></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">I am so disturbed to hear what is happening in Slovakia. Why is the humanisation of birth so difficult?</span></div></div><div class=""><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div id="x_Signature" class=""><div id="x_divtagdefaultwrapper" class=""><div name="x_divtagdefaultwrapper" class=""><div class=""><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white;" class=""><span style="font-size: 18pt; font-family: "Lucida Handwriting";" class="">Lesley</span><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""></span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white;" class=""><span style="font-size: 12pt; font-family: "Lucida Console";" class="">Professor Lesley Page CBE</span><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""></span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white;" class=""><span style="font-size: 12pt; font-family: "Lucida Console";" class="">Visiting Professor in Midwifery KCL</span><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""></span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white;" class=""><span style="font-size: 10pt; font-family: "Lucida Console";" class="">Adjunct Professor UTS Australia</span><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""></span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white;" class=""><span style="font-size: 10pt; font-family: "Lucida Console";" class="">Griffith University Australia</span><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""></span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white;" class=""><span style="font-size: 10pt; font-family: "Lucida Console";" class="">Honorary research fellow Oxford Brookes University </span><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""></span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white;" class=""><span style="font-size: 10pt; font-family: "Lucida Console";" class="">mobile +44(o)7747708630</span><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""></span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-size: 10pt; font-family: "Lucida Console";" class=""> </span><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""></span></p></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white;" class=""><span style="font-size: 10pt; font-family: "Lucida Console";" class=""> </span><span style="font-size: 13pt; font-family: Arial, sans-serif; color: rgb(101, 113, 132); background-color: white; background-position: initial initial; background-repeat: initial initial;" class=""><a href="https://www.all4maternity.com/humanising-birth-hope-for-the-future-even-in-war/" class=""><span style="font-size: 10pt; font-family: "Lucida Console";" class="">https://www.all4maternity.com/humanising-birth-hope-for-the-future-even-in-war/</span></a></span><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""></span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-size: 10pt; font-family: "Lucida Console";" class=""> <span class="Apple-converted-space"> </span></span><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""></span></p><p style="margin-top: 0px; margin-bottom: 12pt; line-height: 17.4pt; background-color: white; background-position: initial initial; background-repeat: initial initial;" class=""><span style="font-size: 12pt; font-family: "Lucida Console"; color: rgb(84, 82, 85);" class=""> </span><span style="font-size: 12pt; font-family: Arial, sans-serif; color: rgb(84, 82, 85);" class=""><a href="https://www.all4maternity.com/author/lesleypage/" class=""><span style="font-family: "Lucida Console";" class="">https://www.all4maternity.com/author/lesleypage/</span></a></span></p><p style="margin-top: 0px; margin-bottom: 12pt; line-height: 17.4pt; background-color: white; background-position: initial initial; background-repeat: initial initial;" class=""><span style="font-size: 12pt; font-family: "Lucida Console";" class="">twitter: lesleypageCBE@humanisingbirth</span><span style="font-size: 12pt; font-family: Arial, sans-serif; color: rgb(84, 82, 85);" class=""></span></p></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-size: 10pt; font-family: "Lucida Console";" class=""> </span><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""></span></p></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""> </span></p></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""> </span></p></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class=""> </span></p></div></div></div></div><div class=""><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class="x_MsoNormal" align="center" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: center;"><hr size="2" width="98%" align="center" class=""></div><div id="x_divRplyFwdMsg" class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><b class=""><span style="" class="">From:</span></b><span style="" class=""><span class="Apple-converted-space"> </span>The normal birth research list <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>> on behalf of Soo Downe <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class=""><b class="">Sent:</b><span class="Apple-converted-space"> </span>26 March 2020 15:35<br class=""><b class="">To:</b><span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class=""><b class="">Subject:</b><span class="Apple-converted-space"> </span>Situation in Slovakia - grim</span></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div></div><div class=""><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class="x_MsoNormal" align="center" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: center;"><hr size="2" width="98%" align="center" class=""></div><div id="x_x_divRplyFwdMsg" class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><b class=""><span style="" class="">From:</span></b><span style="" class=""><span class="Apple-converted-space"> </span>Zuzana Kriskova <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class=""><b class="">Sent:</b><span class="Apple-converted-space"> </span>Thursday, March 26, 2020 3:33 PM<br class=""><b class="">To:</b><span class="Apple-converted-space"> </span>Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class=""><b class="">Cc:</b><span class="Apple-converted-space"> </span>Brenda Dmello <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>; Rebecca Brown <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>; Jennifer Stevens <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>; Elena Skoko <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>;<span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class=""><b class="">Subject:</b><span class="Apple-converted-space"> </span>Re: Thinking out of the box - an alternative covid approach for birth</span></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div></div><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">Dear all,</div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">in Slovakia, we hear disturbing news. Some hospitals decided to follow protocols from China (enclosed) and decided that - no companions, forceps birth or ceaserians section are mandatory for women with COVID-19, mandatory 14 days separation of the baby. Some women need to wear the mask non-stop, during birth and after birth (even in sleep). In another hospital epidurals are postponed (we are not in crises, only 2 people are officialy in critical condition). As visits are banned parents of premature children are not allowed to see them. From Czech rep. we heard that some women are allowed to be with their baby in room, but the baby needs to be 2m from mother. </div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">We are afraid that more and more "creative" directives would be forced upon women. </div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">I understand that you as midwifes and other healthcare professional are in front lines, risking your own health. And many of you are in the risk group. I understand the need of protection and we see that in many countries and hospitals personnel doesn't have sufficient protection - we are missing masks, respirators, gloves.... But still as human rights activist I call for your help. Pregnant women are in very vulnerable position, they can not wait until the pandemic is over. We need to hear that even the time of crisis respectful maternity care is not a luxury. We need to call out those who use this time as opportunity to bully and mistreat women. </div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><br class="">Zuzana Kriskova<br class="">Women's circles</div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">NGO from Slovakia</div></div></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">ĆĄt 26. 3. 2020 o 14:40 Soo Downe <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>> napĂsal(a):</div></div><blockquote style="border-style: none none none solid; border-left-width: 1pt; border-left-color: rgb(204, 204, 204); padding: 0cm 0cm 0cm 6pt; margin-left: 4.8pt; margin-right: 0cm;" class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">And maybe some good news about an alternative approach, where this is possible?:</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white;" class=""><b class=""><span style="" class="">From:</span></b><span style="" class=""> Nieuwenhuijze M (AV-M) <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><br class=""><b class="">Subject:</b> RE: CORONAVIRUS - COST activities</span><span style="font-size: 11.5pt; color: rgb(32, 31, 30);" class=""></span></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-size: 11.5pt; color: rgb(32, 31, 30);" class=""> </span></p></div></div><div class=""><div class=""><div style="margin-top: 0px; margin-bottom: 0px; background-color: white;" class=""><span style="color: rgb(31, 73, 125);" class="">Women in the Netherlands are still giving birth at home. Actually, low risk women in certain areas are more often choosing a home birth to avoid the hospital or because some hospital restrict admittance as much as possible. Additionally, they are setting up birth units (e.g. in hotels) very close to the hospital to avoid delay in time and still keep women outside the hospital.</span><span style="font-size: 12pt; font-family: "Times New Roman", serif; color: rgb(32, 31, 30);" class=""></span></div><div style="margin-top: 0px; margin-bottom: 0px; background-color: white;" class=""><span style="color: rgb(31, 73, 125);" class="">If women need to be admitted for medical reasons, they are allowed one person to accompany them during birth.</span><span style="font-size: 12pt; font-family: "Times New Roman", serif; color: rgb(32, 31, 30);" class=""></span></div><p style="margin-top: 0px; margin-bottom: 0px; background-color: white; background-position: initial initial; background-repeat: initial initial;" class=""><span style="color: rgb(31, 73, 125);" class=""> </span><span style="font-size: 12pt; font-family: "Times New Roman", serif; color: rgb(32, 31, 30);" class=""></span></p><div style="margin-top: 0px; margin-bottom: 0px; background-color: white;" class=""><b class=""><span lang="NL" style="font-size: 8.5pt; font-family: Verdana, sans-serif;" class="">Met vriendelijke groet | Kind regards,</span></b><span style="font-size: 12pt; font-family: "Times New Roman", serif; color: rgb(32, 31, 30);" class=""></span></div><p style="margin-top: 0px; margin-bottom: 0px; background-color: white; background-position: initial initial; background-repeat: initial initial;" class=""><span lang="NL" style="font-size: 12pt; font-family: "Times New Roman", serif; color: rgb(31, 73, 125);" class=""> </span><span style="font-size: 12pt; font-family: "Times New Roman", serif; color: rgb(32, 31, 30);" class=""></span></p><table class="x_MsoNormalTable" border="0" cellspacing="3" cellpadding="0" width="603" style="width: 452.05pt;"><tbody class=""><tr class=""><td width="576" style="width: 432pt; padding: 0.75pt;" class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><b class=""><span style="font-size: 8.5pt; font-family: Verdana, sans-serif;" class="">Marianne Nieuwenhuijze PhD MPH RM</span></b><span style="font-size: 12pt; font-family: "Times New Roman", serif;" class=""></span></div><div style="margin-top: 0px; margin-bottom: 0px;" class=""><i class=""><span style="color: rgb(31, 73, 125);" class="">Professor of Midwifery</span></i><b class=""><span style="color: rgb(31, 73, 125);" class=""><br class="">Lectoraat Midwifery Science | Research Centre for Midwifery Science<br class=""></span></b><span style="color: rgb(31, 73, 125);" class="">Academie Verloskunde Maastricht</span><span style="font-size: 12pt; font-family: "Times New Roman", serif;" class=""></span></div><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="NL" style="color: rgb(31, 73, 125);" class="">Zuyd University</span><span style="font-size: 12pt; font-family: "Times New Roman", serif;" class=""></span></div><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="NL" style="color: rgb(31, 73, 125);" class="">+31(0)43 388 54 11</span><span style="font-size: 12pt; font-family: "Times New Roman", serif;" class=""></span></div><div style="margin-top: 0px; margin-bottom: 0px;" class=""><u class=""><span style="color: blue;" class=""><a href="mailto:[log in to unmask]" target="_blank" class=""><span lang="NL" class="">[log in to unmask]</span></a></span></u><span lang="NL" style="color: rgb(31, 73, 125);" class="">,</span><span style="font-size: 12pt; font-family: "Times New Roman", serif;" class=""></span></div><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span style="color: rgb(31, 73, 125);" class=""><a href="https://eur03.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.av-m.nl%2F&data=01%7C01%7Clesley.page%40KCL.AC.UK%7C80f93327c7dd459c47c508d7d19b53c2%7C8370cf1416f34c16b83c724071654356%7C0&sdata=s77jNrUTvEcLLtHsXjHdAuDQP82IIB0pkBTRHLe0mOk%3D&reserved=0" target="_blank" class=""><b class=""><span style="color: red;" class="">MailScanner has detected a possible fraud attempt from "eur03.safelinks.protection.outlook.com" claiming to be</span></b><span class="Apple-converted-space"> </span><span lang="NL" class="">www.av-m.nl</span></a></span><span lang="NL" style="color: rgb(31, 73, 125);" class=""><br class="">Universiteitssingel 60, 6229 ER Maastricht</span><span style="font-size: 12pt; font-family: "Times New Roman", serif;" class=""></span></div></td></tr></tbody></table></div></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class="x_MsoNormal" align="center" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: center;"><hr size="2" width="98%" align="center" class=""></div><div id="x_x_gmail-m_714581265059018697divRplyFwdMsg" class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><b class=""><span style="" class="">From:</span></b><span style="" class=""><span class="Apple-converted-space"> </span>Brenda Dmello <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Sent:</b><span class="Apple-converted-space"> </span>Thursday, March 26, 2020 7:39 AM<br class=""><b class="">To:</b><span class="Apple-converted-space"> </span>Rebecca Brown <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Cc:</b><span class="Apple-converted-space"> </span>Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>>; Jennifer Stevens <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>>; Elena Skoko <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>>;<span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Subject:</b><span class="Apple-converted-space"> </span>Re: ITALY: COVID-19 & RMC Position statement</span></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div></div><div class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">Hello,</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">May I share a few thoughts on respectful care at childbirth in the time of COVID 19.</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">It is indeed a tough time- a novel virus - overwhelming health systems- the world is in panic. The scientific community has not had the time to really determine the facts - it is a time of transition - we can expect multiple changes in protocols as new evidence emerges.<span class="Apple-converted-space"> </span></span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">It will take us some time to figure out what is best for mum and baby and the community at large. We do not yet know enough about the interaction between COVID19 and pregnancy- how to manage a patient that is infected and how to manage a patient that is not infected. We may need to be gracious and patient but not complacent. </span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">To allow birth companions or not- that is the question...separate mum and baby- we have had a similar scenario before when we had to decide to breastfeed or not to breastfeed in the time of HIV.</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">Are we making decisions on what is best and convenient for the health care provider- like we do here in Tanzania or what is best for the client? While we do not know everything about how to handle pregnancy in the time of COVID, we know for SURE what the woman needs and wants and, what keeps her and her baby safe. For centuries we have know, but the progress to give the woman what is 'RIGHT' has been hard fought and gains have been slow...and that is why this group exists.</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">We need to recognize that pregnancy management is not an individual sport- it requires a team approach and is a family/community affair.We have managed TB and HIV in pregnancy in the past.Maybe there are lessons we can learn. </span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">My hunch is that time will tell us that we should prioritise what the mother wants, she knows what is best for her and her baby. </span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">A few more thoughts and an advocacy pitch for a birth companion....</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">Birth companion is not a soft science- it is the single most important intervention to ensure<span class="Apple-converted-space"> </span><i class="">Right<span class="Apple-converted-space"> </span></i>care which includes respectful birth. More importantly the management of the psyche in a pregnant woman is critical during labour. It is one of the four pillar in labour management- along with the other 'P's - Passage (the pelvis), the Passenger(the baby size and position) and Power(the strength of uterine contractions). It will be sad for our fellow pregnant mums in the developed world to move backwards and now experience the trauma of labouring alone or with strangers. It is too painful and sad to hear women scream 'nursi'...'nursi'- mostly out of panic and fear in her loneliness. It kills the joy that should be there at childbirth. Sometimes it kills more than that.</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">I understand we need to be wise in this new era- but a few more thoughts...</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">Who is the birth companion ban protecting? </span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">The companion ? - who most likely lives with the woman. </span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">The health care provider ? - who is highly trained to deal with COVID cases, infectious disease and is fully kitted with IPC gear (that could be stepped up to ebola prevention levels) </span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">or </span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">The pregnant woman? who irrespective whether she has COVID or not needs urgent and<span class="Apple-converted-space"> </span><i class="">right</i><span class="Apple-converted-space"> </span>delivery care with access to emergency management/PPH/blood transfusion/ and a few other unpredictable emergencies etc </span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">Once we decide that both the clinical provision of care and the experience of care are of equal and non negotiable priority- then the health specialists should tell us what to do to keep the various participants in the delivery process safe without withholding any basic rights. </span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">I agree maybe the companion will need extra training - we may need to clarify and ensure no vulnerable groups selected as companions and include training on how not to acquire and how not to spread infection. I am sure that is possible. </span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">I am believing that together we will come up with a best way forward with public health specialists, virologists, nurse midwives, mothers and partners engaged in decision making.Together we will make the right decision. We always have.</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">Warmest regards</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class="">Brenda</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 18pt; font-family: Verdana, sans-serif;" class=""> </span></p></div><div class=""><div class=""><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 9.5pt;" class="">Dr. Brenda Sequeira D'mello,</span><span style="font-size: 9.5pt; font-family: "Times New Roman", serif;" class="">MD, MMed (OBGYN)</span><span style="font-size: 9.5pt;" class=""></span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 9.5pt;" class="">Technical Advisor & Project Manager,</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 9.5pt;" class="">Capacity Building Project</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 9.5pt;" class="">Maternal and Newborn Health program</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 9.5pt;" class="">CCBRT</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 9.5pt;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 9.5pt;" class="">phone 255 754295465</span></div></div></div></div></div></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">On Wed, Mar 25, 2020 at 8:05 PM 'Rebecca Brown' via Global RMC Council <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> wrote:</div></div><blockquote style="border-style: none none none solid; border-left-width: 1pt; border-left-color: rgb(204, 204, 204); padding: 0cm 0cm 0cm 6pt; margin-left: 4.8pt; margin-right: 0cm;" class=""><div class=""><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Hi All,</span></div><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""> </span></p><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">In New York, so far two large hospital systems (New York Presbyterian and Mt Sinai) have instituted a policy allowing no additional support into the labor and delivery units â no spouses, doulas or family. Itâs causing outrage here and petitions have been launched.<span class="Apple-converted-space"> </span></span></div><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""> </span></p><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Best,</span></div><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Rebecca<span class="Apple-converted-space"> </span></span></div><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""> </span></p><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="" class=""><span id="cid:image002.jpg@01D6041D.E080D2F0"><image002.jpg></span></span><span lang="EN-US" class=""></span></div><div style="margin-top: 0px; margin-bottom: 0px;" class=""><b class=""><span lang="EN-US" style="" class=""> </span></b><span lang="EN-US" class=""></span></div><div style="margin-top: 0px; margin-bottom: 0px;" class=""><b class=""><span lang="EN-US" style="font-size: 10pt; font-family: "Arial Narrow", sans-serif; color: rgb(82, 132, 196);" class="">REBECCA BROWN*</span></b><span lang="EN-US" style="font-size: 10pt; font-family: "Arial Narrow", sans-serif; color: rgb(82, 132, 196);" class=""> (she/her/hers)</span><span lang="EN-US" class=""></span></div><div style="margin-top: 0px; margin-bottom: 0px;" class=""><i class=""><span lang="EN-US" style="font-size: 9pt; font-family: Arial, sans-serif; color: rgb(82, 132, 196);" class="">Senior Director of Global Advocacy</span></i><span lang="EN-US" class=""></span></div><div style="margin-top: 0px; margin-bottom: 0px;" class=""><u class=""><span lang="EN-US" style="font-size: 9pt; font-family: Arial, sans-serif; color: rgb(82, 132, 196);" class="">rbrown<a href="mailto:[log in to unmask]" target="_blank" class=""><span style="color: rgb(82, 132, 196);" class="">@reprorights.org</span></a></span></u><span lang="EN-US" class=""></span></div><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 9pt; font-family: Arial, sans-serif;" class=""> </span><span lang="EN-US" class=""></span></p><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 9pt; font-family: Arial, sans-serif; color: rgb(133, 118, 112);" class="">199 Water Street, 22nd Floor </span><span lang="EN-US" class=""></span></div><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 9pt; font-family: Arial, sans-serif; color: rgb(133, 118, 112);" class="">New York NY 10038 </span><span lang="EN-US" class=""></span></div><div style="margin-top: 0px; margin-bottom: 0px;" class=""><b class=""><span lang="EN-US" style="font-size: 9pt; font-family: Arial, sans-serif; color: rgb(114, 99, 93);" class="">Tel </span></b><span lang="EN-US" style="font-size: 9pt; font-family: Arial, sans-serif; color: rgb(82, 132, 196);" class="">917 6373606 </span><b class=""><span lang="EN-US" style="font-size: 9pt; font-family: Arial, sans-serif; color: rgb(133, 118, 112);" class="">Fax </span></b><span lang="EN-US" style="font-size: 9pt; 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margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 9pt; font-family: Arial, sans-serif;" class=""> </span><span lang="EN-US" class=""></span></p><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 8.5pt; font-family: Arial, sans-serif; color: rgb(114, 99, 93);" class="">*JD, admitted in New York (active status)</span><span lang="EN-US" class=""></span></div><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 8.5pt; font-family: Helvetica, sans-serif; color: rgb(114, 99, 93);" class=""> </span><span lang="EN-US" class=""></span></p><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 8.5pt; font-family: Helvetica, sans-serif; color: rgb(114, 99, 93);" class="">This message may contain confidential or privileged information. If you are not the intended recipient, please advise the sender immediately by reply e-mail and delete this message and any attachments without retaining a copy.</span><span lang="EN-US" class=""></span></div></div><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""> </span></p><div class=""><div style="border-style: solid none none; border-top-width: 1pt; border-top-color: rgb(225, 225, 225); padding: 3pt 0cm 0cm;" class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><b class=""><span lang="EN-US" class="">From:</span></b><span lang="EN-US" class=""><span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><span class="Apple-converted-space"> </span><b class="">On Behalf Of<span class="Apple-converted-space"> </span></b>Soo Downe<br class=""><b class="">Sent:</b><span class="Apple-converted-space"> </span>Wednesday, March 25, 2020 12:03 PM<br class=""><b class="">To:</b><span class="Apple-converted-space"> </span>Jennifer Stevens <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>>; Elena Skoko <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Cc:</b><span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a><br class=""><b class="">Subject:</b><span class="Apple-converted-space"> </span>Re: ITALY: COVID-19 & RMC Position statement</span></div></div></div><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""> </span></p><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class="">This is a recommendation from the WHO intrapartum guidelines Jennifer, that has applied to all settings since the guidelines were published:</span><span lang="EN-US" class=""></span></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class=""> </span><span lang="EN-US" class=""></span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><i class=""><span lang="EN-US" style="font-size: 12pt;" class="">Companionship during labour and childbirth 3. A companion of choice is recommended for all women throughout labour and childbirth.<span class="Apple-converted-space"> </span><b class="">Recommended</b></span></i><span lang="EN-US" class=""></span></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class=""> </span><span lang="EN-US" class=""></span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class="">I think the idea is that the lack of privacy and etc should not be used as an excuse to limit companionship - rather that the human right of companionship should lead to a change in hospital design/ward set up so that it can be provided.</span><span lang="EN-US" class=""></span></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class=""> </span><span lang="EN-US" class=""></span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class=""> I know there is debate about this in the light of covid-19 for some settings in Europe - but in others it is still absolutely seen as a right, and, indeed, as a way of minimising cross-infection for staff, as, if a woman has a birth companion she is better able to labour without the need for constant staff support, is less likely to need an epidural (so to need an anaesthetist) and is less likely to need a CS (and so, again, less likely to occupy a theatre and need theatre staff, and more likely to be able to leave hospital quicker). </span><span lang="EN-US" class=""></span></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class=""> </span><span lang="EN-US" class=""></span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class="">My understanding, by the way, is that healthy pregnant women are the social group of adults least likely to be infected with C-19/to experience severe disease once infected - the theory being that, paradoxically, because they are immune suppressed they dont mount the catastrophic auto-immune response that characterises the worst effects of the disease -but Im not sure where I got that information from (<b class="">it could be mis-information!)</b>. Can anyone enlighten me on this?</span><span lang="EN-US" class=""></span></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class=""> </span><span lang="EN-US" class=""></span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class="">Many thanks</span><span lang="EN-US" class=""></span></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class=""> </span><span lang="EN-US" class=""></span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class="">soo</span><span lang="EN-US" class=""></span></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class=""> </span><span lang="EN-US" class=""></span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class="">Many thanks</span><span lang="EN-US" class=""></span></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class=""> </span><span lang="EN-US" class=""></span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class="">Soo </span><span lang="EN-US" class=""></span></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class=""> </span><span lang="EN-US" class=""></span></p></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" style="font-size: 12pt;" class=""> </span><span lang="EN-US" class=""></span></p></div><div class="x_MsoNormal" align="center" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: center;"><span lang="EN-US" class=""><hr size="2" width="98%" align="center" class=""></span></div><div id="x_x_gmail-m_714581265059018697x_gmail-m_-8407585802910347910divRplyFwdMsg" class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><b class=""><span lang="EN-US" style="" class="">From:</span></b><span lang="EN-US" style="" class=""><span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> on behalf of Jennifer Stevens <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Sent:</b><span class="Apple-converted-space"> </span>Wednesday, March 25, 2020 2:58 PM<br class=""><b class="">To:</b><span class="Apple-converted-space"> </span>Elena Skoko <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Cc:</b><span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Subject:</b><span class="Apple-converted-space"> </span>Re: ITALY: COVID-19 & RMC Position statement</span><span lang="EN-US" class=""></span></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""> </span></p></div></div><div class=""><div class=""><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Thank you for sharing this.</span></div></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""> </span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">I was surprised to see a companion of choice listed on the info graphic. Although a right I fully support during normal circumstances, I have some concerns around it now during the COVID outbreak, especially in LMIC where often inadequate screening and privacy is available. What are others thoughts on this? Also, is this supported in current WHO recommendations?</span></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""> </span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Thank you!</span></div></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Jennifer Stevens</span></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""> </span></p><div class=""><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">On Tue, Mar 24, 2020 at 9:40 PM Elena Skoko <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> wrote:</span></div></div><blockquote style="border-style: none none none solid; border-left-width: 1pt; border-left-color: rgb(204, 204, 204); padding: 0cm 0cm 0cm 6pt; margin: 5pt 0cm 5pt 4.8pt;" class=""><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Dear colleagues, <span class="Apple-converted-space"> </span></span></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""> </span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">as Italian users' rappresentatives, we have issued a Position statement on COVID-19 and respectful maternity care. </span></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""> </span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""><a href="https://eur03.safelinks.protection.outlook.com/?url=https%3A%2F%2Fovoitalia.wordpress.com%2F2020%2F03%2F24%2Fposition-statement-emergenza-codiv-19-e-assistenza-rispettosa-alla-maternita-e-nascita%2F&data=01%7C01%7Clesley.page%40KCL.AC.UK%7C80f93327c7dd459c47c508d7d19b53c2%7C8370cf1416f34c16b83c724071654356%7C0&sdata=UogMxJmw6tanwXx2woH9nPzHQoS3NF4fP2ZnItyV%2F54%3D&reserved=0" target="_blank" class=""><b class=""><span style="color: red;" class="">MailScanner has detected a possible fraud attempt from "eur03.safelinks.protection.outlook.com" claiming to be</span></b>https://ovoitalia.wordpress.com/2020/03/24/position-statement-emergenza-codiv-19-e-assistenza-rispettosa-alla-maternita-e-nascita/</a> </span></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""> </span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Thank you for sharing. If you feel like it, you can endorse the statement with your organisation or association by replying to me. Thank you!</span></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""> </span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Sorry for not having a translation in English yet. </span></div></div><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""> </span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Best wishes and stay safe</span></div></div></div><div class=""><div class=""><p style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""> </span></p></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Elena Skoko</span></div></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Obstetric Violence Observatory Italy</span></div></div><div class=""><div style="margin-top: 0px; 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margin-bottom: 0px;" class=""><span lang="EN-US" class="">--<span class="Apple-converted-space"> </span></span></div><div class=""><div class=""><div class=""><div class=""><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Jennifer R Stevens DrPHc CNM MS<span class="Apple-converted-space"> </span></span></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Midwifery education </span></div></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">UNFPA Bangladesh</span></div></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Boston University</span></div></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class=""><a href="http://goodbirth.net/" class="">Goodbirth.net</a></span></div></div><div class=""><div style="margin-top: 0px; margin-bottom: 0px;" class=""><span lang="EN-US" class="">Bangla mobile/whatsapp- +88 017 0937 0213</span></div></div><div class=""><div style="margin-top: 0px; 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========================================================================Date: Fri, 27 Mar 2020 10:23:19 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Fw: Cochrane reviews,
mHealth and implemenation considerations and covid-19 - please
use/circulate
Comments: To: "[log in to unmask]"
<[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
SHEENA BYROM <[log in to unmask]>, Anna Byrom <[log in to unmask]>,
Lia Brigante <[log in to unmask]>,
"Pairman, Sally" <[log in to unmask]>,
ICM | Ann Yates <[log in to unmask]>
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________________________________
From: Glenton, Claire <[log in to unmask]>
Sent: Friday, March 27, 2020 9:48 AM
To: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; CLAUDIA MARCELA VELEZ <[log in to unmask]>
Cc: Paulsen, Elizabeth Joan <[log in to unmask]>; Lewin, Simon Arnold <[log in to unmask]>
Subject: Cochrane reviews, mHealth and implemenation considerations
Dear EPOC QES editors,
EPOC published a new Cochrane QES yesterday with Karen as co-author. This QES was used, along with another QES from Cochranes Consumers and Communication Group, to inform the recent WHO guidelines on digital health. The increased interest in digital health because of Covid19 has made these particularly timely.
While we are also publishing several effect reviews on this topic, the QES have proven to be especially useful, and particularly the implications for practice sections of these QES. As you know, we ask review authors in the EPOC QES template to prepare their Implications for practice section so that they can be handed to a decision maker. We have taken advantage of that here and have prepared two summaries of these QES (attached). It would be great if you could help us disseminate these to decision makers interested in this topic or working on Covid19-related strategies.
Ive also pasted some text in below in case this is helpful.
Thanks and all the best, Claire
New Cochrane Reviews on mHealth: Implementation considerations
Health workers and health systems increasingly use mobile phones and tablets to organise health care, provide services and communicate with clients, patients and the public (often referred to as 'mHealth'). Some of these strategies may be particularly relevant in situations where it is difficult to meet other healthcare staff, patients and the public face-to-face, such as during pandemics.
Cochrane has prepared a series of reviews about mHealth strategies to support the recent WHO guidelines on digital health. Two of these reviews have searched for, assessed and summarised relevant qualitative studies and have used the review findings to develop two evidence summaries with questions for implementers.
You can find links to the summaries here: https://epoc.cochrane.org/news/new-cochrane-reviews-mhealth-implementation-considerations
Here are also links to the full reviews:
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011942.pub2/full
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013447/full
Please feel free to disseminate these to others.
Thanks, and all the best, Claire
[University of Central Lancashire]
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> Glenton, Claire <[log in to unmask]><br>
<b>Sent:</b> Friday, March 27, 2020 9:48 AM<br>
<b>To:</b> Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; CLAUDIA MARCELA VELEZ <[log in to unmask]><br>
<b>Cc:</b> Paulsen, Elizabeth Joan <[log in to unmask]>; Lewin, Simon Arnold <[log in to unmask]><br>
<b>Subject:</b> Cochrane reviews, mHealth and implemenation considerations</font>
<div> </div>
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<div>
<div class="WordSection1">
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-size:11.0pt; color:#1F497D">Dear EPOC QES editors,
</span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-size:11.0pt; color:#1F497D">EPOC published a new Cochrane QES yesterday with Karen as co-author. This QES was used, along with another QES from Cochranes Consumers and Communication Group, to inform the recent WHO guidelines
on digital health. The increased interest in digital health because of Covid19 has made these particularly timely.</span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-size:11.0pt; color:#1F497D"> </span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-size:11.0pt; color:#1F497D">While we are also publishing several effect reviews on this topic, the QES have proven to be especially useful, and particularly the implications for practice sections of these QES. As you know,
we ask review authors in the EPOC QES template to prepare their Implications for practice section so that they can be handed to a decision maker. We have taken advantage of that here and have prepared two summaries of these QES (attached). It would be great
if you could help us disseminate these to decision makers interested in this topic or working on Covid19-related strategies.</span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-size:11.0pt; color:#1F497D"> </span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-size:11.0pt; color:#1F497D">Ive also pasted some text in below in case this is helpful.</span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-size:11.0pt; color:#1F497D">Thanks and all the best, Claire</span></p>
<p style="margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<b><span lang="EN-GB" style="color:#003366">New Cochrane Reviews on mHealth: Implementation considerations</span></b></p>
<p style="margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="color:#003366">Health workers and health systems increasingly use mobile phones and tablets to organise health care, provide services and communicate with clients, patients and the public (often referred to as 'mHealth'). Some of these
strategies may be particularly relevant in situations where it is difficult to meet other healthcare staff, patients and the public face-to-face, such as during pandemics.</span><span lang="EN-GB"></span></p>
<p style="margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="color:#003366">Cochrane has prepared a series of reviews about mHealth strategies to support the recent WHO guidelines on digital health. Two of these reviews have searched for, assessed and summarised relevant qualitative studies
and have used the review findings to develop two evidence summaries with <strong>
questions for implementers</strong>. </span><span lang="EN-GB" style="font-size:11.0pt; color:black"></span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-family:"Times New Roman",serif; color:#003366">You can find links to the summaries here</span><span lang="EN-GB" style="font-size:11.0pt; color:#1F497D">:
</span><span lang="EN-GB" style="font-size:11.0pt; color:black"><a href="https://epoc.cochrane.org/news/new-cochrane-reviews-mhealth-implementation-considerations">https://epoc.cochrane.org/news/new-cochrane-reviews-mhealth-implementation-considerations</a>
</span><span lang="EN-GB" style="font-size:11.0pt; color:#1F497D"></span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-size:11.0pt; color:#1F497D"> </span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-family:"Times New Roman",serif; color:#003366">Here are also links to the full reviews:</span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-size:11.0pt; color:#1F497D"><a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011942.pub2/full"><span style="color:blue">https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011942.pub2/full</span></a></span><span lang="EN-GB" style="font-size:11.0pt; color:black"></span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-size:11.0pt; color:#1F497D"><a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013447/full"><span style="color:blue">https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013447/full</span></a></span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-size:11.0pt; color:#1F497D"> </span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-size:11.0pt; color:#1F497D">Please feel free to disseminate these to others.</span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-size:11.0pt; color:#1F497D">Thanks, and all the best, Claire</span></p>
<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 12pt; font-family: Calibri, sans-serif;margin-right: 0cm; margin-left: 0cm; font-size: 12pt; font-family: "Times New Roman", serif;">
<span lang="EN-GB" style="font-size:11.0pt; color:#1F497D"> </span></p>
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--_005_DB3PR0302MB3241E2359C22D3273FF1876F97CC0DB3PR0302MB3241_--
========================================================================Date: Fri, 27 Mar 2020 10:24:21 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Claire Feeley <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Claire Feeley <[log in to unmask]>
Subject: Re: Solutions?
In-Reply-To: <[log in to unmask]>
MIME-Version: 1.0
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Hospitals as convectors of transmission? Sobering food for thought and may change our national approach. I appreciate this isn't research but is based on data from Italy from clinicians perspective...
 At the Epicenter of the Covid-19 Pandemic and Humanitarian Crises in Italy: Changing Perspectives on Preparation and Mitigation | Catalyst non-issue content
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At the Epicenter of the Covid-19 Pandemic and Humanitarian Crises in Ita...
NacotiMirco
In a Bergamo hospital deeply strained by the Covid-19 pandemic, exhausted clinicians reflect on how to prepare f...
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On Friday, 27 March 2020, 09:41:20 GMT, Mary Edmondson <[log in to unmask]> wrote:
We need you to follow and trac the evidence and issues - which you are - If you donât nobody will. We need you all - keep sharing - the challenges -
I am Working hard when not working in a hospital, to trac everything and feed back re evidence, PPE, maintaining good care and attitude - etc.
Mary E.
> On 27 Mar 2020, at 08:30, Soo Downe <[log in to unmask]> wrote:
>
> --_000_DB3PR0302MB3241A36D3B3B8EC4F6DE4A0097CC0DB3PR0302MB3241_
> Content-Type: text/plain; charset="Windows-1252"
> Content-Transfer-Encoding: quoted-printable
>
> I agree Trixie - but also, as academics who are actually also still working=
> full time, to maybe offer support for example through video links to women=
> in pregnancy/postnatal who have queries (being available when not schedule=
> d for academic meetings/students support and etc, or in our off-duty time),=
> or those in early labour at home, so that labour ward midwives can concent=
> rate on women who are in the hospitals, and to help women to stay at home =
> as long as they can?
>
> Or for those of us who have notified our intention to practice, but who hav=
> ent been on the wards for a while, to offer to complete notes/do other task=
> s that take up midwives time/require midwifery knowledge but that can be do=
> ne by others (though, of course, midwives might also need the break that wr=
> iting up notes can afford them, if they are working flat out face to face w=
> ith women).
>
> Or maybe even acting as transport support for women moving from home to hos=
> pital in labour, though Im not sure about the insurance and etc of this - i=
> f taxi services are being used as I think is being considered in some place=
> s due to ambulance shortages, maybe there could be a pool of academic/recen=
> tly retired/midwives on the register but not currently in employment who co=
> uld accompany the woman in the taxi to give her support/be in a position to=
> give a rapid assessment of her condition on arrival at the labour ward? Ju=
> st so community support can enable women to stay at home as much as possib=
> le.
>
> Just some thoughts, anyway...
>
> All the best
>
> Soo
>
> ________________________________
> From: Trixie McAree <[log in to unmask]>
> Sent: Friday, March 27, 2020 8:20 AM
> To: A forum for discussion on midwifery and reproductive health research. <=
> [log in to unmask]>; Soo Downe <School of Community Health &=
> Midwifery> <[log in to unmask]>
> Subject: RE: Situation in New Zealand - positive!
>
>
> We need to be very calm and logical in this period, remembering this is a m=
> arathon not a sprint. One size will not fit all. In every case we need to h=
> umanise birth, keeping individual needs central. Clearly the Chinese model =
> has so over medicalised birth that they have lost sight of some of the impo=
> rtant therapeutic elements of human interaction as well as cost/benefit of =
> intervention for many cases.
>
>
>
> The biggest fear in my mind is that actually there won=92t be sufficient mi=
> dwives to provide the care making any argument about place of birth redunda=
> nt. In B=92Ham we are keeping our HBT and C of C teams running as long as p=
> ossible however as midwives are self-isolating this will become more diffic=
> ult. We need to monitor using our academic skills but where possible consid=
> er also working clinically (if we don=92t already do so)Â =96 maintaining m=
> oral, influencing guidelines supporting decision making.
>
>
>
> Best wishes
>
> Trixie
>
>
>
> From: A forum for discussion on midwifery and reproductive health research.=
>
> ########################################################################
>
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<div dir="ltr" data-setdir="false">Hospitals as convectors of transmission? Sobering food for thought and may change our national approach. I appreciate this isn't research but is based on data from Italy from clinicians perspective...</div><div dir="ltr" data-setdir="false"><br></div><div dir="ltr" data-setdir="false"> <span><a href="https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0080" rel="nofollow" target="_blank" class="enhancr_card_5520131653">At the Epicenter of the Covid-19 Pandemic and Humanitarian Crises in Italy: Changing Perspectives on Preparation and Mitigation | Catalyst non-issue content</a></span><div><br></div><div id="ydpf4a2d1d6enhancr_card_5520131653" class="ydpf4a2d1d6yahoo-link-enhancr-card ydpf4a2d1d6yahoo-link-enhancr-not-allow-cover ydpf4a2d1d6ymail-preserve-class ydpf4a2d1d6ymail-preserve-style" style="max-width:400px;font-family:Helvetica Neue, Segoe UI, Helvetica, Arial, sans-serif" data-url="https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0080" data-type="YENHANCER" data-size="MEDIUM" contenteditable="false"><a href="https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0080" style="text-decoration:none !important;color:#000 !important" class="ydpf4a2d1d6yahoo-enhancr-cardlink" rel="nofollow" target="_blank"><table border="0" class="ydpf4a2d1d6card-wrapper ydpf4a2d1d6yahoo-ignore-table" cellpadding="0" cellspacing="0" style="max-width:400px"><tbody><tr><td width="400"><table border="0" class="ydpf4a2d1d6card ydpf4a2d1d6yahoo-ignore-table" cellpadding="0" cellspacing="0" width="100%" style="max-width:400px;border-width:1px;border-style:solid;border-color:rgb(224, 228, 233);border-radius:2px"><tbody><tr><td><table border="0" class="ydpf4a2d1d6card-info ydpf4a2d1d6yahoo-ignore-table" cellpadding="0" cellspacing="0" style="background:#fff;position:relative;z-index:2;width:100%;max-width:400px;border-radius:0 0 2px 2px;border-top:1px solid rgb(224, 228, 233)"><tbody><tr><td style="background-color:#ffffff;padding:16px 0 16px 12px;vertical-align:top;border-radius:0 0 0 2px"></td><td style="vertical-align:middle;padding:12px 24px 16px 12px;width:99%;font-family:Helvetica Neue, Segoe UI, Helvetica, Arial, sans-serif;border-radius:0 0 2px 0"><h2 class="ydpf4a2d1d6card-title" style="font-size: 14px; line-height: 19px; margin: 0px 0px 6px; font-family: Helvetica Neue, Segoe UI, Helvetica, Arial, sans-serif; color: rgb(38, 40, 42); max-width: 314px;">At the Epicenter of the Covid-19 Pandemic and Humanitarian Crises in Ita...</h2><p class="ydpf4a2d1d6card-richinfo-primary" style="font-size:12px;line-height:16px;margin:0 0 4px 0;color:#979ba7">NacotiMirco</p><p class="ydpf4a2d1d6card-description" style="font-size: 12px; line-height: 16px; margin: 0px; color: rgb(151, 155, 167);">In a Bergamo hospital deeply strained by the Covid-19 pandemic, exhausted clinicians reflect on how to prepare f...</p></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></a></div><div><br></div><div><br></div></div><div><br></div>
</div><div id="yahoo_quoted_5556660265" class="yahoo_quoted">
<div style="font-family:'Helvetica Neue', Helvetica, Arial, sans-serif;font-size:13px;color:#26282a;">
<div>
On Friday, 27 March 2020, 09:41:20 GMT, Mary Edmondson <[log in to unmask]> wrote:
</div>
<div><br></div>
<div><br></div>
<div><div dir="ltr">We need you to follow and trac the evidence and issues - which you are - If you donât nobody will. We need you all - keep sharing - the challenges - <br clear="none">I am Working hard when not working in a hospital, to trac everything and feed back re evidence, PPE, maintaining good care and attitude - etc.<br clear="none"><br clear="none">Mary E.<br clear="none"><br clear="none"><br clear="none">> On 27 Mar 2020, at 08:30, Soo Downe <<a shape="rect" ymailto="mailto:[log in to unmask]" href="mailto:[log in to unmask]">[log in to unmask]</a>> wrote:<br clear="none">> <br clear="none">> --_000_DB3PR0302MB3241A36D3B3B8EC4F6DE4A0097CC0DB3PR0302MB3241_<br clear="none">> Content-Type: text/plain; charset="Windows-1252"<br clear="none">> Content-Transfer-Encoding: quoted-printable<br clear="none">> <br clear="none">> I agree Trixie - but also, as academics who are actually also still working=<br clear="none">> full time, to maybe offer support for example through video links to women=<br clear="none">> in pregnancy/postnatal who have queries (being available when not schedule=<br clear="none">> d for academic meetings/students support and etc, or in our off-duty time),=<br clear="none">> or those in early labour at home, so that labour ward midwives can concent=<br clear="none">> rate on women who are in the hospitals, and to help women to stay at home =<br clear="none">> as long as they can?<br clear="none">> <br clear="none">> Or for those of us who have notified our intention to practice, but who hav=<br clear="none">> ent been on the wards for a while, to offer to complete notes/do other task=<br clear="none">> s that take up midwives time/require midwifery knowledge but that can be do=<br clear="none">> ne by others (though, of course, midwives might also need the break that wr=<br clear="none">> iting up notes can afford them, if they are working flat out face to face w=<br clear="none">> ith women).<br clear="none">> <br clear="none">> Or maybe even acting as transport support for women moving from home to hos=<br clear="none">> pital in labour, though Im not sure about the insurance and etc of this - i=<br clear="none">> f taxi services are being used as I think is being considered in some place=<br clear="none">> s due to ambulance shortages, maybe there could be a pool of academic/recen=<br clear="none">> tly retired/midwives on the register but not currently in employment who co=<br clear="none">> uld accompany the woman in the taxi to give her support/be in a position to=<br clear="none">> give a rapid assessment of her condition on arrival at the labour ward? Ju=<br clear="none">> st so community support can enable women to stay at home as much as possib=<br clear="none">> le.<br clear="none">> <br clear="none">> Just some thoughts, anyway...<br clear="none">> <br clear="none">> All the best<br clear="none">> <br clear="none">> Soo<br clear="none">> <br clear="none">> ________________________________<br clear="none">> From: Trixie McAree <<a shape="rect" ymailto="mailto:[log in to unmask]" href="mailto:[log in to unmask]">[log in to unmask]</a>><br clear="none">> Sent: Friday, March 27, 2020 8:20 AM<br clear="none">> To: A forum for discussion on midwifery and reproductive health research. <=<br clear="none">> <a shape="rect" ymailto="mailto:[log in to unmask]" href="mailto:[log in to unmask]">[log in to unmask]</a>>; Soo Downe <School of Community Health &=<br clear="none">> Midwifery> <<a shape="rect" ymailto="mailto:[log in to unmask]" href="mailto:[log in to unmask]">[log in to unmask]</a>><br clear="none">> Subject: RE: Situation in New Zealand - positive!<br clear="none">> <br clear="none">> <br clear="none">> We need to be very calm and logical in this period, remembering this is a m=<br clear="none">> arathon not a sprint. One size will not fit all. In every case we need to h=<br clear="none">> umanise birth, keeping individual needs central. Clearly the Chinese model =<br clear="none">> has so over medicalised birth that they have lost sight of some of the impo=<br clear="none">> rtant therapeutic elements of human interaction as well as cost/benefit of =<br clear="none">> intervention for many cases.<br clear="none">> <br clear="none">> <br clear="none">> <br clear="none">> The biggest fear in my mind is that actually there won=92t be sufficient mi=<br clear="none">> dwives to provide the care making any argument about place of birth redunda=<br clear="none">> nt. In B=92Ham we are keeping our HBT and C of C teams running as long as p=<br clear="none">> ossible however as midwives are self-isolating this will become more diffic=<br clear="none">> ult. We need to monitor using our academic skills but where possible consid=<br clear="none">> er also working clinically (if we don=92t already do so) =96 maintaining m=<br clear="none">> oral, influencing guidelines supporting decision making.<br clear="none">> <br clear="none">> <br clear="none">> <br clear="none">> Best wishes<br clear="none">> <br clear="none">> Trixie<br clear="none">> <br clear="none">> <br clear="none">> <br clear="none">> From: A forum for discussion on midwifery and reproductive health research.=<br clear="none">> <br clear="none">> ########################################################################<br clear="none">> <br clear="none">> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:<br clear="none">> <a shape="rect" href="https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=3DMIDWIFERY-RESEARCH&A=3D1" target="_blank">https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=3DMIDWIFERY-RESEARCH&A=3D1</a><div class="yqt2022160403" id="yqtfd41801"><br clear="none"><br clear="none">########################################################################<br clear="none"><br clear="none">To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:<br clear="none"><a shape="rect" href="https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1" target="_blank">https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1</a></div></div></div>
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------=_Part_5801894_895730515.1585304661602--
========================================================================Date: Fri, 27 Mar 2020 10:31:44 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Lessons from the covid-19 epicentre: hospitals are vectors for
infection
Comments: To: Claire Feeley <[log in to unmask]>,
Lia Brigante <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
Helen Cheyne <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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yes, this paper has been circulated, but Im not sure people have paid attention to the lessons - PARTICULARLY:
For example, we are learning that hospitals might be the main Covid-19 carriers, as they are rapidly populated by infected patients, facilitating transmission to uninfected patients. Patients are transported by our regional system,1<https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0080#r1> which also contributes to spreading the disease as its ambulances and personnel rapidly become vectors. Health workers are asymptomatic carriers or sick without surveillance; some might die, including young people, which increases the stress of those on the front line.
This disaster could be averted only by massive deployment of outreach services. Pandemic solutions are required for the entire population, not only for hospitals. Home care and mobile clinics avoid unnecessary movements and release pressure from hospitals.2<https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0080#r2> Early oxygen therapy, pulse oximeters, and nutrition can be delivered to the homes of mildly ill and convalescent patients, setting up a broad surveillance system with adequate isolation and leveraging innovative telemedicine instruments. This approach would limit hospitalization to a focused target of disease severity, thereby decreasing contagion, protecting patients and health care workers, and minimizing consumption of protective equipment. In hospitals, protection of medical personnel should be prioritized. No compromise should be made on protocols; equipment must be available. Measures to prevent infection must be implemented massively, in all locations and including vehicles. We need dedicated Covid-19 hospital pavilions and operators, separated from virus-free areas.
________________________________
From: A forum for discussion on midwifery and reproductive health research.
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========================================================================Date: Fri, 27 Mar 2020 13:09:46 +0100
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Lucia Rocca <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Lucia Rocca <[log in to unmask]>
Subject: Re: Situation in New Zealand - positive!
Comments: To: Claire Feeley <[log in to unmask]>,
Lia Brigante <[log in to unmask]>, [log in to unmask]
In-Reply-To: <[log in to unmask]>
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Hi everyone,
I suggeted that the RCM might be able to help with this and push NHS Trusts
to move faster?
How about creating local lists of MWS, doulas and volunteers with what
functions thay are happy to cover and areas and then this list can be used
to speed up the release of honorary contracts? Having the RCM involcved and
putting NHS Truts under pressure might work?
cc
Lucia
Dr Lucia Rocca-Ihenacho
PhD, MSc, RM
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 Fri, 27 Mar 2020 at 10:12, Claire Feeley <
[log in to unmask]> wrote:
> I'd like to add that some of us are desperately trying to get back in to
> our local trusts to support staff shortages, but it is taking an
> extraordinarily long time. It took 3 days to get through to the bank office
> at my local trust, they took my name and number and I've not yet heard
> anything (8 days now) It is only because another ex-colleague was further
> along the process than me, that I've gotten the initial form they're
> sending out which I've emailed back yesterday. I fully appreciate that all
> departments are up against it, but I wanted to point out the challenges
> some of us are facing trying to get back to clinical.
>
> Added to which, the rapid response recruitment drive from NHS
> Professionals doesn't include midwives at the moment!! That, I'm frustrated
> and somewhat cross about to be honest. Time and time again midwives are
> ignored, or not factored in.
>
> IM's are inundated with women making inquiries but can't provide care
> unless the women pay (which most can't) or unless HOM's are willing to
> secure temp contracts for them. -some are doing so, but there are many
> examples of IM's being blocked from offering this essential support to keep
> home birth services going.
>
> So at the moment, I feel like my hands are literally tied, I have the
> clinical skills and recent experience to offer support and very much wish
> to do so, but am waiting!
>
> Best wishes
> Claire Feeley
> Midwife/Researcher
>
>
>
> On Friday, 27 March 2020, 08:21:01 GMT, Trixie McAree <
> [log in to unmask]> wrote:
>
>
> We need to be very calm and logical in this period, remembering this is a
> marathon not a sprint. One size will not fit all. In every case we need to
> humanise birth, keeping individual needs central. Clearly the Chinese model
> has so over medicalised birth that they have lost sight of some of the
> important therapeutic elements of human interaction as well as cost/benefit
> of intervention for many cases.
>
> The biggest fear in my mind is that actually there won't be sufficient
> midwives to provide the care making any argument about place of birth
> redundant. In B'Ham we are keeping our HBT and C of C teams running as long
> as possible however as midwives are self-isolating this will become more
> difficult. We need to monitor using our academic skills but where possible
> consider also working clinically (if we don't already do so) - maintaining
> moral, influencing guidelines supporting decision making.
>
> Best wishes
> Trixie
>
> From: A forum for discussion on midwifery and reproductive health research.
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
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<div dir="ltr"><div>Hi everyone,</div><div>I suggeted that the RCM might be able to help with this and push NHS Trusts to move faster?</div><div><br></div><div>How about creating local lists of MWS, doulas and volunteers with what functions thay are happy to cover and areas and then this list can be used to speed up the release of honorary contracts? Having the RCM involcved and putting NHS Truts under pressure might work?</div><div><br></div><div>cc</div><div><br></div><div>Lucia<br></div><div><div><div dir="ltr" class="gmail_signature" data-smartmail="gmail_signature"><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div><div><span style="font-size:large"></span><span style="font-family:tahoma,sans-serif"><font size="2">Dr Lucia Rocca-Ihenacho</font></span></div><div><span style="font-family:tahoma,sans-serif"><font size="2">PhD, MSc, RM<br></font></span></div><span style="font-family:tahoma,sans-serif"></span><font size="2">Lecturer in Midwifery and NIHR Research Fellow</font><span><span style="font-family:tahoma,sans-serif"><font><span></span></font></span></span><br><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)"></span></span><div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)"></span></span><div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">Centre for Maternal and Child Health Research</span></span></div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">
</span></span><div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">School of Health Sciences</span></span></div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">
</span></span><div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">City Univers</span></span>ity London</div>
<div>1 Myddelton Street</div>
<div>London <br>EC1R 1UW</div></div><div><span style="font-family:tahoma,sans-serif"><font><span></span></font><font><span><br></span></font></span></div><span style="font-family:tahoma,sans-serif"><font><span>07989 230313</span></font></span></div><div dir="ltr"><font size="2">Skype contact: luciainsky</font><br></div><div dir="ltr"><div><span style="font-family:tahoma,sans-serif">
</span><font size="2"><span style="font-family:tahoma,sans-serif"></span><br></font></div><span style="font-size:large"><font face="'arial narrow', sans-serif"><br></font></span></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><br></div></div><br><div class="gmail_quote"><div dir="ltr" class="gmail_attr">On Fri, 27 Mar 2020 at 10:12, Claire Feeley <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> wrote:<br></div><blockquote class="gmail_quote" style="margin:0px 0px 0px 0.8ex;border-left:1px solid rgb(204,204,204);padding-left:1ex"><div><div style="font-family:Helvetica Neue,Helvetica,Arial,sans-serif;font-size:13px"><div></div>
<div dir="ltr">I'd like to add that some of us are desperately trying to get back in to our local trusts to support staff shortages, but it is taking an extraordinarily long time. It took 3 days to get through to the bank office at my local trust, they took my name and number and I've not yet heard anything (8 days now) It is only because another ex-colleague was further along the process than me, that I've gotten the initial form they're sending out which I've emailed back yesterday. I fully appreciate that all departments are up against it, but I wanted to point out the challenges some of us are facing trying to get back to clinical.</div><div dir="ltr"><br></div><div dir="ltr">Added to which, the rapid response recruitment drive from NHS Professionals doesn't include midwives at the moment!! That, I'm frustrated and somewhat cross about to be honest. Time and time again midwives are ignored, or not factored in.</div><div dir="ltr"><br></div><div dir="ltr">IM's are inundated with women making inquiries but can't provide care unless the women pay (which most can't) or unless HOM's are willing to secure temp contracts for them. -some are doing so, but there are many examples of IM's being blocked from offering this essential support to keep home birth services going. </div><div dir="ltr"><br></div><div dir="ltr">So at the moment, I feel like my hands are literally tied, I have the clinical skills and recent experience to offer support and very much wish to do so, but am waiting! </div><div dir="ltr"><br></div><div dir="ltr">Best wishes</div><div dir="ltr">Claire Feeley</div><div dir="ltr">Midwife/Researcher</div><div dir="ltr"><br></div><div dir="ltr"><br></div><div><br></div>
</div><div id="gmail-m_2447537618619230060yahoo_quoted_5430185810">
<div style="font-family:"Helvetica Neue",Helvetica,Arial,sans-serif;font-size:13px;color:rgb(38,40,42)">
<div>
On Friday, 27 March 2020, 08:21:01 GMT, Trixie McAree <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> wrote:
</div>
<div><br></div>
<div><br></div>
<div><div dir="ltr">We need to be very calm and logical in this period, remembering this is a marathon not a sprint. One size will not fit all. In every case we need to humanise birth, keeping individual needs central. Clearly the Chinese model has so over medicalised birth that they have lost sight of some of the important therapeutic elements of human interaction as well as cost/benefit of intervention for many cases.<br></div><div dir="ltr"><br></div><div dir="ltr">The biggest fear in my mind is that actually there won't be sufficient midwives to provide the care making any argument about place of birth redundant. In B'Ham we are keeping our HBT and C of C teams running as long as possible however as midwives are self-isolating this will become more difficult. We need to monitor using our academic skills but where possible consider also working clinically (if we don't already do so)Â - maintaining moral, influencing guidelines supporting decision making.<br></div><div dir="ltr"><br></div><div dir="ltr">Best wishes<br></div><div dir="ltr">Trixie<br></div><div dir="ltr"><br></div><div dir="ltr">From: A forum for discussion on midwifery and reproductive health research.<br></div><div dir="ltr">########################################################################<br></div><div dir="ltr"><br></div><div dir="ltr">To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:<br></div><div dir="ltr"><a href="https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1" target="_blank">https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1</a></div></div>
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--000000000000c6f10f05a1d50260--
========================================================================Date: Fri, 27 Mar 2020 12:17:08 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Mary Edmondson <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Mary Edmondson <[log in to unmask]>
Subject: Lancet updates
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========================================================================Date: Fri, 27 Mar 2020 12:26:04 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Re: Covid 19,
rising evidence of significant maternity care human rights
violations, and paedatrics in brazil
Comments: To: Ricardo Chaves <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
"Rocca-Ihenacho, Lucia" <[log in to unmask]>,
Lia Brigante <[log in to unmask]>,
Andre lalonde <[log in to unmask]>,
"Weeks, Andrew" <[log in to unmask]>,
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Hello Ricardo! it is lovely to hear from you, and I hope you and your family are very well under the current circumstances.
Yes, we are absolutely working on this, flat out! We are trying to build knowledge of what is happening in maternity care, and, particularly, the overt and completely non-evidence based violations of the rights of women and neonates in some cases, counter to WHO recommendations, and of possible solutions, within and between countries around the world, with professional organisations and with WHO and with local staff. At the moment, it is hard to see solutions, but some are managing to find them. Ive linked you to various people and groups above who may be able to help?
Have you seen the excellent WHO infographics on maternity care in the context of covid-19? If not, Ill forward them on
All the best
Soo
________________________________
From: Ricardo Chaves <[log in to unmask]>
Sent: Friday, March 27, 2020 11:31 AM
To: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>
Subject: Covid 19
Dear Soo Downe, I hope you and your family are right in the face of this great epidemic that we are experiencing. We are very concerned with maintaining the quality of care for babies and mothers during birth and delivery during the epidemic. we do not want to lose the perspective of the physiology and humanization of care for mothers and newborns. are you accessing this discussion? as you and your research group have been working in this direction, I send kisses and virtual hugs to the fans so that it ends as soon as possible, Ricardo Chaves pediatrician and professor of pediatrics at the UNIVERSIDADE DO RIO ESTAFO DO RIO DW JANEIRO BRASIL
Ricardo Chaves
[University of Central Lancashire]
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Hello Ricardo! it is lovely to hear from you, and I hope you and your family are very well under the current circumstances.</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<br>
</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
Yes, we are absolutely working on this, flat out! We are trying to build knowledge of what is happening in maternity care, and, particularly, the overt and completely non-evidence based violations of the rights of women and neonates in some cases, counter to
WHO recommendations, and of possible solutions, within and between countries around the world, with professional organisations and with WHO and with local staff. At the moment, it is hard to see solutions, but some are managing to find them. Ive linked you
to various people and groups above who may be able to help?</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<br>
</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
Have you seen the excellent WHO infographics on maternity care in the context of covid-19? If not, Ill forward them on</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<br>
</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
All the best</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<br>
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Soo</div>
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> Ricardo Chaves <[log in to unmask]><br>
<b>Sent:</b> Friday, March 27, 2020 11:31 AM<br>
<b>To:</b> Soo Downe <School of Community Health & Midwifery> <[log in to unmask]><br>
<b>Subject:</b> Covid 19</font>
<div> </div>
</div>
<div class="BodyFragment"><font size="2"><span style="font-size:11pt">
<div class="PlainText">Dear Soo Downe, I hope you and your family are right in the face of this great epidemic that we are experiencing. We are very concerned with maintaining the quality of care for babies and mothers during birth and delivery during the
epidemic. we do not want to lose the perspective of the physiology and humanization of care for mothers and newborns. are you accessing this discussion? as you and your research group have been working in this direction, I send kisses and virtual hugs to
the fans so that it ends as soon as possible, Ricardo Chaves pediatrician and professor of pediatrics at the UNIVERSIDADE DO RIO ESTAFO DO RIO DW JANEIRO BRASIL<br>
<br>
<br>
Ricardo Chaves</div>
</span></font></div>
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========================================================================Date: Fri, 27 Mar 2020 14:00:31 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Re: Situation in New Zealand - positive!
Comments: To: Charlotte Warren <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
Lia Brigante <[log in to unmask]>
Comments: cc: SHEENA BYROM <[log in to unmask]>,
Anna Byrom <[log in to unmask]>,
Claire Lauren Feeley <[log in to unmask]>,
Joan Lalor <[log in to unmask]>, Lucy Frith <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
=?windows-1250?Q?TUNCALP_MINGARD,_Özge?= <[log in to unmask]>,
Meghan Bohren <[log in to unmask]>,
Maria Booker <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Fab, thanks Charlotte!
________________________________
From: Charlotte Warren <[log in to unmask]>
Sent: Friday, March 27, 2020 1:57 PM
To: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Lia Brigante <[log in to unmask]>
Cc: SHEENA BYROM <[log in to unmask]>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask]>; Claire Lauren Feeley <[log in to unmask]>; Joan Lalor <[log in to unmask]>; Lucy Frith <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]>; Meghan Bohren <[log in to unmask]>; 'Maria Booker' <[log in to unmask]>
Subject: Re: Situation in New Zealand - positive!
Hi everyone
I reached out to ICM, and they are working on a statement about rights of women, babies and midwives being compromised by some health services putting in place ill-informed and non-evidence-based protocols. Not sure how long it will take to be posted on their website...
Regards
Charlotte
Charlotte Warren
Senior Associate MNH
Population Council
________________________________
From: [log in to unmask] <[log in to unmask]> on behalf of Soo Downe <[log in to unmask]>
Sent: Thursday, March 26, 2020 10:56 PM
To: [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Lia Brigante <[log in to unmask]>
Cc: SHEENA BYROM <[log in to unmask]>; Anna Byrom <[log in to unmask]>; Claire Lauren Feeley <[log in to unmask]>; Joan Lalor <[log in to unmask]>; Lucy Frith <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]>; Meghan Bohren <[log in to unmask]>; 'Maria Booker' <[log in to unmask]>
Subject: Re: Situation in New Zealand - positive!
Fabulous to hear Susan. We really need to collect positive stories of good quality care (for women, families, and care providers).
All the best
Soo
________________________________
From: The normal birth research list <[log in to unmask]> on behalf of Susan Crowther <[log in to unmask]>
Sent: Thursday, March 26, 2020 8:55 PM
To: [log in to unmask] <[log in to unmask]>
Subject: Re: Situation in Slovakia - grim
Agree Lesley, what can we do for regions where sensitive community relational care is threatened. It seems that this is the time for more compassion and sensitivity not institutional uncaring dictates.
What can we do perhaps ICM could release some guidance to all regions? The risk and childbirth discourse appears to be escalating in some regions in the face of Covid 19. We all need practical solutions not fear based knee jerk reactions.
NZ has its own issues at this time but CoCer and maintaining womens rights to choose continues to be central to the partnership model. I am truly impressed on how New Zealand midwives, both hospital based and the continuity of carer midwives, are addressing the needs of their communities and supporting each other to practice proactively to do so. It is heart-warming.
Go well
Susan
From: The normal birth research list <[log in to unmask]> On Behalf Of Page, Lesley
Sent: Friday, 27 March 2020 5:14 am
To: [log in to unmask]
Subject: Re: Situation in Slovakia - grim
I am so disturbed to hear what is happening in Slovakia. Why is the humanisation of birth so difficult?
Lesley
Professor Lesley Page CBE
Visiting Professor in Midwifery KCL
Adjunct Professor UTS Australia
Griffith University Australia
Honorary research fellow Oxford Brookes University
mobile +44(o)7747708630
https://www.all4maternity.com/humanising-birth-hope-for-the-future-even-in-war/<https://protect-us.mimecast.com/s/sRtCCERZQBH3mjjBuNxsew?domain=all4maternity.com/>
https://www.all4maternity.com/author/lesleypage/<https://protect-us.mimecast.com/s/U1hTCG6YKEU1m99wF7Tjau?domain=all4maternity.com/>
twitter: lesleypageCBE@humanisingbirth
________________________________
From: The normal birth research list <[log in to unmask]<mailto:[log in to unmask]>> on behalf of Soo Downe <[log in to unmask]<mailto:[log in to unmask]>>
Sent: 26 March 2020 15:35
To: [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>
Subject: Situation in Slovakia - grim
________________________________
From: Zuzana Kriskova <[log in to unmask]<mailto:[log in to unmask]>>
Sent: Thursday, March 26, 2020 3:33 PM
To: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]<mailto:[log in to unmask]>>
Cc: Brenda Dmello <[log in to unmask]<mailto:[log in to unmask]>>; Rebecca Brown <[log in to unmask]<mailto:[log in to unmask]>>; Jennifer Stevens <[log in to unmask]<mailto:[log in to unmask]>>; Elena Skoko <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>
Subject: Re: Thinking out of the box - an alternative covid approach for birth
Dear all,
in Slovakia, we hear disturbing news. Some hospitals decided to follow protocols from China (enclosed) and decided that - no companions, forceps birth or ceaserians section are mandatory for women with COVID-19, mandatory 14 days separation of the baby. Some women need to wear the mask non-stop, during birth and after birth (even in sleep). In another hospital epidurals are postponed (we are not in crises, only 2 people are officialy in critical condition). As visits are banned parents of premature children are not allowed to see them. From Czech rep. we heard that some women are allowed to be with their baby in room, but the baby needs to be 2m from mother.
We are afraid that more and more "creative" directives would be forced upon women.
I understand that you as midwifes and other healthcare professional are in front lines, risking your own health. And many of you are in the risk group. I understand the need of protection and we see that in many countries and hospitals personnel doesn't have sufficient protection - we are missing masks, respirators, gloves.... But still as human rights activist I call for your help. Pregnant women are in very vulnerable position, they can not wait until the pandemic is over. We need to hear that even the time of crisis respectful maternity care is not a luxury. We need to call out those who use this time as opportunity to bully and mistreat women.
Zuzana Kriskova
Women's circles
NGO from Slovakia
t 26. 3. 2020 o 14:40 Soo Downe <[log in to unmask]<mailto:[log in to unmask]>> napísal(a):
And maybe some good news about an alternative approach, where this is possible?:
From: Nieuwenhuijze M (AV-M) <[log in to unmask]<mailto:[log in to unmask]>>
Subject: RE: CORONAVIRUS - COST activities
Women in the Netherlands are still giving birth at home. Actually, low risk women in certain areas are more often choosing a home birth to avoid the hospital or because some hospital restrict admittance as much as possible. Additionally, they are setting up birth units (e.g. in hotels) very close to the hospital to avoid delay in time and still keep women outside the hospital.
If women need to be admitted for medical reasons, they are allowed one person to accompany them during birth.
Met vriendelijke groet | Kind regards,
Marianne Nieuwenhuijze PhD MPH RM
Professor of Midwifery
Lectoraat Midwifery Science | Research Centre for Midwifery Science
Academie Verloskunde Maastricht
Zuyd University
+31(0)43 388 54 11
[log in to unmask]<mailto:[log in to unmask]>,
MailScanner has detected a possible fraud attempt from "eur03.safelinks.protection.outlook.com" claiming to be www.av-m.nl<https://protect-us.mimecast.com/s/okKZCL9YBRtRA22LsjEH68?domain=eur03.safelinks.protection.outlook.com>
Universiteitssingel 60, 6229 ER Maastricht
________________________________
From: Brenda Dmello <[log in to unmask]<mailto:[log in to unmask]>>
Sent: Thursday, March 26, 2020 7:39 AM
To: Rebecca Brown <[log in to unmask]<mailto:[log in to unmask]>>
Cc: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]<mailto:[log in to unmask]>>; Jennifer Stevens <[log in to unmask]<mailto:[log in to unmask]>>; Elena Skoko <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>
Subject: Re: ITALY: COVID-19 & RMC Position statement
Hello,
May I share a few thoughts on respectful care at childbirth in the time of COVID 19.
It is indeed a tough time- a novel virus - overwhelming health systems- the world is in panic. The scientific community has not had the time to really determine the facts - it is a time of transition - we can expect multiple changes in protocols as new evidence emerges.
It will take us some time to figure out what is best for mum and baby and the community at large. We do not yet know enough about the interaction between COVID19 and pregnancy- how to manage a patient that is infected and how to manage a patient that is not infected. We may need to be gracious and patient but not complacent.
To allow birth companions or not- that is the question...separate mum and baby- we have had a similar scenario before when we had to decide to breastfeed or not to breastfeed in the time of HIV.
Are we making decisions on what is best and convenient for the health care provider- like we do here in Tanzania or what is best for the client? While we do not know everything about how to handle pregnancy in the time of COVID, we know for SURE what the woman needs and wants and, what keeps her and her baby safe. For centuries we have know, but the progress to give the woman what is 'RIGHT' has been hard fought and gains have been slow...and that is why this group exists.
We need to recognize that pregnancy management is not an individual sport- it requires a team approach and is a family/community affair.We have managed TB and HIV in pregnancy in the past.Maybe there are lessons we can learn.
My hunch is that time will tell us that we should prioritise what the mother wants, she knows what is best for her and her baby.
A few more thoughts and an advocacy pitch for a birth companion....
Birth companion is not a soft science- it is the single most important intervention to ensure Right care which includes respectful birth. More importantly the management of the psyche in a pregnant woman is critical during labour. It is one of the four pillar in labour management- along with the other 'P's - Passage (the pelvis), the Passenger(the baby size and position) and Power(the strength of uterine contractions). It will be sad for our fellow pregnant mums in the developed world to move backwards and now experience the trauma of labouring alone or with strangers. It is too painful and sad to hear women scream 'nursi'...'nursi'- mostly out of panic and fear in her loneliness. It kills the joy that should be there at childbirth. Sometimes it kills more than that.
I understand we need to be wise in this new era- but a few more thoughts...
Who is the birth companion ban protecting?
The companion ? - who most likely lives with the woman.
The health care provider ? - who is highly trained to deal with COVID cases, infectious disease and is fully kitted with IPC gear (that could be stepped up to ebola prevention levels)
or
The pregnant woman? who irrespective whether she has COVID or not needs urgent and right delivery care with access to emergency management/PPH/blood transfusion/ and a few other unpredictable emergencies etc
Once we decide that both the clinical provision of care and the experience of care are of equal and non negotiable priority- then the health specialists should tell us what to do to keep the various participants in the delivery process safe without withholding any basic rights.
I agree maybe the companion will need extra training - we may need to clarify and ensure no vulnerable groups selected as companions and include training on how not to acquire and how not to spread infection. I am sure that is possible.
I am believing that together we will come up with a best way forward with public health specialists, virologists, nurse midwives, mothers and partners engaged in decision making.Together we will make the right decision. We always have.
Warmest regards
Brenda
Dr. Brenda Sequeira D'mello,MD, MMed (OBGYN)
Technical Advisor & Project Manager,
Capacity Building Project
Maternal and Newborn Health program
CCBRT
phone 255 754295465
On Wed, Mar 25, 2020 at 8:05 PM 'Rebecca Brown' via Global RMC Council <[log in to unmask]<mailto:[log in to unmask]>> wrote:
Hi All,
In New York, so far two large hospital systems (New York Presbyterian and Mt Sinai) have instituted a policy allowing no additional support into the labor and delivery units no spouses, doulas or family. Its causing outrage here and petitions have been launched.
Best,
Rebecca
[cid:image002.jpg@01D6041D.E080D2F0]
REBECCA BROWN* (she/her/hers)
Senior Director of Global Advocacy
[log in to unmask]<mailto:[log in to unmask]>
199 Water Street, 22nd Floor
New York NY 10038
Tel 917 6373606 Fax 917 637 3666
Skype rbrown_crr
Website<https://protect-us.mimecast.com/s/nPfbCM8EB6SqgYYju1smAb?domain=eur03.safelinks.protection.outlook.com> | Facebook<https://protect-us.mimecast.com/s/TlX4CNkE1Ru0AppoIzZxn7?domain=eur03.safelinks.protection.outlook.com> | Twitter<https://protect-us.mimecast.com/s/cvCUCOYE9RCpJkk3Fj_Xy7?domain=eur03.safelinks.protection.outlook.com>
*JD, admitted in New York (active status)
This message may contain confidential or privileged information. If you are not the intended recipient, please advise the sender immediately by reply e-mail and delete this message and any attachments without retaining a copy.
From: [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>> On Behalf Of Soo Downe
Sent: Wednesday, March 25, 2020 12:03 PM
To: Jennifer Stevens <[log in to unmask]<mailto:[log in to unmask]>>; Elena Skoko <[log in to unmask]<mailto:[log in to unmask]>>
Cc: [log in to unmask]<mailto:[log in to unmask]>
Subject: Re: ITALY: COVID-19 & RMC Position statement
This is a recommendation from the WHO intrapartum guidelines Jennifer, that has applied to all settings since the guidelines were published:
Companionship during labour and childbirth 3. A companion of choice is recommended for all women throughout labour and childbirth. Recommended
I think the idea is that the lack of privacy and etc should not be used as an excuse to limit companionship - rather that the human right of companionship should lead to a change in hospital design/ward set up so that it can be provided.
I know there is debate about this in the light of covid-19 for some settings in Europe - but in others it is still absolutely seen as a right, and, indeed, as a way of minimising cross-infection for staff, as, if a woman has a birth companion she is better able to labour without the need for constant staff support, is less likely to need an epidural (so to need an anaesthetist) and is less likely to need a CS (and so, again, less likely to occupy a theatre and need theatre staff, and more likely to be able to leave hospital quicker).
My understanding, by the way, is that healthy pregnant women are the social group of adults least likely to be infected with C-19/to experience severe disease once infected - the theory being that, paradoxically, because they are immune suppressed they dont mount the catastrophic auto-immune response that characterises the worst effects of the disease -but Im not sure where I got that information from (it could be mis-information!). Can anyone enlighten me on this?
Many thanks
soo
Many thanks
Soo
________________________________
From: [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>> on behalf of Jennifer Stevens <[log in to unmask]<mailto:[log in to unmask]>>
Sent: Wednesday, March 25, 2020 2:58 PM
To: Elena Skoko <[log in to unmask]<mailto:[log in to unmask]>>
Cc: [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>
Subject: Re: ITALY: COVID-19 & RMC Position statement
Thank you for sharing this.
I was surprised to see a companion of choice listed on the info graphic. Although a right I fully support during normal circumstances, I have some concerns around it now during the COVID outbreak, especially in LMIC where often inadequate screening and privacy is available. What are others thoughts on this? Also, is this supported in current WHO recommendations?
Thank you!
Jennifer Stevens
On Tue, Mar 24, 2020 at 9:40 PM Elena Skoko <[log in to unmask]<mailto:[log in to unmask]>> wrote:
Dear colleagues,
as Italian users' rappresentatives, we have issued a Position statement on COVID-19 and respectful maternity care.
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Thank you for sharing. If you feel like it, you can endorse the statement with your organisation or association by replying to me. Thank you!
Sorry for not having a translation in English yet.
Best wishes and stay safe
Elena Skoko
Obstetric Violence Observatory Italy
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...aby repekt, dôstojnos a slobodná voŸba ien v tehotenstve a pri pôrode boli samozrejmosou.
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Fab, thanks Charlotte!</div>
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" style="font-size:11pt" color="#000000"><b>From:</b> Charlotte Warren <[log in to unmask]><br>
<b>Sent:</b> Friday, March 27, 2020 1:57 PM<br>
<b>To:</b> Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask]
<[log in to unmask]>; Lia Brigante <[log in to unmask]><br>
<b>Cc:</b> SHEENA BYROM <[log in to unmask]>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask]>; Claire Lauren Feeley <[log in to unmask]>; Joan Lalor <[log in to unmask]>; Lucy Frith <[log in to unmask]>; [log in to unmask]
<[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]>; Meghan Bohren <[log in to unmask]>; 'Maria Booker' <[log in to unmask]><br>
<b>Subject:</b> Re: Situation in New Zealand - positive!</font>
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Hi everyone</div>
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I reached out to ICM, and they are <span style="color:rgb(0,0,0); font-family:calibri,arial,helvetica,sans-serif; font-size:12pt; background-color:rgba(0,0,0,0); display:inline!important">
working on a statement about rights of women, babies and midwives being compromised by some health services putting in place ill-informed and non-evidence-based protocols. Not sure how long it will take to be posted on their website...</span></div>
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<span style="color:rgb(0,0,0); font-family:calibri,arial,helvetica,sans-serif; font-size:12pt; background-color:rgba(0,0,0,0); display:inline!important">Regards</span></div>
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<span style="color:rgb(0,0,0); font-family:calibri,arial,helvetica,sans-serif; font-size:12pt; background-color:rgba(0,0,0,0); display:inline!important">Charlotte </span></div>
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<span style="color:rgb(0,0,0); font-family:calibri,arial,helvetica,sans-serif; font-size:12pt; background-color:rgba(0,0,0,0); display:inline!important"><br>
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<span style="color:rgb(0,0,0); font-family:calibri,arial,helvetica,sans-serif; font-size:12pt; background-color:rgba(0,0,0,0); display:inline!important">Charlotte Warren</span></div>
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<span style="color:rgb(0,0,0); font-family:calibri,arial,helvetica,sans-serif; font-size:12pt; background-color:rgba(0,0,0,0); display:inline!important">Senior Associate MNH</span></div>
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<span style="color:rgb(0,0,0); font-family:calibri,arial,helvetica,sans-serif; font-size:12pt; background-color:rgba(0,0,0,0); display:inline!important">Population Council</span></div>
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<div id="x_divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> [log in to unmask] <[log in to unmask]> on behalf of Soo Downe <[log in to unmask]><br>
<b>Sent:</b> Thursday, March 26, 2020 10:56 PM<br>
<b>To:</b> [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Lia Brigante <[log in to unmask]><br>
<b>Cc:</b> SHEENA BYROM <[log in to unmask]>; Anna Byrom <[log in to unmask]>; Claire Lauren Feeley <[log in to unmask]>; Joan Lalor <[log in to unmask]>; Lucy Frith <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; TUNCALP MINGARD,
Özge <[log in to unmask]>; Meghan Bohren <[log in to unmask]>; 'Maria Booker' <[log in to unmask]><br>
<b>Subject:</b> Re: Situation in New Zealand - positive!</font>
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Fabulous to hear Susan. We really need to collect positive stories of good quality care (for women, families, and care providers).</div>
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All the best</div>
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Soo</div>
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<div id="x_x_divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> The normal birth research list <[log in to unmask]> on behalf of Susan Crowther <[log in to unmask]><br>
<b>Sent:</b> Thursday, March 26, 2020 8:55 PM<br>
<b>To:</b> [log in to unmask] <[log in to unmask]><br>
<b>Subject:</b> Re: Situation in Slovakia - grim</font>
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<span style="">Agree Lesley, what can we do for regions where sensitive community relational care is threatened. It seems that this is the time for more compassion and sensitivity not institutional uncaring dictates.</span></p>
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<span style="">What can we do perhaps ICM could release some guidance to all regions? The risk and childbirth discourse appears to be escalating in some regions in the face of Covid 19. We all need practical solutions not fear based knee jerk reactions.
</span></p>
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<span style="">NZ has its own issues at this time but CoCer and maintaining womens rights to choose continues to be central to the partnership model. I am truly impressed on how New Zealand midwives, both hospital based and the continuity of carer midwives,
are addressing the needs of their communities and supporting each other to practice proactively to do so. It is heart-warming.</span></p>
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<span style="">Go well </span></p>
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<span style="">Susan</span></p>
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<b><span lang="EN-US">From:</span></b><span lang="EN-US"> The normal birth research list <[log in to unmask]>
<b>On Behalf Of </b>Page, Lesley<br>
<b>Sent:</b> Friday, 27 March 2020 5:14 am<br>
<b>To:</b> [log in to unmask]<br>
<b>Subject:</b> Re: Situation in Slovakia - grim</span></p>
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<span style="font-size:12.0pt; color:black">I am so disturbed to hear what is happening in Slovakia. Why is the humanisation of birth so difficult?</span></p>
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<span style="font-size:10.0pt; font-family:"Lucida Console"; color:black"> </span><span style="font-size:13.0pt; font-family:"Arial",sans-serif; color:#657184; background:white"><a href="https://protect-us.mimecast.com/s/sRtCCERZQBH3mjjBuNxsew?domain=all4maternity.com/"><span style="font-size:10.0pt; font-family:"Lucida Console"; color:black">https://www.all4maternity.com/humanising-birth-hope-for-the-future-even-in-war/</span></a></span><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black"></span></p>
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<span style="font-size:12.0pt; font-family:"Lucida Console"; color:#545255"> </span><span style="font-size:12.0pt; font-family:"Arial",sans-serif; color:#545255"><a href="https://protect-us.mimecast.com/s/U1hTCG6YKEU1m99wF7Tjau?domain=all4maternity.com/"><span style="font-family:"Lucida Console"">https://www.all4maternity.com/author/lesleypage/</span></a></span></p>
<p style="margin-top:0px; margin-bottom:0px; margin-bottom:12.0pt; line-height:17.4pt; background:white">
<span style="font-size:12.0pt; font-family:"Lucida Console"; color:black">twitter: lesleypageCBE@humanisingbirth</span><span style="font-size:12.0pt; font-family:"Arial",sans-serif; color:#545255"></span></p>
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<b><span style="color:black">From:</span></b><span style="color:black"> The normal birth research list <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> on behalf of Soo Downe <<a href="mailto:[log in to unmask]">[log in to unmask]</a>><br>
<b>Sent:</b> 26 March 2020 15:35<br>
<b>To:</b> <a href="mailto:[log in to unmask]">[log in to unmask]</a> <<a href="mailto:[log in to unmask]">[log in to unmask]</a>><br>
<b>Subject:</b> Situation in Slovakia - grim</span> </p>
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<b><span style="color:black">From:</span></b><span style="color:black"> Zuzana Kriskova <<a href="mailto:[log in to unmask]">[log in to unmask]</a>><br>
<b>Sent:</b> Thursday, March 26, 2020 3:33 PM<br>
<b>To:</b> Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]">[log in to unmask]</a>><br>
<b>Cc:</b> Brenda Dmello <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Rebecca Brown <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Jennifer Stevens <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>;
Elena Skoko <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; <a href="mailto:[log in to unmask]">
[log in to unmask]</a> <<a href="mailto:[log in to unmask]">[log in to unmask]</a>><br>
<b>Subject:</b> Re: Thinking out of the box - an alternative covid approach for birth</span>
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Dear all, </p>
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in Slovakia, we hear disturbing news. Some hospitals decided to follow protocols from China (enclosed) and decided that - no companions, forceps birth or ceaserians section are mandatory for women with COVID-19, mandatory 14 days separation of the baby. Some
women need to wear the mask non-stop, during birth and after birth (even in sleep). In another hospital epidurals are postponed (we are not in crises, only 2 people are officialy in critical condition). As visits are banned parents of premature children are
not allowed to see them. From Czech rep. we heard that some women are allowed to be with their baby in room, but the baby needs to be 2m from mother. </p>
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We are afraid that more and more "creative" directives would be forced upon women. </p>
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I understand that you as midwifes and other healthcare professional are in front lines, risking your own health. And many of you are in the risk group. I understand the need of protection and we see that in many countries and hospitals personnel doesn't have
sufficient protection - we are missing masks, respirators, gloves.... But still as human rights activist I call for your help. Pregnant women are in very vulnerable position, they can not wait until the pandemic is over. We need to hear that even the time
of crisis respectful maternity care is not a luxury. We need to call out those who use this time as opportunity to bully and mistreat women. </p>
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<br>
Zuzana Kriskova<br>
Women's circles</p>
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NGO from Slovakia</p>
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t 26. 3. 2020 o 14:40 Soo Downe <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> napísal(a):</p>
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<span style="font-size:12.0pt; color:black">And maybe some good news about an alternative approach, where this is possible?:</span></p>
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<b><span style="color:black">From:</span></b><span style="color:black"> Nieuwenhuijze M (AV-M) <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
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<b>Subject:</b> RE: CORONAVIRUS - COST activities</span><span style="font-size:11.5pt; color:#201F1E">
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<p style="margin-top:0px; margin-bottom:0px; background:white"><span style="color:#1F497D">Women in the Netherlands are still giving birth at home. Actually, low risk women in certain areas are more often choosing a home birth to avoid the hospital or because
some hospital restrict admittance as much as possible. Additionally, they are setting up birth units (e.g. in hotels) very close to the hospital to avoid delay in time and still keep women outside the hospital.</span><span style="font-size:12.0pt; font-family:"Times New Roman",serif; color:#201F1E"></span></p>
<p style="margin-top:0px; margin-bottom:0px; background:white"><span style="color:#1F497D">If women need to be admitted for medical reasons, they are allowed one person to accompany them during birth.</span><span style="font-size:12.0pt; font-family:"Times New Roman",serif; color:#201F1E"></span></p>
<p style="margin-top:0px; margin-bottom:0px; background:white"><span style="color:#1F497D"> </span><span style="font-size:12.0pt; font-family:"Times New Roman",serif; color:#201F1E"></span></p>
<p style="margin-top:0px; margin-bottom:0px; background:white"><b><span lang="NL" style="font-size:8.5pt; font-family:"Verdana",sans-serif; color:black">Met vriendelijke groet | Kind regards,</span></b><span style="font-size:12.0pt; font-family:"Times New Roman",serif; color:#201F1E"></span></p>
<p style="margin-top:0px; margin-bottom:0px; background:white"><span lang="NL" style="font-size:12.0pt; font-family:"Times New Roman",serif; color:#1F497D"> </span><span style="font-size:12.0pt; font-family:"Times New Roman",serif; color:#201F1E"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><b><span style="font-size:8.5pt; font-family:"Verdana",sans-serif; color:black">Marianne Nieuwenhuijze PhD MPH RM</span></b><span style="font-size:12.0pt; font-family:"Times New Roman",serif"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><i><span style="color:#1F497D">Professor of Midwifery</span></i><b><span style="color:#1F497D"><br>
Lectoraat Midwifery Science | Research Centre for Midwifery Science<br>
</span></b><span style="color:#1F497D">Academie Verloskunde Maastricht</span><span style="font-size:12.0pt; font-family:"Times New Roman",serif"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="NL" style="color:#1F497D">Zuyd University</span><span style="font-size:12.0pt; font-family:"Times New Roman",serif"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="NL" style="color:#1F497D">+31(0)43 388 54 11</span><span style="font-size:12.0pt; font-family:"Times New Roman",serif"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><u><span style="color:blue"><a href="mailto:[log in to unmask]" target="_blank"><span lang="NL">[log in to unmask]</span></a></span></u><span lang="NL" style="color:#1F497D">,</span><span style="font-size:12.0pt; font-family:"Times New Roman",serif"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><span style="color:#1F497D"><a href="https://protect-us.mimecast.com/s/okKZCL9YBRtRA22LsjEH68?domain=eur03.safelinks.protection.outlook.com" target="_blank"><b><span style="color:red">MailScanner has detected a possible
fraud attempt from "eur03.safelinks.protection.outlook.com" claiming to be</span></b>
<span lang="NL">www.av-m.nl</span></a></span><span lang="NL" style="color:#1F497D"><br>
Universiteitssingel 60, 6229 ER Maastricht</span><span style="font-size:12.0pt; font-family:"Times New Roman",serif"></span></p>
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<b><span style="color:black">From:</span></b><span style="color:black"> Brenda Dmello <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Thursday, March 26, 2020 7:39 AM<br>
<b>To:</b> Rebecca Brown <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Cc:</b> Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Jennifer Stevens <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Elena Skoko <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> Re: ITALY: COVID-19 & RMC Position statement</span> </p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">Hello,</span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">May I share a few thoughts on respectful care at childbirth in the time of COVID 19.</span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">It is indeed a tough time- a novel virus - overwhelming health systems- the world is in panic. The scientific community has not had the time to really determine the facts - it is a time of transition
- we can expect multiple changes in protocols as new evidence emerges. </span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">It will take us some time to figure out what is best for mum and baby and the community at large. We do not yet know enough about the interaction between COVID19 and pregnancy- how to manage
a patient that is infected and how to manage a patient that is not infected. We may need to be gracious and patient but not complacent. </span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">To allow birth companions or not- that is the question...separate mum and baby- we have had a similar scenario before when we had to decide to breastfeed or not to breastfeed in the time of HIV.</span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">Are we making decisions on what is best and convenient for the health care provider- like we do here in Tanzania or what is best for the client? While we do not know everything about how to handle
pregnancy in the time of COVID, we know for SURE what the woman needs and wants and, what keeps her and her baby safe. For centuries we have know, but the progress to give the woman what is 'RIGHT' has been hard fought and gains have been slow...and that is
why this group exists.</span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">We need to recognize that pregnancy management is not an individual sport- it requires a team approach and is a family/community affair.We have managed TB and HIV in pregnancy in the past.Maybe
there are lessons we can learn. </span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">My hunch is that time will tell us that we should prioritise what the mother wants, she knows what is best for her and her baby. </span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">A few more thoughts and an advocacy pitch for a birth companion....</span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">Birth companion is not a soft science- it is the single most important intervention to ensure
<i>Right </i>care which includes respectful birth. More importantly the management of the psyche in a pregnant woman is critical during labour. It is one of the four pillar in labour management- along with the other 'P's - Passage (the pelvis), the Passenger(the
baby size and position) and Power(the strength of uterine contractions). It will be sad for our fellow pregnant mums in the developed world to move backwards and now experience the trauma of labouring alone or with strangers. It is too painful and sad to hear
women scream 'nursi'...'nursi'- mostly out of panic and fear in her loneliness. It kills the joy that should be there at childbirth. Sometimes it kills more than that.</span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif"> </span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">I understand we need to be wise in this new era- but a few more thoughts...</span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">Who is the birth companion ban protecting? </span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">The companion ? - who most likely lives with the woman. </span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">The health care provider ? - who is highly trained to deal with COVID cases, infectious disease and is fully kitted with IPC gear (that could be stepped up to ebola prevention levels) </span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">or </span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">The pregnant woman? who irrespective whether she has COVID or not needs urgent and
<i>right</i> delivery care with access to emergency management/PPH/blood transfusion/ and a few other unpredictable emergencies etc </span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif"> </span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">Once we decide that both the clinical provision of care and the experience of care are of equal and non negotiable priority- then the health specialists should tell us what to do to keep the various
participants in the delivery process safe without withholding any basic rights. </span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif"> </span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">I agree maybe the companion will need extra training - we may need to clarify and ensure no vulnerable groups selected as companions and include training on how not to acquire and how not to spread
infection. I am sure that is possible. </span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif"> </span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">I am believing that together we will come up with a best way forward with public health specialists, virologists, nurse midwives, mothers and partners engaged in decision making.Together we will
make the right decision. We always have.</span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">Warmest regards</span></p>
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<span style="font-size:18.0pt; font-family:"Verdana",sans-serif">Brenda</span></p>
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<span style="font-size:9.5pt">Dr. Brenda Sequeira D'mello,</span><span style="font-size:9.5pt; font-family:"Times New Roman",serif">MD, MMed (OBGYN)</span><span style="font-size:9.5pt"></span></p>
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<span style="font-size:9.5pt">Technical Advisor & Project Manager,</span></p>
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<span style="font-size:9.5pt">Capacity Building Project</span></p>
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<span style="font-size:9.5pt">Maternal and Newborn Health program</span></p>
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<span style="font-size:9.5pt">CCBRT</span></p>
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<span style="font-size:9.5pt">phone 255 754295465</span></p>
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On Wed, Mar 25, 2020 at 8:05 PM 'Rebecca Brown' via Global RMC Council <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> wrote:</p>
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<blockquote style="border:none; border-left:solid #CCCCCC 1.0pt; padding:0cm 0cm 0cm 6.0pt; margin-left:4.8pt; margin-right:0cm">
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Hi All,</span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US"> </span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">In New York, so far two large hospital systems (New York Presbyterian and Mt Sinai) have instituted a policy allowing no additional support into the labor and delivery units no spouses, doulas
or family. Its causing outrage here and petitions have been launched. </span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US"> </span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Best,</span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Rebecca </span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US"> </span></p>
<div>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="color:black"><img border="0" width="120" height="80" id="x_x_x_x_gmail-m_714581265059018697x_gmail-m_-8407585802910347910Picture_x0020_11" style="width:1.25in; height:.8333in" data-outlook-trace="F:3|T:3" src="cid:image002.jpg@01D6041D.E080D2F0"></span><span lang="EN-US"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><b><span lang="EN-US" style="color:black"> </span></b><span lang="EN-US"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><b><span lang="EN-US" style="font-size:10.0pt; font-family:"Arial Narrow",sans-serif; color:#5284C4">REBECCA BROWN*</span></b><span lang="EN-US" style="font-size:10.0pt; font-family:"Arial Narrow",sans-serif; color:#5284C4"> (she/her/hers)</span><span lang="EN-US"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><i><span lang="EN-US" style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#5284C4">Senior Director of Global Advocacy</span></i><span lang="EN-US"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><u><span lang="EN-US" style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#5284C4">rbrown<a href="mailto:[log in to unmask]" target="_blank"><span style="color:#5284C4">@reprorights.org</span></a></span></u><span lang="EN-US"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black"> </span><span lang="EN-US"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#857670">199 Water Street, 22nd Floor </span><span lang="EN-US"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#857670">New York NY 10038 </span><span lang="EN-US"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><b><span lang="EN-US" style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#72635D">Tel </span></b><span lang="EN-US" style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#5284C4">917 6373606 </span><b><span lang="EN-US" style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#857670">Fax </span></b><span lang="EN-US" style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#5284C4">917
637 3666 </span><span lang="EN-US"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><b><span lang="EN-US" style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#857670">Skype </span></b><span lang="EN-US" style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#5284C4">rbrown_crr</span><span lang="EN-US"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#5284C4"> </span><span lang="EN-US"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="color:#5284C4"><a href="https://protect-us.mimecast.com/s/nPfbCM8EB6SqgYYju1smAb?domain=eur03.safelinks.protection.outlook.com" target="_blank"><span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#5284C4">Website</span></a></span><span lang="EN-US" style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#5284C4"> | <a href="https://protect-us.mimecast.com/s/TlX4CNkE1Ru0AppoIzZxn7?domain=eur03.safelinks.protection.outlook.com" target="_blank"><span style="color:#5284C4">Facebook</span></a> | <a href="https://protect-us.mimecast.com/s/cvCUCOYE9RCpJkk3Fj_Xy7?domain=eur03.safelinks.protection.outlook.com" target="_blank"><span style="color:#5284C4">Twitter</span></a> </span><span lang="EN-US"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black"> </span><span lang="EN-US"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:8.5pt; font-family:"Arial",sans-serif; color:#72635D">*JD, admitted in New York (active status)
</span><span lang="EN-US"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:8.5pt; font-family:"Helvetica",sans-serif; color:#72635D"> </span><span lang="EN-US"></span></p>
<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:8.5pt; font-family:"Helvetica",sans-serif; color:#72635D">This message may contain confidential or privileged information. If you are not the intended recipient, please advise
the sender immediately by reply e-mail and delete this message and any attachments without retaining a copy.</span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US"> </span></p>
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<p style="margin-top:0px; margin-bottom:0px"><b><span lang="EN-US">From:</span></b><span lang="EN-US">
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>
<b>On Behalf Of </b>Soo Downe<br>
<b>Sent:</b> Wednesday, March 25, 2020 12:03 PM<br>
<b>To:</b> Jennifer Stevens <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Elena Skoko <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Cc:</b> <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a><br>
<b>Subject:</b> Re: ITALY: COVID-19 & RMC Position statement</span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US"> </span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black">This is a recommendation from the WHO intrapartum guidelines Jennifer, that has applied to all settings since the guidelines were published:</span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black"> </span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><i><span lang="EN-US" style="font-size:12.0pt; color:black">Companionship during labour and childbirth 3. A companion of choice is recommended for all women throughout labour and childbirth.
<b>Recommended</b></span></i><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black"> </span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black">I think the idea is that the lack of privacy and etc should not be used as an excuse to limit companionship - rather that the human right of companionship
should lead to a change in hospital design/ward set up so that it can be provided.</span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black"> </span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black"> I know there is debate about this in the light of covid-19 for some settings in Europe - but in others it is still absolutely seen as a right, and, indeed,
as a way of minimising cross-infection for staff, as, if a woman has a birth companion she is better able to labour without the need for constant staff support, is less likely to need an epidural (so to need an anaesthetist) and is less likely to need a CS
(and so, again, less likely to occupy a theatre and need theatre staff, and more likely to be able to leave hospital quicker). </span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black"> </span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black">My understanding, by the way, is that healthy pregnant women are the social group of adults least likely to be infected with C-19/to experience severe disease
once infected - the theory being that, paradoxically, because they are immune suppressed they dont mount the catastrophic auto-immune response that characterises the worst effects of the disease -but Im not sure where I got that information from (<b>it could
be mis-information!)</b>. Can anyone enlighten me on this?</span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black"> </span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black">Many thanks</span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black"> </span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black">soo</span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black"> </span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black">Many thanks</span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black"> </span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US" style="font-size:12.0pt; color:black">Soo </span><span lang="EN-US"></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><b><span lang="EN-US" style="color:black">From:</span></b><span lang="EN-US" style="color:black">
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> on behalf of Jennifer Stevens <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Wednesday, March 25, 2020 2:58 PM<br>
<b>To:</b> Elena Skoko <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Cc:</b> <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> Re: ITALY: COVID-19 & RMC Position statement</span><span lang="EN-US">
</span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US"> </span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Thank you for sharing this.</span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US"> </span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">I was surprised to see a companion of choice listed on the info graphic. Although a right I fully support during normal circumstances, I have some concerns around it now during the COVID outbreak,
especially in LMIC where often inadequate screening and privacy is available. What are others thoughts on this? Also, is this supported in current WHO recommendations?</span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US"> </span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Thank you!</span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Jennifer Stevens</span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US"> </span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">On Tue, Mar 24, 2020 at 9:40 PM Elena Skoko <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> wrote:</span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Dear colleagues,
</span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">as Italian users' rappresentatives, we have issued a Position statement on COVID-19 and respectful maternity care. </span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US"> </span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US"><a href="https://protect-us.mimecast.com/s/qpJBCQWNLRuk8LL7cO3rC3?domain=eur03.safelinks.protection.outlook.com" target="_blank"><b><span style="color:red">MailScanner has detected a possible fraud
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Thank you for sharing. If you feel like it, you can endorse the statement with your organisation or association by replying to me. Thank you!</span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US"> </span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Sorry for not having a translation in English yet. </span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US"> </span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Best wishes and stay safe</span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US"> </span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Elena Skoko</span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Obstetric Violence Observatory Italy</span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Jennifer R Stevens DrPHc CNM MS
</span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Midwifery education </span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Boston University</span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US"><a href="https://protect-us.mimecast.com/s/XNI_CYEQXRHLQXX5izU0KS?domain=goodbirth.net">Goodbirth.net</a></span></p>
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<p style="margin-top:0px; margin-bottom:0px"><span lang="EN-US">Bangla mobile/whatsapp- +88 017 0937 0213</span></p>
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Zuzka Kriková</p>
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..<span style="font-size:10.0pt">.aby repekt, dôstojnos a slobodná voŸba ien v tehotenstve a pri pôrode boli samozrejmosou.</span></p>
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<span style="font-size:10.0pt; font-weight:normal">Ak chcete podpori obèianske zdruenie enské kruhy a jeho aktivity, budeme Vám vïaèné za Vá príspevok na úèet: IBAN: SK50 0200 0000 0029 8031 0758 vo VUB a.s.. Do správy pre prijímateŸa napíte, prosím, "dar".</span>
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--_004_DB3PR0302MB32412768D9B0EFDBF2DD114F97CC0DB3PR0302MB3241_--
========================================================================Date: Fri, 27 Mar 2020 17:03:11 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Ciara Henderson <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Ciara Henderson <[log in to unmask]>
Subject: SOGC Recommendations for COVID-19 and Pregnancy Algorithm (March
26, 2020)
Mime-Version: 1.0
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Message-ID: <[log in to unmask]>
SOGC Recommendations for COVID-19 and Pregnancy Algorithm (March 26, 2020) https://www.sogc.org/common/Uploaded%20files/COVID-19_algorithm_EN.pdf
Useful Flowchart from Canada and other resources also listed at above website https://www.sogc.org/en/-COVID-19/en/content/COVID-19/COVID-19.aspx?hkey=4e808c0d-555f-4714-8a4a-348b547dc268
########################################################################
To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
========================================================================Date: Fri, 27 Mar 2020 17:21:30 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Liselotte Kweekel <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Liselotte Kweekel <[log in to unmask]>
Subject: Re: ITALY: COVID-19 & RMC Position statement
Comments: To: "[log in to unmask]" <[log in to unmask]>,
Soo Downe <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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========================================================================Date: Fri, 27 Mar 2020 17:46:12 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Jenny Hall <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Jenny Hall <[log in to unmask]>
Subject: Re: Situation in New Zealand - positive!
Comments: To: Claire Feeley <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
Content-Type: multipart/alternative;
boundary="_000_CH2PR15MB36854EED5B7B29C9F9C2CD01B5CC0CH2PR15MB3685namp_"
MIME-Version: 1.0
Message-ID: <[log in to unmask]>
--_000_CH2PR15MB36854EED5B7B29C9F9C2CD01B5CC0CH2PR15MB3685namp_
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My interpretation of the new register for the NMC is it is preparation for an emergency not necessarily for immediate deployment. Different trusts will therefore interpret what that means in different ways?
best wishes
Jenny
________________________________
From: A forum for discussion on midwifery and reproductive health research.
########################################################################
To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
========================================================================Date: Sat, 28 Mar 2020 04:42:18 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"Sandall, Jane" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "Sandall, Jane" <[log in to unmask]>
Subject: Fwd: mGAP WHO Covid-19 mental health resources
In-Reply-To: <[log in to unmask]>
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--_000_1D37DD6FCB2B4350837A01DD175732FBkclacuk_--
========================================================================Date: Sat, 28 Mar 2020 09:09:40 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Fw: WHO labour and birth C-19 Infographics online
Comments: To: "[log in to unmask]"
<[log in to unmask]>,
SHEENA BYROM <[log in to unmask]>, Anna Byrom <[log in to unmask]>,
"Rocca-Ihenacho, Lucia" <[log in to unmask]>,
Lia Brigante <[log in to unmask]>,
"Pairman, Sally" <[log in to unmask]>,
ICM | Ann Yates <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
Meghan Bohren <[log in to unmask]>,
Maria Booker <[log in to unmask]>,
Ricardo Chaves <[log in to unmask]>
Comments: cc: =?iso-8859-1?Q?TUNCALP_MINGARD,_Özge?= <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Just so you can find these infographics if you need them - they are now at the link below.
Thanks Ozge!
________________________________
From: TUNCALP MINGARD, Özge <[log in to unmask]>
Sent: Friday, March 27, 2020 9:43 PM
To: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>
Subject: Infographics online
Dear Soo, they are now on the website as well
Best
Özge
https://www.who.int/reproductivehealth/publications/emergencies/COVID-19-pregnancy-ipc-breastfeeding-infographics/en/
Sent from my iPhone
[University of Central Lancashire]
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Just so you can find these infographics if you need them - they are now at the link below.</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<br>
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<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
Thanks Ozge!</div>
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<br>
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> TUNCALP MINGARD, Özge <[log in to unmask]><br>
<b>Sent:</b> Friday, March 27, 2020 9:43 PM<br>
<b>To:</b> Soo Downe <School of Community Health & Midwifery> <[log in to unmask]><br>
<b>Subject:</b> Infographics online</font>
<div> </div>
</div>
<div>Dear Soo, they are now on the website as well
<div>Best</div>
<div>Özge<br>
<div><br>
</div>
<div><a href="https://www.who.int/reproductivehealth/publications/emergencies/COVID-19-pregnancy-ipc-breastfeeding-infographics/en/" style="color:rgb(222,134,178); font-family:Calibri,sans-serif; font-size:14.666666984558105px">https://www.who.int/reproductivehealth/publications/emergencies/COVID-19-pregnancy-ipc-breastfeeding-infographics/en/</a><br>
<br>
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--_000_DB3PR0302MB32412C6580214629AE3334CD97CD0DB3PR0302MB3241_--
========================================================================Date: Sat, 28 Mar 2020 09:17:08 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Fw: Thinking out of the box - an alternative covid approach for
birth
Comments: To: Lia Brigante <[log in to unmask]>,
"Rocca-Ihenacho, Lucia" <[log in to unmask]>,
Maria Booker <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
Anna Byrom <[log in to unmask]>, SHEENA BYROM <[log in to unmask]>
Comments: cc: Joan Lalor <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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The blog below may be of interest?
________________________________
From: Lynn Paltrow <[log in to unmask]>
Sent: Friday, March 27, 2020 9:11 PM
To: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>
Cc: Brenda Dmello <[log in to unmask]>; Rebecca Brown <[log in to unmask]>; Jennifer Stevens <[log in to unmask]>; Elena Skoko <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Indra Lusero <[log in to unmask]>
Subject: Re: Thinking out of the box - an alternative covid approach for birth
Dear All,
I thought you might find out statement: http://advocatesforpregnantwomen.org/blog/2020/03/what_we_can_learn_from_hospita_1.php on this subject of interest. These are such crazy, challenging times.
Thank you all for your work and care,
Lynn
On Thu, Mar 26, 2020 at 9:40 AM Soo Downe <[log in to unmask]<mailto:[log in to unmask]>> wrote:
And maybe some good news about an alternative approach, where this is possible?:
From: Nieuwenhuijze M (AV-M) <[log in to unmask]<mailto:[log in to unmask]>>
Subject: RE: CORONAVIRUS - COST activities
Women in the Netherlands are still giving birth at home. Actually, low risk women in certain areas are more often choosing a home birth to avoid the hospital or because some hospital restrict admittance as much as possible. Additionally, they are setting up birth units (e.g. in hotels) very close to the hospital to avoid delay in time and still keep women outside the hospital.
If women need to be admitted for medical reasons, they are allowed one person to accompany them during birth.
Met vriendelijke groet | Kind regards,
Marianne Nieuwenhuijze PhD MPH RM
Professor of Midwifery
Lectoraat Midwifery Science | Research Centre for Midwifery Science
Academie Verloskunde Maastricht
Zuyd University
+31(0)43 388 54 11
[log in to unmask]<mailto:[log in to unmask]>,
www.av-m.nl<http://www.av-m.nl/>
Universiteitssingel 60, 6229 ER Maastricht
________________________________
From: Brenda Dmello <[log in to unmask]<mailto:[log in to unmask]>>
Sent: Thursday, March 26, 2020 7:39 AM
To: Rebecca Brown <[log in to unmask]<mailto:[log in to unmask]>>
Cc: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]<mailto:[log in to unmask]>>; Jennifer Stevens <[log in to unmask]<mailto:[log in to unmask]>>; Elena Skoko <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>
Subject: Re: ITALY: COVID-19 & RMC Position statement
Hello,
May I share a few thoughts on respectful care at childbirth in the time of COVID 19.
It is indeed a tough time- a novel virus - overwhelming health systems- the world is in panic. The scientific community has not had the time to really determine the facts - it is a time of transition - we can expect multiple changes in protocols as new evidence emerges.
It will take us some time to figure out what is best for mum and baby and the community at large. We do not yet know enough about the interaction between COVID19 and pregnancy- how to manage a patient that is infected and how to manage a patient that is not infected. We may need to be gracious and patient but not complacent.
To allow birth companions or not- that is the question...separate mum and baby- we have had a similar scenario before when we had to decide to breastfeed or not to breastfeed in the time of HIV.
Are we making decisions on what is best and convenient for the health care provider- like we do here in Tanzania or what is best for the client? While we do not know everything about how to handle pregnancy in the time of COVID, we know for SURE what the woman needs and wants and, what keeps her and her baby safe. For centuries we have know, but the progress to give the woman what is 'RIGHT' has been hard fought and gains have been slow...and that is why this group exists.
We need to recognize that pregnancy management is not an individual sport- it requires a team approach and is a family/community affair.We have managed TB and HIV in pregnancy in the past.Maybe there are lessons we can learn.
My hunch is that time will tell us that we should prioritise what the mother wants, she knows what is best for her and her baby.
A few more thoughts and an advocacy pitch for a birth companion....
Birth companion is not a soft science- it is the single most important intervention to ensure Right care which includes respectful birth. More importantly the management of the psyche in a pregnant woman is critical during labour. It is one of the four pillar in labour management- along with the other 'P's - Passage (the pelvis), the Passenger(the baby size and position) and Power(the strength of uterine contractions). It will be sad for our fellow pregnant mums in the developed world to move backwards and now experience the trauma of labouring alone or with strangers. It is too painful and sad to hear women scream 'nursi'...'nursi'- mostly out of panic and fear in her loneliness. It kills the joy that should be there at childbirth. Sometimes it kills more than that.
I understand we need to be wise in this new era- but a few more thoughts...
Who is the birth companion ban protecting?
The companion ? - who most likely lives with the woman.
The health care provider ? - who is highly trained to deal with COVID cases, infectious disease and is fully kitted with IPC gear (that could be stepped up to ebola prevention levels)
or
The pregnant woman? who irrespective whether she has COVID or not needs urgent and right delivery care with access to emergency management/PPH/blood transfusion/ and a few other unpredictable emergencies etc
Once we decide that both the clinical provision of care and the experience of care are of equal and non negotiable priority- then the health specialists should tell us what to do to keep the various participants in the delivery process safe without withholding any basic rights.
I agree maybe the companion will need extra training - we may need to clarify and ensure no vulnerable groups selected as companions and include training on how not to acquire and how not to spread infection. I am sure that is possible.
I am believing that together we will come up with a best way forward with public health specialists, virologists, nurse midwives, mothers and partners engaged in decision making.Together we will make the right decision. We always have.
Warmest regards
Brenda
Dr. Brenda Sequeira D'mello,MD, MMed (OBGYN)
Technical Advisor & Project Manager,
Capacity Building Project
Maternal and Newborn Health program
CCBRT
phone 255 754295465
On Wed, Mar 25, 2020 at 8:05 PM 'Rebecca Brown' via Global RMC Council <[log in to unmask]<mailto:[log in to unmask]>> wrote:
Hi All,
In New York, so far two large hospital systems (New York Presbyterian and Mt Sinai) have instituted a policy allowing no additional support into the labor and delivery units no spouses, doulas or family. Its causing outrage here and petitions have been launched.
Best,
Rebecca
[cid:1711dd4e9575b006a1]
REBECCA BROWN* (she/her/hers)
Senior Director of Global Advocacy
[log in to unmask]<mailto:[log in to unmask]>
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Tel 917 6373606 Fax 917 637 3666
Skype rbrown_crr
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*JD, admitted in New York (active status)
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From: [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>> On Behalf Of Soo Downe
Sent: Wednesday, March 25, 2020 12:03 PM
To: Jennifer Stevens <[log in to unmask]<mailto:[log in to unmask]>>; Elena Skoko <[log in to unmask]<mailto:[log in to unmask]>>
Cc: [log in to unmask]<mailto:[log in to unmask]>
Subject: Re: ITALY: COVID-19 & RMC Position statement
This is a recommendation from the WHO intrapartum guidelines Jennifer, that has applied to all settings since the guidelines were published:
Companionship during labour and childbirth 3. A companion of choice is recommended for all women throughout labour and childbirth. Recommended
I think the idea is that the lack of privacy and etc should not be used as an excuse to limit companionship - rather that the human right of companionship should lead to a change in hospital design/ward set up so that it can be provided.
I know there is debate about this in the light of covid-19 for some settings in Europe - but in others it is still absolutely seen as a right, and, indeed, as a way of minimising cross-infection for staff, as, if a woman has a birth companion she is better able to labour without the need for constant staff support, is less likely to need an epidural (so to need an anaesthetist) and is less likely to need a CS (and so, again, less likely to occupy a theatre and need theatre staff, and more likely to be able to leave hospital quicker).
My understanding, by the way, is that healthy pregnant women are the social group of adults least likely to be infected with C-19/to experience severe disease once infected - the theory being that, paradoxically, because they are immune suppressed they dont mount the catastrophic auto-immune response that characterises the worst effects of the disease -but Im not sure where I got that information from (it could be mis-information!). Can anyone enlighten me on this?
Many thanks
soo
Many thanks
Soo
________________________________
From: [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>> on behalf of Jennifer Stevens <[log in to unmask]<mailto:[log in to unmask]>>
Sent: Wednesday, March 25, 2020 2:58 PM
To: Elena Skoko <[log in to unmask]<mailto:[log in to unmask]>>
Cc: [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>
Subject: Re: ITALY: COVID-19 & RMC Position statement
Thank you for sharing this.
I was surprised to see a companion of choice listed on the info graphic. Although a right I fully support during normal circumstances, I have some concerns around it now during the COVID outbreak, especially in LMIC where often inadequate screening and privacy is available. What are others thoughts on this? Also, is this supported in current WHO recommendations?
Thank you!
Jennifer Stevens
On Tue, Mar 24, 2020 at 9:40 PM Elena Skoko <[log in to unmask]<mailto:[log in to unmask]>> wrote:
Dear colleagues,
as Italian users' rappresentatives, we have issued a Position statement on COVID-19 and respectful maternity care.
https://ovoitalia.wordpress.com/2020/03/24/position-statement-emergenza-codiv-19-e-assistenza-rispettosa-alla-maternita-e-nascita/
Thank you for sharing. If you feel like it, you can endorse the statement with your organisation or association by replying to me. Thank you!
Sorry for not having a translation in English yet.
Best wishes and stay safe
Elena Skoko
Obstetric Violence Observatory Italy
www.ovoitalia.wordpress.com/<http://www.ovoitalia.wordpress.com/>
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Midwifery education
UNFPA Bangladesh
Boston University
Goodbirth.net
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The blog below may be of interest?</div>
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> Lynn Paltrow <[log in to unmask]><br>
<b>Sent:</b> Friday, March 27, 2020 9:11 PM<br>
<b>To:</b> Soo Downe <School of Community Health & Midwifery> <[log in to unmask]><br>
<b>Cc:</b> Brenda Dmello <[log in to unmask]>; Rebecca Brown <[log in to unmask]>; Jennifer Stevens <[log in to unmask]>; Elena Skoko <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Indra Lusero <[log in to unmask]><br>
<b>Subject:</b> Re: Thinking out of the box - an alternative covid approach for birth</font>
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<div dir="ltr">Dear All,
<div><br>
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<div>I thought you might find out statement: <a href="http://advocatesforpregnantwomen.org/blog/2020/03/what_we_can_learn_from_hospita_1.php">http://advocatesforpregnantwomen.org/blog/2020/03/what_we_can_learn_from_hospita_1.php</a> on this subject of interest.
These are such crazy, challenging times. </div>
<div>Thank you all for your work and care,</div>
<div>Lynn</div>
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<br>
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<div dir="ltr" class="gmail_attr">On Thu, Mar 26, 2020 at 9:40 AM Soo Downe <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> wrote:<br>
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<blockquote class="gmail_quote" style="margin:0px 0px 0px 0.8ex; border-left:1px solid rgb(204,204,204); padding-left:1ex">
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<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:12pt; color:rgb(0,0,0)">
And maybe some good news about an alternative approach, where this is possible?:</div>
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<font color="black" face="Calibri,sans-serif" style="font-size:11pt"><b>From:</b><span> </span>Nieuwenhuijze M (AV-M) <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
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<b>Subject:</b><span> </span>RE: CORONAVIRUS - COST activities</font>
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<p style="font-size:12pt; font-family:"Times New Roman",serif; margin:0px"><span style="margin:0px; font-size:11pt; font-family:Calibri,sans-serif; color:rgb(31,73,125)">Women in the Netherlands are still giving birth at home. Actually, low risk women in certain
areas are more often choosing a home birth to avoid the hospital or because some hospital restrict admittance as much as possible. Additionally, they are setting up birth units (e.g. in hotels) very close to the hospital to avoid delay in time and still keep
women outside the hospital.</span></p>
<p style="font-size:12pt; font-family:"Times New Roman",serif; margin:0px"><span style="margin:0px; font-size:11pt; font-family:Calibri,sans-serif; color:rgb(31,73,125)">If women need to be admitted for medical reasons, they are allowed one person to accompany
them during birth.</span></p>
<p style="font-size:12pt; font-family:"Times New Roman",serif; margin:0px"><span style="margin:0px; font-size:11pt; font-family:Calibri,sans-serif; color:rgb(31,73,125)"> </span></p>
<p style="font-size:12pt; font-family:"Times New Roman",serif; margin:0px"><b><span lang="nl" style="margin:0px; font-size:8.5pt; font-family:Verdana,sans-serif; color:black">Met vriendelijke groet | Kind regards,</span></b></p>
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<b><span style="margin:0px; font-size:8.5pt; font-family:Verdana,sans-serif; color:black">Marianne Nieuwenhuijze PhD MPH RM</span></b></p>
<p style="font-size:12pt; font-family:"Times New Roman",serif; margin:0px"><i><span style="margin:0px; font-size:11pt; font-family:Calibri,sans-serif; color:rgb(31,73,125)">Professor of Midwifery</span></i><b><span style="margin:0px; font-size:11pt; font-family:Calibri,sans-serif; color:rgb(31,73,125)"><br>
Lectoraat Midwifery Science | Research Centre for Midwifery Science<br>
</span></b><span style="margin:0px; font-size:11pt; font-family:Calibri,sans-serif; color:rgb(31,73,125)">Academie Verloskunde Maastricht</span></p>
<p style="font-size:12pt; font-family:"Times New Roman",serif; margin:0px"><span lang="nl" style="margin:0px; font-size:11pt; font-family:Calibri,sans-serif; color:rgb(31,73,125)">Zuyd University</span></p>
<p style="font-size:12pt; font-family:"Times New Roman",serif; margin:0px"><span lang="nl" style="margin:0px; font-size:11pt; font-family:Calibri,sans-serif; color:rgb(31,73,125)">+31(0)43 388 54 11</span></p>
<p style="font-size:12pt; font-family:"Times New Roman",serif; margin:0px"><u><span style="margin:0px; font-size:11pt; font-family:Calibri,sans-serif; color:blue"><a href="mailto:[log in to unmask]" rel="noopener noreferrer" target="_blank" style="margin:0px"><span lang="nl" style="margin:0px">[log in to unmask]</span></a></span></u><span lang="nl" style="margin:0px; font-size:11pt; font-family:Calibri,sans-serif; color:rgb(31,73,125)">,</span></p>
<p style="font-size:12pt; font-family:"Times New Roman",serif; margin:0px"><span style="margin:0px; font-size:11pt; font-family:Calibri,sans-serif; color:rgb(31,73,125)"><a href="http://www.av-m.nl/" rel="noopener noreferrer" target="_blank" style="margin:0px"><span lang="nl" style="margin:0px">www.av-m.nl</span></a></span><span lang="nl" style="margin:0px; font-size:11pt; font-family:Calibri,sans-serif; color:rgb(31,73,125)"><br>
Universiteitssingel 60, 6229 ER Maastricht</span></p>
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<div id="gmail-m_-6815445094586902401divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> Brenda Dmello <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Thursday, March 26, 2020 7:39 AM<br>
<b>To:</b> Rebecca Brown <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Cc:</b> Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Jennifer Stevens <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Elena Skoko <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> Re: ITALY: COVID-19 & RMC Position statement</font>
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<div style="font-family:verdana,sans-serif; font-size:large">Hello,</div>
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</div>
<div style="font-family:verdana,sans-serif; font-size:large">May I share a few thoughts on respectful care at childbirth in the time of COVID 19.</div>
<div style="font-family:verdana,sans-serif; font-size:large"><br>
</div>
<div style="font-family:verdana,sans-serif; font-size:large">It is indeed a tough time- a novel virus - overwhelming health systems- the world is in panic. The scientific community has not had the time to really determine the facts - it is a time of transition
- we can expect multiple changes in protocols as new evidence emerges. </div>
<div style="font-family:verdana,sans-serif; font-size:large">It will take us some time to figure out what is best for mum and baby and the community at large. We do not yet know enough about the interaction between COVID19 and pregnancy- how to manage a patient
that is infected and how to manage a patient that is not infected. We may need to be gracious and patient but not complacent. </div>
<div style="font-family:verdana,sans-serif; font-size:large"><br>
</div>
<div style="font-family:verdana,sans-serif; font-size:large"></div>
<div style="font-family:verdana,sans-serif; font-size:large">To allow birth companions or not- that is the question...separate mum and baby- we have had a similar scenario before when we had to decide to breastfeed or not to breastfeed in the time of HIV.<br>
</div>
<div style="font-family:verdana,sans-serif; font-size:large"><br>
</div>
<div style="font-family:verdana,sans-serif; font-size:large">Are we making decisions on what is best and convenient for the health care provider- like we do here in Tanzania or what is best for the client? While we do not know everything about how to handle
pregnancy in the time of COVID, we know for SURE what the woman needs and wants and, what keeps her and her baby safe. For centuries we have know, but the progress to give the woman what is 'RIGHT' has been hard fought and gains have been slow...and that is
why this group exists.</div>
<div style="font-family:verdana,sans-serif; font-size:large"><br>
</div>
<div style="font-family:verdana,sans-serif; font-size:large">We need to recognize that pregnancy management is not an individual sport- it requires a team approach and is a family/community affair.We have managed TB and HIV in pregnancy in the past.Maybe there
are lessons we can learn. <br>
</div>
<div style="font-family:verdana,sans-serif; font-size:large"><br>
</div>
<div style="font-family:verdana,sans-serif; font-size:large">My hunch is that time will tell us that we should prioritise what the mother wants, she knows what is best for her and her baby. </div>
<div style="font-family:verdana,sans-serif; font-size:large"><br>
</div>
<div style="font-family:verdana,sans-serif; font-size:large">A few more thoughts and an advocacy pitch for a birth companion....</div>
<div style="font-family:verdana,sans-serif; font-size:large"><br>
</div>
<div style="font-family:verdana,sans-serif; font-size:large">Birth companion is not a soft science- it is the single most important intervention to ensure
<i>Right </i>care which includes respectful birth. More importantly the management of the psyche in a pregnant woman is critical during labour. It is one of the four pillar in labour management- along with the other 'P's - Passage (the pelvis), the Passenger(the
baby size and position) and Power(the strength of uterine contractions). It will be sad for our fellow pregnant mums in the developed world to move backwards and now experience the trauma of labouring alone or with strangers. It is too painful and sad to hear
women scream 'nursi'...'nursi'- mostly out of panic and fear in her loneliness. It kills the joy that should be there at childbirth. Sometimes it kills more than that.</div>
<div style="font-family:verdana,sans-serif; font-size:large"> </div>
<div style="font-family:verdana,sans-serif; font-size:large">I understand we need to be wise in this new era- but a few more thoughts...</div>
<div style="font-family:verdana,sans-serif; font-size:large">Who is the birth companion ban protecting? </div>
<div style="font-family:verdana,sans-serif; font-size:large">The companion ? - who most likely lives with the woman. </div>
<div style="font-family:verdana,sans-serif; font-size:large">The health care provider ? - who is highly trained to deal with COVID cases, infectious disease and is fully kitted with IPC gear (that could be stepped up to ebola prevention levels) </div>
<div style="font-family:verdana,sans-serif; font-size:large">or </div>
<div style="font-family:verdana,sans-serif; font-size:large">The pregnant woman? who irrespective whether she has COVID or not needs urgent and
<i>right</i> delivery care with access to emergency management/PPH/blood transfusion/ and a few other unpredictable emergencies etc </div>
<div style="font-family:verdana,sans-serif; font-size:large"><br>
</div>
<div style="font-family:verdana,sans-serif; font-size:large">Once we decide that both the clinical provision of care and the experience of care are of equal and non negotiable priority- then the health specialists should tell us what to do to keep the various
participants in the delivery process safe without withholding any basic rights. </div>
<div style="font-family:verdana,sans-serif; font-size:large"> </div>
<div style="font-family:verdana,sans-serif; font-size:large">I agree maybe the companion will need extra training - we may need to clarify and ensure no vulnerable groups selected as companions and include training on how not to acquire and how not to spread
infection. I am sure that is possible. </div>
<div style="font-family:verdana,sans-serif; font-size:large"><br>
</div>
<div style="font-family:verdana,sans-serif; font-size:large">I am believing that together we will come up with a best way forward with public health specialists, virologists, nurse midwives, mothers and partners engaged in decision making.Together we will make
the right decision. We always have.</div>
<div style="font-family:verdana,sans-serif; font-size:large"><br>
</div>
<div style="font-family:verdana,sans-serif; font-size:large">Warmest regards</div>
<div style="font-family:verdana,sans-serif; font-size:large">Brenda</div>
<div style="font-family:verdana,sans-serif; font-size:large"><br>
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<div style="font-size:12.8px">Dr. Brenda Sequeira D'mello,<font face="times new roman,serif">MD, MMed (OBGYN)</font></div>
<div style="font-size:12.8px">Technical Advisor & Project Manager,</div>
<div style="font-size:12.8px"><span style="font-size:12.8px">Capacity Building Project</span></div>
<div style="font-size:12.8px"><span style="font-size:12.8px">Maternal and Newborn Health program</span></div>
<div style="font-size:12.8px"><span style="font-size:12.8px">CCBRT</span></div>
<div style="font-size:12.8px"> </div>
<div style="font-size:12.8px">phone 255 754295465</div>
</div>
</div>
</div>
</div>
<br>
</div>
<br>
<div>
<div dir="ltr">On Wed, Mar 25, 2020 at 8:05 PM 'Rebecca Brown' via Global RMC Council <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> wrote:<br>
</div>
<blockquote style="margin:0px 0px 0px 0.8ex; border-left:1px solid rgb(204,204,204); padding-left:1ex">
<div lang="EN-US">
<div>
<p>Hi All,<u></u><u></u></p>
<p><u></u> <u></u></p>
<p>In New York, so far two large hospital systems (New York Presbyterian and Mt Sinai) have instituted a policy allowing no additional support into the labor and delivery units no spouses, doulas or family. Its causing outrage here and petitions have been
launched. <u></u><u></u></p>
<p><u></u> <u></u></p>
<p>Best,<u></u><u></u></p>
<p>Rebecca <u></u><u></u></p>
<p><u></u> <u></u></p>
<div>
<p><span style="color:black"><img width="120" height="80" id="gmail-m_-6815445094586902401x_gmail-m_-8407585802910347910Picture_x0020_11" style="width:1.25in; height:0.8333in" data-outlook-trace="F:1|T:1" src="cid:1711dd4e9575b006a1"><u></u><u></u></span></p>
<p><b><span style="color:black"> </span></b><span style="color:black"><u></u><u></u></span></p>
<p><b><span style="font-size:10pt; font-family:"Arial Narrow",sans-serif; color:rgb(82,132,196)">REBECCA BROWN*</span></b><span style="font-size:10pt; font-family:"Arial Narrow",sans-serif; color:rgb(82,132,196)"> (she/her/hers)</span><span style="color:black"><u></u><u></u></span></p>
<p><i><span style="font-size:9pt; font-family:Arial,sans-serif; color:rgb(82,132,196)">Senior Director of Global Advocacy</span></i><span style="color:black"><u></u><u></u></span></p>
<p><u><span style="font-size:9pt; font-family:Arial,sans-serif; color:rgb(82,132,196)">rbrown<a href="mailto:[log in to unmask]" target="_blank"><span style="color:rgb(82,132,196)">@reprorights.org</span></a></span></u><span style="color:black"><u></u><u></u></span></p>
<p><span style="font-size:9pt; font-family:Arial,sans-serif; color:black"> </span><span style="color:black"><u></u><u></u></span></p>
<p><span style="font-size:9pt; font-family:Arial,sans-serif; color:rgb(133,118,112)">199 Water Street, 22nd Floor </span><span style="color:black"><u></u><u></u></span></p>
<p><span style="font-size:9pt; font-family:Arial,sans-serif; color:rgb(133,118,112)">New York NY 10038 </span><span style="color:black"><u></u><u></u></span></p>
<p><b><span style="font-size:9pt; font-family:Arial,sans-serif; color:rgb(114,99,93)">Tel </span></b><span style="font-size:9pt; font-family:Arial,sans-serif; color:rgb(82,132,196)">917 6373606 </span><b><span style="font-size:9pt; font-family:Arial,sans-serif; color:rgb(133,118,112)">Fax </span></b><span style="font-size:9pt; font-family:Arial,sans-serif; color:rgb(82,132,196)">917
637 3666 </span><span style="color:black"><u></u><u></u></span></p>
<p><b><span style="font-size:9pt; font-family:Arial,sans-serif; color:rgb(133,118,112)">Skype </span></b><span style="font-size:9pt; font-family:Arial,sans-serif; color:rgb(82,132,196)">rbrown_crr</span><span style="color:black"><u></u><u></u></span></p>
<p><span style="font-size:9pt; font-family:Arial,sans-serif; color:rgb(82,132,196)"> </span><span style="color:black"><u></u><u></u></span></p>
<p><span style="color:rgb(82,132,196)"><a href="http://www.reproductiverights.org/" target="_blank"><span style="font-size:9pt; font-family:Arial,sans-serif; color:rgb(82,132,196)">Website</span></a></span><span style="font-size:9pt; font-family:Arial,sans-serif; color:rgb(82,132,196)"> | <a href="https://www.facebook.com/reproductiverights" target="_blank"><span style="color:rgb(82,132,196)">Facebook</span></a> | <a href="https://twitter.com/reprorights" target="_blank"><span style="color:rgb(82,132,196)">Twitter</span></a> </span><span style="color:black"><u></u><u></u></span></p>
<p><span style="font-size:9pt; font-family:Arial,sans-serif; color:black"> </span><span style="color:black"><u></u><u></u></span></p>
<p><span style="font-size:8.5pt; font-family:Arial,sans-serif; color:rgb(114,99,93)">*JD, admitted in New York (active status)
</span><span style="font-size:9pt; font-family:Arial,sans-serif; color:black"><u></u><u></u></span></p>
<p><span style="font-size:8.5pt; font-family:Helvetica,sans-serif; color:rgb(114,99,93)"><u></u> <u></u></span></p>
<p><span style="font-size:8.5pt; font-family:Helvetica,sans-serif; color:rgb(114,99,93)">This message may contain confidential or privileged information. If you are not the intended recipient, please advise the sender immediately by reply e-mail and delete
this message and any attachments without retaining a copy.</span><span style="color:black"><u></u><u></u></span></p>
</div>
<p><u></u> <u></u></p>
<div>
<div style="border-right:none; border-bottom:none; border-left:none; border-top:1pt solid rgb(225,225,225); padding:3pt 0in 0in">
<p><b>From:</b> <a href="mailto:[log in to unmask]" target="_blank">
[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>
<b>On Behalf Of </b>Soo Downe<br>
<b>Sent:</b> Wednesday, March 25, 2020 12:03 PM<br>
<b>To:</b> Jennifer Stevens <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Elena Skoko <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Cc:</b> <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a><br>
<b>Subject:</b> Re: ITALY: COVID-19 & RMC Position statement<u></u><u></u></p>
</div>
</div>
<p><u></u> <u></u></p>
<div>
<p><span style="font-size:12pt; color:black">This is a recommendation from the WHO intrapartum guidelines Jennifer, that has applied to all settings since the guidelines were published:<u></u><u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p><i><span style="font-size:12pt; color:black">Companionship during labour and childbirth 3. A companion of choice is recommended for all women throughout labour and childbirth.
<b>Recommended</b></span></i><span style="font-size:12pt; color:black"><u></u><u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black">I think the idea is that the lack of privacy and etc should not be used as an excuse to limit companionship - rather that the human right of companionship should lead to a change in hospital design/ward set up so
that it can be provided.<u></u><u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black"> I know there is debate about this in the light of covid-19 for some settings in Europe - but in others it is still absolutely seen as a right, and, indeed, as a way of minimising cross-infection for staff, as, if
a woman has a birth companion she is better able to labour without the need for constant staff support, is less likely to need an epidural (so to need an anaesthetist) and is less likely to need a CS (and so, again, less likely to occupy a theatre and need
theatre staff, and more likely to be able to leave hospital quicker). <u></u><u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black">My understanding, by the way, is that healthy pregnant women are the social group of adults least likely to be infected with C-19/to experience severe disease once infected - the theory being that, paradoxically,
because they are immune suppressed they dont mount the catastrophic auto-immune response that characterises the worst effects of the disease -but Im not sure where I got that information from (<b>it could be mis-information!)</b>. Can anyone enlighten me on
this?<u></u><u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black">Many thanks<u></u><u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black">soo<u></u><u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black">Many thanks<u></u><u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black">Soo <u></u><u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div align="center" style="text-align:center">
<hr size="2" width="98%" align="center">
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<div id="gmail-m_-6815445094586902401x_gmail-m_-8407585802910347910divRplyFwdMsg">
<p><b><span style="color:black">From:</span></b><span style="color:black"> <a href="mailto:[log in to unmask]" target="_blank">
[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> on behalf of Jennifer Stevens <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Wednesday, March 25, 2020 2:58 PM<br>
<b>To:</b> Elena Skoko <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Cc:</b> <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> Re: ITALY: COVID-19 & RMC Position statement</span> <u></u><u></u></p>
<div>
<p> <u></u><u></u></p>
</div>
</div>
<div>
<div>
<div>
<p>Thank you for sharing this.<u></u><u></u></p>
</div>
</div>
<div>
<p><u></u> <u></u></p>
</div>
<div>
<p>I was surprised to see a companion of choice listed on the info graphic. Although a right I fully support during normal circumstances, I have some concerns around it now during the COVID outbreak, especially in LMIC where often inadequate screening and
privacy is available. What are others thoughts on this? Also, is this supported in current WHO recommendations?<u></u><u></u></p>
</div>
<div>
<p><u></u> <u></u></p>
</div>
<div>
<p>Thank you!<u></u><u></u></p>
</div>
<div>
<p>Jennifer Stevens<u></u><u></u></p>
</div>
<div>
<p><u></u> <u></u></p>
<div>
<div>
<p>On Tue, Mar 24, 2020 at 9:40 PM Elena Skoko <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> wrote:<u></u><u></u></p>
</div>
<blockquote style="border-top:none; border-right:none; border-bottom:none; border-left:1pt solid rgb(204,204,204); padding:0in 0in 0in 6pt; margin-left:4.8pt; margin-right:0in">
<div>
<p>Dear colleagues, <u></u><u></u></p>
<div>
<p><u></u> <u></u></p>
</div>
<div>
<p>as Italian users' rappresentatives, we have issued a Position statement on COVID-19 and respectful maternity care. <u></u><u></u></p>
</div>
<div>
<p><u></u> <u></u></p>
</div>
<div>
<p><a href="https://ovoitalia.wordpress.com/2020/03/24/position-statement-emergenza-codiv-19-e-assistenza-rispettosa-alla-maternita-e-nascita/" target="_blank">https://ovoitalia.wordpress.com/2020/03/24/position-statement-emergenza-codiv-19-e-assistenza-rispettosa-alla-maternita-e-nascita/</a> <u></u><u></u></p>
</div>
<div>
<p><u></u> <u></u></p>
</div>
<div>
<p>Thank you for sharing. If you feel like it, you can endorse the statement with your organisation or association by replying to me. Thank you!<u></u><u></u></p>
</div>
<div>
<p><u></u> <u></u></p>
</div>
<div>
<p>Sorry for not having a translation in English yet. <u></u><u></u></p>
</div>
<div>
<p><u></u> <u></u></p>
</div>
<div>
<p>Best wishes and stay safe<u></u><u></u></p>
</div>
</div>
<div>
<div>
<p><u></u> <u></u></p>
</div>
<div>
<p>Elena Skoko<u></u><u></u></p>
</div>
<div>
<p>Obstetric Violence Observatory Italy<u></u><u></u></p>
</div>
<div>
<p><a href="http://www.ovoitalia.wordpress.com/" target="_blank">www.ovoitalia.wordpress.com/</a><u></u><u></u></p>
</div>
<div>
<p><u></u> <u></u></p>
</div>
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<p>-- <u></u><u></u></p>
<div>
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<div>
<p>Jennifer R Stevens DrPHc CNM MS <u></u><u></u></p>
<div>
<p>Midwifery education <u></u><u></u></p>
</div>
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<p>UNFPA Bangladesh<u></u><u></u></p>
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<p>Boston University<u></u><u></u></p>
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<p>Goodbirth.net<u></u><u></u></p>
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<p>Bangla mobile/whatsapp- +88 017 0937 0213<u></u><u></u></p>
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<p>US mobile: +1610 223 4079<u></u><u></u></p>
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<p style="line-height:12.75pt"><span style="font-size:9pt; font-family:Arial,sans-serif"><img border="0" id="gmail-m_-6815445094586902401x_gmail-m_-8407585802910347910_x0000_i1026" alt="University of Central Lancashire" src="https://www4.uclan.ac.uk/assets/emailsig.jpg"><u></u><u></u></span></p>
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<p>Please consider the environment before printing <u></u><u></u></p>
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<span style="font-size:11pt; font-family:Calibri; color:rgb(0,0,0); background-color:transparent; font-weight:700; vertical-align:baseline; white-space:pre-wrap">Lynn M. Paltrow
</span><span style="color:rgb(0,0,0); font-family:Calibri; font-size:x-small; white-space:pre-wrap">(She/Her/Hers)</span></p>
<p style="font-size:12.8px; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
<span style="font-size:11pt; font-family:Calibri; color:rgb(0,0,0); background-color:transparent; font-weight:700; vertical-align:baseline; white-space:pre-wrap"><span style="color:rgb(33,33,33); font-size:14.6667px; font-weight:400">Executive Director</span><br>
</span></p>
<p style="font-size:12.8px; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
<span style="font-size:11pt; font-family:Calibri; color:rgb(0,0,0); background-color:transparent; vertical-align:baseline; white-space:pre-wrap">National Advocates for Pregnant Women (NAPW)
</span></p>
<p style="font-size:12.8px; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
<font color="#212121" face="Calibri"><span style="font-size:14.6667px; white-space:pre-wrap">575 8th Avenue, 7th Floor</span></font></p>
<p style="font-size:12.8px; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
<font color="#212121" face="Calibri"><span style="font-size:14.6667px; white-space:pre-wrap">New York, New York 10018</span></font></p>
<p dir="ltr" style="font-size:12.8px; line-height:1.656; margin-top:0pt; margin-bottom:0pt">
<font color="#000000"><span style="font-size:11pt; font-family:"Times New Roman"; vertical-align:baseline; white-space:pre-wrap">(w)
</span><span style="font-size:11pt; font-family:"Times New Roman"; vertical-align:baseline; white-space:pre-wrap">212.255.9252 ext. 21</span><span style="font-size:11pt; font-family:"Times New Roman"; vertical-align:baseline; white-space:pre-wrap">
</span></font></p>
<p style="font-size:12.8px; line-height:1.656; margin-top:0pt; margin-bottom:0pt">
<font color="#000000"><span style="font-size:11pt; font-family:"Times New Roman"; vertical-align:baseline; white-space:pre-wrap">(c) 917-921-7421</span></font></p>
<p dir="ltr" style="font-size:12.8px; line-height:1.656; margin-top:0pt; margin-bottom:0pt">
<a href="https://www.facebook.com/NationalAdvocatesforPregnantWomen/" target="_blank" style="color:rgb(17,85,204)"><span style="font-size:11pt; font-family:Calibri; vertical-align:baseline; white-space:pre-wrap"><img width="27" height="27" style="border:none" src="https://lh4.googleusercontent.com/bWtBQ98tItUj8pH2Cr9X9bVvA4WgJIb2p_MXakn8COwidGTA5AKfYC7BNuWqW3MLhpXEE11VCFlFQk1kRUYxZ50ACPNzQi8Q5Iw0ec2-nCI-jKIUSbNxKbMqk4xGDlVH7CdA1Ju8"></span></a><span style="font-size:11pt; font-family:Calibri; vertical-align:baseline; white-space:pre-wrap"><a href="https://twitter.com/NAPW" target="_blank" style="color:rgb(17,85,204)"><img width="27" height="27" style="border:none" src="https://lh5.googleusercontent.com/DqiVM36MTbecrsMGvQew8CPq6lAij3qIijZ0VVMJPJUrbeqttBPYYJFVIBNRlSq-XNiL1JpIoCORuGr6Icn91eRAIYDUfnt8xzM-REQj5rpuLjfWQSRUh87SzP_JQJoWOjGWC54K"></a></span><br>
</p>
<p dir="ltr" style="font-size:12.8px; line-height:1.656; margin-top:0pt; margin-bottom:0pt">
<a href="http://advocatesforpregnantwomen.org/" target="_blank" style="color:rgb(17,85,204)"><span style="font-size:11pt; font-family:"Times New Roman"; vertical-align:baseline; white-space:pre-wrap">ACT! with NAPW</span></a></p>
<p dir="ltr" style="font-size:12.8px; line-height:1.656; margin-top:0pt; margin-bottom:0pt">
<a href="https://advocatesforpregnantwomen.networkforgood.com/events/4415-napw-s-spring-celebration" target="_blank" style="color:rgb(17,85,204)"><span style="font-size:11pt; font-family:"Times New Roman"; vertical-align:baseline; white-space:pre-wrap">Support
NAPW</span></a></p>
<p dir="ltr" style="font-size:12.8px; line-height:1.656; margin-top:0pt; margin-bottom:0pt">
<span style="font-size:12.8px">Confidentiality Notice: This email communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby
notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify National Advocates for
Pregnant Women immediately by replying to this message and destroy it as soon as possible. Thank you.</span><br>
</p>
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--_004_DB3PR0302MB3241CAB5159A2FA19F6217A097CD0DB3PR0302MB3241_--
========================================================================Date: Sun, 29 Mar 2020 13:17:51 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Fw: Our pregnant women are hungry and have no food: plea from the
philippines
Comments: To: "[log in to unmask]"
<[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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________________________________
From: Andre lalonde <[log in to unmask]>
Sent: Sunday, March 29, 2020 2:26 AM
To: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>
Subject: Fwd: Our pregnant women are hungry and have no food
please distribute..andre
Andre B. Lalonde MD.FRCSC
Professor Of Obs/Gyn
U of Ottawa ,McGill
[log in to unmask]<mailto:[log in to unmask]>
Begin forwarded message:
From: "Mercy In Action" <[log in to unmask]<mailto:[log in to unmask]>>
Subject: Our pregnant women are hungry and have no food
Date: March 28, 2020 at 8:47:34 PM EDT
To: [log in to unmask]<mailto:[log in to unmask]>
Reply-To: "Mercy In Action" <[log in to unmask]<mailto:[log in to unmask]>>
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[Ian MIA logos2]
Our pregnant women
are hungry and have no food
[Pregnant women]
We are hearing from our pregnant women in our care that they are hungry with no way to get food! The full lockdown in the Philippines, enacted as a measure to slow the spread of novel coronavirus, has disrupted life for the poor in dangerous ways. The breadwinner in a family is used to finding work each day or scavenging for recyclables to sell to get food for the family to eat that day. Our local government is trying to bring rice around to help low-income families, but it is slow in coming and babies in the womb cannot wait! Any degree of malnutrition in utero can cause permanent brain damage in a growing fetus.
[growing babies]<https://cts.vresp.com/c/?MercyInAction/f4216778a8/e4b6d36e31/1ae2070aa9>
There is no time to lose. Human beings are "Perinatal Brain Developers", which means our brain undergoes the most rapid growth around the time of birth. If we miss this opportunity, these babies in our care during this pandemic will pay for it for a lifetime.
We are in place to help. Mercy In Action has been granted a special pass to drive our ambulances as emergency vehicles to transport women in labor from home to our birth centers and take patients home again with their new baby. Now we would like to use our ambulances on both islands as a food delivery truck for our pregnant families as well for as long as this crisis lasts. Today we are asking you to help us buy nutritious food to take around to our pregnant patients.
COVID IS STRAINING THE BUDGETS AT ALL OUR CLINICS!
The time is NOW to help the babies growing and being born during this pandemic.
A donation of any amount will help... Thank you!
[Donate-Now]<https://cts.vresp.com/c/?MercyInAction/f4216778a8/e4b6d36e31/fe816262bb>
________________________________
Love from Vicki Penwell and the Mercy In Action team around the globe!
email: [log in to unmask]<mailto:[log in to unmask]> website: www.mercyinaction.com<https://cts.vresp.com/c/?MercyInAction/f4216778a8/e4b6d36e31/d1c04bcb82>
Mercy In Action USA Headquarters
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Boise, Idaho 83705 USA
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> Andre lalonde <[log in to unmask]><br>
<b>Sent:</b> Sunday, March 29, 2020 2:26 AM<br>
<b>To:</b> Soo Downe <School of Community Health & Midwifery> <[log in to unmask]><br>
<b>Subject:</b> Fwd: Our pregnant women are hungry and have no food</font>
<div> </div>
</div>
<div>please distribute..andre<br class="">
<div class=""><br class="">
<br class="">
Andre B. Lalonde MD.FRCSC<br class="">
Professor Of Obs/Gyn<br class="">
U of Ottawa ,McGill<br class="">
<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a><br class="">
<br class="">
<br class="">
<br class="">
</div>
<div><br class="">
<blockquote type="cite" class="">
<div class="">Begin forwarded message:</div>
<br class="Apple-interchange-newline">
<div class="" style="margin-top:0px; margin-right:0px; margin-bottom:0px; margin-left:0px">
<span class="" style="color:rgba(0,0,0,1.0)"><b class="">From: </b></span><span class="" style="">"Mercy In Action" <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class="">
</span></div>
<div class="" style="margin-top:0px; margin-right:0px; margin-bottom:0px; margin-left:0px">
<span class="" style="color:rgba(0,0,0,1.0)"><b class="">Subject: </b></span><span class="" style=""><b class="">Our pregnant women are hungry and have no food</b><br class="">
</span></div>
<div class="" style="margin-top:0px; margin-right:0px; margin-bottom:0px; margin-left:0px">
<span class="" style="color:rgba(0,0,0,1.0)"><b class="">Date: </b></span><span class="" style="">March 28, 2020 at 8:47:34 PM EDT<br class="">
</span></div>
<div class="" style="margin-top:0px; margin-right:0px; margin-bottom:0px; margin-left:0px">
<span class="" style="color:rgba(0,0,0,1.0)"><b class="">To: </b></span><span class="" style=""><a href="mailto:[log in to unmask]" class="">[log in to unmask]</a><br class="">
</span></div>
<div class="" style="margin-top:0px; margin-right:0px; margin-bottom:0px; margin-left:0px">
<span class="" style="color:rgba(0,0,0,1.0)"><b class="">Reply-To: </b></span><span class="" style="">"Mercy In Action" <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class="">
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<div class="" style="font-weight:bold; font-size:28px; text-align:center"><span class="" style="color:#FF0000">Our pregnant women<br class="">
are hungry and have no food</span></div>
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<td valign="top" class="">
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<img align="none" alt="Pregnant women" border="0" height="557" hspace="0" title="Pregnant women" vspace="0" width="450" class="" style="width:450px; height:557px" src="http://img-ak.verticalresponse.com/media/5/a/3/5a348cf02e/f4216778a8/ec7dafbfd7/library/Pregnant%20women.jpg"></p>
<p class="mp4p" style="color:rgb(50,64,78); font-family:"Open Sans",Helvetica,Arial,sans-serif; font-size:14px; margin-top:0px">
<span class="" style="font-size:12pt">We are hearing from our pregnant women in our care that they are hungry with no way to get food! The full lockdown in the Philippines, enacted as a measure to slow the spread of novel coronavirus, has disrupted life for
the poor in dangerous ways. The breadwinner in a family is used to finding work each day or scavenging for recyclables to sell to get food for the family to eat that day. Our local government is trying to bring rice around to help low-income families, but
it is slow in coming and babies in the womb cannot wait! Any degree of malnutrition in utero can cause permanent brain damage in a growing fetus. </span><br class="">
</p>
<p class="mp4p" style="color:rgb(50,64,78); font-family:"Open Sans",Helvetica,Arial,sans-serif; font-size:14px; margin-top:0px; text-align:center">
<span class="" style="font-size:12pt"><a href="https://cts.vresp.com/c/?MercyInAction/f4216778a8/e4b6d36e31/1ae2070aa9" class=""><img align="none" alt="growing babies" border="0" height="97" hspace="0" title="growing babies" vspace="0" width="600" class="" style="width:600px; height:97px" src="http://img-ak.verticalresponse.com/media/5/a/3/5a348cf02e/f4216778a8/ec7dafbfd7/library/growing%20babies.jpg"></a></span></p>
<p class="mp4p" style="color:rgb(50,64,78); font-family:"Open Sans",Helvetica,Arial,sans-serif; font-size:14px; margin-top:0px">
<span class="" style="font-size:12pt">There is no time to lose. Human beings are "Perinatal Brain Developers", which means our brain undergoes the most rapid growth around the time of birth. If we miss this opportunity, these babies in our care during this
pandemic will pay for it for a lifetime. <br class="">
<br class="">
We are in place to help. Mercy In Action has been granted a special pass to drive our ambulances as emergency vehicles to transport women in labor from home to our birth centers and take patients home again with their new baby. Now we would like to use our
ambulances on both islands as a food delivery truck for our pregnant families as well for as long as this crisis lasts. Today we are asking you to help us buy nutritious food to take around to our pregnant patients.</span><br class="">
<br class="">
<span class="" style="font-size:12pt">COVID IS STRAINING THE BUDGETS AT ALL OUR CLINICS!<br class="">
<br class="">
The time is NOW to help the babies growing and being born during this pandemic.<br class="">
<br class="">
A donation of any amount will help... Thank you! </span><br class="">
</p>
<p class="mp4p" style="color:rgb(50,64,78); font-family:"Open Sans",Helvetica,Arial,sans-serif; font-size:14px; margin-top:0px; text-align:center">
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--_000_DB3PR0302MB324168EE4E77EAD709DFE92297CA0DB3PR0302MB3241_--
========================================================================Date: Mon, 30 Mar 2020 08:51:16 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Trixie McAree <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Trixie McAree <[log in to unmask]>
Subject: Re: Solutions?
Comments: To: Soo Downe <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Morning dear colleagues,
Just wanted to update anyone who was not aware, the council of deans of Health have agreed that anyone working in a university context who are midwives/nurses can do so in university time.
I think that what you do would that time will be between you and your associated Maternity unit, but I know they will be grateful for help -
I hope we can keep talking and contributing ideas - as to what would work best as this problem is not going to go away any time soon, vulnerability will be on the increase and we are well placed to help.
Stay well
Best wishes
Trixie
Professor Trixie McAree
Professor of Midwifery and Maternal Health
Birmingham City University/Birmingham Womens and Childrens NHS FoundationTrust
Tel: 0121 3316196
Mobil: 07894802961
Twitter: @mcareetrixie
Orchid: https://orchid.org/0000-0001-7845-2195
From: Soo Downe <[log in to unmask]>
Sent: 27 March 2020 08:31
To: Trixie McAree <[log in to unmask]>; A forum for discussion on midwifery and reproductive health research. <[log in to unmask]>
Subject: Solutions?
I agree Trixie - but also, as academics who are actually also still working full time, to maybe offer support for example through video links to women in pregnancy/postnatal who have queries (being available when not scheduled for academic meetings/students support and etc, or in our off-duty time), or those in early labour at home, so that labour ward midwives can concentrate on women who are in the hospitals, and to help women to stay at home as long as they can?
Or for those of us who have notified our intention to practice, but who havent been on the wards for a while, to offer to complete notes/do other tasks that take up midwives time/require midwifery knowledge but that can be done by others (though, of course, midwives might also need the break that writing up notes can afford them, if they are working flat out face to face with women).
Or maybe even acting as transport support for women moving from home to hospital in labour, though Im not sure about the insurance and etc of this - if taxi services are being used as I think is being considered in some places due to ambulance shortages, maybe there could be a pool of academic/recently retired/midwives on the register but not currently in employment who could accompany the woman in the taxi to give her support/be in a position to give a rapid assessment of her condition on arrival at the labour ward? Just so community support can enable women to stay at home as much as possible.
Just some thoughts, anyway...
All the best
Soo
________________________________
From: Trixie McAree <[log in to unmask]<mailto:[log in to unmask]>>
Sent: Friday, March 27, 2020 8:20 AM
To: A forum for discussion on midwifery and reproductive health research. <[log in to unmask]<mailto:[log in to unmask]>>; Soo Downe <School of Community Health & Midwifery> <[log in to unmask]<mailto:[log in to unmask]>>
Subject: RE: Situation in New Zealand - positive!
We need to be very calm and logical in this period, remembering this is a marathon not a sprint. One size will not fit all. In every case we need to humanise birth, keeping individual needs central. Clearly the Chinese model has so over medicalised birth that they have lost sight of some of the important therapeutic elements of human interaction as well as cost/benefit of intervention for many cases.
The biggest fear in my mind is that actually there won't be sufficient midwives to provide the care making any argument about place of birth redundant. In B'Ham we are keeping our HBT and C of C teams running as long as possible however as midwives are self-isolating this will become more difficult. We need to monitor using our academic skills but where possible consider also working clinically (if we don't already do so) - maintaining moral, influencing guidelines supporting decision making.
Best wishes
Trixie
From: A forum for discussion on midwifery and reproductive health research.
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========================================================================Date: Mon, 30 Mar 2020 09:48:12 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Re: Solutions?
Comments: To: Trixie McAree <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Thanks Trixie
All the best
Soo
________________________________
From: A forum for discussion on midwifery and reproductive health research.
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========================================================================Date: Mon, 30 Mar 2020 12:35:22 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: ICM statement re practices during covid-19 including place of
birth
Comments: To: "[log in to unmask]"
<[log in to unmask]>,
SHEENA BYROM <[log in to unmask]>, Anna Byrom <[log in to unmask]>,
Lia Brigante <[log in to unmask]>,
"Rocca-Ihenacho, Lucia" <[log in to unmask]>,
Maria Booker <[log in to unmask]>,
Ciara Henderson <[log in to unmask]>, Joan Lalor <[log in to unmask]>,
"Page, Lesley A" <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
"[log in to unmask]"
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--_005_DB3PR0302MB3241F7397526A62B9A0D393897CB0DB3PR0302MB3241_--
========================================================================Date: Mon, 30 Mar 2020 14:50:21 +0200
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Lucia Rocca <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Lucia Rocca <[log in to unmask]>
Subject: Re: ICM statement re practices during covid-19 including place of
birth
Comments: To: Soo Downe <[log in to unmask]>,
[log in to unmask]
Comments: cc: Richard Hallett <[log in to unmask]>,
Ellen Thaels <[log in to unmask]>,
laura batinelli <[log in to unmask]>,
Chantelle Winstanley <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Message-ID: <[log in to unmask]>
--000000000000b5a3dd05a211e52c
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--000000000000b5a3da05a211e52b
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Thanks Franka,
Thank you so much for the Statement, it is a great help. We have been
horrified to witness such poor strategic planning and violation of women's
human rights.
With the Midwifery Unit Network we are finalising a statement on MUs
specifically which is totally in line with ICM statement.
We would be happy to support MUs which may want to increase their workload.
We can do zoom calls with service managers to discuss practicalities both
clinical and organisational.
We4 are also planning to produce more teaching material soon on how to set
up a MU or enhance an existing one.
We will keep sharing info on the development of the situation in both
Facebook groups:
Midwifery UNit Network:
https://www.facebook.com/groups/1044269499358700/
COVID-19 childbirthsolutions:
https://www.facebook.com/groups/MUNet/
Franka,
are you planning to translate ICM Statement in other languages?
thanks
Lucia
Dr Lucia Rocca-Ihenacho
PhD, MSc, RM
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 Mon, 30 Mar 2020 at 14:35, Soo Downe <[log in to unmask]> wrote:
> Please see below
>
> ------------------------------
> *From:* ICM President <[log in to unmask]>
> *Sent:* Monday, March 30, 2020 1:28 PM
> *To:* Soo Downe <School of Community Health & Midwifery> <
> [log in to unmask]>; Rocca-Ihenacho, Lucia <
> [log in to unmask]>
> *Cc:* Sally Pairman <[log in to unmask]>
> *Subject:* RE: Fw: Place of birth related to Covid-19: and traumatic
> birth experiences escalating
>
>
> Dear Soo,
>
>
>
> I missed your email because it was sent to my private Gmail, sorry about
> the delay. Have you seen our statement on human rights and Covid-109 on our
> website that we posted today? Birthing centres are also mentioned:
> https://www.internationalmidwives.org/icm-news/women%E2%80%99s-rights-in-childbirth-must-be-upheld-during-the-coronavirus-pandemic.html
>
> What is the position of the RCM on this? (Iâm asking because they are our
> UK member).
>
>
>
> Warm regards,
>
>
>
> *Franka Cadée, *
>
> President
>
>
>
> International Confederation of Midwives (ICM)
>
> Koninginnegracht 60,
>
> 2514 AE The Hague,
>
> The Netherlands.
>
>
>
> Telephone: +31 (0) 70 3060520
>
> Mob: +31 (0) 657597094
>
> T: @FrankaCadee
>
>
>
> E-mail: [log in to unmask]
>
> www.internationalmidwives.org
>
>
>
> *#Midwives2021*
>
> https://www.midwives2020.org
>
>
>
>
>
> [image: signature_1831811827]
>
>
>
>
>
> *Van:* Franka Cadée <[log in to unmask]>
> *Verzonden:* zondag 29 maart 2020 22:07
> *Aan:* ICM President <[log in to unmask]>
> *Onderwerp:* Fwd: Fw: Place of birth related to Covid-19: and traumatic
> birth experiences escalating
>
>
>
>
>
>
>
> ---------- Forwarded message ---------
> From: *Soo Downe* <[log in to unmask]>
> Date: Fri, 20 Mar 2020 at 14:57
> Subject: Fw: Place of birth related to Covid-19: and traumatic birth
> experiences escalating
> To: [log in to unmask] <[log in to unmask]>
> Cc: Rocca-Ihenacho, Lucia <[log in to unmask]>
>
>
>
> Sorry Franke, I missed you off the email below - I know ICM has a whole
> stack of problems now, not least with the postponement of the congress -
> but, along with Lucia, I wondered what your thoughts are on the issue
> below, if and when you get time to look at it
>
>
>
> All the very best
>
>
>
> Soo
>
>
> ------------------------------
>
> *From:* Soo Downe <School of Community Health & Midwifery> <
> [log in to unmask]>
> *Sent:* Friday, March 20, 2020 12:19 PM
> *To:* MCCONVILLE, Frances Emma <[log in to unmask]>; Pairman, Sally <
> [log in to unmask]>; Rocca-Ihenacho, Lucia <
> [log in to unmask]>; TUNCALP MINGARD, Ăzge <[log in to unmask]>
> *Subject:* Fw: Place of birth related to Covid-19: and traumatic birth
> experiences escalating
>
>
>
> Fran, Sally, Ozge, please see the email below from Lucia Rocca. Im just
> wondering if WHO/ICM are working on any guidelines/ support to ensure
> respectful, logical, evidence based care for women in labour at this time?
> There does seem to be a paradoxical response in which healthy people are in
> general encouraged not to go to hospital, but healthy women in labour who
> want to be out of hospital to keep them and their babies safe from
> catching the infection are being told they must go into hospital, are being
> denied any companionship in some circumstances, and are being separated
> from their baby/told not to breastfeed (in contradiction of the evidence on
> this). As Lucia says, in some settings at least (though not all, of course)
> there are solutions, such as pop-up midwife led units, and guidance from
> WHO/ICM on this might be very helpful? What do you all think?
>
>
>
> All the best
>
>
>
> Soo
>
>
> ------------------------------
>
> *From:* Lucia Rocca <[log in to unmask]>
> *Sent:* Friday, March 20, 2020 11:45 AM
> *To:* A forum for discussion on midwifery and reproductive health
> research. <[log in to unmask]>; Soo Downe <School of
> Community Health & Midwifery> <[log in to unmask]>
> *Cc:* Frances Emma MCCONVILLE <[log in to unmask]>;
> [log in to unmask] <[log in to unmask]>
> *Subject:* Re: Place of birth related to Covid-19
>
>
>
> Dear All,
>
> I have been talking to mws in strategic positions in Spain and Italy and
> the situation is really bad. Babies and mothers are being separated.
>
> When some of them proposed the idea of pop up FMUs, were ridiculised. On
> the other hand they are doing pop up hospitals in hotels for sick people ...
>
>
>
> I am told that if there was some recommendation form WHO or ICM/FIGO it
> would make it easier...
>
> can anyone help with this?
>
> we need:
>
> 1 group of people working on the strategic side and making this option
> acceptable to services
>
> 1 group looking at it from operational/logistical perspective
>
> 1 group clinical support
>
>
>
> Until we have people seeing this as a viable option women will be exposed
> to additional risks of exposure to the virus and also to abuse...
>
>
>
> who can help with the strategic aspects?
>
>
>
> thanks
>
>
>
> Lucia
>
>
>
>
>
> Dr Lucia Rocca-Ihenacho
>
> PhD, MSc, RM
>
> Lecturer in Midwifery and NIHR Research Fellow
>
> Centre for Maternal and Child Health Research
>
> School of Health Sciences
>
> City University London
>
> 1 Myddelton Street
> <https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g>
>
> London
> <https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g>
> EC1R 1UW
> <https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g>
>
>
>
> 07989 230313
>
> Skype contact: luciainsky
>
>
>
>
>
>
>
>
>
> On Fri, 20 Mar 2020 at 12:27, Soo Downe <[log in to unmask]> wrote:
>
> Thanks Claire - Ive been wondering how long it will take for the home CTG
> monitoring issue to raise its head....
>
>
>
> All the best
>
> Soo
> ------------------------------
>
> *From:* Claire Feeley <[log in to unmask]>
> *Sent:* Friday, March 20, 2020 11:12 AM
> *To:* [log in to unmask] <[log in to unmask]>;
> A forum for discussion on midwifery and reproductive health research. <
> [log in to unmask]>; Soo Downe <School of Community Health
> & Midwifery> <[log in to unmask]>
> *Subject:* Re: Place of birth related to Covid-19
>
>
>
>
>
> From Birthrights twitter today : Understand @PennineAcuteNHS
> <https://twitter.com/PennineAcuteNHS>@BSUH_maternity
> <https://twitter.com/BSUH_maternity>@sarahnoble02
> <https://twitter.com/sarahnoble02> (South Warks)
>
> @NHSHomerton <https://twitter.com/NHSHomerton> planning to ramp up
> homebirth services in response to increased demand. Good to see services
> responding to where women feel safe - good for infection control too?
> @MidwivesRCM <https://twitter.com/MidwivesRCM>
>
> #CovidMaternity
> <https://twitter.com/hashtag/CovidMaternity?src=hashtag_click>
>
>
>
> Although- some bright spark has commented as to offering the at home CTG
> monitoring!!! it's his business in the Netherlands... we need to quash that.
>
>
>
> basically my understanding is that IM's have had the go ahead to support
> NHS, will have emergency indemnity once the emergency legislation is passed
> end of March, but it is up to the individual trusts to implement, this
> means honourary/bank contracts etc. So the same process as for the likes of
> me going back in. RCM has also started to respond along with the NMC senior
> midwifery advisor regarding the IM situation, think they're being mobilised
> to facilitate this too.
>
>
>
> Hope this helps a bit. we can learn from these forward thinkers outline in
> the tweet and disseminate?
>
>
>
> I for one, would prefer to go in and help community to keep women at home
> as much as poss.
>
>
>
> Thanks
>
> Claire Feeley
>
>
>
> On Friday, 20 March 2020, 11:03:08 GMT, Soo Downe <[log in to unmask]>
> wrote:
>
>
>
>
>
> I think it is worth linking up with areas where they are still supporting
> home births/MLUs, as an exemplar to others? Sarah, did your earlier email
> imply you are doing this? Jane, Chris, do you know what is happening
> elsewhere in London?
>
>
>
> It would be great to work with the RCM on this - has anyone got good
> contacts with the RCM professional department?
>
>
>
> Claire, can you advise everyone how the IMEs can contribute?
>
>
>
> All the best
>
>
>
> Soo
>
>
> ------------------------------
>
> *From:* A forum for discussion on midwifery and reproductive health
> research. <[log in to unmask]> on behalf of Lucia Rocca <
> [log in to unmask]>
> *Sent:* Friday, March 20, 2020 10:52 AM
> *To:* [log in to unmask] <[log in to unmask]
> >
> *Subject:* Re: Place of birth related to Covid-19
>
>
>
> Yes Chris,
>
> we have a situation in which several NHS Trusts are suspending all
> homebirths and re-deploying all staff to hospitals.
>
> I thik that the idea of pop up FMUs and homebirth team working together
> could be a great idea.
>
> How could we move on to propose to support such a plan?
>
> I have been working with north west London LMS and I have offered help
> with setting up a new model, if they with to do so.
>
> .....
>
> how can this idea be moved forward?
>
> there needs to be a buying in first form NHS Trusts, at least a few early
> adopters....
>
>
>
> Tracey, Chris, Soo,
>
> any idea about how to approach Maternity Services?
>
>
>
> I am available to help
>
>
>
> best wishes
>
>
>
> Lucia
>
>
>
>
>
>
>
>
>
> Dr Lucia Rocca-Ihenacho
>
> PhD, MSc, RM
>
> Lecturer in Midwifery and NIHR Research Fellow
>
> Centre for Maternal and Child Health Research
>
> School of Health Sciences
>
> City University London
>
> 1 Myddelton Street
> <https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g>
>
> London
> <https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g>
> EC1R 1UW
> <https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g>
>
>
>
> 07989 230313
>
> Skype contact: luciainsky
>
>
>
>
>
>
>
>
>
> On Fri, 20 Mar 2020 at 11:04, McCourt, Christine <
> [log in to unmask]> wrote:
>
> Clare â first, leaving aside the more complex questions about risk
> management is this legal? could a service not be sued by a patient for
> refusing to send an ambulance in an emergency situation?
>
>
>
> Second point that has just come into mind. yesterday, a few people were
> talking about pop-up FMUs on various discussion lists. Having seen reports
> of hotel owners donating their hotels and staff to the NHS in the last few
> days (e.g. an entire chain in Norway, Gary Neville in England) could
> smaller hotel owners do likewise given that many are having to close now?
> If it can be organise for extra beds. I have also come across reports of
> hotel use before by overcrowded services, although that may have been for
> postnatal only.
>
>
>
> People are thinking differently in response to the urgency of the
> situation in many areas, including public health services, so why not this?
> Staff time and energy is very pressed but some professionals and managers
> are also stuck at home in isolation because of relatives/housemates with
> symptoms and couold be engaged in some creative thinking and planning.
>
>
>
>
>
> [image: signature_1922971602]
>
> *Dr Christine McCourt*
>
> Professor of Maternal Health, Centre Lead, Centre for Maternal & Child
> Health Research
>
> School of Health Sciences
>
> City, University of London
>
> 1 Myddelton Street, London EC1R 1UB
> <https://www.google.com/maps/search/1+Myddelton+Street,+London+EC1R+1UB?entry=gmail&source=g>
>
> *T:* +44 (0)20 7040 5863
>
> *M: *+44 (0)7912 351476
>
> www.city.ac.uk
>
>
>
>
>
>
>
>
>
> *From: *NORMALBIRTH-RESEARCH <[log in to unmask]> on
> behalf of Claire Feeley <[log in to unmask]>
> *Reply to: *NORMALBIRTH-RESEARCH <[log in to unmask]>
> *Date: *Friday, 20 March 2020 at 08:21
> *To: *NORMALBIRTH-RESEARCH <[log in to unmask]>
> *Subject: *Re: Place of birth related to Covid-19
>
>
>
> *CAUTION:* This email originated from outside of the organisation. Do not
> click links or open attachments unless you recognise the sender and believe
> the content to be safe.
>
>
>
> I've been informed of this today :
>
> Glasgow NHS Trust pulled all homeborths for the next 6 months today. It
> was confirmed by email that paramedics would also not be sent if women
> chose to stay home.
>
>
>
>
>
> BW
>
> Claire Feeley
>
>
>
> On Friday, 20 March 2020, 08:16:05 GMT, Soo Downe <[log in to unmask]>
> wrote:
>
>
>
>
>
> I think the situation is mixed in the UK - RCOG/RCM advice is for women
> to stay at home as long as possible in the latent phase to avoid both
> infection risk and overwhelmed hospital services (though I dont think
> services are overwhelmed yet in the UK, at least outside of London - I was
> in an outpatients dept in the northwest of England yesterday, and there
> were about 4 nurses/staff for every one OPD attendee - though it was late
> afternoon, and maybe that was just the end of the day, and that older
> people and those with disease symptoms are not attending OPD).
>
>
>
> In some places, requests for and provision of home birth services are
> going up, for the same reasons. In other places, the opposite is happening
> - home birth services and MLUs are being closed down, and the only place
> left to give birth is hospital, in opposition to the above rationale for
> the advice to stay home in early labour. Given that, in some places, birth
> companion and doula attendance is now restricted to one, some fear that
> there will be an increase in freebirth.
>
>
>
> Women planning home or MLU birth with suspected or confirmed C-19 are
> being advised to switch to hospital birth for fetal monitoring (whether
> they have a fever or not).
>
>
>
> Others in the UK may have a different view of what is going on in their
> part of the country.
>
>
>
> All the best
>
>
>
> Soo
>
>
>
>
> ------------------------------
>
> *From:* The normal birth research list <
> [log in to unmask]> on behalf of Hannah Dahlen <
> [log in to unmask]>
> *Sent:* Friday, March 20, 2020 8:00 AM
> *To:* [log in to unmask] <
> [log in to unmask]>
> *Subject:* Re: Place of birth related to Covid-19
>
>
>
> I am posting for a midwife grappling with the best way forward in
> providing care for women booked in for Homebirth through public services.
> Please help her out and overseas strategies really welcomeđđœđ
>
>
>
> âNow is the time to collaborate on a world scale on what decisions are
> being made about public funded planned home birth. Can we tell each other
> what are the reasons for continuing to provide care and the decision to
> discontinue with public funded home birth in Maternity Systems around the
> world. We all need to learn from each other to make decisions about the
> safest care for woman, their families and midwives.
>
>
>
> Overwhelming to have to be the influence to make these decisions for women
> in our service.â
>
>
>
> Kind Regards
>
>
>
> *Hannah Dahlen* | Professor of Midwifery | Higher Degree Research Director
>
> *School of Nursing and Midwifery*
>
> Building EB/LG Room 34, Parramatta South Campus
>
> *P:* 9685 9118 | *F:* 9685 99599 | *E:**[log in to unmask]
> <[log in to unmask]>*
> Western Sydney University
>
> Locked Bag 1797 Penrith NSW 2751 Australia
>
> http://www.uws.edu.au/staff_profiles/uws_profiles/professor_hannah_dahlen
>
> Twitter @hannahdahlen
>
>
>
> *Error! Filename not specified.*
>
>
> On 20 Mar 2020, at 18:59, Soo Downe <[log in to unmask]> wrote:
>
> yes, I strongly agree Chris
>
>
>
> All the best
>
>
>
> Soo
> ------------------------------
>
> *From:* The normal birth research list <
> [log in to unmask]> on behalf of McCourt, Christine <
> [log in to unmask]>
> *Sent:* Friday, March 20, 2020 7:07 AM
> *To:* [log in to unmask] <
> [log in to unmask]>
> *Subject:* Re: Place of birth related to Covid-19
>
>
>
> Iâm very shocked by the language in the text below â first, use of the
> word allowed is very striking â this is the mother so where does permission
> to feed her baby come in?? Even if this advice was logical, the word
> encouraged or supported would have been more appropriate.
>
>
>
> Second, I am utterly baffled by what the logic is considered to be â
> handling bottles and formula and feeding oneâs baby with a bottle surely
> carries equal if not more possibilities of infection risk â it requires
> contact and there is a much higher chance that a range of people would have
> handled a bottle and the equipment used to make formula. We know that
> formula feeding lacks the benefits of antibody transmission so any
> possibility that breastfeeding may (as it usually does) provide this is an
> advantage, even if unconfirmed. We also know already from rapid learning in
> China that younger people appear to be far less affected by this virus, so
> even if the instructions were logical, they would likely be misplaced.
> Finally, does anyone suggest that mothers donât cuddle their babies â what
> kind of harm might that cause?
>
>
>
> Need I continue, I have seen social media posts from very distressed
> mothers in London who are unable to buy formula milk and disposable nappies
> in the shops because of othersâ stockpiling. Women who breastfeed (and
> incidentally those who use washable nappies) are protected from the
> negative effects of this distress and also potentially even the infection
> risks of trailing round shops in a desperate bid to get supplies.
>
>
>
> There is a discourse analysis dissertation in this for someone.
>
>
>
>
>
> <image001.png>
>
> *Dr Christine McCourt*
>
> Professor of Maternal Health, Centre Lead, Centre for Maternal & Child
> Health Research
>
> School of Health Sciences
>
> City, University of London
>
> 1 Myddelton Street, London EC1R 1UB
> <https://www.google.com/maps/search/1+Myddelton+Street,+London+EC1R+1UB?entry=gmail&source=g>
>
> *T:* +44 (0)20 7040 5863
>
> *M: *+44 (0)7912 351476
>
> www.city.ac.uk
>
>
>
>
>
>
>
>
>
> *From: *NORMALBIRTH-RESEARCH <[log in to unmask]> on
> behalf of Kathy Carter-Lee <[log in to unmask]>
> *Reply to: *"[log in to unmask]" <[log in to unmask]>
> *Date: *Friday, 20 March 2020 at 03:49
> *To: *NORMALBIRTH-RESEARCH <[log in to unmask]>
> *Subject: *Re: Place of birth related to Covid-19
>
>
>
> *CAUTION:* This email originated from outside of the organisation. Do not
> click links or open attachments unless you recognise the sender and believe
> the content to be safe.
>
>
>
> Yes the Canadian Guidelines read well but the tendency to downgrade the
> "normal" and esteem medical intervention with "added value" remains, as
> seen below. A mother can breastfeed but "there is limited evidence (of
> anitbody transmission)". Surely the whole discussion and list of guidelines
> shows there is limited evidence on the outcomes and interventions
> highlighted?
>
>
>
> *Women who choose to breastfeed should be allowed to do so after
> appropriate handwashing and while wearing a mask. It is possible that the
> mother can transmit antibodies to the infant through breastmilk; however,
> there is limited evidence of this transmission and the potential benefits
> are unclear. *
>
>
>
>
>
> Keep thinking and questionning!
>
> Go well
>
> Kathy Carter-Lee
>
> LMC Midwife & DHSc Student NZ
>
>
>
> On 19 Mar 2020 at 23:05, Hannah Dahlen wrote:
>
>
>
> *> *
>
> *> Here are the British Columbia guidelines that seem very easy to*
>
> *> follow *
>
> *> *
>
> *> http://www.bccdc.ca/health-professionals/clinical-resources/covid-
> <http://www.bccdc.ca/health-professionals/clinical-resources/covid->*
>
> *> 19-care/clinical-care/pr egnancy Kind Regards Hannah*
>
> *> Dahlen AM | Professor of Midwifery | Associate Dean Research and*
>
> *> HDR| Midwifery Discipline Lead School of Nursing and Midwifery *
>
> *> Building EB/LG Room 34, Parramatta South Campus P: 9685*
>
> *> 9118 | F: 9685 99599 | E: [log in to unmask]
> <[log in to unmask]>*
>
> *> *
>
> *> Western Sydney University*
>
> *> Locked Bag 1797 Penrith NSW 2751 Australia*
>
> *> http://www.uws.edu.au/staff_profiles/uws_profiles/professor_hannah
> <http://www.uws.edu.au/staff_profiles/uws_profiles/professor_hannah>*
>
> *> _dahlen Twitter @hannahdahlen Presentation@300x-100 2020*
>
> *> SNMF4513_FM_Email Sig 600x95px 5A From: normal list*
>
> *> <[log in to unmask]
> <[log in to unmask]>> on behalf of*
>
> *> "[log in to unmask] <[log in to unmask]>" <[log in to unmask]
> <[log in to unmask]>> Reply to: normal list*
>
> *> <[log in to unmask]
> <[log in to unmask]>> Date: Thursday, 19 March*
>
> *> 2020 at 11:40 pm To: normal list*
>
> *> <[log in to unmask]
> <[log in to unmask]>> Subject: Place of birth*
>
> *> related to Covid-19 Dear all I generally think the current*
>
> *> UK response to Covid-19 is very sensible, and it is especially*
>
> *> gratifying to see that the RCOG/RCM advice for pregnant women is*
>
> *> to stay at home in the latent phase of labour, and to keep mothers*
>
> *> and babies together and breastfeeding (if that is their choice)*
>
> *> even if the mother is infected. However, I have to say I simply*
>
> *> dont understand the apparently growing tendency to close MLUs. Im*
>
> *> wondering if anyone on this email list can let me know what Im*
>
> *> missing here?. It does seem counter-intuitive to move women*
>
> *> (against their preferences) to the very place the infection is*
>
> *> likely to be most prevalent, especially if they then end up having*
>
> *> epidurals, administered by anaesthetists who are desperately*
>
> *> needed for sick patients in ITU, and who, because they are the*
>
> *> front line for patients in ITU with respiratory distress, are*
>
> *> most likely to be carriers of the infection? I really think Im*
>
> *> missing something here. If the issue relating to closure of*
>
> *> MLUs is one of staffing, why not offer the opportunity to healthy*
>
> *> women booked for obstetric unit care to change their booking to*
>
> *> midwife led unit care, to take the pressure away from the OU, to*
>
> *> limit their exposure to the infection (and that of their baby) and*
>
> *> to use free capacity in MLUS to full advantage? Im also*
>
> *> wondering about the advice for women with suspected/confirmed*
>
> *> covid-19 who are booked at home/in an MLU to move to an obstetric*
>
> *> unit for fetal monitoring. Obviously, if a woman has a fever*
>
> *> (for any reason, including covid-19) and is pregnant or in labour,*
>
> *> it is clearly important to inform her about the benefits of*
>
> *> going to hospital for continuous fetal monitoring, wherever she*
>
> *> is booked, as maternal pyrexia puts the baby at increased*
>
> *> risk. But if she has other symptoms (such as a cough) but no*
>
> *> fever, wouldnt it be best for her to stay out of hospital (unless*
>
> *> she develops a fever)? Or maybe fever is such a cardinal sign that*
>
> *> the vast majority of those with suspected/actual infection will*
>
> *> have it? Any insight on what Im missing would be very*
>
> *> gratefully received: especially if anyone had modelling data to*
>
> *> explain these decisions and their consequences. All the best*
>
> *> Soo Image removed by sender. University of Central*
>
> *> Lancashire*
>
> *> *
>
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> *> H&A=1*
>
>
>
>
>
> --------
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> Kathy Carter-Lee
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> Midwife
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<div dir="ltr"><div>Thanks Franka,</div><div>Thank you so much for the Statement, it is a great help. We have been horrified to witness such poor strategic planning and violation of women's human rights.</div><div><br></div><div>With the Midwifery Unit Network we are finalising a statement on MUs specifically which is totally in line with ICM statement.</div><div>We would be happy to support MUs which may want to increase their workload. We can do zoom calls with service managers to discuss practicalities both clinical and organisational.</div><div>We4 are also planning to produce more teaching material soon on how to set up a MU or enhance an existing one.<br></div><div>We will keep sharing info on the development of the situation in both Facebook groups:</div><div><br></div><div>Midwifery UNit Network:</div><div><a href="https://www.facebook.com/groups/1044269499358700/">https://www.facebook.com/groups/1044269499358700/</a></div><div><br></div><div>COVID-19 childbirthsolutions:<br></div><div><a href="https://www.facebook.com/groups/MUNet/">https://www.facebook.com/groups/MUNet/</a></div><div><br></div><div>Franka,</div><div>are you planning to translate ICM Statement in other languages?</div><div><br></div><div>thanks</div><div><br></div><div>Lucia<br></div><div><br></div><div><div><div dir="ltr" class="gmail_signature" data-smartmail="gmail_signature"><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div><div><span style="font-size:large"></span><span style="font-family:tahoma,sans-serif"><font size="2">Dr Lucia Rocca-Ihenacho</font></span></div><div><span style="font-family:tahoma,sans-serif"><font size="2">PhD, MSc, RM<br></font></span></div><span style="font-family:tahoma,sans-serif"></span><font size="2">Lecturer in Midwifery and NIHR Research Fellow</font><span><span style="font-family:tahoma,sans-serif"><font><span></span></font></span></span><br><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)"></span></span><div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)"></span></span><div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">Centre for Maternal and Child Health Research</span></span></div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">
</span></span><div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">School of Health Sciences</span></span></div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">
</span></span><div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">City Univers</span></span>ity London</div>
<div>1 Myddelton Street</div>
<div>London <br>EC1R 1UW</div></div><div><span style="font-family:tahoma,sans-serif"><font><span></span></font><font><span><br></span></font></span></div><span style="font-family:tahoma,sans-serif"><font><span>07989 230313</span></font></span></div><div dir="ltr"><font size="2">Skype contact: luciainsky</font><br></div><div dir="ltr"><div><span style="font-family:tahoma,sans-serif">
</span><font size="2"><span style="font-family:tahoma,sans-serif"></span><br></font></div><span style="font-size:large"><font face="'arial narrow', sans-serif"><br></font></span></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><br></div></div><br><div class="gmail_quote"><div dir="ltr" class="gmail_attr">On Mon, 30 Mar 2020 at 14:35, Soo Downe <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> wrote:<br></div><blockquote class="gmail_quote" style="margin:0px 0px 0px 0.8ex;border-left:1px solid rgb(204,204,204);padding-left:1ex">
<div dir="ltr">
<div style="font-family:Calibri,Arial,Helvetica,sans-serif;font-size:12pt;color:rgb(0,0,0)">
Please see below</div>
<div>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif;font-size:12pt;color:rgb(0,0,0)">
<br>
</div>
<div id="gmail-m_1135353163163757883appendonsend"></div>
<hr style="display:inline-block;width:98%">
<div id="gmail-m_1135353163163757883divRplyFwdMsg" dir="ltr"><font style="font-size:11pt" face="Calibri, sans-serif" color="#000000"><b>From:</b> ICM President <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Monday, March 30, 2020 1:28 PM<br>
<b>To:</b> Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Rocca-Ihenacho, Lucia <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Cc:</b> Sally Pairman <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> RE: Fw: Place of birth related to Covid-19: and traumatic birth experiences escalating</font>
<div>Â </div>
</div>
<div>
<div>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Dear Soo,</span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Â </span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">I missed your email because it was sent to my private Gmail, sorry about the delay. Have you seen our statement on human rights and Covid-109 on our website that we posted
today? Birthing centres are also mentioned: <a href="https://www.internationalmidwives.org/icm-news/women%E2%80%99s-rights-in-childbirth-must-be-upheld-during-the-coronavirus-pandemic.html" target="_blank">
https://www.internationalmidwives.org/icm-news/women%E2%80%99s-rights-in-childbirth-must-be-upheld-during-the-coronavirus-pandemic.html</a>
</span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">What is the position of the RCM on this? (Iâm asking because they are our UK member).
</span></p>
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<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Â </span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(47,84,150)">Warm regards,</span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(47,84,150)">Â </span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<b><span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(47,84,150)">Franka Cadée,
</span></b></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(47,84,150)">President</span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(68,114,196)">Â </span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">International Confederation of Midwives (ICM)</span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Koninginnegracht 60,</span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">2514 AE The Hague,</span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">The Netherlands.</span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Â </span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Telephone: +31 (0) 70 3060520</span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Mob: +31 (0) 657597094</span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">T: @FrankaCadee</span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Â </span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">E-mail:
</span><span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)" lang="NL"><a href="mailto:[log in to unmask]" target="_blank"><span style="color:rgb(31,73,125)" lang="EN-GB">[log in to unmask]</span></a></span><span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)"></span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)" lang="NL"><a href="http://www.internationalmidwives.org/" target="_blank"><span style="color:rgb(31,73,125)" lang="EN-GB">www.internationalmidwives.org</span></a></span><span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)"></span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Â </span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<b><span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)" lang="EN-NZ">#Midwives2021</span></b><span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)" lang="EN-NZ"></span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)" lang="EN-NZ"><a href="https://www.midwives2020.org/" target="_blank"><span style="color:rgb(31,73,125)">https://www.midwives2020.org</span></a></span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Â </span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Â </span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)" lang="EN-NZ"><img id="gmail-m_1135353163163757883Picture_x0020_6" alt="signature_1831811827" style="width: 2.5347in; height: 0.8819in;" src="cid:1712b72eebc4cff311" width="243" height="85" border="0"></span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(47,84,150)" lang="EN-NZ">Â </span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Â </span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<b><span lang="NL">Van:</span></b><span lang="NL"> Franka Cadée <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>
<br>
<b>Verzonden:</b> zondag 29 maart 2020 22:07<br>
<b>Aan:</b> ICM President <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Onderwerp:</b> Fwd: Fw: Place of birth related to Covid-19: and traumatic birth experiences escalating</span></p>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
 </p>
<div>
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 </p>
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<div>
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 </p>
<div>
<div>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
---------- Forwarded message ---------<br>
From: <strong><span style="font-family:"Calibri",sans-serif">Soo Downe</span></strong> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
Date: Fri, 20 Mar 2020 at 14:57<br>
Subject: Fw: Place of birth related to Covid-19: and traumatic birth experiences escalating<br>
To: <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
Cc: Rocca-Ihenacho, Lucia <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>></p>
</div>
<p class="MsoNormal" style="margin:0cm 0cm 12pt;font-size:11pt;font-family:Calibri,sans-serif">
 </p>
<div>
<div>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:12pt;color:black">Sorry Franke, I missed you off the email below - I know ICM has a whole stack of problems now, not least with the postponement of the congress - but, along with Lucia, I wondered what your thoughts are on the issue
below, if and when you get time to look at it</span></p>
</div>
<div>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:12pt;color:black">Â </span></p>
</div>
<div>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:12pt;color:black">All the very best</span></p>
</div>
<div>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:12pt;color:black">Â </span></p>
</div>
<div>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:12pt;color:black">Soo</span></p>
</div>
<div>
<div>
<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:12pt;color:black">Â </span></p>
</div>
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<b><span style="color:black">From:</span></b><span style="color:black"> Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Friday, March 20, 2020 12:19 PM<br>
<b>To:</b> MCCONVILLE, Frances Emma <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Pairman, Sally <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Rocca-Ihenacho, Lucia <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
TUNCALP MINGARD, Ăzge <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> Fw: Place of birth related to Covid-19: and traumatic birth experiences escalating</span>
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<span style="font-size:12pt;color:black">Fran, Sally, Ozge, please see the email below from Lucia Rocca. Im just wondering if WHO/ICM are working on any guidelines/ support to ensure respectful, logical, evidence based care for women in labour at this time?
There does seem to be a paradoxical response in which healthy people are in general encouraged not to go to hospital, but healthy women in labour who want to be out of hospital to keep them and their babies safe from catching the infection are being told
they must go into hospital, are being denied any companionship in some circumstances, and are being separated from their baby/told not to breastfeed (in contradiction of the evidence on this). As Lucia says, in some settings at least (though not all, of course)
there are solutions, such as pop-up midwife led units, and guidance from WHO/ICM on this might be very helpful? What do you all think?</span></p>
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<span style="font-size:12pt;color:black">All the best</span></p>
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<b><span style="color:black">From:</span></b><span style="color:black"> Lucia Rocca <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Friday, March 20, 2020 11:45 AM<br>
<b>To:</b> A forum for discussion on midwifery and reproductive health research. <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Cc:</b> Frances Emma MCCONVILLE <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> Re: Place of birth related to Covid-19</span> </p>
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Dear All,</p>
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I have been talking to mws in strategic positions in Spain and Italy and the situation is really bad. Babies and mothers are being separated.
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When some of them proposed the idea of pop up FMUs, were ridiculised. On the other hand they are doing pop up hospitals in hotels for sick people ...</p>
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I am told that if there was some recommendation form WHO or ICM/FIGO it would make it easier...</p>
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can anyone help with this?</p>
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we need:</p>
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1 group of people working on the strategic side and making this option acceptable to services
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1 group looking at it from operational/logistical perspective</p>
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1 group clinical support </p>
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Until we have people seeing this as a viable option women will be exposed to additional risks of exposure to the virus and also to abuse...</p>
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who can help with the strategic aspects?</p>
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thanks</p>
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Lucia</p>
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<span style="font-size:10pt;font-family:"Tahoma",sans-serif">Dr Lucia Rocca-Ihenacho</span></p>
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<span style="font-size:10pt;font-family:"Tahoma",sans-serif">PhD, MSc, RM</span></p>
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<span style="font-size:10pt">Lecturer in Midwifery and NIHR Research Fellow</span></p>
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<span style="color:black;background:white none repeat scroll 0% 0%">Centre for Maternal and Child Health Research</span></p>
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<span style="color:black;background:white none repeat scroll 0% 0%">School of Health Sciences</span></p>
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<span style="color:black;background:white none repeat scroll 0% 0%">City Univers</span>ity London</p>
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<a href="https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g" target="_blank">1 Myddelton Street</a></p>
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<a href="https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g" target="_blank">London
</a><br>
<a href="https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g" target="_blank">EC1R 1UW</a></p>
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<span style="font-family:"Tahoma",sans-serif">07989 230313</span></p>
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<span style="font-size:10pt">Skype contact: luciainsky</span></p>
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On Fri, 20 Mar 2020 at 12:27, Soo Downe <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> wrote:</p>
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<span style="font-size:12pt;color:black">Thanks Claire - Ive been wondering how long it will take for the home CTG monitoring issue to raise its head....</span></p>
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<span style="font-size:12pt;color:black">All the best</span></p>
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<span style="font-size:12pt;color:black">Soo</span></p>
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<b><span style="color:black">From:</span></b><span style="color:black"> Claire Feeley <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Friday, March 20, 2020 11:12 AM<br>
<b>To:</b> <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; A forum for discussion on midwifery
and reproductive health research. <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> Re: Place of birth related to Covid-19</span> </p>
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<span style="font-size:12pt;color:black">From Birthrights twitter today : </span><span style="font-size:17.5pt;color:rgb(20,23,26);border:1pt solid black;padding:0cm">Understand <a href="https://twitter.com/PennineAcuteNHS" target="_blank"><span style="font-family:"inherit",serif;color:rgb(23,191,99)">@PennineAcuteNHS </span></a><a href="https://twitter.com/BSUH_maternity" target="_blank"><span style="font-family:"inherit",serif;color:rgb(23,191,99)">@BSUH_maternity </span></a><a href="https://twitter.com/sarahnoble02" target="_blank"><span style="font-family:"inherit",serif;color:rgb(23,191,99)">@sarahnoble02</span></a>  (South
Warks)Â </span><span style="font-size:12pt;color:black"> </span></p>
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<span style="font-size:17.5pt;font-family:"inherit",serif;color:rgb(20,23,26);border:1pt none windowtext;padding:0cm"><a href="https://twitter.com/NHSHomerton" target="_blank"><span style="color:rgb(23,191,99);border:1pt solid black;padding:0cm">@NHSHomerton</span></a>Â </span><span style="font-size:17.5pt;color:rgb(20,23,26)">Â planning
to ramp up homebirth services in response to increased demand. Good to see services responding to where women feel safe - good for infection control too? <a href="https://twitter.com/MidwivesRCM" target="_blank"><span style="font-family:"inherit",serif;color:rgb(23,191,99);border:1pt solid black;padding:0cm">@MidwivesRCM</span></a></span></p>
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<span style="font-size:12pt;color:black">Â </span><span style="font-size:17.5pt;color:rgb(20,23,26);border:1pt solid black;padding:0cm">Â </span><span style="font-size:17.5pt;color:rgb(20,23,26);border:1pt none windowtext;padding:0cm"><a href="https://twitter.com/hashtag/CovidMaternity?src=hashtag_click" target="_blank"><span style="font-family:"inherit",serif;color:rgb(23,191,99);border:1pt solid black;padding:0cm">#CovidMaternity</span></a></span><span style="font-size:12pt;color:black"></span></p>
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<span style="font-size:12pt;color:black">Although- some bright spark has commented as to offering the at home CTG monitoring!!! it's his business in the Netherlands... we need to quash that.</span></p>
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<span style="font-size:12pt;color:black;border:1pt none windowtext;padding:0cm">basically my understanding is that IM's have had the go ahead to support NHS, will have emergency indemnity once the emergency legislation is passed end of March, but it
is up to the individual trusts to implement, this means honourary/bank contracts etc. So the same process as for the likes of me going back in. RCM has also started to respond along with the NMC senior midwifery advisor regarding the IM situation, think they're
being mobilised to facilitate this too.</span><span style="font-size:12pt;color:black"></span></p>
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<span style="font-size:12pt;color:black;border:1pt none windowtext;padding:0cm">Hope this helps a bit. we can learn from these forward thinkers outline in the tweet and disseminate? </span><span style="font-size:12pt;color:black"></span></p>
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<span style="font-size:12pt;color:black;border:1pt none windowtext;padding:0cm">I for one, would prefer to go in and help community to keep women at home as much as poss.</span><span style="font-size:12pt;color:black"></span></p>
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<span style="font-size:12pt;color:black;border:1pt none windowtext;padding:0cm">Thanks</span><span style="font-size:12pt;color:black"></span></p>
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<span style="font-size:12pt;color:black;border:1pt none windowtext;padding:0cm">Claire Feeley</span><span style="font-size:12pt;color:black"></span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">On Friday, 20 March 2020, 11:03:08 GMT, Soo Downe <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> wrote:
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<span style="font-size:12pt;color:black">I think it is worth linking up with areas where they are still supporting home births/MLUs, as an exemplar to others? Sarah, did your earlier email imply you are doing this? Jane, Chris, do you know what is happening
elsewhere in London?</span></p>
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<span style="font-size:12pt;color:black">Â </span></p>
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<span style="font-size:12pt;color:black">It would be great to work with the RCM on this - has anyone got good contacts with the RCM professional department?</span></p>
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<span style="font-size:12pt;color:black">Â </span></p>
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<span style="font-size:12pt;color:black">Claire, can you advise everyone how the IMEs can contribute?</span></p>
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<span style="font-size:12pt;color:black">All the best</span></p>
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<span style="font-size:12pt;color:black">Soo</span></p>
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<span style="font-size:12pt;color:black">Â </span></p>
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<b><span style="color:black">From:</span></b><span style="color:black"> A forum for discussion on midwifery and reproductive health research. <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> on behalf
of Lucia Rocca <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Friday, March 20, 2020 10:52 AM<br>
<b>To:</b> <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> Re: Place of birth related to Covid-19</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">
</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Yes Chris,</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">we have a situation in which several NHS Trusts are suspending all homebirths and re-deploying all staff to hospitals.</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">I thik that the idea of pop up FMUs and homebirth team working together could be a great idea.</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">How could we move on to propose to support such a plan?</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">I have been working with north west London LMS and I have offered help with setting up a new model, if they with to do so.</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">.....</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">how can this idea be moved forward?</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">there needs to be a buying in first form NHS Trusts, at least a few early adopters....</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Tracey, Chris, Soo,
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">any idea about how to approach Maternity Services?</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">I am available to help
</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">best wishes</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Lucia</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<span style="font-size:10pt;font-family:"Tahoma",sans-serif;color:rgb(38,40,42)">Dr Lucia Rocca-Ihenacho</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<span style="font-size:10pt;font-family:"Tahoma",sans-serif;color:rgb(38,40,42)">PhD, MSc, RM</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Lecturer in Midwifery and NIHR Research Fellow</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:black;background:white none repeat scroll 0% 0%">Centre for Maternal and Child Health Research</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:black;background:white none repeat scroll 0% 0%">School of Health Sciences</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:black;background:white none repeat scroll 0% 0%">City Univers</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">ity London</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"><a href="https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g" target="_blank">1 Myddelton Street</a></span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"><a href="https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g" target="_blank">London
</a><br>
<a href="https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g" target="_blank">EC1R 1UW</a></span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p class="MsoNormal" style="margin:0cm 0cm 0.0001pt;font-size:11pt;font-family:Calibri,sans-serif">
<span style="font-size:10pt;font-family:"Tahoma",sans-serif;color:rgb(38,40,42)">07989 230313</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Skype contact: luciainsky</span></p>
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<span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">On Fri, 20 Mar 2020 at 11:04, McCourt, Christine <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> wrote:</span></p>
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<blockquote style="border-color:currentcolor currentcolor currentcolor rgb(204,204,204);border-style:none none none solid;border-width:medium medium medium 1pt;padding:0cm 0cm 0cm 6pt;margin-left:4.8pt;margin-right:0cm">
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Clare â first, leaving aside the more complex questions about risk management is this legal? could a service not be sued by a patient
for refusing to send an ambulance in an emergency situation?</span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Second point that has just come into mind. yesterday, a few people were talking about pop-up FMUs on various discussion lists. Having
seen reports of hotel owners donating their hotels and staff to the NHS in the last few days (e.g. an entire chain in Norway, Gary Neville in England) could smaller hotel owners do likewise given that many are having to close now? If it can be organise for
extra beds. I have also come across reports of hotel use before by overcrowded services, although that may have been for postnatal only.
</span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">People are thinking differently in response to the urgency of the situation in many areas, including public health services, so why
not this? Staff time and energy is very pressed but some professionals and managers are also stuck at home in isolation because of relatives/housemates with symptoms and couold be engaged in some creative thinking and planning.
</span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p style="margin:0cm 0cm 0.0001pt;text-align:center" align="center"><img id="gmail-m_1135353163163757883_x0000_i1029" alt="signature_1922971602" style="width: 2.4652in; height: 3.5069in;" src="cid:1712b72eebd5b16b22" width="237" height="337" border="0"></p>
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<td style="width:241pt;padding:0cm 5.4pt;min-height:4cm" width="321">
<p style="margin:0cm 0cm 0.0001pt"><b>Dr Christine McCourt</b></p>
<p style="margin:0cm 0cm 0.0001pt">Professor of Maternal Health, Centre Lead, Centre for Maternal & Child Health Research</p>
<p style="margin:0cm 0cm 0.0001pt">School of Health Sciences</p>
<p style="margin:0cm 0cm 0.0001pt">City, University of London</p>
<p style="margin:0cm 0cm 0.0001pt"><a href="https://www.google.com/maps/search/1+Myddelton+Street,+London+EC1R+1UB?entry=gmail&source=g" target="_blank">1 Myddelton Street, London EC1R 1UB</a></p>
<p style="margin:0cm 0cm 0.0001pt"><b>T:</b> +44 (0)20 7040 5863</p>
<p style="margin:0cm 0cm 0.0001pt"><b>M: </b>+44 (0)7912 351476</p>
<p style="margin:0cm 0cm 0.0001pt"><a href="http://www.city.ac.uk/" target="_blank">www.city.ac.uk</a></p>
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<td style="width:163pt;padding:5.65pt;min-height:4cm" width="217" valign="top">
<p style="margin:0cm 0cm 0.0001pt"><b><span style="font-size:8pt">Â </span></b></p>
<p style="margin:0cm 0cm 0.0001pt"><b><span style="font-size:12pt">Â </span></b></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p style="margin:0cm 0cm 0.0001pt"><b><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">From:
</span></b><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">NORMALBIRTH-RESEARCH <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> on behalf of Claire Feeley <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Reply to: </b>NORMALBIRTH-RESEARCH <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Date: </b>Friday, 20 March 2020 at 08:21<br>
<b>To: </b>NORMALBIRTH-RESEARCH <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject: </b>Re: Place of birth related to Covid-19</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(156,101,0)">CAUTION:</span></b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:black"> This email originated from outside of the organisation. Do not click links
or open attachments unless you recognise the sender and believe the content to be safe.</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">I've been informed of this today :
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Glasgow NHS Trust pulled all homeborths for the next 6 months today. It was confirmed by email that paramedics would also not be sent
if women chose to stay home. </span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">BW</span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Claire Feeley</span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">On Friday, 20 March 2020, 08:16:05 GMT, Soo Downe <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> wrote:
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">I think the situation is mixed in the UK - RCOG/RCM advice is for women to stay at home as long as possible in the latent phase to
avoid both infection risk and overwhelmed hospital services (though I dont think services are overwhelmed yet in the UK, at least outside of London - I was in an outpatients dept in the northwest of England yesterday, and there were about 4 nurses/staff for
every one OPD attendee - though it was late afternoon, and maybe that was just the end of the day, and that older people and those with disease symptoms are not attending OPD).</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">Â </span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">In some places, requests for and provision of home birth services are going up, for the same reasons. In other places, the opposite
is happening - home birth services and MLUs are being closed down, and the only place left to give birth is hospital,
<span style="background:white none repeat scroll 0% 0%">in opposition to the above rationale for the advice to stay home in early labour. Given that, in some places, birth companion and doula attendance is now restricted to one, some fear that there will be an increase in</span> freebirth. </span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">Â </span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">Women planning home or MLU birth with suspected or confirmed C-19 are being advised to switch to hospital birth for fetal monitoring
(whether they have a fever or not).  </span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">Â </span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">Others in the UK may have a different view of what is going on in their part of the country. </span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">Â </span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">All the best</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">Â </span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">Soo</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">Â </span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">Â </span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<div id="gmail-m_1135353163163757883m_-3210480424085774275gmail-m_-943123355756283910x_yiv9078082683x_gmail-m_8378988096270070723yiv5183700471divRplyFwdMsg">
<p style="margin:0cm 0cm 0.0001pt"><b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:black">From:</span></b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:black"> The normal birth research list <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>
on behalf of Hannah Dahlen <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Friday, March 20, 2020 8:00 AM<br>
<b>To:</b> <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> Re: Place of birth related to Covid-19</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">
</span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p style="margin:0cm 0cm 0.0001pt;font-stretch:normal"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">I am posting for a midwife grappling with the best way forward in providing care for women booked in for Homebirth
through public services. Please help her out and overseas strategies really welcome</span><span style="font-size:12pt;font-family:"Segoe UI Emoji",sans-serif;color:rgb(38,40,42)">đđœđ</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt;font-stretch:normal;min-height:13.8px">
<span style="font-size:9pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt;font-stretch:normal"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">âNow is the time to collaborate on a world scale on what decisions are being made about public funded planned
home birth. Can we tell each other what are the reasons for continuing to provide care and the decision to discontinue with public funded home birth in Maternity Systems around the world. We all need to learn from each other to make decisions about the safest
care for woman, their families and midwives. </span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt;font-stretch:normal;min-height:13.8px">
<span style="font-size:9pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt;font-stretch:normal"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Overwhelming to have to be the influence to make these decisions for women in our service.â</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Kind Regards</span></p>
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<p style="margin:0cm 0cm 0.0001pt"><b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Hannah Dahlen</span></b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â | Professor of Midwifery
| Higher Degree Research Director</span></p>
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<p style="margin:0cm 0cm 0.0001pt"><b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">School of Nursing and Midwifery</span></b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Building EB/LG Room 34, Parramatta South Campus</span></p>
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<p style="margin:0cm 0cm 0.0001pt"><b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">P:</span></b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â 9685 9118Â |Â <b>F:</b>Â 9685 99599Â |Â <b>E:</b><u><a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a></u><br>
Western Sydney University</span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Locked Bag 1797 Penrith NSW 2751 Australia</span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"><a href="http://www.uws.edu.au/staff_profiles/uws_profiles/professor_hannah_dahlen" target="_blank">http://www.uws.edu.au/staff_profiles/uws_profiles/professor_hannah_dahlen</a></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Twitter @hannahdahlen</span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p style="margin:0cm 0cm 0.0001pt"><b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Error! Filename not specified.</span></b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin-right:0cm;margin-bottom:12pt;margin-left:0cm"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"><br>
On 20 Mar 2020, at 18:59, Soo Downe <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> wrote:</span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">yes, I strongly agree Chris</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">Â </span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">All the best</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">Â </span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:black">Soo</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<div id="gmail-m_1135353163163757883m_-3210480424085774275gmail-m_-943123355756283910x_yiv9078082683x_gmail-m_8378988096270070723yiv5183700471x_divRplyFwdMsg">
<p style="margin:0cm 0cm 0.0001pt"><b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:black">From:</span></b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:black"> The normal birth research list <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>
on behalf of McCourt, Christine <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Friday, March 20, 2020 7:07 AM<br>
<b>To:</b> <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> Re: Place of birth related to Covid-19</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">
</span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Iâm very shocked by the language in the text below â first, use of the word allowed is very striking â this is the mother so where
does permission to feed her baby come in?? Even if this advice was logical, the word encouraged or supported would have been more appropriate.</span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Second, I am utterly baffled by what the logic is considered to be â handling bottles and formula and feeding oneâs baby with a bottle
surely carries equal if not more possibilities of infection risk â it requires contact and there is a much higher chance that a range of people would have handled a bottle and the equipment used to make formula. We know that formula feeding lacks the benefits
of antibody transmission so any possibility that breastfeeding may (as it usually does) provide this is an advantage, even if unconfirmed. We also know already from rapid learning in China that younger people appear to be far less affected by this virus, so
even if the instructions were logical, they would likely be misplaced. Finally, does anyone suggest that mothers donât cuddle their babies â what kind of harm might that cause?</span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Need I continue, I have seen social media posts from very distressed mothers in London who are unable to buy formula milk and disposable
nappies  in the shops because of othersâ stockpiling. Women who breastfeed (and incidentally those who use washable nappies) are protected from the negative effects of this distress and also potentially even the infection risks of trailing round shops in a
desperate bid to get supplies. </span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">There is a discourse analysis dissertation in this for someone.
</span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p style="margin:0cm 0cm 0.0001pt"><b>Dr Christine McCourt</b></p>
<p style="margin:0cm 0cm 0.0001pt">Professor of Maternal Health, Centre Lead, Centre for Maternal & Child Health Research</p>
<p style="margin:0cm 0cm 0.0001pt">School of Health Sciences</p>
<p style="margin:0cm 0cm 0.0001pt">City, University of London</p>
<p style="margin:0cm 0cm 0.0001pt"><a href="https://www.google.com/maps/search/1+Myddelton+Street,+London+EC1R+1UB?entry=gmail&source=g" target="_blank">1 Myddelton Street, London EC1R 1UB</a></p>
<p style="margin:0cm 0cm 0.0001pt"><b>T:</b> +44 (0)20 7040 5863</p>
<p style="margin:0cm 0cm 0.0001pt"><b>M: </b>+44 (0)7912 351476</p>
<p style="margin:0cm 0cm 0.0001pt"><a href="http://www.city.ac.uk/" target="_blank">www.city.ac.uk</a></p>
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<p style="margin:0cm 0cm 0.0001pt"><b><span style="font-size:8pt">Â </span></b></p>
<p style="margin:0cm 0cm 0.0001pt"><b><span style="font-size:12pt">Â </span></b></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
<div style="border-style:solid none none;border-width:1pt medium medium;padding:3pt 0cm 0cm;border-color:currentcolor">
<p style="margin:0cm 0cm 0.0001pt"><b><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">From:
</span></b><span style="font-size:12pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">NORMALBIRTH-RESEARCH <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> on behalf of Kathy Carter-Lee <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Reply to: </b>"<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>" <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Date: </b>Friday, 20 March 2020 at 03:49<br>
<b>To: </b>NORMALBIRTH-RESEARCH <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject: </b>Re: Place of birth related to Covid-19</span><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">CAUTION:</span></b><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"> This email originated from outside of the organisation. Do not click links
or open attachments unless you recognise the sender and believe the content to be safe.</span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Yes the Canadian Guidelines read well but the tendency to downgrade the "normal" and esteem medical intervention with "added value"
remains, as seen below. A mother can breastfeed but "there is limited evidence (of anitbody transmission)". Surely the whole discussion and list of guidelines shows there is limited evidence on the outcomes and interventions highlighted?</span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Women who choose to breastfeed should be allowed to do so after appropriate handwashing and while wearing a mask. It is possible
that the mother can transmit antibodies to the infant through breastmilk; however, there is limited evidence of this transmission and the potential benefits are unclear.
</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Keep thinking and questionning!</span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Go well</span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Kathy Carter-Lee</span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">LMC Midwife & DHSc Student NZ</span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">On 19 Mar 2020 at 23:05, Hannah Dahlen wrote:</span></p>
<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Â </span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>
</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â Here are the British Columbia guidelines that seem very easy to</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>    follow  </span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>
</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â
<a href="http://www.bccdc.ca/health-professionals/clinical-resources/covid-" target="_blank">
http://www.bccdc.ca/health-professionals/clinical-resources/covid-</a></span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>    19-care/clinical-care/pr egnancy    Kind Regards  Hannah</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â Dahlen AMÂ | Professor of Midwifery | Associate Dean Research and</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>    HDR| Midwifery Discipline Lead School of Nursing and Midwifery </span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â Building EB/LG Room 34, Parramatta South Campus P:Â 9685</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â 9118Â |Â F:Â 9685 99599 |Â E:Â <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a></span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>
</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â Western Sydney University</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â Locked Bag 1797 Penrith NSW 2751 Australia</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â
<a href="http://www.uws.edu.au/staff_profiles/uws_profiles/professor_hannah" target="_blank">
http://www.uws.edu.au/staff_profiles/uws_profiles/professor_hannah</a></span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>    _dahlen Twitter @hannahdahlen   Presentation@300x-100 2020</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â SNMF4513_FM_Email Sig 600x95px 5A Â From: normal list</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> on behalf
of</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â "<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>" <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>
Reply to: normal list</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> Date: Thursday,
19 March</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â 2020 at 11:40 pm To: normal list</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> Subject: Place
of birth</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>    related to Covid-19  Dear all  I generally think the current</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â UK response to Covid-19 is very sensible, and it is especially</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â gratifying to see that the RCOG/RCM advice for pregnant women is</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â to stay at home in the latent phase of labour, and to keep mothers</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â and babies together and breastfeeding (if that is their choice)</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â even if the mother is infected. Â However, I have to say I simply</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â dont understand the apparently growing tendency to close MLUs. Im</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â wondering if anyone on this email list can let me know what Im</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â missing here?. It does seem counter-intuitive to move women</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â (against their preferences) to the very place the infection is</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â likely to be most prevalent, especially if they then end up having</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â epidurals, administered by anaesthetists who are desperately</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â needed for sick patients in ITU, and who, because they are the</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>    front line for patients in ITU with respiratory distress, are</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â most likely to be carriers of the infection? I really think Im</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â missing something here. Â Â If the issue relating to closure of</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â MLUs is one of staffing, why not offer the opportunity to healthy</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â women booked for obstetric unit care to change their booking to</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â midwife led unit care, to take the pressure away from the OU, to</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â limit their exposure to the infection (and that of their baby) and</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â to use free capacity in MLUS to full advantage? Â Im also</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â wondering about the advice for women with suspected/confirmed</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â covid-19 who are booked at home/in an MLU to move to an obstetric</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>    unit for fetal monitoring.  Obviously, if a woman has a fever</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â (for any reason, including covid-19) and is pregnant or in labour,</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â it is clearly important to inform her about the benefits of</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>    going to hospital for continuous fetal monitoring, wherever she</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>    is booked, as maternal pyrexia puts the baby at increased</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>    risk.  But if she has other symptoms (such as a cough) but no</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â fever, wouldnt it be best for her to stay out of hospital (unless</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â she develops a fever)? Or maybe fever is such a cardinal sign that</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â the vast majority of those with suspected/actual infection will</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>    have it?  Any insight on what Im missing would be very</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>Â Â Â Â gratefully received: especially if anyone had modelling data to</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>    explain these decisions and their consequences.  All the best</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">>     Soo  Image removed by sender. University of Central</span></i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"></span></p>
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--000000000000b5a3dd05a211e52c--
========================================================================Date: Mon, 30 Mar 2020 14:16:45 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"Macfarlane, Alison" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "Macfarlane, Alison" <[log in to unmask]>
Subject: Fw: coding question and trials website
Comments: cc: Jennifer Zeitlin <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
Content-Type: multipart/alternative;
boundary="_000_CWXP265MB00063C34FE5E2A114883160CF6CB0CWXP265MB0006GBRP_"
MIME-Version: 1.0
Message-ID: <[log in to unmask]>
--_000_CWXP265MB00063C34FE5E2A114883160CF6CB0CWXP265MB0006GBRP_
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable
Forwarded message from Jenny Zeitlin, Euro-peristat project leader. I don't think she is on this list, but her email went to about 80 Euro-Peristat partcipants.
For anyone in England, I looked on NHS Digital's web site and found numerous privacy statements and stuff about the GDPR but no answer to Jenny's questions!
Best wishes, Alison
Hello everyone,
I hope you are keeping well. Thank you for the responses to my last
email. I will get back to you soon about some of the ideas.
In the meantime, do you know whether your country has developed specific
guidelines or recommendations for coding COVID-19 using ICD codes for
pregnant women and/or newborns (in particular newborns without COVID-19,
but born to mothers who had COVID-19+ at the delivery or for coding
COVID-19 at some time during the pregnancy when the mother is no longer
positive at delivery)?
Also, if you have not already seen it, the Cochrane website on trials is
up - amongst the bleak news, it is heartening to see the reactivity of
researchers able to get all these trials up and running in such a short
time and the application of new methods to get efficient and rapid
results: https://covid-nma.com/
With best wishes,
Jennifer
--
Obstetrical, Perinatal and Pediatric Epidemiology Research Team
Center for Epidemiology and Statistics Sorbonne Paris Cité
INSERM UMR 1153
Maternité de Port-Royal
53 avenue de l'observatoire
75014 PARIS
Tel : 01 42 34 55 77, Fax : 01 43 26 89 79
Adjunct Associate Professor
Department of Population Health Science and Policy
Icahn School of Medicine at Mount Sinai
New York, NY
########################################################################
To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
--_000_CWXP265MB00063C34FE5E2A114883160CF6CB0CWXP265MB0006GBRP_
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Content-Transfer-Encoding: quoted-printable
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<style type="text/css" style="display:none;"> P {margin-top:0;margin-bottom:0;} </style>
</head>
<body dir="ltr">
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<br>
</div>
<div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
Forwarded message from Jenny Zeitlin, Euro-peristat project leader. I don't think she is on this list, but her email went to about 80 Euro-Peristat partcipants.</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<br>
</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
For anyone in England, I looked on NHS Digital's web site and found numerous privacy statements and stuff about the GDPR but no answer to Jenny's questions!</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<br>
</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
Best wishes, Alison</div>
<div id="appendonsend"></div>
<font size="2"><span style="font-size:11pt;">
<div class="PlainText"><br>
<br>
Hello everyone,<br>
<br>
I hope you are keeping well. Thank you for the responses to my last<br>
email. I will get back to you soon about some of the ideas.<br>
<br>
In the meantime, do you know whether your country has developed specific<br>
guidelines or recommendations for coding COVID-19 using ICD codes for<br>
pregnant women and/or newborns (in particular newborns without COVID-19,<br>
but born to mothers who had COVID-19+ at the delivery or for coding<br>
COVID-19 at some time during the pregnancy when the mother is no longer<br>
positive at delivery)?<br>
<br>
Also, if you have not already seen it, the Cochrane website on trials is<br>
up - amongst the bleak news, it is heartening to see the reactivity of<br>
researchers able to get all these trials up and running in such a short<br>
time and the application of new methods to get efficient and rapid<br>
results: <a href="https://covid-nma.com/">https://covid-nma.com/</a><br>
<br>
With best wishes,<br>
<br>
Jennifer<br>
<br>
<br>
--<br>
Obstetrical, Perinatal and Pediatric Epidemiology Research Team<br>
Center for Epidemiology and Statistics Sorbonne Paris Cité<br>
INSERM UMR 1153<br>
Maternité de Port-Royal<br>
53 avenue de l'observatoire<br>
75014 PARIS<br>
Tel : 01 42 34 55 77, Fax : 01 43 26 89 79<br>
<br>
Adjunct Associate Professor<br>
Department of Population Health Science and Policy<br>
Icahn School of Medicine at Mount Sinai<br>
New York, NY<br>
<br>
</div>
</span></font></div>
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<p align="center">To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:<br>
<a href="https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1" target="_blank">https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1</a>
</p>
--_000_CWXP265MB00063C34FE5E2A114883160CF6CB0CWXP265MB0006GBRP_--
========================================================================Date: Mon, 30 Mar 2020 14:18:24 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Re: ICM statement re practices during covid-19 including place of
birth
Comments: To: "Vedam, Saraswathi" <[log in to unmask]>
Comments: cc: "[log in to unmask]"
<[log in to unmask]>,
SHEENA BYROM <[log in to unmask]>, Anna Byrom <[log in to unmask]>,
Lia Brigante <[log in to unmask]>,
"Rocca-Ihenacho, Lucia" <[log in to unmask]>,
Maria Booker <[log in to unmask]>,
Ciara Henderson <[log in to unmask]>, Joan Lalor <[log in to unmask]>,
"Page, Lesley A" <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
=?utf-8?B?IFRVTkNBTFAgTUlOR0FSRCwgw5Z6Z2Ug?= <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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========================================================================Date: Mon, 30 Mar 2020 15:26:19 +0100
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
SHEENA BYROM <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: SHEENA BYROM <[log in to unmask]>
Subject: Re: ICM statement re practices during covid-19 including place of
birth
Comments: To: Soo Downe <[log in to unmask]>
Comments: cc: "Vedam, Saraswathi" <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
Anna Byrom <[log in to unmask]>,
Lia Brigante <[log in to unmask]>,
Lucia Rocca <[log in to unmask]>,
Maria Booker <[log in to unmask]>,
Ciara Henderson <[log in to unmask]>, Joan Lalor <[log in to unmask]>,
Lesley Page <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
=?utf-8?B?IlRVTkNBTFAgTUlOR0FSRCwgw5Z6Z2Ui?= <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
ICM President <[log in to unmask]>,
"Frances Emma McConville ([log in to unmask])" <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
Content-Type: multipart/alternative;
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Mime-Version: 1.0 (Mac OS X Mail 11.5 \(3445.9.1\))
Message-ID: <[log in to unmask]>
--Apple-Mail=_DDC5C995-D78C-4AE8-805E-F4051D01416E
Content-Transfer-Encoding: quoted-printable
Content-Type: text/plain;
charset=utf-8
Thanks Soo,
Following these threads with interest. We (All4Maternity <https://www.all4maternity.com/>) are able to support the collation and sharing of information globally, and to offer support with social media etc.
My best regards,
Sheena
With very best wishes,
Sheena
Website: sheenabyrom.com <http://www.sheenabyrom.com/>
Twitter: @SagefemmeSB <https://twitter.com/SagefemmeSB>
> <https://twitter.com/all4maternity> <https://www.facebook.com/all4maternity/> Saturn House, Mercury Rise, Altham Business Park Altham, Lancashire BB5 5BY. United Kingdom
> all4maternity is the trading name of ALL4HOLDINGS LIMITED. Registered in England No. 10597238
>
>> On 30 Mar 2020, at 15:18, Soo Downe <[log in to unmask] <mailto:[log in to unmask]>> wrote:
>>
>> definitely!
>>
>> Sarah, would you be able to share your SoP with Saras and others when it is complete and signed off?
>>
>> Saras, Ciara and Joan are setting up a repository of information relating to C-19, as are Anna and Sheena via all4 maternity - it would be good to keep the lines of communication open between all these sources of info?
>>
>> All the best
>>
>> soo
>>
>> From: Vedam, Saraswathi <[log in to unmask] <mailto:[log in to unmask]>>
>> Sent: Monday, March 30, 2020 3:11 PM
>> To: Soo Downe <School of Community Health & Midwifery> <[log in to unmask] <mailto:[log in to unmask]>>
>> Cc: [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>>; [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>>; SHEENA BYROM <[log in to unmask] <mailto:[log in to unmask]>>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask] <mailto:[log in to unmask]>>; Lia Brigante <[log in to unmask] <mailto:[log in to unmask]>>; Rocca-Ihenacho, Lucia <[log in to unmask] <mailto:[log in to unmask]>>; Maria Booker <[log in to unmask] <mailto:[log in to unmask]>>; Ciara Henderson <[log in to unmask] <mailto:[log in to unmask]>>; Joan Lalor <[log in to unmask] <mailto:[log in to unmask]>>; Page, Lesley A <[log in to unmask] <mailto:[log in to unmask]>>; [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>>; [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>>; TUNCALP MINGARD, Ăzge <[log in to unmask] <mailto:[log in to unmask]>>
>> Subject: Re: ICM statement re practices during covid-19 including place of birth
>>
>> Dear colleagues
>> I am on an emerging Multidisciplinary Task Force to create guidance for
>> the kind of coordinated strategy that Lucia calls for to harness the benefits of âshelter at homeâ, pop up FMUs, planned home birth, upscaling supplies time meet increased demand, and the rationale allocation of Human Resources and PPE for healthy pregnant families. There are numerous reports in North America also of increased disrespect, abuse, racism and mistreatment that BIPOC, Chinese, and LGBTQAI2S+ families are experiencing, not to mention lack of access to public trnasprt to get to hospital. Keeping them closer to home.
>> May keep them safer in all respects if we can triage both families, health professionals, and community health workers.
>> We are starting with a set of disaster management guidelines developed by a Midiwifery masters student in Washington State - in the country with the least rational system and poor integration and working with physicians, midwives and nurses from California and Oregon who are anticipating the worst. At the same time the opposite is happening - all of the drive to more intervention and hospitalization and army field hospitals where sick and well patients are in large communal wards or separated by Tarps.
>> In these virtual times it seems that we could harness all of our global expertise to have a louder voice.
>>
>> Saraswathi Vedam
>> Professor and Principal
>> Birth Place Lab at UBC
>> Sent from my iPhone
>>
>>> On Mar 30, 2020, at 6:06 AM, Soo Downe <[log in to unmask] <mailto:[log in to unmask]>> wrote:
>>>
>>> ï»ż
>>> Please see below
>>>
>>> From: ICM President <[log in to unmask] <mailto:[log in to unmask]>>
>>> Sent: Monday, March 30, 2020 1:28 PM
>>> To: Soo Downe <School of Community Health & Midwifery> <[log in to unmask] <mailto:[log in to unmask]>>; Rocca-Ihenacho, Lucia <[log in to unmask] <mailto:[log in to unmask]>>
>>> Cc: Sally Pairman <[log in to unmask] <mailto:[log in to unmask]>>
>>> Subject: RE: Fw: Place of birth related to Covid-19: and traumatic birth experiences escalating
>>>
>>> Dear Soo,
>>>
>>> I missed your email because it was sent to my private Gmail, sorry about the delay. Have you seen our statement on human rights and Covid-109 on our website that we posted today? Birthing centres are also mentioned: https://www.internationalmidwives.org/icm-news/women%E2%80%99s-rights-in-childbirth-must-be-upheld-during-the-coronavirus-pandemic.html <https://www.internationalmidwives.org/icm-news/women%E2%80%99s-rights-in-childbirth-must-be-upheld-during-the-coronavirus-pandemic.html>
>>> What is the position of the RCM on this? (Iâm asking because they are our UK member).
>>>
>>> Warm regards,
>>>
>>> Franka Cadée,
>>> President
>>>
>>> International Confederation of Midwives (ICM)
>>> Koninginnegracht 60,
>>> 2514 AE The Hague,
>>> The Netherlands.
>>>
>>> Telephone: +31 (0) 70 3060520
>>> Mob: +31 (0) 657597094
>>> T: @FrankaCadee
>>>
>>> E-mail: [log in to unmask] <mailto:[log in to unmask]>
>>> www.internationalmidwives.org <http://www.internationalmidwives.org/>
>>>
>>> #Midwives2021
>>> https://www.midwives2020.org <https://www.midwives2020.org/>
>>>
>>>
>>> <image001.png>
>>>
>>>
>>> Van: Franka Cadée <[log in to unmask] <mailto:[log in to unmask]>>
>>> Verzonden: zondag 29 maart 2020 22:07
>>> Aan: ICM President <[log in to unmask] <mailto:[log in to unmask]>>
>>> Onderwerp: Fwd: Fw: Place of birth related to Covid-19: and traumatic birth experiences escalating
>>>
>>>
>>>
>>> ---------- Forwarded message ---------
>>> From: Soo Downe <[log in to unmask] <mailto:[log in to unmask]>>
>>> Date: Fri, 20 Mar 2020 at 14:57
>>> Subject: Fw: Place of birth related to Covid-19: and traumatic birth experiences escalating
>>> To: [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>>
>>> Cc: Rocca-Ihenacho, Lucia <[log in to unmask] <mailto:[log in to unmask]>>
>>>
>>> Sorry Franke, I missed you off the email below - I know ICM has a whole stack of problems now, not least with the postponement of the congress - but, along with Lucia, I wondered what your thoughts are on the issue below, if and when you get time to look at it
>>>
>>> All the very best
>>>
>>> Soo
>>>
>>> From: Soo Downe <School of Community Health & Midwifery> <[log in to unmask] <mailto:[log in to unmask]>>
>>> Sent: Friday, March 20, 2020 12:19 PM
>>> To: MCCONVILLE, Frances Emma <[log in to unmask] <mailto:[log in to unmask]>>; Pairman, Sally <[log in to unmask] <mailto:[log in to unmask]>>; Rocca-Ihenacho, Lucia <[log in to unmask] <mailto:[log in to unmask]>>; TUNCALP MINGARD, Ăzge <[log in to unmask] <mailto:[log in to unmask]>>
>>> Subject: Fw: Place of birth related to Covid-19: and traumatic birth experiences escalating
>>>
>>> Fran, Sally, Ozge, please see the email below from Lucia Rocca. Im just wondering if WHO/ICM are working on any guidelines/ support to ensure respectful, logical, evidence based care for women in labour at this time? There does seem to be a paradoxical response in which healthy people are in general encouraged not to go to hospital, but healthy women in labour who want to be out of hospital to keep them and their babies safe from catching the infection are being told they must go into hospital, are being denied any companionship in some circumstances, and are being separated from their baby/told not to breastfeed (in contradiction of the evidence on this). As Lucia says, in some settings at least (though not all, of course) there are solutions, such as pop-up midwife led units, and guidance from WHO/ICM on this might be very helpful? What do you all think?
>>>
>>> All the best
>>>
>>> Soo
>>>
>>> From: Lucia Rocca <[log in to unmask] <mailto:[log in to unmask]>>
>>> Sent: Friday, March 20, 2020 11:45 AM
>>> To: A forum for discussion on midwifery and reproductive health research. <[log in to unmask] <mailto:[log in to unmask]>>; Soo Downe <School of Community Health & Midwifery> <[log in to unmask] <mailto:[log in to unmask]>>
>>> Cc: Frances Emma MCCONVILLE <[log in to unmask] <mailto:[log in to unmask]>>; [log in to unmask] <mailto:[log in to unmask]><[log in to unmask] <mailto:[log in to unmask]>>
>>> Subject: Re: Place of birth related to Covid-19
>>>
>>> Dear All,
>>> I have been talking to mws in strategic positions in Spain and Italy and the situation is really bad. Babies and mothers are being separated.
>>> When some of them proposed the idea of pop up FMUs, were ridiculised. On the other hand they are doing pop up hospitals in hotels for sick people ...
>>>
>>> I am told that if there was some recommendation form WHO or ICM/FIGO it would make it easier...
>>> can anyone help with this?
>>> we need:
>>> 1 group of people working on the strategic side and making this option acceptable to services
>>> 1 group looking at it from operational/logistical perspective
>>> 1 group clinical support
>>>
>>> Until we have people seeing this as a viable option women will be exposed to additional risks of exposure to the virus and also to abuse...
>>>
>>> who can help with the strategic aspects?
>>>
>>> thanks
>>>
>>> Lucia
>>>
>>>
>>> Dr Lucia Rocca-Ihenacho
>>> PhD, MSc, RM
>>> Lecturer in Midwifery and NIHR Research Fellow
>>> Centre for Maternal and Child Health Research
>>> School of Health Sciences
>>> City University London
>>> 1 Myddelton Street <https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g>
>>> London <https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g>
>>> EC1R 1UW <https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g>
>>>
>>> 07989 230313
>>> Skype contact: luciainsky
>>>
>>>
>>>
>>>
>>> On Fri, 20 Mar 2020 at 12:27, Soo Downe <[log in to unmask] <mailto:[log in to unmask]>> wrote:
>>> Thanks Claire - Ive been wondering how long it will take for the home CTG monitoring issue to raise its head....
>>>
>>> All the best
>>> Soo
>>> From: Claire Feeley <[log in to unmask] <mailto:[log in to unmask]>>
>>> Sent: Friday, March 20, 2020 11:12 AM
>>> To: [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>>; A forum for discussion on midwifery and reproductive health research. <[log in to unmask] <mailto:[log in to unmask]>>; Soo Downe <School of Community Health & Midwifery> <[log in to unmask] <mailto:[log in to unmask]>>
>>> Subject: Re: Place of birth related to Covid-19
>>>
>>>
>>> From Birthrights twitter today : Understand @PennineAcuteNHS <https://twitter.com/PennineAcuteNHS>@BSUH_maternity <https://twitter.com/BSUH_maternity>@sarahnoble02 <https://twitter.com/sarahnoble02> (South Warks)
>>> @NHSHomerton <https://twitter.com/NHSHomerton> planning to ramp up homebirth services in response to increased demand. Good to see services responding to where women feel safe - good for infection control too? @MidwivesRCM <https://twitter.com/MidwivesRCM>
>>> #CovidMaternity <https://twitter.com/hashtag/CovidMaternity?src=hashtag_click>
>>>
>>> Although- some bright spark has commented as to offering the at home CTG monitoring!!! it's his business in the Netherlands... we need to quash that.
>>>
>>> basically my understanding is that IM's have had the go ahead to support NHS, will have emergency indemnity once the emergency legislation is passed end of March, but it is up to the individual trusts to implement, this means honourary/bank contracts etc. So the same process as for the likes of me going back in. RCM has also started to respond along with the NMC senior midwifery advisor regarding the IM situation, think they're being mobilised to facilitate this too.
>>>
>>> Hope this helps a bit. we can learn from these forward thinkers outline in the tweet and disseminate?
>>>
>>> I for one, would prefer to go in and help community to keep women at home as much as poss.
>>>
>>> Thanks
>>> Claire Feeley
>>>
>>> On Friday, 20 March 2020, 11:03:08 GMT, Soo Downe <[log in to unmask] <mailto:[log in to unmask]>> wrote:
>>>
>>>
>>> I think it is worth linking up with areas where they are still supporting home births/MLUs, as an exemplar to others? Sarah, did your earlier email imply you are doing this? Jane, Chris, do you know what is happening elsewhere in London?
>>>
>>> It would be great to work with the RCM on this - has anyone got good contacts with the RCM professional department?
>>>
>>> Claire, can you advise everyone how the IMEs can contribute?
>>>
>>> All the best
>>>
>>> Soo
>>>
>>> From: A forum for discussion on midwifery and reproductive health research. <[log in to unmask] <mailto:[log in to unmask]>> on behalf of Lucia Rocca <[log in to unmask] <mailto:[log in to unmask]>>
>>> Sent: Friday, March 20, 2020 10:52 AM
>>> To: [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>>
>>> Subject: Re: Place of birth related to Covid-19
>>>
>>> Yes Chris,
>>> we have a situation in which several NHS Trusts are suspending all homebirths and re-deploying all staff to hospitals.
>>> I thik that the idea of pop up FMUs and homebirth team working together could be a great idea.
>>> How could we move on to propose to support such a plan?
>>> I have been working with north west London LMS and I have offered help with setting up a new model, if they with to do so.
>>> .....
>>> how can this idea be moved forward?
>>> there needs to be a buying in first form NHS Trusts, at least a few early adopters....
>>>
>>> Tracey, Chris, Soo,
>>> any idea about how to approach Maternity Services?
>>>
>>> I am available to help
>>>
>>> best wishes
>>>
>>> Lucia
>>>
>>>
>>>
>>>
>>> Dr Lucia Rocca-Ihenacho
>>> PhD, MSc, RM
>>> Lecturer in Midwifery and NIHR Research Fellow
>>> Centre for Maternal and Child Health Research
>>> School of Health Sciences
>>> City University London
>>> 1 Myddelton Street <https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g>
>>> London <https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g>
>>> EC1R 1UW <https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g>
>>>
>>> 07989 230313
>>> Skype contact: luciainsky
>>>
>>>
>>>
>>>
>>> On Fri, 20 Mar 2020 at 11:04, McCourt, Christine <[log in to unmask] <mailto:[log in to unmask]>> wrote:
>>> Clare â first, leaving aside the more complex questions about risk management is this legal? could a service not be sued by a patient for refusing to send an ambulance in an emergency situation?
>>>
>>> Second point that has just come into mind. yesterday, a few people were talking about pop-up FMUs on various discussion lists. Having seen reports of hotel owners donating their hotels and staff to the NHS in the last few days (e.g. an entire chain in Norway, Gary Neville in England) could smaller hotel owners do likewise given that many are having to close now? If it can be organise for extra beds. I have also come across reports of hotel use before by overcrowded services, although that may have been for postnatal only.
>>>
>>> People are thinking differently in response to the urgency of the situation in many areas, including public health services, so why not this? Staff time and energy is very pressed but some professionals and managers are also stuck at home in isolation because of relatives/housemates with symptoms and couold be engaged in some creative thinking and planning.
>>>
>>>
>>> <image002.png>
>>> Dr Christine McCourt
>>> Professor of Maternal Health, Centre Lead, Centre for Maternal & Child Health Research
>>> School of Health Sciences
>>> City, University of London
>>> 1 Myddelton Street, London EC1R 1UB <https://www.google.com/maps/search/1+Myddelton+Street,+London+EC1R+1UB?entry=gmail&source=g>
>>> T: +44 (0)20 7040 5863
>>> M: +44 (0)7912 351476
>>> www.city.ac.uk <http://www.city.ac.uk/>
>>>
>>>
>>>
>>>
>>> From: NORMALBIRTH-RESEARCH <[log in to unmask] <mailto:[log in to unmask]>> on behalf of Claire Feeley <[log in to unmask] <mailto:[log in to unmask]>>
>>> Reply to: NORMALBIRTH-RESEARCH <[log in to unmask] <mailto:[log in to unmask]>>
>>> Date: Friday, 20 March 2020 at 08:21
>>> To: NORMALBIRTH-RESEARCH <[log in to unmask] <mailto:[log in to unmask]>>
>>> Subject: Re: Place of birth related to Covid-19
>>>
>>> CAUTION: This email originated from outside of the organisation. Do not click links or open attachments unless you recognise the sender and believe the content to be safe.
>>>
>>> I've been informed of this today :
>>> Glasgow NHS Trust pulled all homeborths for the next 6 months today. It was confirmed by email that paramedics would also not be sent if women chose to stay home.
>>>
>>>
>>> BW
>>> Claire Feeley
>>>
>>> On Friday, 20 March 2020, 08:16:05 GMT, Soo Downe <[log in to unmask] <mailto:[log in to unmask]>> wrote:
>>>
>>>
>>> I think the situation is mixed in the UK - RCOG/RCM advice is for women to stay at home as long as possible in the latent phase to avoid both infection risk and overwhelmed hospital services (though I dont think services are overwhelmed yet in the UK, at least outside of London - I was in an outpatients dept in the northwest of England yesterday, and there were about 4 nurses/staff for every one OPD attendee - though it was late afternoon, and maybe that was just the end of the day, and that older people and those with disease symptoms are not attending OPD).
>>>
>>> In some places, requests for and provision of home birth services are going up, for the same reasons. In other places, the opposite is happening - home birth services and MLUs are being closed down, and the only place left to give birth is hospital, in opposition to the above rationale for the advice to stay home in early labour. Given that, in some places, birth companion and doula attendance is now restricted to one, some fear that there will be an increase in freebirth.
>>>
>>> Women planning home or MLU birth with suspected or confirmed C-19 are being advised to switch to hospital birth for fetal monitoring (whether they have a fever or not).
>>>
>>> Others in the UK may have a different view of what is going on in their part of the country.
>>>
>>> All the best
>>>
>>> Soo
>>>
>>>
>>> From: The normal birth research list <[log in to unmask] <mailto:[log in to unmask]>> on behalf of Hannah Dahlen <[log in to unmask] <mailto:[log in to unmask]>>
>>> Sent: Friday, March 20, 2020 8:00 AM
>>> To: [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>>
>>> Subject: Re: Place of birth related to Covid-19
>>>
>>> I am posting for a midwife grappling with the best way forward in providing care for women booked in for Homebirth through public services. Please help her out and overseas strategies really welcomeđđœđ
>>>
>>> âNow is the time to collaborate on a world scale on what decisions are being made about public funded planned home birth. Can we tell each other what are the reasons for continuing to provide care and the decision to discontinue with public funded home birth in Maternity Systems around the world. We all need to learn from each other to make decisions about the safest care for woman, their families and midwives.
>>>
>>> Overwhelming to have to be the influence to make these decisions for women in our service.â
>>>
>>> Kind Regards
>>>
>>> Hannah Dahlen | Professor of Midwifery | Higher Degree Research Director
>>> School of Nursing and Midwifery
>>> Building EB/LG Room 34, Parramatta South Campus
>>> P: 9685 9118 | F: 9685 99599 | E:[log in to unmask] <mailto:[log in to unmask]>
>>> Western Sydney University
>>> Locked Bag 1797 Penrith NSW 2751 Australia
>>> http://www.uws.edu.au/staff_profiles/uws_profiles/professor_hannah_dahlen <http://www.uws.edu.au/staff_profiles/uws_profiles/professor_hannah_dahlen>
>>> Twitter @hannahdahlen
>>>
>>> Error! Filename not specified.
>>>
>>> On 20 Mar 2020, at 18:59, Soo Downe <[log in to unmask] <mailto:[log in to unmask]>> wrote:
>>>
>>> yes, I strongly agree Chris
>>>
>>> All the best
>>>
>>> Soo
>>> From: The normal birth research list <[log in to unmask] <mailto:[log in to unmask]>> on behalf of McCourt, Christine <[log in to unmask] <mailto:[log in to unmask]>>
>>> Sent: Friday, March 20, 2020 7:07 AM
>>> To: [log in to unmask] <mailto:[log in to unmask]> <[log in to unmask] <mailto:[log in to unmask]>>
>>> Subject: Re: Place of birth related to Covid-19
>>>
>>> Iâm very shocked by the language in the text below â first, use of the word allowed is very striking â this is the mother so where does permission to feed her baby come in?? Even if this advice was logical, the word encouraged or supported would have been more appropriate.
>>>
>>> Second, I am utterly baffled by what the logic is considered to be â handling bottles and formula and feeding oneâs baby with a bottle surely carries equal if not more possibilities of infection risk â it requires contact and there is a much higher chance that a range of people would have handled a bottle and the equipment used to make formula. We know that formula feeding lacks the benefits of antibody transmission so any possibility that breastfeeding may (as it usually does) provide this is an advantage, even if unconfirmed. We also know already from rapid learning in China that younger people appear to be far less affected by this virus, so even if the instructions were logical, they would likely be misplaced. Finally, does anyone suggest that mothers donât cuddle their babies â what kind of harm might that cause?
>>>
>>> Need I continue, I have seen social media posts from very distressed mothers in London who are unable to buy formula milk and disposable nappies in the shops because of othersâ stockpiling. Women who breastfeed (and incidentally those who use washable nappies) are protected from the negative effects of this distress and also potentially even the infection risks of trailing round shops in a desperate bid to get supplies.
>>>
>>> There is a discourse analysis dissertation in this for someone.
>>>
>>>
>>> <image001.png>
>>> Dr Christine McCourt
>>> Professor of Maternal Health, Centre Lead, Centre for Maternal & Child Health Research
>>> School of Health Sciences
>>> City, University of London
>>> 1 Myddelton Street, London EC1R 1UB <https://www.google.com/maps/search/1+Myddelton+Street,+London+EC1R+1UB?entry=gmail&source=g>
>>> T: +44 (0)20 7040 5863
>>> M: +44 (0)7912 351476
>>> www.city.ac.uk <http://www.city.ac.uk/>
>>>
>>>
>>>
>>>
>>> From: NORMALBIRTH-RESEARCH <[log in to unmask] <mailto:[log in to unmask]>> on behalf of Kathy Carter-Lee <[log in to unmask] <mailto:[log in to unmask]>>
>>> Reply to: "[log in to unmask] <mailto:[log in to unmask]>" <[log in to unmask] <mailto:[log in to unmask]>>
>>> Date: Friday, 20 March 2020 at 03:49
>>> To: NORMALBIRTH-RESEARCH <[log in to unmask] <mailto:[log in to unmask]>>
>>> Subject: Re: Place of birth related to Covid-19
>>>
>>> CAUTION: This email originated from outside of the organisation. Do not click links or open attachments unless you recognise the sender and believe the content to be safe.
>>>
>>> Yes the Canadian Guidelines read well but the tendency to downgrade the "normal" and esteem medical intervention with "added value" remains, as seen below. A mother can breastfeed but "there is limited evidence (of anitbody transmission)". Surely the whole discussion and list of guidelines shows there is limited evidence on the outcomes and interventions highlighted?
>>>
>>> Women who choose to breastfeed should be allowed to do so after appropriate handwashing and while wearing a mask. It is possible that the mother can transmit antibodies to the infant through breastmilk; however, there is limited evidence of this transmission and the potential benefits are unclear.
>>>
>>>
>>> Keep thinking and questionning!
>>> Go well
>>> Kathy Carter-Lee
>>> LMC Midwife & DHSc Student NZ
>>>
>>> On 19 Mar 2020 at 23:05, Hannah Dahlen wrote:
>>>
>>> >
>>> > Here are the British Columbia guidelines that seem very easy to
>>> > follow
>>> >
>>> > http://www.bccdc.ca/health-professionals/clinical-resources/covid- <http://www.bccdc.ca/health-professionals/clinical-resources/covid->
>>> > 19-care/clinical-care/pr egnancy Kind Regards Hannah
>>> > Dahlen AM | Professor of Midwifery | Associate Dean Research and
>>> > HDR| Midwifery Discipline Lead School of Nursing and Midwifery
>>> > Building EB/LG Room 34, Parramatta South Campus P: 9685
>>> > 9118 | F: 9685 99599 | E: [log in to unmask] <mailto:[log in to unmask]>
>>> >
>>> > Western Sydney University
>>> > Locked Bag 1797 Penrith NSW 2751 Australia
>>> > http://www.uws.edu.au/staff_profiles/uws_profiles/professor_hannah <http://www.uws.edu.au/staff_profiles/uws_profiles/professor_hannah>
>>> > _dahlen Twitter @hannahdahlen Presentation@300x-100 2020
>>> > SNMF4513_FM_Email Sig 600x95px 5A From: normal list
>>> > <[log in to unmask] <mailto:[log in to unmask]>> on behalf of
>>> > "[log in to unmask] <mailto:[log in to unmask]>" <[log in to unmask] <mailto:[log in to unmask]>> Reply to: normal list
>>> > <[log in to unmask] <mailto:[log in to unmask]>> Date: Thursday, 19 March
>>> > 2020 at 11:40 pm To: normal list
>>> > <[log in to unmask] <mailto:[log in to unmask]>> Subject: Place of birth
>>> > related to Covid-19 Dear all I generally think the current
>>> > UK response to Covid-19 is very sensible, and it is especially
>>> > gratifying to see that the RCOG/RCM advice for pregnant women is
>>> > to stay at home in the latent phase of labour, and to keep mothers
>>> > and babies together and breastfeeding (if that is their choice)
>>> > even if the mother is infected. However, I have to say I simply
>>> > dont understand the apparently growing tendency to close MLUs. Im
>>> > wondering if anyone on this email list can let me know what Im
>>> > missing here?. It does seem counter-intuitive to move women
>>> > (against their preferences) to the very place the infection is
>>> > likely to be most prevalent, especially if they then end up having
>>> > epidurals, administered by anaesthetists who are desperately
>>> > needed for sick patients in ITU, and who, because they are the
>>> > front line for patients in ITU with respiratory distress, are
>>> > most likely to be carriers of the infection? I really think Im
>>> > missing something here. If the issue relating to closure of
>>> > MLUs is one of staffing, why not offer the opportunity to healthy
>>> > women booked for obstetric unit care to change their booking to
>>> > midwife led unit care, to take the pressure away from the OU, to
>>> > limit their exposure to the infection (and that of their baby) and
>>> > to use free capacity in MLUS to full advantage? Im also
>>> > wondering about the advice for women with suspected/confirmed
>>> > covid-19 who are booked at home/in an MLU to move to an obstetric
>>> > unit for fetal monitoring. Obviously, if a woman has a fever
>>> > (for any reason, including covid-19) and is pregnant or in labour,
>>> > it is clearly important to inform her about the benefits of
>>> > going to hospital for continuous fetal monitoring, wherever she
>>> > is booked, as maternal pyrexia puts the baby at increased
>>> > risk. But if she has other symptoms (such as a cough) but no
>>> > fever, wouldnt it be best for her to stay out of hospital (unless
>>> > she develops a fever)? Or maybe fever is such a cardinal sign that
>>> > the vast majority of those with suspected/actual infection will
>>> > have it? Any insight on what Im missing would be very
>>> > gratefully received: especially if anyone had modelling data to
>>> > explain these decisions and their consequences. All the best
>>> > Soo Image removed by sender. University of Central
>>> > Lancashire
>>> >
>>> > Please consider the environment before printing
>>> >
>>> > To unsubscribe from the NORMALBIRTH-RESEARCH list, click the following
>>> > link:
>>> > https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=NORMALBIRTH-RESEARC <https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=NORMALBIRTH-RESEARC>
>>> > H&A
>>> > =1
>>> >
>>> >
>>> >
>>> > To unsubscribe from the NORMALBIRTH-RESEARCH list, click the following
>>> > link:
>>> > https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=NORMALBIRTH-RESEARC <https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=NORMALBIRTH-RESEARC>
>>> > H&A=1
>>>
>>>
>>> --------
>>> Kathy Carter-Lee
>>> Midwife
>>> [log in to unmask] <mailto:[log in to unmask]>
>>> 021-425-115
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>>> --
>>> Vriendelijke groet, Franka Cadée Costerweg 10 6701BH Wageningen The Netherlands +31(0)657597094
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<html><head><meta http-equiv="Content-Type" content="text/html; charset=utf-8"></head><body style="word-wrap: break-word; -webkit-nbsp-mode: space; line-break: after-white-space;" class=""><div class="">Thanks Soo,<div class=""><br class=""></div><div class="">Following these threads with interest. We (<a href="https://www.all4maternity.com" class="">All4Maternity</a>) are able to support the collation and sharing of information globally, and to offer support with social media etc. </div><div class=""><br class=""></div><div class="">My best regards,</div><div class=""><br class=""></div><div class="">Sheena </div></div><div class=""><br class=""></div><div class=""><br class=""></div><div class=""><br class=""></div><div class="">
<div style="color: rgb(0, 0, 0); letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space;" class=""><div style="color: rgb(0, 0, 0); letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space;" class=""><span style="font-size: 14px;" class="">With very best wishes,<br class=""><br class="">Sheena <br class=""><br class="">Website: <a href="http://www.sheenabyrom.com" class="">sheenabyrom.com</a><br class=""><br class="">Twitter: <a href="https://twitter.com/SagefemmeSB" class="">@SagefemmeSB</a></span></div></div>
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<div><blockquote type="cite" class=""><div class=""><div style="word-wrap: break-word; -webkit-nbsp-mode: space; line-break: after-white-space;" class=""><div style="word-wrap: break-word; -webkit-nbsp-mode: space; line-break: after-white-space;" class=""><div class=""><div class=""><div style="word-wrap: break-word; -webkit-nbsp-mode: space; line-break: after-white-space; font-family: Arial, Arial, Helvetica, sans-serif; font-size: 10pt; line-height: 14pt; padding: 10px 0px;" class=""><table width="99%" border="0" cellspacing="0" cellpadding="0" class=""><tbody class=""><tr class=""><td colspan="2" valign="top" style="color: rgb(51, 51, 51); font-family: Arial, Helvetica, sans-serif; font-size: 14pt; line-height: 16pt; padding: 6px 30px 12px 0px; border-top-width: 1px; border-top-style: solid; border-top-color: rgb(240, 159, 207);" class=""><table width="100%" cellpadding="0" cellspacing="0" class=""><tbody class=""><tr class=""><td width="3%" valign="top" style="padding: 0px 10px 0px 0px;" class=""><a href="https://twitter.com/all4maternity" target="_blank" class=""><img src="http://www.all4maternity.com/email/twitter.png" width="24" height="24" alt="Follow us on Twitter" style="border: 0px;" class=""></a></td><td width="3%" valign="top" style="padding: 0px 10px 0px 0px;" class=""><a href="https://www.facebook.com/all4maternity/" target="_blank" class=""><img src="http://www.all4maternity.com/email/facebook.png" width="24" height="24" alt="Like us on Facebook" style="border: 0px;" class=""></a></td><td width="94%" style="line-height: 10pt;" class=""><span style="color: rgb(102, 102, 102); font-family: Arial, Helvetica, sans-serif; font-size: 8pt;" class="">Saturn House, Mercury Rise, Altham Business Park Altham, Lancashire BB5 5BY. United Kingdom</span><br class=""><span style="color: rgb(153, 153, 153); font-family: Arial, Helvetica, sans-serif; font-size: 8pt;" class="">all4maternity is the trading name of ALL4HOLDINGS LIMITED. Registered in England No. 10597238</span></td></tr></tbody></table></td></tr></tbody></table></div>
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<div class=""><br class=""><blockquote type="cite" class=""><div class="">On 30 Mar 2020, at 15:18, Soo Downe <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>> wrote:</div><br class="Apple-interchange-newline"><div class=""><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class="">definitely!</div><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class=""><br class=""></div><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class="">Sarah, would you be able to share your SoP with Saras and others when it is complete and signed off?</div><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class=""><br class=""></div><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class="">Saras, Ciara and Joan are setting up a repository of information relating to C-19, as are Anna and Sheena via all4 maternity - it would be good to keep the lines of communication open between all these sources of info?</div><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class=""><br class=""></div><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class="">All the best</div><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class=""><br class=""></div><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class="">soo</div><div id="appendonsend" style="caret-color: rgb(0, 0, 0); font-family: Helvetica; font-size: 14px; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;" class=""></div><div style="caret-color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class=""><br class=""></div><hr tabindex="-1" style="caret-color: rgb(0, 0, 0); font-family: Helvetica; font-size: 14px; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; display: inline-block; width: 810.453125px;" class=""><span style="caret-color: rgb(0, 0, 0); font-family: Helvetica; font-size: 14px; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; float: none; display: inline !important;" class=""></span><div id="divRplyFwdMsg" dir="ltr" style="caret-color: rgb(0, 0, 0); font-family: Helvetica; font-size: 14px; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;" class=""><font face="Calibri, sans-serif" style="font-size: 11pt;" class=""><b class="">From:</b><span class="Apple-converted-space"> </span>Vedam, Saraswathi <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class=""><b class="">Sent:</b><span class="Apple-converted-space"> </span>Monday, March 30, 2020 3:11 PM<br class=""><b class="">To:</b><span class="Apple-converted-space"> </span>Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class=""><b class="">Cc:</b><span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>;<span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>; SHEENA BYROM <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>; Anna Byrom <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>; Lia Brigante <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>; Rocca-Ihenacho, Lucia <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>; Maria Booker <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>; Ciara Henderson <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>; Joan Lalor <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>; Page, Lesley A <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>;<span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>;<span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>; TUNCALP MINGARD, Ăzge <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class=""><b class="">Subject:</b><span class="Apple-converted-space"> </span>Re: ICM statement re practices during covid-19 including place of birth</font><div class=""> </div></div><div dir="auto" style="caret-color: rgb(0, 0, 0); font-family: Helvetica; font-size: 14px; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;" class="">Dear colleagues<div class="">I am on an emerging Multidisciplinary Task Force to create guidance for</div><div class="">the kind of coordinated strategy that Lucia calls for to harness the benefits of âshelter at homeâ, pop up FMUs, planned home birth, upscaling supplies time meet increased demand, and the rationale allocation of Human Resources and PPE for healthy pregnant families. There are numerous reports in North America also of increased disrespect, abuse, racism and mistreatment that BIPOC, Chinese, and LGBTQAI2S+ families are experiencing, not to mention lack of access to public trnasprt to get to hospital. Keeping them closer to home.</div><div class="">May keep them safer in all respects if we can triage both families, health professionals, and community health workers. </div><div class="">We are starting with a set of disaster management guidelines developed by a Midiwifery masters student in Washington State - in the country with the least rational system and poor integration and working with physicians, midwives and nurses from California and Oregon who are anticipating the worst. At the same time the opposite is happening - all of the drive to more intervention and hospitalization and army field hospitals where sick and well patients are in large communal wards or separated by Tarps. </div><div class="">In these virtual times it seems that we could harness all of our global expertise to have a louder voice. <br class=""><br class=""><div dir="ltr" class="">Saraswathi Vedam<div class="">Professor and Principal</div><div class="">Birth Place Lab at UBC</div><div class="">Sent from my iPhone</div></div><div dir="ltr" class=""><br class=""><blockquote type="cite" class="">On Mar 30, 2020, at 6:06 AM, Soo Downe <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>> wrote:<br class=""><br class=""></blockquote></div><blockquote type="cite" class=""><div dir="ltr" class="">ï»ż<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class="">Please see below</div><div class=""><div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt;" class=""><br class=""></div><div id="x_appendonsend" class=""></div><hr tabindex="-1" style="display: inline-block; width: 800.65625px;" class=""><div id="x_divRplyFwdMsg" dir="ltr" class=""><font face="Calibri, sans-serif" style="font-size: 11pt;" class=""><b class="">From:</b><span class="Apple-converted-space"> </span>ICM President <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class=""><b class="">Sent:</b><span class="Apple-converted-space"> </span>Monday, March 30, 2020 1:28 PM<br class=""><b class="">To:</b><span class="Apple-converted-space"> </span>Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>>; Rocca-Ihenacho, Lucia <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class=""><b class="">Cc:</b><span class="Apple-converted-space"> </span>Sally Pairman <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class=""><b class="">Subject:</b><span class="Apple-converted-space"> </span>RE: Fw: Place of birth related to Covid-19: and traumatic birth experiences escalating</font><div class=""> </div></div><div class=""><div class="x_WordSection1"><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class="">Dear Soo,</span></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class="">I missed your email because it was sent to my private Gmail, sorry about the delay. Have you seen our statement on human rights and Covid-109 on our website that we posted today? Birthing centres are also mentioned:<span class="Apple-converted-space"> </span><a href="https://www.internationalmidwives.org/icm-news/women%E2%80%99s-rights-in-childbirth-must-be-upheld-during-the-coronavirus-pandemic.html" class="">https://www.internationalmidwives.org/icm-news/women%E2%80%99s-rights-in-childbirth-must-be-upheld-during-the-coronavirus-pandemic.html</a></span></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class="">What is the position of the RCM on this? (Iâm asking because they are our UK member).</span></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(47, 84, 150);" class="">Warm regards,</span></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(47, 84, 150);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><b class=""><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(47, 84, 150);" class="">Franka CadĂ©e,</span></b></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(47, 84, 150);" class="">President</span></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(68, 114, 196);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class="">International Confederation of Midwives (ICM)</span></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class="">Koninginnegracht 60,</span></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class="">2514 AE The Hague,</span></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class="">The Netherlands.</span></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class="">Telephone: +31 (0) 70 3060520</span></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class="">Mob: +31 (0) 657597094</span></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class="">T: @FrankaCadee</span></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class="">E-mail:<span class="Apple-converted-space"> </span></span><span lang="NL" style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class=""><a href="mailto:[log in to unmask]" class=""><span lang="EN-GB" style="color: rgb(31, 73, 125);" class="">[log in to unmask]</span></a></span><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span lang="NL" style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class=""><a href="http://www.internationalmidwives.org/" class=""><span lang="EN-GB" style="color: rgb(31, 73, 125);" class="">www.internationalmidwives.org</span></a></span><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class=""></span></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><b class=""><span lang="EN-NZ" style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class="">#Midwives2021</span></b><span lang="EN-NZ" style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span lang="EN-NZ" style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class=""><a href="https://www.midwives2020.org/" class=""><span style="color: rgb(31, 73, 125);" class="">https://www.midwives2020.org</span></a></span></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class=""> </span></p><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class=""> </span></p><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span lang="EN-NZ" style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class=""></span></p><div class=""><image001.png></div><p style="margin-top: 0px; margin-bottom: 0px;" class=""></p><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span lang="EN-NZ" style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(47, 84, 150);" class=""> </span></p><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: "Verdana Pro Light", sans-serif; color: rgb(31, 73, 125);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><b class=""><span lang="NL" class="">Van:</span></b><span lang="NL" class=""><span class="Apple-converted-space"> </span>Franka CadĂ©e <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><span class="Apple-converted-space"> </span><br class=""><b class="">Verzonden:</b><span class="Apple-converted-space"> </span>zondag 29 maart 2020 22:07<br class=""><b class="">Aan:</b><span class="Apple-converted-space"> </span>ICM President <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class=""><b class="">Onderwerp:</b><span class="Apple-converted-space"> </span>Fwd: Fw: Place of birth related to Covid-19: and traumatic birth experiences escalating</span></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">---------- Forwarded message ---------<br class="">From:<span class="Apple-converted-space"> </span><strong class=""><span style="font-family: Calibri, sans-serif;" class="">Soo Downe</span></strong><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class="">Date: Fri, 20 Mar 2020 at 14:57<br class="">Subject: Fw: Place of birth related to Covid-19: and traumatic birth experiences escalating<br class="">To:<span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>><br class="">Cc: Rocca-Ihenacho, Lucia <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>></div></div><div style="margin: 0cm 0cm 12pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""> <br class="webkit-block-placeholder"></div><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">Sorry Franke, I missed you off the email below - I know ICM has a whole stack of problems now, not least with the postponement of the congress - but, along with Lucia, I wondered what your thoughts are on the issue below, if and when you get time to look at it</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">All the very best</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">Soo</span></div></div><div class=""><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class="x_MsoNormal" align="center" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: center;"><hr size="2" width="98%" align="center" class=""></div><div id="x_m_-3210480424085774275divRplyFwdMsg" class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><b class=""><span style="" class="">From:</span></b><span style="" class=""><span class="Apple-converted-space"> </span>Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Sent:</b><span class="Apple-converted-space"> </span>Friday, March 20, 2020 12:19 PM<br class=""><b class="">To:</b><span class="Apple-converted-space"> </span>MCCONVILLE, Frances Emma <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>>; Pairman, Sally <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>>; Rocca-Ihenacho, Lucia <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>>; TUNCALP MINGARD, Ăzge <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Subject:</b><span class="Apple-converted-space"> </span>Fw: Place of birth related to Covid-19: and traumatic birth experiences escalating</span></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div></div><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">Fran, Sally, Ozge, please see the email below from Lucia Rocca. Im just wondering if WHO/ICM are working on any guidelines/ support to ensure respectful, logical, evidence based care for women in labour at this time? There does seem to be a paradoxical response in which healthy people are in general encouraged not to go to hospital, but healthy women in labour who want to be out of hospital to keep them and their babies safe from catching the infection are being told they must go into hospital, are being denied any companionship in some circumstances, and are being separated from their baby/told not to breastfeed (in contradiction of the evidence on this). As Lucia says, in some settings at least (though not all, of course) there are solutions, such as pop-up midwife led units, and guidance from WHO/ICM on this might be very helpful? What do you all think?</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">All the best</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">Soo</span></div></div><div class=""><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class="x_MsoNormal" align="center" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: center;"><hr size="2" width="98%" align="center" class=""></div><div id="x_m_-3210480424085774275divRplyFwdMsg" class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><b class=""><span style="" class="">From:</span></b><span style="" class=""><span class="Apple-converted-space"> </span>Lucia Rocca <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Sent:</b><span class="Apple-converted-space"> </span>Friday, March 20, 2020 11:45 AM<br class=""><b class="">To:</b><span class="Apple-converted-space"> </span>A forum for discussion on midwifery and reproductive health research. <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>>; Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Cc:</b><span class="Apple-converted-space"> </span>Frances Emma MCCONVILLE <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>>;<span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a><<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Subject:</b><span class="Apple-converted-space"> </span>Re: Place of birth related to Covid-19</span></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div></div><div class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">Dear All,</div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">I have been talking to mws in strategic positions in Spain and Italy and the situation is really bad. Babies and mothers are being separated.</div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">When some of them proposed the idea of pop up FMUs, were ridiculised. On the other hand they are doing pop up hospitals in hotels for sick people ...</div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">I am told that if there was some recommendation form WHO or ICM/FIGO it would make it easier...</div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">can anyone help with this?</div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">we need:</div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">1 group of people working on the strategic side and making this option acceptable to services</div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">1 group looking at it from operational/logistical perspective</div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">1 group clinical support</div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">Until we have people seeing this as a viable option women will be exposed to additional risks of exposure to the virus and also to abuse...</div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">who can help with the strategic aspects?</div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">thanks</div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">Lucia</div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class="">Dr Lucia Rocca-Ihenacho</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Tahoma, sans-serif;" class="">PhD, MSc, RM</span></div></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt;" class="">Lecturer in Midwifery and NIHR Research Fellow</span></div><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="background-color: white;" class="">Centre for Maternal and Child Health Research</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="background-color: white;" class="">School of Health Sciences</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="background-color: white;" class="">City Univers</span>ity London</div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><a href="https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g" class="">1 Myddelton Street</a></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><a href="https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g" class="">London<span class="Apple-converted-space"> </span></a><br class=""><a href="https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g" class="">EC1R 1UW</a></div></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-family: Tahoma, sans-serif;" class="">07989 230313</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt;" class="">Skype contact: luciainsky</span></div></div><div class=""><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class="">On Fri, 20 Mar 2020 at 12:27, Soo Downe <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> wrote:</div></div><blockquote style="border-style: none none none solid; border-left-width: 1pt; border-left-color: rgb(204, 204, 204); padding: 0cm 0cm 0cm 6pt; margin-left: 4.8pt; margin-right: 0cm;" class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">Thanks Claire - Ive been wondering how long it will take for the home CTG monitoring issue to raise its head....</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">All the best</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">Soo</span></div></div><div class="x_MsoNormal" align="center" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: center;"><hr size="2" width="98%" align="center" class=""></div><div id="x_m_-3210480424085774275gmail-m_-943123355756283910divRplyFwdMsg" class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><b class=""><span style="" class="">From:</span></b><span style="" class=""><span class="Apple-converted-space"> </span>Claire Feeley <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Sent:</b><span class="Apple-converted-space"> </span>Friday, March 20, 2020 11:12 AM<br class=""><b class="">To:</b><span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>>; A forum for discussion on midwifery and reproductive health research. <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>>; Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Subject:</b><span class="Apple-converted-space"> </span>Re: Place of birth related to Covid-19</span></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"> </p></div></div><div class=""><div class=""><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif;" class=""> </span></p></div><div class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; vertical-align: baseline;" class=""><span style="font-size: 12pt;" class="">From Birthrights twitter today : </span><span style="font-size: 17.5pt; color: rgb(20, 23, 26); border: 1pt solid black; padding: 0cm;" class="">Understand <a href="https://twitter.com/PennineAcuteNHS" target="_blank" class=""><span style="font-family: inherit, serif; color: rgb(23, 191, 99);" class="">@PennineAcuteNHS </span></a><a href="https://twitter.com/BSUH_maternity" target="_blank" class=""><span style="font-family: inherit, serif; color: rgb(23, 191, 99);" class="">@BSUH_maternity </span></a><a href="https://twitter.com/sarahnoble02" target="_blank" class=""><span style="font-family: inherit, serif; color: rgb(23, 191, 99);" class="">@sarahnoble02</span></a> (South Warks) </span><span style="font-size: 12pt;" class=""></span></div><div style="border: 1pt solid black; padding: 0cm; font-style: inherit; font-weight: inherit; font-stretch: inherit; line-height: inherit; min-height: 0px; min-width: 0px;" class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; vertical-align: baseline;" class=""><span style="font-size: 17.5pt; font-family: inherit, serif; color: rgb(20, 23, 26); border: 1pt none windowtext; padding: 0cm;" class=""><a href="https://twitter.com/NHSHomerton" target="_blank" class=""><span style="color: rgb(23, 191, 99); border: 1pt solid black; padding: 0cm;" class="">@NHSHomerton</span></a> </span><span style="font-size: 17.5pt; color: rgb(20, 23, 26);" class=""> planning to ramp up homebirth services in response to increased demand. Good to see services responding to where women feel safe - good for infection control too? <a href="https://twitter.com/MidwivesRCM" target="_blank" class=""><span style="font-family: inherit, serif; color: rgb(23, 191, 99); border: 1pt solid black; padding: 0cm;" class="">@MidwivesRCM</span></a></span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; vertical-align: baseline;" class=""><span style="font-size: 12pt;" class=""> </span><span style="font-size: 17.5pt; color: rgb(20, 23, 26); border: 1pt solid black; padding: 0cm;" class=""> </span><span style="font-size: 17.5pt; color: rgb(20, 23, 26); border: 1pt none windowtext; padding: 0cm;" class=""><a href="https://twitter.com/hashtag/CovidMaternity?src=hashtag_click" target="_blank" class=""><span style="font-family: inherit, serif; color: rgb(23, 191, 99); border: 1pt solid black; padding: 0cm;" class="">#CovidMaternity</span></a></span><span style="font-size: 12pt;" class=""></span></div></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; vertical-align: baseline;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; vertical-align: baseline;" class=""><span style="font-size: 12pt;" class="">Although- some bright spark has commented as to offering the at home CTG monitoring!!! it's his business in the Netherlands... we need to quash that.</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; vertical-align: baseline;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; vertical-align: baseline;" class=""><span style="font-size: 12pt; border: 1pt none windowtext; padding: 0cm;" class="">basically my understanding is that IM's have had the go ahead to support NHS, will have emergency indemnity once the emergency legislation is passed end of March, but it is up to the individual trusts to implement, this means honourary/bank contracts etc. So the same process as for the likes of me going back in. RCM has also started to respond along with the NMC senior midwifery advisor regarding the IM situation, think they're being mobilised to facilitate this too.</span><span style="font-size: 12pt;" class=""></span></div></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; vertical-align: baseline;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; vertical-align: baseline;" class=""><span style="font-size: 12pt; border: 1pt none windowtext; padding: 0cm;" class="">Hope this helps a bit. we can learn from these forward thinkers outline in the tweet and disseminate? </span><span style="font-size: 12pt;" class=""></span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; vertical-align: baseline;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; vertical-align: baseline;" class=""><span style="font-size: 12pt; border: 1pt none windowtext; padding: 0cm;" class="">I for one, would prefer to go in and help community to keep women at home as much as poss.</span><span style="font-size: 12pt;" class=""></span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; vertical-align: baseline;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; vertical-align: baseline;" class=""><span style="font-size: 12pt; border: 1pt none windowtext; padding: 0cm;" class="">Thanks</span><span style="font-size: 12pt;" class=""></span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; vertical-align: baseline;" class=""><span style="font-size: 12pt; border: 1pt none windowtext; padding: 0cm;" class="">Claire Feeley</span><span style="font-size: 12pt;" class=""></span></div></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif;" class=""> </span></p></div></div><div id="x_m_-3210480424085774275gmail-m_-943123355756283910x_yahoo_quoted_4964647269" class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">On Friday, 20 March 2020, 11:03:08 GMT, Soo Downe <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> wrote:</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div class=""><div id="x_m_-3210480424085774275gmail-m_-943123355756283910x_yiv9078082683" class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">I think it is worth linking up with areas where they are still supporting home births/MLUs, as an exemplar to others? Sarah, did your earlier email imply you are doing this? Jane, Chris, do you know what is happening elsewhere in London?</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">It would be great to work with the RCM on this - has anyone got good contacts with the RCM professional department?</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">Claire, can you advise everyone how the IMEs can contribute?</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">All the best</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 12pt;" class="">Soo</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt;" class=""> </span></p></div><div class="x_MsoNormal" align="center" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: center;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""><hr size="2" width="98%" align="center" class=""></span></div><div id="x_m_-3210480424085774275gmail-m_-943123355756283910x_yiv9078082683yqt40411" class=""><div id="x_m_-3210480424085774275gmail-m_-943123355756283910x_yiv9078082683divRplyFwdMsg" class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><b class=""><span style="" class="">From:</span></b><span style="" class=""><span class="Apple-converted-space"> </span>A forum for discussion on midwifery and reproductive health research. <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> on behalf of Lucia Rocca <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Sent:</b><span class="Apple-converted-space"> </span>Friday, March 20, 2020 10:52 AM<br class=""><b class="">To:</b><span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Subject:</b><span class="Apple-converted-space"> </span>Re: Place of birth related to Covid-19</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div></div><div class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Yes Chris,</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">we have a situation in which several NHS Trusts are suspending all homebirths and re-deploying all staff to hospitals.</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">I thik that the idea of pop up FMUs and homebirth team working together could be a great idea.</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">How could we move on to propose to support such a plan?</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">I have been working with north west London LMS and I have offered help with setting up a new model, if they with to do so.</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">.....</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">how can this idea be moved forward?</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">there needs to be a buying in first form NHS Trusts, at least a few early adopters....</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Tracey, Chris, Soo,</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">any idea about how to approach Maternity Services?</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">I am available to help</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">best wishes</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Lucia</span></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Tahoma, sans-serif; color: rgb(38, 40, 42);" class="">Dr Lucia Rocca-Ihenacho</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Tahoma, sans-serif; color: rgb(38, 40, 42);" class="">PhD, MSc, RM</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Lecturer in Midwifery and NIHR Research Fellow</span></div><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; background-color: white;" class="">Centre for Maternal and Child Health Research</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; background-color: white;" class="">School of Health Sciences</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; background-color: white;" class="">City Univers</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">ity London</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""><a href="https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g" class="">1 Myddelton Street</a></span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""><a href="https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g" class="">London<span class="Apple-converted-space"> </span></a><br class=""><a href="https://www.google.com/maps/search/1+Myddelton+Street+%0D%0A+London++%0D%0AEC1R+1UW?entry=gmail&source=g" class="">EC1R 1UW</a></span></div></div></div><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Tahoma, sans-serif; color: rgb(38, 40, 42);" class="">07989 230313</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Skype contact: luciainsky</span></div></div><div class=""><div class=""><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div></div><p class="x_MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">On Fri, 20 Mar 2020 at 11:04, McCourt, Christine <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> wrote:</span></div></div><blockquote style="border-style: none none none solid; border-left-width: 1pt; border-left-color: rgb(204, 204, 204); padding: 0cm 0cm 0cm 6pt; margin-left: 4.8pt; margin-right: 0cm;" class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Clare â first, leaving aside the more complex questions about risk management is this legal? could a service not be sued by a patient for refusing to send an ambulance in an emergency situation?</span></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Second point that has just come into mind. yesterday, a few people were talking about pop-up FMUs on various discussion lists. Having seen reports of hotel owners donating their hotels and staff to the NHS in the last few days (e.g. an entire chain in Norway, Gary Neville in England) could smaller hotel owners do likewise given that many are having to close now? If it can be organise for extra beds. I have also come across reports of hotel use before by overcrowded services, although that may have been for postnatal only.</span></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">People are thinking differently in response to the urgency of the situation in many areas, including public health services, so why not this? Staff time and energy is very pressed but some professionals and managers are also stuck at home in isolation because of relatives/housemates with symptoms and couold be engaged in some creative thinking and planning.</span></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div class=""><table class="x_MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="659" style="width: 494.25pt; border-collapse: collapse;"><tbody class=""><tr style="min-height: 4cm;" class=""><td width="121" style="width: 90.45pt; padding: 0cm 5.4pt; min-height: 4cm;" class=""><p align="center" style="margin: 0cm 0cm 0.0001pt; text-align: center;" class=""></p><div class=""><image002.png></div><p style="margin-top: 0px; margin-bottom: 0px;" class=""></p></td><td width="321" style="width: 241pt; padding: 0cm 5.4pt; min-height: 4cm;" class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class="">Dr Christine McCourt</b></div><div style="margin: 0cm 0cm 0.0001pt;" class="">Professor of Maternal Health, Centre Lead, Centre for Maternal & Child Health Research</div><div style="margin: 0cm 0cm 0.0001pt;" class="">School of Health Sciences</div><div style="margin: 0cm 0cm 0.0001pt;" class="">City, University of London</div><div style="margin: 0cm 0cm 0.0001pt;" class=""><a href="https://www.google.com/maps/search/1+Myddelton+Street,+London+EC1R+1UB?entry=gmail&source=g" class="">1 Myddelton Street, London EC1R 1UB</a></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class="">T:</b><span class="Apple-converted-space"> </span>+44 (0)20 7040 5863</div><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class="">M:<span class="Apple-converted-space"> </span></b>+44 (0)7912 351476</div><div style="margin: 0cm 0cm 0.0001pt;" class=""><a href="http://www.city.ac.uk/" target="_blank" class="">www.city.ac.uk</a></div></td><td width="217" valign="top" style="width: 163pt; padding: 5.65pt; min-height: 4cm;" class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class=""><span style="font-size: 8pt;" class=""> </span></b></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class=""><span style="font-size: 12pt;" class=""> </span></b></div></td></tr></tbody></table></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div style="border-style: solid none none; border-top-width: 1pt; padding: 3pt 0cm 0cm; border-color: currentcolor;" class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class="">From:<span class="Apple-converted-space"> </span></span></b><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class="">NORMALBIRTH-RESEARCH <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> on behalf of Claire Feeley <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Reply to:<span class="Apple-converted-space"> </span></b>NORMALBIRTH-RESEARCH <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Date:<span class="Apple-converted-space"> </span></b>Friday, 20 March 2020 at 08:21<br class=""><b class="">To:<span class="Apple-converted-space"> </span></b>NORMALBIRTH-RESEARCH <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Subject:<span class="Apple-converted-space"> </span></b>Re: Place of birth related to Covid-19</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div style="border: 1pt solid rgb(156, 101, 0); padding: 2pt;" class=""><div style="margin: 0cm 0cm 0.0001pt; line-height: 12pt; background-color: rgb(255, 235, 156); background-attachment: scroll;" class=""><b class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(156, 101, 0);" class="">CAUTION:</span></b><span style="font-size: 10pt; font-family: Helvetica, sans-serif;" class=""><span class="Apple-converted-space"> </span>This email originated from outside of the organisation. Do not click links or open attachments unless you recognise the sender and believe the content to be safe.</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">I've been informed of this today :</span></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Glasgow NHS Trust pulled all homeborths for the next 6 months today. It was confirmed by email that paramedics would also not be sent if women chose to stay home. </span></div></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">BW</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Claire Feeley</span></div></div></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div></div><div id="x_m_-3210480424085774275gmail-m_-943123355756283910x_yiv9078082683x_gmail-m_8378988096270070723yahoo_quoted_5134159740" class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">On Friday, 20 March 2020, 08:16:05 GMT, Soo Downe <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> wrote:</span></div></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div class=""><div id="x_m_-3210480424085774275gmail-m_-943123355756283910x_yiv9078082683x_gmail-m_8378988096270070723yiv5183700471" class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class="">I think the situation is mixed in the UK - RCOG/RCM advice is for women to stay at home as long as possible in the latent phase to avoid both infection risk and overwhelmed hospital services (though I dont think services are overwhelmed yet in the UK, at least outside of London - I was in an outpatients dept in the northwest of England yesterday, and there were about 4 nurses/staff for every one OPD attendee - though it was late afternoon, and maybe that was just the end of the day, and that older people and those with disease symptoms are not attending OPD).</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class=""> </span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class="">In some places, requests for and provision of home birth services are going up, for the same reasons. In other places, the opposite is happening - home birth services and MLUs are being closed down, and the only place left to give birth is hospital,<span class="Apple-converted-space"> </span><span style="background-color: white; background-position: initial initial; background-repeat: initial initial;" class="">in opposition to the above rationale for the advice to stay home in early labour. Given that, in some places, birth companion and doula attendance is now restricted to one, some fear that there will be an increase in</span> freebirth. </span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class=""> </span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class="">Women planning home or MLU birth with suspected or confirmed C-19 are being advised to switch to hospital birth for fetal monitoring (whether they have a fever or not). </span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class=""> </span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class="">Others in the UK may have a different view of what is going on in their part of the country. </span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class=""> </span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class="">All the best</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class=""> </span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class="">Soo</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class=""> </span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></p></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class=""> </span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></p></div><div class="x_MsoNormal" align="center" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: center;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""><hr size="1" width="100%" align="center" class=""></span></div><div id="x_m_-3210480424085774275gmail-m_-943123355756283910x_yiv9078082683x_gmail-m_8378988096270070723yiv5183700471yqt86052" class=""><div id="x_m_-3210480424085774275gmail-m_-943123355756283910x_yiv9078082683x_gmail-m_8378988096270070723yiv5183700471divRplyFwdMsg" class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif;" class="">From:</span></b><span style="font-size: 10pt; font-family: Helvetica, sans-serif;" class=""><span class="Apple-converted-space"> </span>The normal birth research list <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> on behalf of Hannah Dahlen <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Sent:</b><span class="Apple-converted-space"> </span>Friday, March 20, 2020 8:00 AM<br class=""><b class="">To:</b><span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Subject:</b><span class="Apple-converted-space"> </span>Re: Place of birth related to Covid-19</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt; font-stretch: normal;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">I am posting for a midwife grappling with the best way forward in providing care for women booked in for Homebirth through public services. Please help her out and overseas strategies really welcome</span><span style="font-size: 12pt; font-family: "Segoe UI Emoji", sans-serif; color: rgb(38, 40, 42);" class="">đđœđ</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt; font-stretch: normal; min-height: 13.8px;" class=""><span style="font-size: 9pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span><br class="webkit-block-placeholder"></div><div style="margin: 0cm 0cm 0.0001pt; font-stretch: normal;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">âNow is the time to collaborate on a world scale on what decisions are being made about public funded planned home birth. Can we tell each other what are the reasons for continuing to provide care and the decision to discontinue with public funded home birth in Maternity Systems around the world. We all need to learn from each other to make decisions about the safest care for woman, their families and midwives. </span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt; font-stretch: normal; min-height: 13.8px;" class=""><span style="font-size: 9pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span><br class="webkit-block-placeholder"></div><div style="margin: 0cm 0cm 0.0001pt; font-stretch: normal;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Overwhelming to have to be the influence to make these decisions for women in our service.â</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div id="x_m_-3210480424085774275gmail-m_-943123355756283910x_yiv9078082683x_gmail-m_8378988096270070723yiv5183700471x_AppleMailSignature" class=""><blockquote style="margin-top: 5pt; margin-bottom: 5pt;" class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Kind Regards</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></b><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Hannah Dahlen</span></b><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> | Professor of Midwifery | Higher Degree Research Director</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">School of Nursing and Midwifery</span></b><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Building EB/LG Room 34, Parramatta South Campus</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">P:</span></b><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> 9685 9118 | <b class="">F:</b> 9685 99599 | <b class="">E:</b><u class=""><a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a></u><br class="">Western Sydney University</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Locked Bag 1797 Penrith NSW 2751 Australia</span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""><a href="http://www.uws.edu.au/staff_profiles/uws_profiles/professor_hannah_dahlen" target="_blank" class="">http://www.uws.edu.au/staff_profiles/uws_profiles/professor_hannah_dahlen</a></span></div></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Twitter @hannahdahlen</span></div></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Error! Filename not specified.</span></b><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div></div></blockquote></div><div class=""><p style="margin: 0px 0cm 12pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""><br class="">On 20 Mar 2020, at 18:59, Soo Downe <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> wrote:</span></p></div><blockquote style="margin-top: 5pt; margin-bottom: 5pt;" class=""><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class="">yes, I strongly agree Chris</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class=""> </span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class="">All the best</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class=""> </span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></p></div><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif;" class="">Soo</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class="x_MsoNormal" align="center" style="margin: 0cm 0cm 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: center;"><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""><hr size="1" width="85%" align="center" class=""></span></div><div id="x_m_-3210480424085774275gmail-m_-943123355756283910x_yiv9078082683x_gmail-m_8378988096270070723yiv5183700471x_divRplyFwdMsg" class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif;" class="">From:</span></b><span style="font-size: 10pt; font-family: Helvetica, sans-serif;" class=""><span class="Apple-converted-space"> </span>The normal birth research list <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> on behalf of McCourt, Christine <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Sent:</b><span class="Apple-converted-space"> </span>Friday, March 20, 2020 7:07 AM<br class=""><b class="">To:</b><span class="Apple-converted-space"> </span><a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a><span class="Apple-converted-space"> </span><<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Subject:</b><span class="Apple-converted-space"> </span>Re: Place of birth related to Covid-19</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div></div><div class=""><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Iâm very shocked by the language in the text below â first, use of the word allowed is very striking â this is the mother so where does permission to feed her baby come in?? Even if this advice was logical, the word encouraged or supported would have been more appropriate.</span></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Second, I am utterly baffled by what the logic is considered to be â handling bottles and formula and feeding oneâs baby with a bottle surely carries equal if not more possibilities of infection risk â it requires contact and there is a much higher chance that a range of people would have handled a bottle and the equipment used to make formula. We know that formula feeding lacks the benefits of antibody transmission so any possibility that breastfeeding may (as it usually does) provide this is an advantage, even if unconfirmed. We also know already from rapid learning in China that younger people appear to be far less affected by this virus, so even if the instructions were logical, they would likely be misplaced. Finally, does anyone suggest that mothers donât cuddle their babies â what kind of harm might that cause?</span></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Need I continue, I have seen social media posts from very distressed mothers in London who are unable to buy formula milk and disposable nappies in the shops because of othersâ stockpiling. Women who breastfeed (and incidentally those who use washable nappies) are protected from the negative effects of this distress and also potentially even the infection risks of trailing round shops in a desperate bid to get supplies.<span class="Apple-converted-space"> </span></span></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">There is a discourse analysis dissertation in this for someone.</span></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div class=""><table class="x_MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="659" style="width: 494.25pt; border-collapse: collapse;"><tbody class=""><tr style="min-height: 4cm;" class=""><td width="121" style="width: 90.45pt; padding: 0cm 5.4pt; min-height: 4cm;" class=""><div style="margin: 0cm 0cm 0.0001pt; text-align: center;" class=""><image001.png></div></td><td width="321" style="width: 241pt; padding: 0cm 5.4pt; min-height: 4cm;" class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class="">Dr Christine McCourt</b></div><div style="margin: 0cm 0cm 0.0001pt;" class="">Professor of Maternal Health, Centre Lead, Centre for Maternal & Child Health Research</div><div style="margin: 0cm 0cm 0.0001pt;" class="">School of Health Sciences</div><div style="margin: 0cm 0cm 0.0001pt;" class="">City, University of London</div><div style="margin: 0cm 0cm 0.0001pt;" class=""><a href="https://www.google.com/maps/search/1+Myddelton+Street,+London+EC1R+1UB?entry=gmail&source=g" class="">1 Myddelton Street, London EC1R 1UB</a></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class="">T:</b><span class="Apple-converted-space"> </span>+44 (0)20 7040 5863</div><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class="">M:<span class="Apple-converted-space"> </span></b>+44 (0)7912 351476</div><div style="margin: 0cm 0cm 0.0001pt;" class=""><a href="http://www.city.ac.uk/" target="_blank" class="">www.city.ac.uk</a></div></td><td width="217" valign="top" style="width: 163pt; padding: 5.65pt; min-height: 4cm;" class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class=""><span style="font-size: 8pt;" class=""> </span></b></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class=""><span style="font-size: 12pt;" class=""> </span></b></div></td></tr></tbody></table></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div style="border-style: solid none none; border-top-width: 1pt; padding: 3pt 0cm 0cm; border-color: currentcolor;" class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><b class=""><span style="font-size: 12pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">From:<span class="Apple-converted-space"> </span></span></b><span style="font-size: 12pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">NORMALBIRTH-RESEARCH <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> on behalf of Kathy Carter-Lee <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Reply to:<span class="Apple-converted-space"> </span></b>"<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>" <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Date:<span class="Apple-converted-space"> </span></b>Friday, 20 March 2020 at 03:49<br class=""><b class="">To:<span class="Apple-converted-space"> </span></b>NORMALBIRTH-RESEARCH <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>><br class=""><b class="">Subject:<span class="Apple-converted-space"> </span></b>Re: Place of birth related to Covid-19</span><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div></div><div class=""><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p></div><div style="border: 1pt solid rgb(156, 101, 0); padding: 2pt;" class=""><div style="margin: 0cm 0cm 0.0001pt; line-height: 12pt; background-color: rgb(255, 235, 156); background-attachment: scroll;" class=""><b class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">CAUTION:</span></b><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""><span class="Apple-converted-space"> </span>This email originated from outside of the organisation. Do not click links or open attachments unless you recognise the sender and believe the content to be safe.</span></div></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div class=""><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Yes the Canadian Guidelines read well but the tendency to downgrade the "normal" and esteem medical intervention with "added value" remains, as seen below. A mother can breastfeed but "there is limited evidence (of anitbody transmission)". Surely the whole discussion and list of guidelines shows there is limited evidence on the outcomes and interventions highlighted?</span></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Women who choose to breastfeed should be allowed to do so after appropriate handwashing and while wearing a mask. It is possible that the mother can transmit antibodies to the infant through breastmilk; however, there is limited evidence of this transmission and the potential benefits are unclear.</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Keep thinking and questionning!</span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Go well</span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Kathy Carter-Lee</span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">LMC Midwife & DHSc Student NZ</span></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">On 19 Mar 2020 at 23:05, Hannah Dahlen wrote:</span></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">></span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> Here are the British Columbia guidelines that seem very easy to</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> follow </span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">></span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> <span class="Apple-converted-space"> </span><a href="http://www.bccdc.ca/health-professionals/clinical-resources/covid-" target="_blank" class="">http://www.bccdc.ca/health-professionals/clinical-resources/covid-</a></span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> 19-care/clinical-care/pr egnancy Kind Regards Hannah</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> Dahlen AM | Professor of Midwifery | Associate Dean Research and</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> HDR| Midwifery Discipline Lead School of Nursing and Midwifery </span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> Building EB/LG Room 34, Parramatta South Campus P: 9685</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> 9118 | F: 9685 99599 | E: <a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a></span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">></span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> Western Sydney University</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> Locked Bag 1797 Penrith NSW 2751 Australia</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> <span class="Apple-converted-space"> </span><a href="http://www.uws.edu.au/staff_profiles/uws_profiles/professor_hannah" target="_blank" class="">http://www.uws.edu.au/staff_profiles/uws_profiles/professor_hannah</a></span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> _dahlen Twitter @hannahdahlen Presentation@300x-100 2020</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> SNMF4513_FM_Email Sig 600x95px 5A From: normal list</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> on behalf of</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> "<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>" <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> Reply to: normal list</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> Date: Thursday, 19 March</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> 2020 at 11:40 pm To: normal list</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> <<a href="mailto:[log in to unmask]" target="_blank" class="">[log in to unmask]</a>> Subject: Place of birth</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> related to Covid-19 Dear all I generally think the current</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> UK response to Covid-19 is very sensible, and it is especially</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> gratifying to see that the RCOG/RCM advice for pregnant women is</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> to stay at home in the latent phase of labour, and to keep mothers</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> and babies together and breastfeeding (if that is their choice)</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> even if the mother is infected. However, I have to say I simply</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> dont understand the apparently growing tendency to close MLUs. Im</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> wondering if anyone on this email list can let me know what Im</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> missing here?. It does seem counter-intuitive to move women</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> (against their preferences) to the very place the infection is</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> likely to be most prevalent, especially if they then end up having</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> epidurals, administered by anaesthetists who are desperately</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> needed for sick patients in ITU, and who, because they are the</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> front line for patients in ITU with respiratory distress, are</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> most likely to be carriers of the infection? I really think Im</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> missing something here. If the issue relating to closure of</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> MLUs is one of staffing, why not offer the opportunity to healthy</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> women booked for obstetric unit care to change their booking to</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> midwife led unit care, to take the pressure away from the OU, to</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> limit their exposure to the infection (and that of their baby) and</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> to use free capacity in MLUS to full advantage? Im also</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> wondering about the advice for women with suspected/confirmed</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> covid-19 who are booked at home/in an MLU to move to an obstetric</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> unit for fetal monitoring. Obviously, if a woman has a fever</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> (for any reason, including covid-19) and is pregnant or in labour,</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> it is clearly important to inform her about the benefits of</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> going to hospital for continuous fetal monitoring, wherever she</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> is booked, as maternal pyrexia puts the baby at increased</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> risk. But if she has other symptoms (such as a cough) but no</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> fever, wouldnt it be best for her to stay out of hospital (unless</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> she develops a fever)? Or maybe fever is such a cardinal sign that</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> the vast majority of those with suspected/actual infection will</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> have it? Any insight on what Im missing would be very</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> gratefully received: especially if anyone had modelling data to</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> explain these decisions and their consequences. All the best</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> Soo Image removed by sender. University of Central</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> Lancashire</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">></span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> Please consider the environment before printing</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; 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font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">><span class="Apple-converted-space"> </span><a href="https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=NORMALBIRTH-RESEARC" target="_blank" class="">https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=NORMALBIRTH-RESEARC</a></span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> H&A</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> =1</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">></span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">></span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">></span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> To unsubscribe from the NORMALBIRTH-RESEARCH list, click the following</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> link:</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">><span class="Apple-converted-space"> </span><a href="https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=NORMALBIRTH-RESEARC" target="_blank" class="">https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=NORMALBIRTH-RESEARC</a></span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><i class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">> H&A=1</span></i><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""></span></div><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><p style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class=""> </span></p><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">--------</span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Kathy Carter-Lee</span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; font-family: Helvetica, sans-serif; color: rgb(38, 40, 42);" class="">Midwife</span></div><div style="margin: 0cm 0cm 0.0001pt;" class=""><span style="font-size: 10pt; 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========================================================================Date: Mon, 30 Mar 2020 14:43:05 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Re: ICM statement re practices during covid-19 including place of
birth
Comments: To: "Vedam, Saraswathi" <[log in to unmask]>,
SHEENA BYROM <[log in to unmask]>
Comments: cc: "[log in to unmask]"
<[log in to unmask]>,
Anna Byrom <[log in to unmask]>,
Lia Brigante <[log in to unmask]>,
Lucia Rocca <[log in to unmask]>,
Maria Booker <[log in to unmask]>,
Ciara Henderson <[log in to unmask]>, Joan Lalor <[log in to unmask]>,
Lesley Page <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
=?iso-8859-1?Q?_TUNCALP_MINGARD,_Özge_?= <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
ICM President <[log in to unmask]>,
"Frances Emma McConville ([log in to unmask])" <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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boundary="_000_DB3PR0302MB32413D7AB1D0065A208C1A9697CB0DB3PR0302MB3241_"
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--_000_DB3PR0302MB32413D7AB1D0065A208C1A9697CB0DB3PR0302MB3241_
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great, thanks!
________________________________
From: Vedam, Saraswathi <[log in to unmask]>
Sent: Monday, March 30, 2020 3:38 PM
To: SHEENA BYROM <[log in to unmask]>
Cc: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask]>; Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; Lesley Page <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; ICM President <[log in to unmask]>; Frances Emma McConville ([log in to unmask]) <[log in to unmask]>
Subject: Re: ICM statement re practices during covid-19 including place of birth
Dear Sheena and Soo
Please see our website page www.birthplacelab.org/covid-19<http://www.birthplacelab.org/covid-19>
for the evidence based and practical guidance we have gathered so far.
Will upload the Washington State template when it is ready this week.
Saraswathi Vedam
Professor and Principal
Birth Place Lab at UBC
Sent from my iPhone
>
[University of Central Lancashire]
Please consider the environment before printing
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--_000_DB3PR0302MB32413D7AB1D0065A208C1A9697CB0DB3PR0302MB3241_
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<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
great, thanks!</div>
<div id="appendonsend"></div>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:12pt; color:rgb(0,0,0)">
<br>
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> Vedam, Saraswathi <[log in to unmask]><br>
<b>Sent:</b> Monday, March 30, 2020 3:38 PM<br>
<b>To:</b> SHEENA BYROM <[log in to unmask]><br>
<b>Cc:</b> Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Anna Byrom <School of Community
Health & Midwifery> <[log in to unmask]>; Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; Lesley Page <[log in to unmask]>;
[log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; ICM President <[log in to unmask]>;
Frances Emma McConville ([log in to unmask]) <[log in to unmask]><br>
<b>Subject:</b> Re: ICM statement re practices during covid-19 including place of birth</font>
<div> </div>
</div>
<div class="BodyFragment"><font size="2"><span style="font-size:11pt">
<div class="PlainText">Dear Sheena and Soo<br>
Please see our website page <a href="http://www.birthplacelab.org/covid-19">www.birthplacelab.org/covid-19</a>
<br>
<br>
for the evidence based and practical guidance we have gathered so far. <br>
<br>
Will upload the Washington State template when it is ready this week. <br>
<br>
Saraswathi Vedam<br>
Professor and Principal<br>
Birth Place Lab at UBC<br>
Sent from my iPhone<br>
> <br>
</div>
</span></font></div>
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<title>Celebrating 190 Years</title>
<table style="font-size:12px; font-family:Arial; line-height:17px; width:480px' " class="ng-scope" cellspacing="0" cellpadding="0" width="480" border="0">
<tbody>
<tr>
<td style="font-size:12px; font-family:Arial; width:480px; padding:0px; vertical-align:top" colspan="2" valign="top">
<img src="https://www4.uclan.ac.uk/assets/emailsig.jpg" target="_blank" alt="University of Central Lancashire" style="width:480px; height:auto; border:0;">
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--_000_DB3PR0302MB32413D7AB1D0065A208C1A9697CB0DB3PR0302MB3241_--
========================================================================Date: Mon, 30 Mar 2020 14:50:21 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Re: [EXT] Re: ICM statement re practices during covid-19
including place of birth
Comments: To: "MCCONVILLE, Frances Emma" <[log in to unmask]>,
"Vedam, Saraswathi" <[log in to unmask]>,
SHEENA BYROM <[log in to unmask]>,
"PALESTRA, Francesca" <[log in to unmask]>,
"Mary Renfrew (Staff)" <[log in to unmask]>,
BILLIE HUNTER <[log in to unmask]>,
Lorena Mercedes Binfa <[log in to unmask]>
Comments: cc: "[log in to unmask]"
<[log in to unmask]>,
Anna Byrom <[log in to unmask]>,
Lia Brigante <[log in to unmask]>,
Lucia Rocca <[log in to unmask]>,
Maria Booker <[log in to unmask]>,
Ciara Henderson <[log in to unmask]>, Joan Lalor <[log in to unmask]>,
Lesley Page <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
=?iso-8859-1?Q?TUNCALP_MINGARD,_Özge?= <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
ICM President <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Thanks!
________________________________
From: MCCONVILLE, Frances Emma <[log in to unmask]>
Sent: Monday, March 30, 2020 3:45 PM
To: Vedam, Saraswathi <[log in to unmask]>; SHEENA BYROM <[log in to unmask]>; PALESTRA, Francesca <[log in to unmask]>; Mary Renfrew (Staff) <[log in to unmask]>; BILLIE HUNTER <[log in to unmask]>; Lorena Mercedes Binfa <[log in to unmask]>
Cc: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask]>; Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; Lesley Page <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; ICM President <[log in to unmask]>
Subject: RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Dear All,
WHO is collating all guidelines relevant to COVID/SRMNCAH etc. and will be sharing shortly (it is vast, and the Science Division is coordinating it into 5 "packages")
Meanwhile please check the WHO COVID 19 website, https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance (this link for country and technical guidance)
......and see below from Anshu Banerjee, Director, MCA Dept
In this extraordinary time, trusted voices for the most up to date information to share with the public on how COVID-19 is affecting women, children and adolescents is of utmost importance.
The second episode in the Every Woman Every Child COVID-19 Expert Series features Dr. Anshu Banerjee, Director of Maternal, Newborn, Child and Adolescent Health & Ageing at the World Health Organization (WHO).
Highlights from the interview:
. Mothers and women must have access to routine services for physical and mental health
. Right now there are no known cases of transmission from mother to child and there has been no presence of COVID-19 in breastmilk
. Mothers with COVID-19 are encouraged to breastfeed - In general, we know that children are less affected than older adults, but among children, those under 5 have a bigger chance of being severely affected
. We will continue to update this information as the knowledge and understanding of the virus evolves
Communication Materials:
Follow @ABanerjeeWHO on Twitter
Also watch out for additional videos via @UN_EWEC, eblasts and by subscribing to the Every Woman Every Child YouTube channel
Fran McConville,
Technical Officer, Midwifery
MCA Dept. & Office of Chief Nurse
WHO HQ, Geneva
Landline + 41 22 7912 625
Mobile +41 79 475 54 55
-----Original Message-----
From: Vedam, Saraswathi <[log in to unmask]>
Sent: Monday, March 30, 2020 4:39 PM
To: SHEENA BYROM <[log in to unmask]>
Cc: Soo Downe <[log in to unmask]>; [log in to unmask]; [log in to unmask]; Anna Byrom <[log in to unmask]>; Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; Lesley Page <[log in to unmask]>; [log in to unmask]; [log in to unmask]; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask]; ICM President <[log in to unmask]>; MCCONVILLE, Frances Emma <[log in to unmask]>
Subject: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Dear Sheena and Soo
Please see our website page www.birthplacelab.org/covid-19<http://www.birthplacelab.org/covid-19>
for the evidence based and practical guidance we have gathered so far.
Will upload the Washington State template when it is ready this week.
Saraswathi Vedam
Professor and Principal
Birth Place Lab at UBC
Sent from my iPhone
>
[University of Central Lancashire]
Please consider the environment before printing
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Thanks!</div>
<div id="appendonsend"></div>
<hr style="display:inline-block;width:98%" tabindex="-1">
<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" style="font-size:11pt" color="#000000"><b>From:</b> MCCONVILLE, Frances Emma <[log in to unmask]><br>
<b>Sent:</b> Monday, March 30, 2020 3:45 PM<br>
<b>To:</b> Vedam, Saraswathi <[log in to unmask]>; SHEENA BYROM <[log in to unmask]>; PALESTRA, Francesca <[log in to unmask]>; Mary Renfrew (Staff) <[log in to unmask]>; BILLIE HUNTER <[log in to unmask]>; Lorena Mercedes Binfa <[log in to unmask]><br>
<b>Cc:</b> Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Anna Byrom <School of Community
Health & Midwifery> <[log in to unmask]>; Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; Lesley Page <[log in to unmask]>;
[log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; ICM President <[log in to unmask]><br>
<b>Subject:</b> RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth</font>
<div> </div>
</div>
<div class="BodyFragment"><font size="2"><span style="font-size:11pt;">
<div class="PlainText">Dear All,<br>
<br>
WHO is collating all guidelines relevant to COVID/SRMNCAH etc. and will be sharing shortly (it is vast, and the Science Division is coordinating it into 5 "packages")<br>
<br>
Meanwhile please check the WHO COVID 19 website, <a href="https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance">
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance</a> (this link for country and technical guidance)
<br>
<br>
<br>
......and see below from Anshu Banerjee, Director, MCA Dept <br>
<br>
In this extraordinary time, trusted voices for the most up to date information to share with the public on how COVID-19 is affecting women, children and adolescents is of utmost importance.
<br>
<br>
The second episode in the Every Woman Every Child COVID-19 Expert Series features Dr. Anshu Banerjee, Director of Maternal, Newborn, Child and Adolescent Health & Ageing at the World Health Organization (WHO).<br>
<br>
Highlights from the interview:<br>
. Mothers and women must have access to routine services for physical and mental health
<br>
. Right now there are no known cases of transmission from mother to child and there has been no presence of COVID-19 in breastmilk
<br>
. Mothers with COVID-19 are encouraged to breastfeed - In general, we know that children are less affected than older adults, but among children, those under 5 have a bigger chance of being severely affected<br>
. We will continue to update this information as the knowledge and understanding of the virus evolves<br>
Communication Materials:<br>
Follow @ABanerjeeWHO on Twitter<br>
Also watch out for additional videos via @UN_EWEC, eblasts and by subscribing to the Every Woman Every Child YouTube channel<br>
<br>
Fran McConville,<br>
Technical Officer, Midwifery <br>
MCA Dept. & Office of Chief Nurse<br>
WHO HQ, Geneva<br>
Landline + 41 22 7912 625 <br>
Mobile +41 79 475 54 55<br>
<br>
-----Original Message-----<br>
From: Vedam, Saraswathi <[log in to unmask]> <br>
Sent: Monday, March 30, 2020 4:39 PM<br>
To: SHEENA BYROM <[log in to unmask]><br>
Cc: Soo Downe <[log in to unmask]>; [log in to unmask]; [log in to unmask]; Anna Byrom <[log in to unmask]>; Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>;
Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; Lesley Page <[log in to unmask]>; [log in to unmask]; [log in to unmask]; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask]; ICM President <[log in to unmask]>;
MCCONVILLE, Frances Emma <[log in to unmask]><br>
Subject: [EXT] Re: ICM statement re practices during covid-19 including place of birth<br>
<br>
Dear Sheena and Soo<br>
Please see our website page <a href="http://www.birthplacelab.org/covid-19">www.birthplacelab.org/covid-19</a>
<br>
<br>
for the evidence based and practical guidance we have gathered so far. <br>
<br>
Will upload the Washington State template when it is ready this week. <br>
<br>
Saraswathi Vedam<br>
Professor and Principal<br>
Birth Place Lab at UBC<br>
Sent from my iPhone<br>
> <br>
</div>
</span></font></div>
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<title>Celebrating 190 Years</title>
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<tbody>
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<img src="https://www4.uclan.ac.uk/assets/emailsig.jpg" target="_blank" alt="University of Central Lancashire" style="width:480px; height:auto; border:0;">
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--_000_DB3PR0302MB324173BB90009B7C8CE3151997CB0DB3PR0302MB3241_--
========================================================================Date: Mon, 30 Mar 2020 14:51:27 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Re: ICM statement re practices during covid-19 including place of
birth
Comments: To: "Vedam, Saraswathi" <[log in to unmask]>,
SHEENA BYROM <[log in to unmask]>
Comments: cc: "[log in to unmask]"
<[log in to unmask]>,
Anna Byrom <[log in to unmask]>,
Lia Brigante <[log in to unmask]>,
Lucia Rocca <[log in to unmask]>,
Maria Booker <[log in to unmask]>,
Ciara Henderson <[log in to unmask]>, Joan Lalor <[log in to unmask]>,
Lesley Page <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
=?iso-8859-1?Q?_TUNCALP_MINGARD,_Özge_?= <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
ICM President <[log in to unmask]>,
"Frances Emma McConville ([log in to unmask])" <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Thanks! Shame that the Lancet infectious diseases appendix (at the bottom of the site) recommends separation of mother and baby and breastfeeding only on a 'case by case' basis...!!!! I wonder if Richard Horton realises this?
All the best
Soo
________________________________
From: Vedam, Saraswathi <[log in to unmask]>
Sent: Monday, March 30, 2020 3:38 PM
To: SHEENA BYROM <[log in to unmask]>
Cc: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask]>; Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; Lesley Page <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; ICM President <[log in to unmask]>; Frances Emma McConville ([log in to unmask]) <[log in to unmask]>
Subject: Re: ICM statement re practices during covid-19 including place of birth
Dear Sheena and Soo
Please see our website page www.birthplacelab.org/covid-19<http://www.birthplacelab.org/covid-19>
for the evidence based and practical guidance we have gathered so far.
Will upload the Washington State template when it is ready this week.
Saraswathi Vedam
Professor and Principal
Birth Place Lab at UBC
Sent from my iPhone
>
[University of Central Lancashire]
Please consider the environment before printing
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<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:12pt; color:rgb(0,0,0)">
Thanks! Shame that the Lancet infectious diseases appendix (at the bottom of the site) recommends separation of mother and baby and breastfeeding only on a 'case by case' basis...!!!! I wonder if Richard Horton realises this?</div>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:12pt; color:rgb(0,0,0)">
<br>
</div>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:12pt; color:rgb(0,0,0)">
All the best</div>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:12pt; color:rgb(0,0,0)">
<br>
</div>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:12pt; color:rgb(0,0,0)">
Soo</div>
<div id="appendonsend"></div>
<hr tabindex="-1" style="display:inline-block; width:98%">
<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> Vedam, Saraswathi <[log in to unmask]><br>
<b>Sent:</b> Monday, March 30, 2020 3:38 PM<br>
<b>To:</b> SHEENA BYROM <[log in to unmask]><br>
<b>Cc:</b> Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Anna Byrom <School of Community
Health & Midwifery> <[log in to unmask]>; Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; Lesley Page <[log in to unmask]>;
[log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; ICM President <[log in to unmask]>;
Frances Emma McConville ([log in to unmask]) <[log in to unmask]><br>
<b>Subject:</b> Re: ICM statement re practices during covid-19 including place of birth</font>
<div> </div>
</div>
<div class="BodyFragment"><font size="2"><span style="font-size:11pt">
<div class="PlainText">Dear Sheena and Soo<br>
Please see our website page <a href="http://www.birthplacelab.org/covid-19">www.birthplacelab.org/covid-19</a>
<br>
<br>
for the evidence based and practical guidance we have gathered so far. <br>
<br>
Will upload the Washington State template when it is ready this week. <br>
<br>
Saraswathi Vedam<br>
Professor and Principal<br>
Birth Place Lab at UBC<br>
Sent from my iPhone<br>
> <br>
</div>
</span></font></div>
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<title>Celebrating 190 Years</title>
<table style="font-size:12px; font-family:Arial; line-height:17px; width:480px' " class="ng-scope" cellspacing="0" cellpadding="0" width="480" border="0">
<tbody>
<tr>
<td style="font-size:12px; font-family:Arial; width:480px; padding:0px; vertical-align:top" colspan="2" valign="top">
<img src="https://www4.uclan.ac.uk/assets/emailsig.jpg" target="_blank" alt="University of Central Lancashire" style="width:480px; height:auto; border:0;">
</td>
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</tbody>
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Please consider the environment before printing
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--_000_DB3PR0302MB324154A5EDF20BC90D34EF9697CB0DB3PR0302MB3241_--
========================================================================Date: Mon, 30 Mar 2020 16:53:05 +0200
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Lucia Rocca <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Lucia Rocca <[log in to unmask]>
Subject: Re: ICM statement re practices during covid-19 including place of
birth
Comments: To: Soo Downe <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
MIME-Version: 1.0
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--00000000000089bf7705a2139cd3
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Can we contact Richart Horton?
they should review their position...
Dr Lucia Rocca-Ihenacho
PhD, MSc, RM
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 Mon, 30 Mar 2020 at 16:51, Soo Downe <[log in to unmask]> wrote:
> Thanks! Shame that the Lancet infectious diseases appendix (at the bottom
> of the site) recommends separation of mother and baby and breastfeeding
> only on a 'case by case' basis...!!!! I wonder if Richard Horton realises
> this?
>
> All the best
>
> Soo
> ------------------------------
> *From:* Vedam, Saraswathi <[log in to unmask]>
> *Sent:* Monday, March 30, 2020 3:38 PM
> *To:* SHEENA BYROM <[log in to unmask]>
> *Cc:* Soo Downe <School of Community Health & Midwifery> <
> [log in to unmask]>; [log in to unmask] <
> [log in to unmask]>; [log in to unmask] <
> [log in to unmask]>; Anna Byrom <School of Community
> Health & Midwifery> <[log in to unmask]>; Lia Brigante <
> [log in to unmask]>; Lucia Rocca <[log in to unmask]>;
> Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>;
> Joan Lalor <[log in to unmask]>; Lesley Page <[log in to unmask]>;
> [log in to unmask] <[log in to unmask]>;
> [log in to unmask] <[log in to unmask]>;
> TUNCALP MINGARD, Ăzge <[log in to unmask]>; [log in to unmask] <
> [log in to unmask]>; ICM President <
> [log in to unmask]>; Frances Emma McConville (
> [log in to unmask]) <[log in to unmask]>
> *Subject:* Re: ICM statement re practices during covid-19 including place
> of birth
>
> Dear Sheena and Soo
> Please see our website page www.birthplacelab.org/covid-19
>
> for the evidence based and practical guidance we have gathered so far.
>
> Will upload the Washington State template when it is ready this week.
>
> Saraswathi Vedam
> Professor and Principal
> Birth Place Lab at UBC
> Sent from my iPhone
> >
> [image: University of Central Lancashire] Please consider the environment
> before printing
>
> ------------------------------
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
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<div dir="ltr"><div>Can we contact Richart Horton? <br></div><div>they should review their position...<br></div><div><br></div><div><div><div dir="ltr" class="gmail_signature" data-smartmail="gmail_signature"><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div><div><span style="font-size:large"></span><span style="font-family:tahoma,sans-serif"><font size="2">Dr Lucia Rocca-Ihenacho</font></span></div><div><span style="font-family:tahoma,sans-serif"><font size="2">PhD, MSc, RM<br></font></span></div><span style="font-family:tahoma,sans-serif"></span><font size="2">Lecturer in Midwifery and NIHR Research Fellow</font><span><span style="font-family:tahoma,sans-serif"><font><span></span></font></span></span><br><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)"></span></span><div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)"></span></span><div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">Centre for Maternal and Child Health Research</span></span></div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">
</span></span><div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">School of Health Sciences</span></span></div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">
</span></span><div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">City Univers</span></span>ity London</div>
<div>1 Myddelton Street</div>
<div>London <br>EC1R 1UW</div></div><div><span style="font-family:tahoma,sans-serif"><font><span></span></font><font><span><br></span></font></span></div><span style="font-family:tahoma,sans-serif"><font><span>07989 230313</span></font></span></div><div dir="ltr"><font size="2">Skype contact: luciainsky</font><br></div><div dir="ltr"><div><span style="font-family:tahoma,sans-serif">
</span><font size="2"><span style="font-family:tahoma,sans-serif"></span><br></font></div><span style="font-size:large"><font face="'arial narrow', sans-serif"><br></font></span></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><br></div></div><br><div class="gmail_quote"><div dir="ltr" class="gmail_attr">On Mon, 30 Mar 2020 at 16:51, Soo Downe <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> wrote:<br></div><blockquote class="gmail_quote" style="margin:0px 0px 0px 0.8ex;border-left:1px solid rgb(204,204,204);padding-left:1ex">
<div dir="ltr">
<div style="font-family:Calibri,Arial,Helvetica,sans-serif;font-size:12pt;color:rgb(0,0,0)">
Thanks! Shame that the Lancet infectious diseases appendix (at the bottom of the site) recommends separation of mother and baby and breastfeeding only on a 'case by case' basis...!!!! I wonder if Richard Horton realises this?</div>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif;font-size:12pt;color:rgb(0,0,0)">
<br>
</div>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif;font-size:12pt;color:rgb(0,0,0)">
All the best</div>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif;font-size:12pt;color:rgb(0,0,0)">
<br>
</div>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif;font-size:12pt;color:rgb(0,0,0)">
Soo</div>
<div id="gmail-m_926011788008100540appendonsend"></div>
<hr style="display:inline-block;width:98%">
<div id="gmail-m_926011788008100540divRplyFwdMsg" dir="ltr"><font style="font-size:11pt" face="Calibri, sans-serif" color="#000000"><b>From:</b> Vedam, Saraswathi <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Monday, March 30, 2020 3:38 PM<br>
<b>To:</b> SHEENA BYROM <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Cc:</b> Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Anna Byrom <School of Community
Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lia Brigante <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lucia Rocca <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Maria Booker <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Ciara Henderson <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Joan Lalor <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lesley Page <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; TUNCALP MINGARD, Ăzge <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; ICM President <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Frances Emma McConville (<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>) <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> Re: ICM statement re practices during covid-19 including place of birth</font>
<div>Â </div>
</div>
<div><font size="2"><span style="font-size:11pt">
<div>Dear Sheena and Soo<br>
Please see our website page <a href="http://www.birthplacelab.org/covid-19" target="_blank">www.birthplacelab.org/covid-19</a>Â Â
<br>
<br>
for the evidence based and practical guidance we have gathered so far. <br>
<br>
Will upload the Washington State template when it is ready this week. <br>
<br>
Saraswathi Vedam<br>
Professor and Principal<br>
Birth Place Lab at UBC<br>
Sent from my iPhone<br>
> <br>
</div>
</span></font></div>
<u></u>
<table width="480" cellspacing="0" cellpadding="0" border="0">
<tbody>
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<img src="https://www4.uclan.ac.uk/assets/emailsig.jpg" alt="University of Central Lancashire" style="width: 480px; height: auto; border: 0px none;">
</td>
</tr>
</tbody>
</table>
Please consider the environment before printing
</div>
<br>
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--00000000000089bf7705a2139cd3--
========================================================================Date: Mon, 30 Mar 2020 14:55:31 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Re: ICM statement re practices during covid-19 including place of
birth
Comments: To: Lucia Rocca <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Im sure you could do this Lucia!
________________________________
From: Lucia Rocca <[log in to unmask]>
Sent: Monday, March 30, 2020 3:53 PM
To: A forum for discussion on midwifery and reproductive health research. <[log in to unmask]>; Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>
Subject: Re: ICM statement re practices during covid-19 including place of birth
Can we contact Richart Horton?
they should review their position...
Dr Lucia Rocca-Ihenacho
PhD, MSc, RM
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 Mon, 30 Mar 2020 at 16:51, Soo Downe <[log in to unmask]<mailto:[log in to unmask]>> wrote:
Thanks! Shame that the Lancet infectious diseases appendix (at the bottom of the site) recommends separation of mother and baby and breastfeeding only on a 'case by case' basis...!!!! I wonder if Richard Horton realises this?
All the best
Soo
________________________________
From: Vedam, Saraswathi <[log in to unmask]<mailto:[log in to unmask]>>
Sent: Monday, March 30, 2020 3:38 PM
To: SHEENA BYROM <[log in to unmask]<mailto:[log in to unmask]>>
Cc: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask]<mailto:[log in to unmask]>>; Lia Brigante <[log in to unmask]<mailto:[log in to unmask]>>; Lucia Rocca <[log in to unmask]<mailto:[log in to unmask]>>; Maria Booker <[log in to unmask]<mailto:[log in to unmask]>>; Ciara Henderson <[log in to unmask]<mailto:[log in to unmask]>>; Joan Lalor <[log in to unmask]<mailto:[log in to unmask]>>; Lesley Page <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; TUNCALP MINGARD, Özge <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; ICM President <[log in to unmask]<mailto:[log in to unmask]>>; Frances Emma McConville ([log in to unmask]<mailto:[log in to unmask]>) <[log in to unmask]<mailto:[log in to unmask]>>
Subject: Re: ICM statement re practices during covid-19 including place of birth
Dear Sheena and Soo
Please see our website page www.birthplacelab.org/covid-19<http://www.birthplacelab.org/covid-19>
for the evidence based and practical guidance we have gathered so far.
Will upload the Washington State template when it is ready this week.
Saraswathi Vedam
Professor and Principal
Birth Place Lab at UBC
Sent from my iPhone
>
[University of Central Lancashire]
Please consider the environment before printing
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Im sure you could do this Lucia!</div>
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" style="font-size:11pt" color="#000000"><b>From:</b> Lucia Rocca <[log in to unmask]><br>
<b>Sent:</b> Monday, March 30, 2020 3:53 PM<br>
<b>To:</b> A forum for discussion on midwifery and reproductive health research. <[log in to unmask]>; Soo Downe <School of Community Health & Midwifery> <[log in to unmask]><br>
<b>Subject:</b> Re: ICM statement re practices during covid-19 including place of birth</font>
<div> </div>
</div>
<div>
<div dir="ltr">
<div>Can we contact Richart Horton? <br>
</div>
<div>they should review their position...<br>
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<div>
<div dir="ltr" class="x_gmail_signature">
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<div><span style="font-size:large"></span><span style="font-family:tahoma,sans-serif"><font size="2">Dr Lucia Rocca-Ihenacho</font></span></div>
<div><span style="font-family:tahoma,sans-serif"><font size="2">PhD, MSc, RM<br>
</font></span></div>
<span style="font-family:tahoma,sans-serif"></span><font size="2">Lecturer in Midwifery and NIHR Research Fellow</font><span><span style="font-family:tahoma,sans-serif"><font><span></span></font></span></span><br>
<span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)"></span></span>
<div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)"></span></span>
<div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">Centre for Maternal and Child Health Research</span></span></div>
<span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)"></span></span>
<div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">School of Health Sciences</span></span></div>
<span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)"></span></span>
<div><span style="color:rgb(0,0,0)"><span style="background-color:rgb(255,255,255)">City Univers</span></span>ity London</div>
<div>1 Myddelton Street</div>
<div>London <br>
EC1R 1UW</div>
</div>
<div><span style="font-family:tahoma,sans-serif"><font><span></span></font><font><span><br>
</span></font></span></div>
<span style="font-family:tahoma,sans-serif"><font><span>07989 230313</span></font></span></div>
<div dir="ltr"><font size="2">Skype contact: luciainsky</font><br>
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<div dir="ltr" class="x_gmail_attr">On Mon, 30 Mar 2020 at 16:51, Soo Downe <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> wrote:<br>
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<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:12pt; color:rgb(0,0,0)">
Thanks! Shame that the Lancet infectious diseases appendix (at the bottom of the site) recommends separation of mother and baby and breastfeeding only on a 'case by case' basis...!!!! I wonder if Richard Horton realises this?</div>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:12pt; color:rgb(0,0,0)">
<br>
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All the best</div>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:12pt; color:rgb(0,0,0)">
<br>
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<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:12pt; color:rgb(0,0,0)">
Soo</div>
<div id="x_gmail-m_926011788008100540appendonsend"></div>
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<div id="x_gmail-m_926011788008100540divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> Vedam, Saraswathi <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Monday, March 30, 2020 3:38 PM<br>
<b>To:</b> SHEENA BYROM <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Cc:</b> Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Anna Byrom <School of Community Health
& Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lia Brigante <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lucia Rocca <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Maria Booker <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Ciara Henderson <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Joan Lalor <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Lesley Page <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; TUNCALP MINGARD, Özge <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; ICM President <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Frances Emma McConville (<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>) <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> Re: ICM statement re practices during covid-19 including place of birth</font>
<div> </div>
</div>
<div><font size="2"><span style="font-size:11pt">
<div>Dear Sheena and Soo<br>
Please see our website page <a href="http://www.birthplacelab.org/covid-19" target="_blank">
www.birthplacelab.org/covid-19</a> <br>
<br>
for the evidence based and practical guidance we have gathered so far. <br>
<br>
Will upload the Washington State template when it is ready this week. <br>
<br>
Saraswathi Vedam<br>
Professor and Principal<br>
Birth Place Lab at UBC<br>
Sent from my iPhone<br>
> <br>
</div>
</span></font></div>
<u></u>
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<tbody>
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<img alt="University of Central Lancashire" style="width:480px; height:auto; border:0px none" src="https://www4.uclan.ac.uk/assets/emailsig.jpg">
</td>
</tr>
</tbody>
</table>
Please consider the environment before printing </div>
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--_000_DB3PR0302MB3241DE7503FB3EA64287AA4597CB0DB3PR0302MB3241_--
========================================================================Date: Mon, 30 Mar 2020 15:05:30 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Re: [EXT] Re: ICM statement re practices during covid-19
including place of birth
Comments: To: Zuzana Kriskova <[log in to unmask]>
Comments: cc: "MCCONVILLE, Frances Emma" <[log in to unmask]>,
"Vedam, Saraswathi" <[log in to unmask]>,
SHEENA BYROM <[log in to unmask]>,
"PALESTRA, Francesca" <[log in to unmask]>,
"Mary Renfrew (Staff)" <[log in to unmask]>,
BILLIE HUNTER <[log in to unmask]>,
Lorena Mercedes Binfa <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
Anna Byrom <[log in to unmask]>,
Lia Brigante <[log in to unmask]>,
Lucia Rocca <[log in to unmask]>,
Maria Booker <[log in to unmask]>,
Ciara Henderson <[log in to unmask]>, Joan Lalor <[log in to unmask]>,
Lesley Page <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
=?iso-8859-2?Q?TUNCALP_MINGARD,_Özge?= <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
ICM President <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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many thanks!
________________________________
From: Zuzana Kriskova <[log in to unmask]>
Sent: Monday, March 30, 2020 4:02 PM
To: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>
Cc: MCCONVILLE, Frances Emma <[log in to unmask]>; Vedam, Saraswathi <[log in to unmask]>; SHEENA BYROM <[log in to unmask]>; PALESTRA, Francesca <[log in to unmask]>; Mary Renfrew (Staff) <[log in to unmask]>; BILLIE HUNTER <[log in to unmask]>; Lorena Mercedes Binfa <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask]>; Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; Lesley Page <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; ICM President <[log in to unmask]>
Subject: Re: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Soo - you are right separation is a shame. We just received news from Czech that one hospital is separating ALL newborns and tests mothers for COVID-19, they only bring back babies if the mother is tested negative.
Today we sent a request to slovak government and slovak hospitals to follow WHO recommendation. I am sorry, but we have only a slovak version, but I believe the google translate is quite sufficient, so you can try that. https://zenskekruhy.sk/vyzva-na-dodrziavanie-standardov-covid-19/?fbclid=IwAR0v97c-jy9FtZ_PN60Lu0wjGSdcT4bnv85w3vQydtnrse8qLV73IbxAwCM
Zuzana
po 30. 3. 2020 o 16:52 Soo Downe <[log in to unmask]<mailto:[log in to unmask]>> napísal(a):
Thanks!
________________________________
From: MCCONVILLE, Frances Emma <[log in to unmask]<mailto:[log in to unmask]>>
Sent: Monday, March 30, 2020 3:45 PM
To: Vedam, Saraswathi <[log in to unmask]<mailto:[log in to unmask]>>; SHEENA BYROM <[log in to unmask]<mailto:[log in to unmask]>>; PALESTRA, Francesca <[log in to unmask]<mailto:[log in to unmask]>>; Mary Renfrew (Staff) <[log in to unmask]<mailto:[log in to unmask]>>; BILLIE HUNTER <[log in to unmask]<mailto:[log in to unmask]>>; Lorena Mercedes Binfa <[log in to unmask]<mailto:[log in to unmask]>>
Cc: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask]<mailto:[log in to unmask]>>; Lia Brigante <[log in to unmask]<mailto:[log in to unmask]>>; Lucia Rocca <[log in to unmask]<mailto:[log in to unmask]>>; Maria Booker <[log in to unmask]<mailto:[log in to unmask]>>; Ciara Henderson <[log in to unmask]<mailto:[log in to unmask]>>; Joan Lalor <[log in to unmask]<mailto:[log in to unmask]>>; Lesley Page <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; TUNCALP MINGARD, Özge <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; ICM President <[log in to unmask]<mailto:[log in to unmask]>>
Subject: RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Dear All,
WHO is collating all guidelines relevant to COVID/SRMNCAH etc. and will be sharing shortly (it is vast, and the Science Division is coordinating it into 5 "packages")
Meanwhile please check the WHO COVID 19 website, https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance (this link for country and technical guidance)
......and see below from Anshu Banerjee, Director, MCA Dept
In this extraordinary time, trusted voices for the most up to date information to share with the public on how COVID-19 is affecting women, children and adolescents is of utmost importance.
The second episode in the Every Woman Every Child COVID-19 Expert Series features Dr. Anshu Banerjee, Director of Maternal, Newborn, Child and Adolescent Health & Ageing at the World Health Organization (WHO).
Highlights from the interview:
. Mothers and women must have access to routine services for physical and mental health
. Right now there are no known cases of transmission from mother to child and there has been no presence of COVID-19 in breastmilk
. Mothers with COVID-19 are encouraged to breastfeed - In general, we know that children are less affected than older adults, but among children, those under 5 have a bigger chance of being severely affected
. We will continue to update this information as the knowledge and understanding of the virus evolves
Communication Materials:
Follow @ABanerjeeWHO on Twitter
Also watch out for additional videos via @UN_EWEC, eblasts and by subscribing to the Every Woman Every Child YouTube channel
Fran McConville,
Technical Officer, Midwifery
MCA Dept. & Office of Chief Nurse
WHO HQ, Geneva
Landline + 41 22 7912 625
Mobile +41 79 475 54 55
-----Original Message-----
From: Vedam, Saraswathi <saraswat[log in to unmask]<mailto:[log in to unmask]>>
Sent: Monday, March 30, 2020 4:39 PM
To: SHEENA BYROM <[log in to unmask]<mailto:[log in to unmask]>>
Cc: Soo Downe <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]>; [log in to unmask]<mailto:[log in to unmask]>; Anna Byrom <[log in to unmask]<mailto:[log in to unmask]>>; Lia Brigante <[log in to unmask]<mailto:[log in to unmask]>>; Lucia Rocca <[log in to unmask]<mailto:[log in to unmask]>>; Maria Booker <[log in to unmask]<mailto:[log in to unmask]>>; Ciara Henderson <[log in to unmask]<mailto:[log in to unmask]>>; Joan Lalor <[log in to unmask]<mailto:[log in to unmask]>>; Lesley Page <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]>; [log in to unmask]<mailto:[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]>; ICM President <[log in to unmask]<mailto:[log in to unmask]>>; MCCONVILLE, Frances Emma <[log in to unmask]<mailto:[log in to unmask]>>
Subject: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Dear Sheena and Soo
Please see our website page www.birthplacelab.org/covid-19<http://www.birthplacelab.org/covid-19>
for the evidence based and practical guidance we have gathered so far.
Will upload the Washington State template when it is ready this week.
Saraswathi Vedam
Professor and Principal
Birth Place Lab at UBC
Sent from my iPhone
>
[University of Central Lancashire]
Please consider the environment before printing
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Zuzka Kričková
www.zenskekruhy.sk<http://www.zenskekruhy.sk/>
...aby rečpekt, dôstojnos» a slobodná vo”ba Ÿien v tehotenstve a pri pôrode boli samozrejmos»ou.
Ak chcete podpori» obèianske zdruŸenie źenské kruhy a jeho aktivity, budeme Vám vïaèné za Váč príspevok na úèet: IBAN: SK50 0200 0000 0029 8031 0758 vo VUB a.s.. Do správy pre prijímate”a napíčte, prosím, "dar".
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many thanks!</div>
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<hr style="display:inline-block;width:98%" tabindex="-1">
<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" style="font-size:11pt" color="#000000"><b>From:</b> Zuzana Kriskova <[log in to unmask]><br>
<b>Sent:</b> Monday, March 30, 2020 4:02 PM<br>
<b>To:</b> Soo Downe <School of Community Health & Midwifery> <[log in to unmask]><br>
<b>Cc:</b> MCCONVILLE, Frances Emma <[log in to unmask]>; Vedam, Saraswathi <[log in to unmask]>; SHEENA BYROM <[log in to unmask]>; PALESTRA, Francesca <[log in to unmask]>; Mary Renfrew (Staff) <[log in to unmask]>; BILLIE HUNTER <[log in to unmask]>;
Lorena Mercedes Binfa <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask]>;
Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; Lesley Page <[log in to unmask]>; [log in to unmask]
<[log in to unmask]>; [log in to unmask] <[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; ICM President <[log in to unmask]><br>
<b>Subject:</b> Re: [EXT] Re: ICM statement re practices during covid-19 including place of birth</font>
<div> </div>
</div>
<div>
<div dir="ltr">Soo - you are right separation is a shame. We just received news from Czech that one hospital is separating ALL newborns and tests mothers for COVID-19, they only bring back babies if the mother is tested negative.
<div><br>
</div>
<div>Today we sent a request to slovak government and slovak hospitals to follow WHO recommendation. I am sorry, but we have only a slovak version, but I believe the google translate is quite sufficient, so you can try that. <a href="https://zenskekruhy.sk/vyzva-na-dodrziavanie-standardov-covid-19/?fbclid=IwAR0v97c-jy9FtZ_PN60Lu0wjGSdcT4bnv85w3vQydtnrse8qLV73IbxAwCM">https://zenskekruhy.sk/vyzva-na-dodrziavanie-standardov-covid-19/?fbclid=IwAR0v97c-jy9FtZ_PN60Lu0wjGSdcT4bnv85w3vQydtnrse8qLV73IbxAwCM</a></div>
<div><br>
</div>
<div>Zuzana</div>
</div>
<br>
<div class="x_gmail_quote">
<div dir="ltr" class="x_gmail_attr">po 30. 3. 2020 o 16:52 Soo Downe <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> napísal(a):<br>
</div>
<blockquote class="x_gmail_quote" style="margin:0px 0px 0px 0.8ex; border-left:1px solid rgb(204,204,204); padding-left:1ex">
<div dir="ltr">
<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:12pt; color:rgb(0,0,0)">
Thanks!</div>
<div id="x_gmail-m_3182510597768514392appendonsend"></div>
<hr style="display:inline-block; width:98%">
<div id="x_gmail-m_3182510597768514392divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> MCCONVILLE, Frances Emma <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Monday, March 30, 2020 3:45 PM<br>
<b>To:</b> Vedam, Saraswathi <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; SHEENA BYROM <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; PALESTRA, Francesca <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Mary Renfrew (Staff) <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; BILLIE HUNTER <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lorena Mercedes Binfa <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Cc:</b> Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Anna Byrom <School of Community Health
& Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lia Brigante <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lucia Rocca <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Maria Booker <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Ciara Henderson <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Joan Lalor <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Lesley Page <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; TUNCALP MINGARD, Özge <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; ICM President <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth</font>
<div> </div>
</div>
<div><font size="2"><span style="font-size:11pt">
<div>Dear All,<br>
<br>
WHO is collating all guidelines relevant to COVID/SRMNCAH etc. and will be sharing shortly (it is vast, and the Science Division is coordinating it into 5 "packages")<br>
<br>
Meanwhile please check the WHO COVID 19 website, <a href="https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance" target="_blank">
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance</a> (this link for country and technical guidance)
<br>
<br>
<br>
......and see below from Anshu Banerjee, Director, MCA Dept <br>
<br>
In this extraordinary time, trusted voices for the most up to date information to share with the public on how COVID-19 is affecting women, children and adolescents is of utmost importance.
<br>
<br>
The second episode in the Every Woman Every Child COVID-19 Expert Series features Dr. Anshu Banerjee, Director of Maternal, Newborn, Child and Adolescent Health & Ageing at the World Health Organization (WHO).<br>
<br>
Highlights from the interview:<br>
. Mothers and women must have access to routine services for physical and mental health
<br>
. Right now there are no known cases of transmission from mother to child and there has been no presence of COVID-19 in breastmilk
<br>
. Mothers with COVID-19 are encouraged to breastfeed - In general, we know that children are less affected than older adults, but among children, those under 5 have a bigger chance of being severely affected<br>
. We will continue to update this information as the knowledge and understanding of the virus evolves<br>
Communication Materials:<br>
Follow @ABanerjeeWHO on Twitter<br>
Also watch out for additional videos via @UN_EWEC, eblasts and by subscribing to the Every Woman Every Child YouTube channel<br>
<br>
Fran McConville,<br>
Technical Officer, Midwifery <br>
MCA Dept. & Office of Chief Nurse<br>
WHO HQ, Geneva<br>
Landline + 41 22 7912 625 <br>
Mobile +41 79 475 54 55<br>
<br>
-----Original Message-----<br>
From: Vedam, Saraswathi <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>
<br>
Sent: Monday, March 30, 2020 4:39 PM<br>
To: SHEENA BYROM <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
Cc: Soo Downe <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>; Anna Byrom <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lia Brigante <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Lucia Rocca <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Maria Booker <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Ciara Henderson <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Joan Lalor <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lesley Page <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>; TUNCALP MINGARD, Özge <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>; ICM President <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; MCCONVILLE, Frances Emma <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
Subject: [EXT] Re: ICM statement re practices during covid-19 including place of birth<br>
<br>
Dear Sheena and Soo<br>
Please see our website page <a href="http://www.birthplacelab.org/covid-19" target="_blank">
www.birthplacelab.org/covid-19</a> <br>
<br>
for the evidence based and practical guidance we have gathered so far. <br>
<br>
Will upload the Washington State template when it is ready this week. <br>
<br>
Saraswathi Vedam<br>
Professor and Principal<br>
Birth Place Lab at UBC<br>
Sent from my iPhone<br>
> <br>
</div>
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<img alt="University of Central Lancashire" style="width:480px; height:auto; border:0px" src="https://www4.uclan.ac.uk/assets/emailsig.jpg">
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<div>Zuzka Kričková<br>
</div>
<div><a href="http://www.zenskekruhy.sk/" target="_blank">www.zenskekruhy.sk</a></div>
<div><br>
</div>
<div>..<font size="2">.aby rečpekt, dôstojnos» a slobodná vo”ba Ÿien v tehotenstve a pri pôrode boli samozrejmos»ou.</font></div>
<div>
<h2><font size="2"><span style="font-weight:normal">Ak chcete podpori» obèianske zdruŸenie źenské kruhy a jeho aktivity, budeme Vám vïaèné za Váč príspevok na úèet: </span><font style="font-weight:normal">IBAN: SK50 0200 0000 0029 8031 0758 </font><span style="font-weight:normal">vo
VUB a.s.. Do správy pre prijímate”a napíčte, prosím, "dar".</span></font>
<p><span style="font-size:6.5pt; line-height:115%; font-family:Arial,sans-serif; background-image:initial; background-repeat:initial"></span></p>
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--_000_DB3PR0302MB3241EE5D5172D1190509C18D97CB0DB3PR0302MB3241_--
========================================================================Date: Mon, 30 Mar 2020 16:56:52 +0100
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
SHEENA BYROM <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: SHEENA BYROM <[log in to unmask]>
Subject: Re: ICM statement re practices during covid-19 including place of
birth
Comments: To: "Vedam, Saraswathi" <[log in to unmask]>
Comments: cc: Soo Downe <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
Anna Byrom <[log in to unmask]>,
Lia Brigante <[log in to unmask]>,
Lucia Rocca <[log in to unmask]>,
Maria Booker <[log in to unmask]>,
Ciara Henderson <[log in to unmask]>, Joan Lalor <[log in to unmask]>,
Lesley Page <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
=?utf-8?B?IlRVTkNBTFAgTUlOR0FSRCwgw5Z6Z2Ui?= <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
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This is fantastic Saras - thank you.
With very best wishes,
Sheena
Website: sheenabyrom.com <http://www.sheenabyrom.com/>
Twitter: @SagefemmeSB <https://twitter.com/SagefemmeSB>
> On 30 Mar 2020, at 15:38, Vedam, Saraswathi <[log in to unmask]> wrote:
>
> Dear Sheena and Soo
> Please see our website page www.birthplacelab.org/covid-19
>
> for the evidence based and practical guidance we have gathered so far.
>
> Will upload the Washington State template when it is ready this week.
>
> Saraswathi Vedam
> Professor and Principal
> Birth Place Lab at UBC
> Sent from my iPhone
>>
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<html><head><meta http-equiv="Content-Type" content="text/html; charset=us-ascii"></head><body style="word-wrap: break-word; -webkit-nbsp-mode: space; line-break: after-white-space;" class="">This is fantastic Saras - thank you.<div class=""><br class=""></div><div class=""><br class=""><div class="">
<div style="color: rgb(0, 0, 0); letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space;" class=""><div style="color: rgb(0, 0, 0); letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space;" class=""><span style="font-size: 14px;" class="">With very best wishes,<br class=""><br class="">Sheena <br class=""><br class="">Website: <a href="http://www.sheenabyrom.com" class="">sheenabyrom.com</a><br class=""><br class="">Twitter: <a href="https://twitter.com/SagefemmeSB" class="">@SagefemmeSB</a></span></div></div>
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<div><br class=""><blockquote type="cite" class=""><div class="">On 30 Mar 2020, at 15:38, Vedam, Saraswathi <<a href="mailto:[log in to unmask]" class="">[log in to unmask]</a>> wrote:</div><br class="Apple-interchange-newline"><div class=""><div class="">Dear Sheena and Soo<br class="">Please see our website page <a href="http://www.birthplacelab.org/covid-19" class="">www.birthplacelab.org/covid-19</a> <br class=""><br class="">for the evidence based and practical guidance we have gathered so far. <br class=""><br class="">Will upload the Washington State template when it is ready this week. <br class=""><br class="">Saraswathi Vedam<br class="">Professor and Principal<br class="">Birth Place Lab at UBC<br class="">Sent from my iPhone<br class=""><blockquote type="cite" class=""><br class=""></blockquote></div></div></blockquote></div><br class=""></div></body></html>
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========================================================================Date: Mon, 30 Mar 2020 15:58:26 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"Coxon, Kirstie" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "Coxon, Kirstie" <[log in to unmask]>
Subject: Re: ICM statement re practices during covid-19 including place of
birth
In-Reply-To: <[log in to unmask]>
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Dear Lucia, Soo and jiscmail colleagues,
I agree - it would be good to contact Richard Horton and thanks to everyone for rapid sharing of information, it's really helpful.
Clearly the guidance from WHO and the Lancet-published appendix are at odds with each other - just one tiny note of caution, which is that the UK RCOG v5 guidelines do now report a likely case of vertical transmission. Nevertheless, the v5 RCOG guidelines do not recommend routine separation (Section 4.9.1 of attached guideline: 'Given the current limited evidence, we advise that women and healthy infants, not otherwise requiring neonatal care, are kept together in the immediate post-partum period. A risks / benefits discussion with neonatologists and families to individualise care in babies who may be more susceptible is recommended. We emphasise that this guidance may change as knowledge evolves').
I've attached the guidelines to my post email but they get updated very rapidly so please do keep checking RCOG website for new versions. RCM is also endorsing these. I am fully supportive of the efforts to support midwife-led birth services too, just wanting to be mindful that the evidence, although generally reassuring, is really limited about transmission to babies/impact on neonatal wellbeing, so I guess we need to be primed to be 'evidence agile' in this changing situation
Best wishes
Kirstie Coxon
From: A forum for discussion on midwifery and reproductive health research.
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========================================================================Date: Mon, 30 Mar 2020 16:21:44 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Re: ICM statement re practices during covid-19 including place of
birth
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Kirstie, if you are thinking of the same report I am, I think that the baby was only mildly symptomatic? But this may be another case. If it is the same one, i think the guidance is likely to still stand - the benefits of maternal closeness and of BF massively outweigh any risk of infection or of a baby being compromised even if it is infected (indeed, BF may be protective in this instance)?
And do we know if the transmission was mother/child - or could it have been from another source (even hospital acquired?)
But I may be thinking of a different case!
All the best
Soo
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========================================================================Date: Mon, 30 Mar 2020 16:50:42 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Re: [EXT] Re: ICM statement re practices during covid-19
including place of birth
Comments: To: "MCCONVILLE, Frances Emma" <[log in to unmask]>,
ICM President <[log in to unmask]>,
Zuzana Kriskova <[log in to unmask]>
Comments: cc: "Vedam, Saraswathi" <[log in to unmask]>,
"PALESTRA, Francesca" <[log in to unmask]>,
"Mary Renfrew (Staff)" <[log in to unmask]>,
Sally Pairman <[log in to unmask]>,
BILLIE HUNTER <[log in to unmask]>,
Lorena Mercedes Binfa <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
Anna Byrom <[log in to unmask]>,
Lia Brigante <[log in to unmask]>,
Lucia Rocca <[log in to unmask]>,
Maria Booker <[log in to unmask]>,
Ciara Henderson <[log in to unmask]>, Joan Lalor <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
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Fran, just to say, while some places in the UK are restricting community birth, are now re-starting/expanding home births and birth centre birth provision as they see that this is actually safer than admitting healthy women to hospital at the moment, and because women are freebirthing anyway as they have been told that they are vulnerable, not to go out. Some women also feel that the risk of hospital acquired covid-19 infection is a risk they dont want to take for them or their babies, as well being concerned about issues with staffing shortages and lack of access to, for example, epidurals, or to birth companionship (though there has been some row-back on the latter issue, in the UK and elsewhere).
There are conversations about innovations re using taxis for non-urgent transfer, and using video and m-tech link ups for antenatal care, and for early labour support, under discussion - so things are changing all the time!
All the best
Soo
________________________________
From: MCCONVILLE, Frances Emma <[log in to unmask]>
Sent: Monday, March 30, 2020 5:42 PM
To: ICM President <[log in to unmask]>; Zuzana Kriskova <[log in to unmask]>; Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>
Cc: Vedam, Saraswathi <[log in to unmask]>; PALESTRA, Francesca <[log in to unmask]>; Mary Renfrew (Staff) <[log in to unmask]>; Sally Pairman <[log in to unmask]>; BILLIE HUNTER <[log in to unmask]>; Lorena Mercedes Binfa <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask]>; Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask] <[log in to unmask]>
Subject: RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Dear Franka,
Congrats ICM -excellent ! And great to see the reference to the WHO website.
I found the RCM-RCOG-RCOP guidance really helpful. I had a great discussion with Gill Walton on many issues, and the stopping of home births in UK until the flying squads are again available for women during childbirth makes good sense for safety.
All best
Fran
Fran McConville,
Technical Officer, Midwifery
MCA Dept. & Office of Chief Nurse
WHO HQ, Geneva
Landline + 41 22 7912 625
Mobile +41 79 475 54 55
From: ICM President <[log in to unmask]>
Sent: Monday, March 30, 2020 5:06 PM
To: Zuzana Kriskova <[log in to unmask]>; Soo Downe <[log in to unmask]>
Cc: MCCONVILLE, Frances Emma <[log in to unmask]>; Vedam, Saraswathi <[log in to unmask]>; PALESTRA, Francesca <[log in to unmask]>; Mary Renfrew (Staff) <[log in to unmask]>; Sally Pairman <[log in to unmask]>; BILLIE HUNTER <[log in to unmask]>; Lorena Mercedes Binfa <[log in to unmask]>; [log in to unmask]; [log in to unmask]; Anna Byrom <[log in to unmask]>; Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; [log in to unmask]; [log in to unmask]; [log in to unmask]; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask]
Subject: RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Dear all,
Please read ICMs statement that can be found on our website and social media channels: https://www.internationalmidwives.org/icm-news/women%E2%80%99s-rights-in-childbirth-must-be-upheld-during-the-coronavirus-pandemic.html
Warm regards,
Franka Cadée,
President
International Confederation of Midwives (ICM)
Koninginnegracht 60,
2514 AE The Hague,
The Netherlands.
Telephone: +31 (0) 70 3060520
Mob: +31 (0) 657597094
T: @FrankaCadee
E-mail: [log in to unmask]<mailto:[log in to unmask]>
www.internationalmidwives.org<http://www.internationalmidwives.org/>
#Midwives2021
https://www.midwives2020.org<https://www.midwives2020.org/>
[signature_1831811827]
Van: Zuzana Kriskova <[log in to unmask]<mailto:[log in to unmask]>>
Verzonden: maandag 30 maart 2020 17:03
Aan: Soo Downe <[log in to unmask]<mailto:[log in to unmask]>>
CC: MCCONVILLE, Frances Emma <[log in to unmask]<mailto:[log in to unmask]>>; Vedam, Saraswathi <[log in to unmask]<mailto:[log in to unmask]>>; SHEENA BYROM <[log in to unmask]<mailto:[log in to unmask]>>; PALESTRA, Francesca <[log in to unmask]<mailto:[log in to unmask]>>; Mary Renfrew (Staff) <[log in to unmask]<mailto:[log in to unmask]>>; BILLIE HUNTER <[log in to unmask]<mailto:[log in to unmask]>>; Lorena Mercedes Binfa <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]>; [log in to unmask]<mailto:[log in to unmask]>; Anna Byrom <[log in to unmask]<mailto:[log in to unmask]>>; Lia Brigante <[log in to unmask]<mailto:[log in to unmask]>>; Lucia Rocca <[log in to unmask]<mailto:[log in to unmask]>>; Maria Booker <[log in to unmask]<mailto:[log in to unmask]>>; Ciara Henderson <[log in to unmask]<mailto:[log in to unmask]>>; Joan Lalor <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]>; [log in to unmask]<mailto:[log in to unmask]>; [log in to unmask]<mailto:[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]>; ICM President <[log in to unmask]<mailto:[log in to unmask]>>
Onderwerp: Re: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Soo - you are right separation is a shame. We just received news from Czech that one hospital is separating ALL newborns and tests mothers for COVID-19, they only bring back babies if the mother is tested negative.
Today we sent a request to slovak government and slovak hospitals to follow WHO recommendation. I am sorry, but we have only a slovak version, but I believe the google translate is quite sufficient, so you can try that. https://zenskekruhy.sk/vyzva-na-dodrziavanie-standardov-covid-19/?fbclid=IwAR0v97c-jy9FtZ_PN60Lu0wjGSdcT4bnv85w3vQydtnrse8qLV73IbxAwCM
Zuzana
po 30. 3. 2020 o 16:52 Soo Downe <[log in to unmask]<mailto:[log in to unmask]>> napísal(a):
Thanks!
________________________________
From: MCCONVILLE, Frances Emma <[log in to unmask]<mailto:[log in to unmask]>>
Sent: Monday, March 30, 2020 3:45 PM
To: Vedam, Saraswathi <[log in to unmask]<mailto:[log in to unmask]>>; SHEENA BYROM <[log in to unmask]<mailto:[log in to unmask]>>; PALESTRA, Francesca <[log in to unmask]<mailto:[log in to unmask]>>; Mary Renfrew (Staff) <[log in to unmask]<mailto:[log in to unmask]>>; BILLIE HUNTER <[log in to unmask]<mailto:[log in to unmask]>>; Lorena Mercedes Binfa <[log in to unmask]<mailto:[log in to unmask]>>
Cc: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask]<mailto:[log in to unmask]>>; Lia Brigante <[log in to unmask]<mailto:[log in to unmask]>>; Lucia Rocca <[log in to unmask]<mailto:[log in to unmask]>>; Maria Booker <[log in to unmask]<mailto:[log in to unmask]>>; Ciara Henderson <[log in to unmask]<mailto:[log in to unmask]>>; Joan Lalor <[log in to unmask]<mailto:[log in to unmask]>>; Lesley Page <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; TUNCALP MINGARD, Özge <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; ICM President <[log in to unmask]<mailto:[log in to unmask]>>
Subject: RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Dear All,
WHO is collating all guidelines relevant to COVID/SRMNCAH etc. and will be sharing shortly (it is vast, and the Science Division is coordinating it into 5 "packages")
Meanwhile please check the WHO COVID 19 website, https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance (this link for country and technical guidance)
......and see below from Anshu Banerjee, Director, MCA Dept
In this extraordinary time, trusted voices for the most up to date information to share with the public on how COVID-19 is affecting women, children and adolescents is of utmost importance.
The second episode in the Every Woman Every Child COVID-19 Expert Series features Dr. Anshu Banerjee, Director of Maternal, Newborn, Child and Adolescent Health & Ageing at the World Health Organization (WHO).
Highlights from the interview:
. Mothers and women must have access to routine services for physical and mental health
. Right now there are no known cases of transmission from mother to child and there has been no presence of COVID-19 in breastmilk
. Mothers with COVID-19 are encouraged to breastfeed - In general, we know that children are less affected than older adults, but among children, those under 5 have a bigger chance of being severely affected
. We will continue to update this information as the knowledge and understanding of the virus evolves
Communication Materials:
Follow @ABanerjeeWHO on Twitter
Also watch out for additional videos via @UN_EWEC, eblasts and by subscribing to the Every Woman Every Child YouTube channel
Fran McConville,
Technical Officer, Midwifery
MCA Dept. & Office of Chief Nurse
WHO HQ, Geneva
Landline + 41 22 7912 625
Mobile +41 79 475 54 55
-----Original Message-----
From: Vedam, Saraswathi <[log in to unmask]<mailto:[log in to unmask]>>
Sent: Monday, March 30, 2020 4:39 PM
To: SHEENA BYROM <[log in to unmask]<mailto:[log in to unmask]>>
Cc: Soo Downe <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]>; [log in to unmask]<mailto:[log in to unmask]>; Anna Byrom <[log in to unmask]<mailto:[log in to unmask]>>; Lia Brigante <[log in to unmask]<mailto:[log in to unmask]>>; Lucia Rocca <[log in to unmask]<mailto:[log in to unmask]>>; Maria Booker <[log in to unmask]<mailto:[log in to unmask]>>; Ciara Henderson <[log in to unmask]<mailto:[log in to unmask]>>; Joan Lalor <[log in to unmask]<mailto:[log in to unmask]>>; Lesley Page <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]>; [log in to unmask]<mailto:[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]>; ICM President <[log in to unmask]<mailto:[log in to unmask]>>; MCCONVILLE, Frances Emma <[log in to unmask]<mailto:[log in to unmask]>>
Subject: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Dear Sheena and Soo
Please see our website page www.birthplacelab.org/covid-19<http://www.birthplacelab.org/covid-19>
for the evidence based and practical guidance we have gathered so far.
Will upload the Washington State template when it is ready this week.
Saraswathi Vedam
Professor and Principal
Birth Place Lab at UBC
Sent from my iPhone
>
[University of Central Lancashire]
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<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
Fran, just to say, while some places in the UK are restricting community birth, are now re-starting/expanding home births and birth centre birth provision as they see that this is actually safer than admitting healthy women to hospital at the moment, and
because women are freebirthing anyway as they have been told that they are vulnerable, not to go out. Some women also feel that the risk of hospital acquired covid-19 infection is a risk they dont want to take for them or their babies, as well being concerned
about issues with staffing shortages and lack of access to, for example, epidurals, or to birth companionship (though there has been some row-back on the latter issue, in the UK and elsewhere). </div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<br>
</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
There are conversations about innovations re using taxis for non-urgent transfer, and using video and m-tech link ups for antenatal care, and for early labour support, under discussion - so things are changing all the time!</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<br>
</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
All the best</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<br>
</div>
<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
Soo</div>
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<hr style="display:inline-block;width:98%" tabindex="-1">
<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" style="font-size:11pt" color="#000000"><b>From:</b> MCCONVILLE, Frances Emma <[log in to unmask]><br>
<b>Sent:</b> Monday, March 30, 2020 5:42 PM<br>
<b>To:</b> ICM President <[log in to unmask]>; Zuzana Kriskova <[log in to unmask]>; Soo Downe <School of Community Health & Midwifery> <[log in to unmask]><br>
<b>Cc:</b> Vedam, Saraswathi <[log in to unmask]>; PALESTRA, Francesca <[log in to unmask]>; Mary Renfrew (Staff) <[log in to unmask]>; Sally Pairman <[log in to unmask]>; BILLIE HUNTER <[log in to unmask]>; Lorena Mercedes Binfa
<[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask]>; Lia Brigante <[log in to unmask]>;
Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>;
[log in to unmask] <[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask] <[log in to unmask]><br>
<b>Subject:</b> RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth</font>
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<p class="x_MsoNormal"><span style="font-size:12.0pt; font-family:"Arial",sans-serif">Dear Franka,</span></p>
<p class="x_MsoNormal"><span style="font-size:12.0pt; font-family:"Arial",sans-serif"> </span></p>
<p class="x_MsoNormal"><span style="font-size:12.0pt; font-family:"Arial",sans-serif">Congrats ICM -excellent ! And great to see the reference to the WHO website.</span></p>
<p class="x_MsoNormal"><span style="font-size:12.0pt; font-family:"Arial",sans-serif"> </span></p>
<p class="x_MsoNormal"><span style="font-size:12.0pt; font-family:"Arial",sans-serif">I found the RCM-RCOG-RCOP guidance really helpful. I had a great discussion with Gill Walton on many issues, and the stopping of home births in UK until the flying squads
are again available for women during childbirth makes good sense for safety.</span></p>
<p class="x_MsoNormal"><span style="font-size:12.0pt; font-family:"Arial",sans-serif"> </span></p>
<p class="x_MsoNormal"><span style="font-size:12.0pt; font-family:"Arial",sans-serif">All best</span></p>
<p class="x_MsoNormal"><span style="font-size:12.0pt; font-family:"Arial",sans-serif"> </span></p>
<p class="x_MsoNormal"><span style="font-size:12.0pt; font-family:"Arial",sans-serif">Fran</span></p>
<p class="x_MsoNormal"><span style="font-size:12.0pt; font-family:"Arial",sans-serif"> </span></p>
<p class="x_MsoNormal"><span style="font-size:12.0pt; font-family:"Arial",sans-serif"> </span></p>
<p class="x_MsoNormal"><span style="font-size:12.0pt; font-family:"Arial",sans-serif"> </span></p>
<div>
<p class="x_MsoNormal"><span style="font-family:"Arial",sans-serif">Fran McConville,</span></p>
<p class="x_MsoNormal"><span style="font-family:"Arial",sans-serif">Technical Officer, Midwifery
</span></p>
<p class="x_MsoNormal"><span style="font-family:"Arial",sans-serif">MCA Dept. & Office of Chief Nurse</span></p>
<p class="x_MsoNormal"><span style="font-family:"Arial",sans-serif">WHO HQ, Geneva</span></p>
<p class="x_MsoNormal"><span style="font-family:"Arial",sans-serif">Landline + 41 22 7912 625
</span></p>
<p class="x_MsoNormal"><span style="font-family:"Arial",sans-serif">Mobile +41 79 475 54 55</span></p>
</div>
<p class="x_MsoNormal"><span style="font-size:12.0pt; font-family:"Arial",sans-serif"> </span></p>
<div>
<div style="border:none; border-top:solid #E1E1E1 1.0pt; padding:3.0pt 0in 0in 0in">
<p class="x_MsoNormal"><b>From:</b> ICM President <[log in to unmask]>
<br>
<b>Sent:</b> Monday, March 30, 2020 5:06 PM<br>
<b>To:</b> Zuzana Kriskova <[log in to unmask]>; Soo Downe <[log in to unmask]><br>
<b>Cc:</b> MCCONVILLE, Frances Emma <[log in to unmask]>; Vedam, Saraswathi <[log in to unmask]>; PALESTRA, Francesca <[log in to unmask]>; Mary Renfrew (Staff) <[log in to unmask]>; Sally Pairman <[log in to unmask]>; BILLIE HUNTER
<[log in to unmask]>; Lorena Mercedes Binfa <[log in to unmask]>; [log in to unmask]; [log in to unmask]; Anna Byrom <[log in to unmask]>; Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>;
Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; [log in to unmask]; [log in to unmask]; [log in to unmask]; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask]<br>
<b>Subject:</b> RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth</p>
</div>
</div>
<p class="x_MsoNormal"> </p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">Dear all,</span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"> </span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">Please read ICMs statement that can be found on our website and social media channels:
<a href="https://www.internationalmidwives.org/icm-news/women%E2%80%99s-rights-in-childbirth-must-be-upheld-during-the-coronavirus-pandemic.html">
https://www.internationalmidwives.org/icm-news/women%E2%80%99s-rights-in-childbirth-must-be-upheld-during-the-coronavirus-pandemic.html</a>
</span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"> </span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#2F5496">Warm regards,</span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#2F5496"> </span></p>
<p class="x_MsoNormal"><b><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#2F5496">Franka Cadée,
</span></b></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#2F5496">President</span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#4472C4"> </span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">International Confederation of Midwives (ICM)</span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">Koninginnegracht 60,</span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">2514 AE The Hague,</span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">The Netherlands.</span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"> </span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">Telephone: +31 (0) 70 3060520</span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">Mob: +31 (0) 657597094</span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">T: @FrankaCadee</span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"> </span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">E-mail:
</span><span lang="NL" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"><a href="mailto:[log in to unmask]"><span lang="EN-GB" style="color:#1F497D">[log in to unmask]</span></a></span><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"></span></p>
<p class="x_MsoNormal"><span lang="NL" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"><a href="http://www.internationalmidwives.org/"><span lang="EN-GB" style="color:#1F497D">www.internationalmidwives.org</span></a></span><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"></span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"> </span></p>
<p class="x_MsoNormal"><b><span lang="EN-NZ" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">#Midwives2021</span></b><span lang="EN-NZ" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"></span></p>
<p class="x_MsoNormal"><span lang="EN-NZ" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"><a href="https://www.midwives2020.org/"><span style="color:#1F497D">https://www.midwives2020.org</span></a></span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"> </span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"> </span></p>
<p class="x_MsoNormal"><span lang="EN-NZ" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"><img border="0" width="243" height="85" id="x_Picture_x0020_6" alt="signature_1831811827" style="width:2.5312in; height:.8854in" data-outlook-trace="F:1|T:1" src="cid:image001.png@01D606C3.03FA1A00"></span></p>
<p class="x_MsoNormal"><span lang="EN-NZ" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#2F5496"> </span></p>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"> </span></p>
<p class="x_MsoNormal"><b><span lang="NL">Van:</span></b><span lang="NL"> Zuzana Kriskova <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>
<br>
<b>Verzonden:</b> maandag 30 maart 2020 17:03<br>
<b>Aan:</b> Soo Downe <<a href="mailto:[log in to unmask]">[log in to unmask]</a>><br>
<b>CC:</b> MCCONVILLE, Frances Emma <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Vedam, Saraswathi <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; SHEENA BYROM <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>;
PALESTRA, Francesca <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Mary Renfrew (Staff) <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; BILLIE HUNTER <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Lorena
Mercedes Binfa <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; <a href="mailto:[log in to unmask]">
[log in to unmask]</a>; <a href="mailto:[log in to unmask]">
[log in to unmask]</a>; Anna Byrom <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Lia Brigante <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Lucia Rocca <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>;
Maria Booker <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Ciara Henderson <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Joan Lalor <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]">[log in to unmask]</a>; <a href="mailto:[log in to unmask]">
[log in to unmask]</a>; <a href="mailto:[log in to unmask]">
[log in to unmask]</a>; TUNCALP MINGARD, Özge <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]">[log in to unmask]</a>; ICM President <<a href="mailto:[log in to unmask]">[log in to unmask]</a>><br>
<b>Onderwerp:</b> Re: [EXT] Re: ICM statement re practices during covid-19 including place of birth</span></p>
<p class="x_MsoNormal"><span lang="EN-GB"> </span></p>
<div>
<p class="x_MsoNormal"><span lang="EN-GB">Soo - you are right separation is a shame. We just received news from Czech that one hospital is separating ALL newborns and tests mothers for COVID-19, they only bring back babies if the mother is tested negative.</span></p>
<div>
<p class="x_MsoNormal"><span lang="EN-GB"> </span></p>
</div>
<div>
<p class="x_MsoNormal"><span lang="EN-GB">Today we sent a request to slovak government and slovak hospitals to follow WHO recommendation. I am sorry, but we have only a slovak version, but I believe the google translate is quite sufficient, so you can try that. <a href="https://zenskekruhy.sk/vyzva-na-dodrziavanie-standardov-covid-19/?fbclid=IwAR0v97c-jy9FtZ_PN60Lu0wjGSdcT4bnv85w3vQydtnrse8qLV73IbxAwCM">https://zenskekruhy.sk/vyzva-na-dodrziavanie-standardov-covid-19/?fbclid=IwAR0v97c-jy9FtZ_PN60Lu0wjGSdcT4bnv85w3vQydtnrse8qLV73IbxAwCM</a></span></p>
</div>
<div>
<p class="x_MsoNormal"><span lang="EN-GB"> </span></p>
</div>
<div>
<p class="x_MsoNormal"><span lang="EN-GB">Zuzana</span></p>
</div>
</div>
<p class="x_MsoNormal"><span lang="EN-GB"> </span></p>
<div>
<div>
<p class="x_MsoNormal"><span lang="EN-GB">po 30. 3. 2020 o 16:52 Soo Downe <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> napísal(a):</span></p>
</div>
<blockquote style="border:none; border-left:solid #CCCCCC 1.0pt; padding:0in 0in 0in 6.0pt; margin-left:4.8pt; margin-top:5.0pt; margin-right:0in; margin-bottom:5.0pt">
<div>
<div>
<p class="x_MsoNormal"><span lang="EN-GB" style="font-size:12.0pt; color:black">Thanks!</span></p>
</div>
<div class="x_MsoNormal" align="center" style="text-align:center"><span lang="EN-GB">
<hr size="2" width="98%" align="center">
</span></div>
<div id="x_gmail-m_3182510597768514392divRplyFwdMsg">
<p class="x_MsoNormal"><b><span lang="EN-GB" style="color:black">From:</span></b><span lang="EN-GB" style="color:black"> MCCONVILLE, Frances Emma <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Monday, March 30, 2020 3:45 PM<br>
<b>To:</b> Vedam, Saraswathi <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; SHEENA BYROM <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; PALESTRA, Francesca <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Mary Renfrew (Staff) <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; BILLIE HUNTER <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lorena Mercedes Binfa <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Cc:</b> Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Anna Byrom <School of Community Health
& Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lia Brigante <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lucia Rocca <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Maria Booker <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Ciara Henderson <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Joan Lalor <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Lesley Page <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; TUNCALP MINGARD, Özge <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; ICM President <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth</span><span lang="EN-GB">
</span></p>
<div>
<p class="x_MsoNormal"><span lang="EN-GB"> </span></p>
</div>
</div>
<div>
<div>
<p class="x_MsoNormal"><span lang="EN-GB">Dear All,<br>
<br>
WHO is collating all guidelines relevant to COVID/SRMNCAH etc. and will be sharing shortly (it is vast, and the Science Division is coordinating it into 5 "packages")<br>
<br>
Meanwhile please check the WHO COVID 19 website, <a href="https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance" target="_blank">
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance</a> (this link for country and technical guidance)
<br>
<br>
<br>
......and see below from Anshu Banerjee, Director, MCA Dept <br>
<br>
In this extraordinary time, trusted voices for the most up to date information to share with the public on how COVID-19 is affecting women, children and adolescents is of utmost importance.
<br>
<br>
The second episode in the Every Woman Every Child COVID-19 Expert Series features Dr. Anshu Banerjee, Director of Maternal, Newborn, Child and Adolescent Health & Ageing at the World Health Organization (WHO).<br>
<br>
Highlights from the interview:<br>
. Mothers and women must have access to routine services for physical and mental health
<br>
. Right now there are no known cases of transmission from mother to child and there has been no presence of COVID-19 in breastmilk
<br>
. Mothers with COVID-19 are encouraged to breastfeed - In general, we know that children are less affected than older adults, but among children, those under 5 have a bigger chance of being severely affected<br>
. We will continue to update this information as the knowledge and understanding of the virus evolves<br>
Communication Materials:<br>
Follow @ABanerjeeWHO on Twitter<br>
Also watch out for additional videos via @UN_EWEC, eblasts and by subscribing to the Every Woman Every Child YouTube channel<br>
<br>
Fran McConville,<br>
Technical Officer, Midwifery <br>
MCA Dept. & Office of Chief Nurse<br>
WHO HQ, Geneva<br>
Landline + 41 22 7912 625 <br>
Mobile +41 79 475 54 55<br>
<br>
-----Original Message-----<br>
From: Vedam, Saraswathi <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>
<br>
Sent: Monday, March 30, 2020 4:39 PM<br>
To: SHEENA BYROM <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
Cc: Soo Downe <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>; Anna Byrom <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lia Brigante <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Lucia Rocca <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Maria Booker <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Ciara Henderson <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Joan Lalor <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lesley Page <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>;
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Subject: [EXT] Re: ICM statement re practices during covid-19 including place of birth<br>
<br>
Dear Sheena and Soo<br>
Please see our website page <a href="http://www.birthplacelab.org/covid-19" target="_blank">
www.birthplacelab.org/covid-19</a> <br>
<br>
for the evidence based and practical guidance we have gathered so far. <br>
<br>
Will upload the Washington State template when it is ready this week. <br>
<br>
Saraswathi Vedam<br>
Professor and Principal<br>
Birth Place Lab at UBC<br>
Sent from my iPhone<br>
> </span></p>
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<p class="x_MsoNormal"><span lang="EN-GB">Zuzka Kriková</span></p>
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<p class="x_MsoNormal"><span lang="EN-GB">..</span><span lang="EN-GB" style="font-size:10.0pt">.aby repekt, dôstojnos a slobodná voŸba ien v tehotenstve a pri pôrode boli samozrejmosou.</span><span lang="EN-GB"></span></p>
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--_004_DB3PR0302MB3241380967630E614D77C5D097CB0DB3PR0302MB3241_--
========================================================================Date: Mon, 30 Mar 2020 16:52:48 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Re: [EXT] Re: ICM statement re practices during covid-19
including place of birth
Comments: To: "[log in to unmask]"
<[log in to unmask]>
Comments: cc: "Vedam, Saraswathi ([log in to unmask])"
<[log in to unmask]>, "PALESTRA, Francesca" <[log in to unmask]>,
Mary Renfrew <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
Billie Hunter <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
Anna Byrom <[log in to unmask]>,
Lia Brigante <[log in to unmask]>,
"Rocca-Ihenacho, Lucia" <[log in to unmask]>,
Maria Booker <[log in to unmask]>,
Ciara Henderson <[log in to unmask]>, Joan Lalor <[log in to unmask]>,
"Page, Lesley A" <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>,
"[log in to unmask]"
<[log in to unmask]>,
=?windows-1250?Q?TUNCALP_MINGARD,_Özge?= <[log in to unmask]>,
"[log in to unmask]" <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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sorry, missed a crucial word!:
just to say, while some places in the UK are restricting community birth, others are now re-starting/expanding home births and birth centre birth provision as they see that this is actually safer than admitting healthy women to hospital at the moment, and because women are freebirthing anyway as they have been told that they are vulnerable, not to go out. Some women also feel that the risk of hospital acquired covid-19 infection is a risk they dont want to take for them or their babies, as well being concerned about issues with staffing shortages and lack of access to, for example, epidurals, or to birth companionship (though there has been some row-back on the latter issue, in the UK and elsewhere).
There are conversations about innovations re using taxis for non-urgent transfer, and using video and m-tech link ups for antenatal care, and for early labour support, under discussion - so things are changing all the time!
All the best
Soo
________________________________
From: The normal birth research list <[log in to unmask]> on behalf of Soo Downe <[log in to unmask]>
Sent: Monday, March 30, 2020 5:50 PM
To: [log in to unmask] <[log in to unmask]>
Subject: Re: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Fran, just to say, while some places in the UK are restricting community birth, are now re-starting/expanding home births and birth centre birth provision as they see that this is actually safer than admitting healthy women to hospital at the moment, and because women are freebirthing anyway as they have been told that they are vulnerable, not to go out. Some women also feel that the risk of hospital acquired covid-19 infection is a risk they dont want to take for them or their babies, as well being concerned about issues with staffing shortages and lack of access to, for example, epidurals, or to birth companionship (though there has been some row-back on the latter issue, in the UK and elsewhere).
There are conversations about innovations re using taxis for non-urgent transfer, and using video and m-tech link ups for antenatal care, and for early labour support, under discussion - so things are changing all the time!
All the best
Soo
________________________________
From: MCCONVILLE, Frances Emma <[log in to unmask]>
Sent: Monday, March 30, 2020 5:42 PM
To: ICM President <[log in to unmask]>; Zuzana Kriskova <[log in to unmask]>; Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>
Cc: Vedam, Saraswathi <[log in to unmask]>; PALESTRA, Francesca <[log in to unmask]>; Mary Renfrew (Staff) <[log in to unmask]>; Sally Pairman <[log in to unmask]>; BILLIE HUNTER <[log in to unmask]>; Lorena Mercedes Binfa <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask]>; Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask] <[log in to unmask]>
Subject: RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Dear Franka,
Congrats ICM -excellent ! And great to see the reference to the WHO website.
I found the RCM-RCOG-RCOP guidance really helpful. I had a great discussion with Gill Walton on many issues, and the stopping of home births in UK until the flying squads are again available for women during childbirth makes good sense for safety.
All best
Fran
Fran McConville,
Technical Officer, Midwifery
MCA Dept. & Office of Chief Nurse
WHO HQ, Geneva
Landline + 41 22 7912 625
Mobile +41 79 475 54 55
From: ICM President <[log in to unmask]>
Sent: Monday, March 30, 2020 5:06 PM
To: Zuzana Kriskova <[log in to unmask]>; Soo Downe <[log in to unmask]>
Cc: MCCONVILLE, Frances Emma <[log in to unmask]>; Vedam, Saraswathi <[log in to unmask]>; PALESTRA, Francesca <[log in to unmask]>; Mary Renfrew (Staff) <[log in to unmask]>; Sally Pairman <[log in to unmask]>; BILLIE HUNTER <[log in to unmask]>; Lorena Mercedes Binfa <[log in to unmask]>; [log in to unmask]; [log in to unmask]; Anna Byrom <[log in to unmask]>; Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; [log in to unmask]; [log in to unmask]; [log in to unmask]; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask]
Subject: RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Dear all,
Please read ICMs statement that can be found on our website and social media channels: https://www.internationalmidwives.org/icm-news/women%E2%80%99s-rights-in-childbirth-must-be-upheld-during-the-coronavirus-pandemic.html
Warm regards,
Franka Cadée,
President
International Confederation of Midwives (ICM)
Koninginnegracht 60,
2514 AE The Hague,
The Netherlands.
Telephone: +31 (0) 70 3060520
Mob: +31 (0) 657597094
T: @FrankaCadee
E-mail: [log in to unmask]<mailto:[log in to unmask]>
www.internationalmidwives.org<http://www.internationalmidwives.org/>
#Midwives2021
https://www.midwives2020.org<https://www.midwives2020.org/>
[signature_1831811827]
Van: Zuzana Kriskova <[log in to unmask]<mailto:[log in to unmask]>>
Verzonden: maandag 30 maart 2020 17:03
Aan: Soo Downe <[log in to unmask]<mailto:[log in to unmask]>>
CC: MCCONVILLE, Frances Emma <[log in to unmask]<mailto:[log in to unmask]>>; Vedam, Saraswathi <[log in to unmask]<mailto:[log in to unmask]>>; SHEENA BYROM <[log in to unmask]<mailto:[log in to unmask]>>; PALESTRA, Francesca <[log in to unmask]<mailto:[log in to unmask]>>; Mary Renfrew (Staff) <[log in to unmask]<mailto:[log in to unmask]>>; BILLIE HUNTER <[log in to unmask]<mailto:[log in to unmask]>>; Lorena Mercedes Binfa <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]>; [log in to unmask]<mailto:[log in to unmask]>; Anna Byrom <[log in to unmask]<mailto:[log in to unmask]>>; Lia Brigante <[log in to unmask]<mailto:[log in to unmask]>>; Lucia Rocca <[log in to unmask]<mailto:[log in to unmask]>>; Maria Booker <[log in to unmask]<mailto:[log in to unmask]>>; Ciara Henderson <[log in to unmask]<mailto:[log in to unmask]>>; Joan Lalor <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]>; [log in to unmask]<mailto:[log in to unmask]>; [log in to unmask]<mailto:[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]>; ICM President <[log in to unmask]<mailto:[log in to unmask]>>
Onderwerp: Re: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Soo - you are right separation is a shame. We just received news from Czech that one hospital is separating ALL newborns and tests mothers for COVID-19, they only bring back babies if the mother is tested negative.
Today we sent a request to slovak government and slovak hospitals to follow WHO recommendation. I am sorry, but we have only a slovak version, but I believe the google translate is quite sufficient, so you can try that. https://zenskekruhy.sk/vyzva-na-dodrziavanie-standardov-covid-19/?fbclid=IwAR0v97c-jy9FtZ_PN60Lu0wjGSdcT4bnv85w3vQydtnrse8qLV73IbxAwCM
Zuzana
po 30. 3. 2020 o 16:52 Soo Downe <[log in to unmask]<mailto:[log in to unmask]>> napísal(a):
Thanks!
________________________________
From: MCCONVILLE, Frances Emma <[log in to unmask]<mailto:[log in to unmask]>>
Sent: Monday, March 30, 2020 3:45 PM
To: Vedam, Saraswathi <[log in to unmask]<mailto:[log in to unmask]>>; SHEENA BYROM <[log in to unmask]<mailto:[log in to unmask]>>; PALESTRA, Francesca <[log in to unmask]<mailto:[log in to unmask]>>; Mary Renfrew (Staff) <[log in to unmask]<mailto:[log in to unmask]>>; BILLIE HUNTER <[log in to unmask]<mailto:[log in to unmask]>>; Lorena Mercedes Binfa <[log in to unmask]<mailto:[log in to unmask]>>
Cc: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask]<mailto:[log in to unmask]>>; Lia Brigante <[log in to unmask]<mailto:[log in to unmask]>>; Lucia Rocca <[log in to unmask]<mailto:[log in to unmask]>>; Maria Booker <[log in to unmask]<mailto:[log in to unmask]>>; Ciara Henderson <[log in to unmask]<mailto:[log in to unmask]>>; Joan Lalor <[log in to unmask]<mailto:[log in to unmask]>>; Lesley Page <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; TUNCALP MINGARD, Özge <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>; ICM President <[log in to unmask]<mailto:[log in to unmask]>>
Subject: RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Dear All,
WHO is collating all guidelines relevant to COVID/SRMNCAH etc. and will be sharing shortly (it is vast, and the Science Division is coordinating it into 5 "packages")
Meanwhile please check the WHO COVID 19 website, https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance (this link for country and technical guidance)
......and see below from Anshu Banerjee, Director, MCA Dept
In this extraordinary time, trusted voices for the most up to date information to share with the public on how COVID-19 is affecting women, children and adolescents is of utmost importance.
The second episode in the Every Woman Every Child COVID-19 Expert Series features Dr. Anshu Banerjee, Director of Maternal, Newborn, Child and Adolescent Health & Ageing at the World Health Organization (WHO).
Highlights from the interview:
. Mothers and women must have access to routine services for physical and mental health
. Right now there are no known cases of transmission from mother to child and there has been no presence of COVID-19 in breastmilk
. Mothers with COVID-19 are encouraged to breastfeed - In general, we know that children are less affected than older adults, but among children, those under 5 have a bigger chance of being severely affected
. We will continue to update this information as the knowledge and understanding of the virus evolves
Communication Materials:
Follow @ABanerjeeWHO on Twitter
Also watch out for additional videos via @UN_EWEC, eblasts and by subscribing to the Every Woman Every Child YouTube channel
Fran McConville,
Technical Officer, Midwifery
MCA Dept. & Office of Chief Nurse
WHO HQ, Geneva
Landline + 41 22 7912 625
Mobile +41 79 475 54 55
-----Original Message-----
From: Vedam, Saraswathi <[log in to unmask]<mailto:[log in to unmask]>>
Sent: Monday, March 30, 2020 4:39 PM
To: SHEENA BYROM <[log in to unmask]<mailto:[log in to unmask]>>
Cc: Soo Downe <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]>; [log in to unmask]<mailto:[log in to unmask]>; Anna Byrom <[log in to unmask]<mailto:[log in to unmask]>>; Lia Brigante <[log in to unmask]<mailto:[log in to unmask]>>; Lucia Rocca <[log in to unmask]<mailto:[log in to unmask]>>; Maria Booker <[log in to unmask]<mailto:[log in to unmask]>>; Ciara Henderson <[log in to unmask]<mailto:[log in to unmask]>>; Joan Lalor <[log in to unmask]<mailto:[log in to unmask]>>; Lesley Page <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]>; [log in to unmask]<mailto:[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]<mailto:[log in to unmask]>>; [log in to unmask]<mailto:[log in to unmask]>; ICM President <[log in to unmask]<mailto:[log in to unmask]>>; MCCONVILLE, Frances Emma <[log in to unmask]<mailto:[log in to unmask]>>
Subject: [EXT] Re: ICM statement re practices during covid-19 including place of birth
Dear Sheena and Soo
Please see our website page www.birthplacelab.org/covid-19<http://www.birthplacelab.org/covid-19>
for the evidence based and practical guidance we have gathered so far.
Will upload the Washington State template when it is ready this week.
Saraswathi Vedam
Professor and Principal
Birth Place Lab at UBC
Sent from my iPhone
>
[University of Central Lancashire]
Please consider the environment before printing
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Zuzka Kriková
www.zenskekruhy.sk<http://www.zenskekruhy.sk/>
...aby repekt, dôstojnos a slobodná voŸba ien v tehotenstve a pri pôrode boli samozrejmosou.
Ak chcete podpori obèianske zdruenie enské kruhy a jeho aktivity, budeme Vám vïaèné za Vá príspevok na úèet: IBAN: SK50 0200 0000 0029 8031 0758 vo VUB a.s.. Do správy pre prijímateŸa napíte, prosím, "dar".
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sorry, missed a crucial word!:</div>
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just to say, while some places in the UK are restricting community birth, <b>others</b> are now re-starting/expanding home births and birth centre birth provision as they see that this is actually safer than admitting healthy women to hospital at the moment,
and because women are freebirthing anyway as they have been told that they are vulnerable, not to go out. Some women also feel that the risk of hospital acquired covid-19 infection is a risk they dont want to take for them or their babies, as well being concerned
about issues with staffing shortages and lack of access to, for example, epidurals, or to birth companionship (though there has been some row-back on the latter issue, in the UK and elsewhere). </div>
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<br>
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There are conversations about innovations re using taxis for non-urgent transfer, and using video and m-tech link ups for antenatal care, and for early labour support, under discussion - so things are changing all the time!</div>
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All the best</div>
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<br>
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Soo</div>
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> The normal birth research list <[log in to unmask]> on behalf of Soo Downe <[log in to unmask]><br>
<b>Sent:</b> Monday, March 30, 2020 5:50 PM<br>
<b>To:</b> [log in to unmask] <[log in to unmask]><br>
<b>Subject:</b> Re: [EXT] Re: ICM statement re practices during covid-19 including place of birth</font>
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Fran, just to say, while some places in the UK are restricting community birth, are now re-starting/expanding home births and birth centre birth provision as they see that this is actually safer than admitting healthy women to hospital at the moment, and
because women are freebirthing anyway as they have been told that they are vulnerable, not to go out. Some women also feel that the risk of hospital acquired covid-19 infection is a risk they dont want to take for them or their babies, as well being concerned
about issues with staffing shortages and lack of access to, for example, epidurals, or to birth companionship (though there has been some row-back on the latter issue, in the UK and elsewhere). </div>
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<br>
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There are conversations about innovations re using taxis for non-urgent transfer, and using video and m-tech link ups for antenatal care, and for early labour support, under discussion - so things are changing all the time!</div>
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<br>
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All the best</div>
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Soo</div>
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<div id="x_divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> MCCONVILLE, Frances Emma <[log in to unmask]><br>
<b>Sent:</b> Monday, March 30, 2020 5:42 PM<br>
<b>To:</b> ICM President <[log in to unmask]>; Zuzana Kriskova <[log in to unmask]>; Soo Downe <School of Community Health & Midwifery> <[log in to unmask]><br>
<b>Cc:</b> Vedam, Saraswathi <[log in to unmask]>; PALESTRA, Francesca <[log in to unmask]>; Mary Renfrew (Staff) <[log in to unmask]>; Sally Pairman <[log in to unmask]>; BILLIE HUNTER <[log in to unmask]>; Lorena Mercedes Binfa
<[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; Anna Byrom <School of Community Health & Midwifery> <[log in to unmask]>; Lia Brigante <[log in to unmask]>;
Lucia Rocca <[log in to unmask]>; Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; [log in to unmask] <[log in to unmask]>; [log in to unmask] <[log in to unmask]>;
[log in to unmask] <[log in to unmask]>; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask] <[log in to unmask]><br>
<b>Subject:</b> RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth</font>
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<span style="font-size:12.0pt; font-family:"Arial",sans-serif">Dear Franka,</span></p>
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<span style="font-size:12.0pt; font-family:"Arial",sans-serif">Congrats ICM -excellent ! And great to see the reference to the WHO website.</span></p>
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<span style="font-size:12.0pt; font-family:"Arial",sans-serif">I found the RCM-RCOG-RCOP guidance really helpful. I had a great discussion with Gill Walton on many issues, and the stopping of home births in UK until the flying squads are again available for
women during childbirth makes good sense for safety.</span></p>
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<span style="font-size:12.0pt; font-family:"Arial",sans-serif">All best</span></p>
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<span style="font-size:12.0pt; font-family:"Arial",sans-serif">Fran</span></p>
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<span style="font-family:"Arial",sans-serif">Fran McConville,</span></p>
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<span style="font-family:"Arial",sans-serif">Technical Officer, Midwifery </span>
</p>
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<span style="font-family:"Arial",sans-serif">MCA Dept. & Office of Chief Nurse</span></p>
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<span style="font-family:"Arial",sans-serif">WHO HQ, Geneva</span></p>
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<span style="font-family:"Arial",sans-serif">Landline + 41 22 7912 625 </span></p>
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<span style="font-family:"Arial",sans-serif">Mobile +41 79 475 54 55</span></p>
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<b>From:</b> ICM President <[log in to unmask]> <br>
<b>Sent:</b> Monday, March 30, 2020 5:06 PM<br>
<b>To:</b> Zuzana Kriskova <[log in to unmask]>; Soo Downe <[log in to unmask]><br>
<b>Cc:</b> MCCONVILLE, Frances Emma <[log in to unmask]>; Vedam, Saraswathi <[log in to unmask]>; PALESTRA, Francesca <[log in to unmask]>; Mary Renfrew (Staff) <[log in to unmask]>; Sally Pairman <[log in to unmask]>; BILLIE HUNTER
<[log in to unmask]>; Lorena Mercedes Binfa <[log in to unmask]>; [log in to unmask]; [log in to unmask]; Anna Byrom <[log in to unmask]>; Lia Brigante <[log in to unmask]>; Lucia Rocca <[log in to unmask]>;
Maria Booker <[log in to unmask]>; Ciara Henderson <[log in to unmask]>; Joan Lalor <[log in to unmask]>; [log in to unmask]; [log in to unmask]; [log in to unmask]; TUNCALP MINGARD, Özge <[log in to unmask]>; [log in to unmask]<br>
<b>Subject:</b> RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth</p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">Dear all,</span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"> </span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">Please read ICMs statement that can be found on our website and social media channels:
<a href="https://www.internationalmidwives.org/icm-news/women%E2%80%99s-rights-in-childbirth-must-be-upheld-during-the-coronavirus-pandemic.html">
https://www.internationalmidwives.org/icm-news/women%E2%80%99s-rights-in-childbirth-must-be-upheld-during-the-coronavirus-pandemic.html</a>
</span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"> </span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#2F5496">Warm regards,</span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#2F5496"> </span></p>
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<b><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#2F5496">Franka Cadée,
</span></b></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#2F5496">President</span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#4472C4"> </span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">International Confederation of Midwives (ICM)</span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">Koninginnegracht 60,</span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">2514 AE The Hague,</span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">The Netherlands.</span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"> </span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">Telephone: +31 (0) 70 3060520</span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">Mob: +31 (0) 657597094</span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">T: @FrankaCadee</span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">E-mail:
</span><span lang="NL" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"><a href="mailto:[log in to unmask]"><span lang="EN-GB" style="color:#1F497D">[log in to unmask]</span></a></span><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"></span></p>
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<span lang="NL" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"><a href="http://www.internationalmidwives.org/"><span lang="EN-GB" style="color:#1F497D">www.internationalmidwives.org</span></a></span><span lang="EN-GB" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"></span></p>
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<b><span lang="EN-NZ" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D">#Midwives2021</span></b><span lang="EN-NZ" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"></span></p>
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<span lang="EN-NZ" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"><a href="https://www.midwives2020.org/"><span style="color:#1F497D">https://www.midwives2020.org</span></a></span></p>
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<span lang="EN-NZ" style="font-size:10.0pt; font-family:"Verdana Pro Light",sans-serif; color:#1F497D"><img border="0" width="243" height="85" id="x_x_Picture_x0020_6" alt="signature_1831811827" style="width:2.5312in; height:.8854in" data-outlook-trace="F:2|T:2" src="cid:9244546b-94be-42eb-8f22-d9ce6f00eadb"></span></p>
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<b><span lang="NL">Van:</span></b><span lang="NL"> Zuzana Kriskova <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>
<br>
<b>Verzonden:</b> maandag 30 maart 2020 17:03<br>
<b>Aan:</b> Soo Downe <<a href="mailto:[log in to unmask]">[log in to unmask]</a>><br>
<b>CC:</b> MCCONVILLE, Frances Emma <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Vedam, Saraswathi <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; SHEENA BYROM <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>;
PALESTRA, Francesca <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Mary Renfrew (Staff) <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; BILLIE HUNTER <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Lorena
Mercedes Binfa <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; <a href="mailto:[log in to unmask]">
[log in to unmask]</a>; <a href="mailto:[log in to unmask]">
[log in to unmask]</a>; Anna Byrom <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Lia Brigante <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Lucia Rocca <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>;
Maria Booker <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Ciara Henderson <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>; Joan Lalor <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]">[log in to unmask]</a>; <a href="mailto:[log in to unmask]">
[log in to unmask]</a>; <a href="mailto:[log in to unmask]">
[log in to unmask]</a>; TUNCALP MINGARD, Özge <<a href="mailto:[log in to unmask]">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]">[log in to unmask]</a>; ICM President <<a href="mailto:[log in to unmask]">[log in to unmask]</a>><br>
<b>Onderwerp:</b> Re: [EXT] Re: ICM statement re practices during covid-19 including place of birth</span></p>
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<span lang="EN-GB"> </span></p>
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<span lang="EN-GB">Soo - you are right separation is a shame. We just received news from Czech that one hospital is separating ALL newborns and tests mothers for COVID-19, they only bring back babies if the mother is tested negative.</span></p>
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<span lang="EN-GB">Today we sent a request to slovak government and slovak hospitals to follow WHO recommendation. I am sorry, but we have only a slovak version, but I believe the google translate is quite sufficient, so you can try that. <a href="https://zenskekruhy.sk/vyzva-na-dodrziavanie-standardov-covid-19/?fbclid=IwAR0v97c-jy9FtZ_PN60Lu0wjGSdcT4bnv85w3vQydtnrse8qLV73IbxAwCM">https://zenskekruhy.sk/vyzva-na-dodrziavanie-standardov-covid-19/?fbclid=IwAR0v97c-jy9FtZ_PN60Lu0wjGSdcT4bnv85w3vQydtnrse8qLV73IbxAwCM</a></span></p>
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<span lang="EN-GB">Zuzana</span></p>
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<span lang="EN-GB">po 30. 3. 2020 o 16:52 Soo Downe <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> napísal(a):</span></p>
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<span lang="EN-GB" style="font-size:12.0pt; color:black">Thanks!</span></p>
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<b><span lang="EN-GB" style="color:black">From:</span></b><span lang="EN-GB" style="color:black"> MCCONVILLE, Frances Emma <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Monday, March 30, 2020 3:45 PM<br>
<b>To:</b> Vedam, Saraswathi <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; SHEENA BYROM <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; PALESTRA, Francesca <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Mary Renfrew (Staff) <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; BILLIE HUNTER <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lorena Mercedes Binfa <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Cc:</b> Soo Downe <School of Community Health & Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Anna Byrom <School of Community Health
& Midwifery> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lia Brigante <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lucia Rocca <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Maria Booker <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Ciara Henderson <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Joan Lalor <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Lesley Page <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; TUNCALP MINGARD, Özge <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; ICM President <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> RE: [EXT] Re: ICM statement re practices during covid-19 including place of birth</span><span lang="EN-GB">
</span></p>
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<span lang="EN-GB">Dear All,<br>
<br>
WHO is collating all guidelines relevant to COVID/SRMNCAH etc. and will be sharing shortly (it is vast, and the Science Division is coordinating it into 5 "packages")<br>
<br>
Meanwhile please check the WHO COVID 19 website, <a href="https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance" target="_blank">
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance</a> (this link for country and technical guidance)
<br>
<br>
<br>
......and see below from Anshu Banerjee, Director, MCA Dept <br>
<br>
In this extraordinary time, trusted voices for the most up to date information to share with the public on how COVID-19 is affecting women, children and adolescents is of utmost importance.
<br>
<br>
The second episode in the Every Woman Every Child COVID-19 Expert Series features Dr. Anshu Banerjee, Director of Maternal, Newborn, Child and Adolescent Health & Ageing at the World Health Organization (WHO).<br>
<br>
Highlights from the interview:<br>
. Mothers and women must have access to routine services for physical and mental health
<br>
. Right now there are no known cases of transmission from mother to child and there has been no presence of COVID-19 in breastmilk
<br>
. Mothers with COVID-19 are encouraged to breastfeed - In general, we know that children are less affected than older adults, but among children, those under 5 have a bigger chance of being severely affected<br>
. We will continue to update this information as the knowledge and understanding of the virus evolves<br>
Communication Materials:<br>
Follow @ABanerjeeWHO on Twitter<br>
Also watch out for additional videos via @UN_EWEC, eblasts and by subscribing to the Every Woman Every Child YouTube channel<br>
<br>
Fran McConville,<br>
Technical Officer, Midwifery <br>
MCA Dept. & Office of Chief Nurse<br>
WHO HQ, Geneva<br>
Landline + 41 22 7912 625 <br>
Mobile +41 79 475 54 55<br>
<br>
-----Original Message-----<br>
From: Vedam, Saraswathi <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>
<br>
Sent: Monday, March 30, 2020 4:39 PM<br>
To: SHEENA BYROM <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
Cc: Soo Downe <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>; Anna Byrom <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lia Brigante <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Lucia Rocca <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Maria Booker <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Ciara Henderson <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
Joan Lalor <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Lesley Page <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>; TUNCALP MINGARD, Özge <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>; ICM President <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; MCCONVILLE, Frances Emma <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
Subject: [EXT] Re: ICM statement re practices during covid-19 including place of birth<br>
<br>
Dear Sheena and Soo<br>
Please see our website page <a href="http://www.birthplacelab.org/covid-19" target="_blank">
www.birthplacelab.org/covid-19</a> <br>
<br>
for the evidence based and practical guidance we have gathered so far. <br>
<br>
Will upload the Washington State template when it is ready this week. <br>
<br>
Saraswathi Vedam<br>
Professor and Principal<br>
Birth Place Lab at UBC<br>
Sent from my iPhone<br>
> </span></p>
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<span lang="EN-GB">..</span><span lang="EN-GB" style="font-size:10.0pt">.aby repekt, dôstojnos a slobodná voŸba ien v tehotenstve a pri pôrode boli samozrejmosou.</span><span lang="EN-GB"></span></p>
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<span lang="EN-GB" style="font-size:10.0pt; font-weight:normal">Ak chcete podpori obèianske zdruenie enské kruhy a jeho aktivity, budeme Vám vïaèné za Vá príspevok na úèet: IBAN: SK50 0200 0000 0029 8031 0758 vo VUB a.s.. Do správy pre prijímateŸa napíte,
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--_004_DB3PR0302MB324136DB1ADAFC0E377A6D6397CB0DB3PR0302MB3241_--
========================================================================Date: Mon, 30 Mar 2020 17:20:57 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"Coxon, Kirstie" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "Coxon, Kirstie" <[log in to unmask]>
Subject: Re: ICM statement re practices during covid-19 including place of
birth
Comments: To: Soo Downe <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
Content-Type: multipart/alternative;
boundary="_000_AM0PR07MB5556850C9CD8D2A4AB43D3C5F8CB0AM0PR07MB5556eurp_"
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Message-ID: <[log in to unmask]>
--_000_AM0PR07MB5556850C9CD8D2A4AB43D3C5F8CB0AM0PR07MB5556eurp_
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Content-Transfer-Encoding: quoted-printable
Dear Soo & jiscmail colleagues,
Sorry, I realised that I hadn't managed to attach the v5 RCOG guidelines, but here's the revised wording of Section 1.3 on vertical transmission (my emphasis), and the RCOG rationale for believing it was an in-utero transmission:
With regard to vertical transmission (transmission from mother to baby antenatally or intrapartum), emerging evidence now suggests that vertical transmission is probable, although the proportion of pregnancies affected and the significance to the neonate has yet to be determined. Previous case reports from China suggested that there was no evidence for this and amniotic fluid, cord blood, neonatal throat swabs, placenta swabs, genital fluid and breastmilk samples from COVID-19 infected mothers have so far all tested negative for the virus.1-7 A new report published on Thursday 26 March 2020 describes a single maternal-neonatal pair in which the infant born to a COVID-19 positive mother was found to have SARS-COV-2 IgM in serum at birth. Since IgM does not cross the placenta, this is likely to represent a neonatal immune response to in utero infection.8
The evidence above is all based on small numbers of cases. The situation may change and we will continue to monitor outcomes. MBRRACE-UK have just started centralised, real-time monitoring of affected mothers and their babies through UKOSS, the data from which we will include in future versions of this guideline.
Yes, I think you are right, although it isn't mentioned here, the baby's symptoms in this case were mild, and the revised guidelines definitely continue to support skin to skin and breastfeeding as being far more beneficial to the baby than the infection risk - although they also now mention individualised discussion for babies that might be more susceptible. All the cases in babies I have read about appear to be mild, other than that of a premature (30 week) baby who developed RDS, but that may have happened anyway. It looks as though healthy term babies are not getting ill from COVID-19, and it may well turn out there is immune protection from BF - there's no reason to suppose this would be different from other infections. I think all I was saying is that we just don't quite know yet how it will turn out, but it does seem as though vertical transmission is possible,
Best wishes
Kirstie
From: Soo Downe <[log in to unmask]>
Sent: 30 March 2020 17:22
To: [log in to unmask]; Coxon, Kirstie <[log in to unmask]>
Subject: Re: ICM statement re practices during covid-19 including place of birth
Kirstie, if you are thinking of the same report I am, I think that the baby was only mildly symptomatic? But this may be another case. If it is the same one, i think the guidance is likely to still stand - the benefits of maternal closeness and of BF massively outweigh any risk of infection or of a baby being compromised even if it is infected (indeed, BF may be protective in this instance)?
And do we know if the transmission was mother/child - or could it have been from another source (even hospital acquired?)
But I may be thinking of a different case!
All the best
Soo
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========================================================================Date: Tue, 31 Mar 2020 11:17:35 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: Birthrights UK statement on maternity care in covid-19
Comments: To: "[log in to unmask]"
<[log in to unmask]>,
"MCCONVILLE, Frances Emma" <[log in to unmask]>,
SHEENA BYROM <[log in to unmask]>, Anna Byrom <[log in to unmask]>,
Lia Brigante <[log in to unmask]>,
Ciara Henderson <[log in to unmask]>,
"Vedam, Saraswathi ([log in to unmask])"
<[log in to unmask]>
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Please see below for an excellent statement from Birthrights
All the best
Soo
________________________________
From: Maria Booker <[log in to unmask]>
Sent: Tuesday, March 31, 2020 10:16 AM
To: Elena Ateva <[log in to unmask]>
Cc: Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>; Jennifer Stevens <[log in to unmask]>; Elena Skoko <[log in to unmask]>; [log in to unmask] <[log in to unmask]>
Subject: Re: ITALY: COVID-19 & RMC Position statement
Dear Elena and RMC colleagues
This is the statement<https://www.birthrights.org.uk/wp-content/uploads/2020/03/Final-Covid-19-Birthrights-31.3.20.pdf> Birthrights has published today calling for the protection of the rights of women giving birth in the UK during the current crisis.
All best wishes,
Maria
Maria Booker
Programmes Director
07974 804887
birthrights.org.uk<http://birthrights.org.uk/>
@birthrightsorg
We are a small charity with a big mission. Please donate<http://www.birthrights.org.uk/> today.
Please note that I work part-time and don't work on Fridays.
[https://drive.google.com/a/birthrights.org.uk/uc?id=1XyB0-UCYkuPTIKISzh4VUSxio87WPTJc&export=download]
On Wed, Mar 25, 2020 at 4:13 PM Elena Ateva <[log in to unmask]<mailto:[log in to unmask]>> wrote:
Dear All,
I have just sent a calendar invite for April 16 when the next Global RMC Council meeting will be held. We will be joined by colleagues from WHO and they can address all your questions about the guidance and recommendations.
I hope many of you will be able to join!
Best regards,
Elena
From: [log in to unmask]<mailto:[log in to unmask]> <global-rmc-council@googlegroups.com<mailto:[log in to unmask]>> On Behalf Of Soo Downe
Sent: Wednesday, March 25, 2020 12:03 PM
To: Jennifer Stevens <[log in to unmask]<mailto:[log in to unmask]>>; Elena Skoko <[log in to unmask]<mailto:[log in to unmask]>>
Cc: [log in to unmask]<mailto:[log in to unmask]>
Subject: Re: ITALY: COVID-19 & RMC Position statement
This is a recommendation from the WHO intrapartum guidelines Jennifer, that has applied to all settings since the guidelines were published:
Companionship during labour and childbirth 3. A companion of choice is recommended for all women throughout labour and childbirth. Recommended
I think the idea is that the lack of privacy and etc should not be used as an excuse to limit companionship - rather that the human right of companionship should lead to a change in hospital design/ward set up so that it can be provided.
I know there is debate about this in the light of covid-19 for some settings in Europe - but in others it is still absolutely seen as a right, and, indeed, as a way of minimising cross-infection for staff, as, if a woman has a birth companion she is better able to labour without the need for constant staff support, is less likely to need an epidural (so to need an anaesthetist) and is less likely to need a CS (and so, again, less likely to occupy a theatre and need theatre staff, and more likely to be able to leave hospital quicker).
My understanding, by the way, is that healthy pregnant women are the social group of adults least likely to be infected with C-19/to experience severe disease once infected - the theory being that, paradoxically, because they are immune suppressed they dont mount the catastrophic auto-immune response that characterises the worst effects of the disease -but Im not sure where I got that information from (it could be mis-information!). Can anyone enlighten me on this?
Many thanks
soo
Many thanks
Soo
________________________________
From: [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>> on behalf of Jennifer Stevens <[log in to unmask]<mailto:[log in to unmask]>>
Sent: Wednesday, March 25, 2020 2:58 PM
To: Elena Skoko <[log in to unmask]<mailto:[log in to unmask]>>
Cc: [log in to unmask]<mailto:[log in to unmask]> <[log in to unmask]<mailto:[log in to unmask]>>
Subject: Re: ITALY: COVID-19 & RMC Position statement
Thank you for sharing this.
I was surprised to see a companion of choice listed on the info graphic. Although a right I fully support during normal circumstances, I have some concerns around it now during the COVID outbreak, especially in LMIC where often inadequate screening and privacy is available. What are others thoughts on this? Also, is this supported in current WHO recommendations?
Thank you!
Jennifer Stevens
On Tue, Mar 24, 2020 at 9:40 PM Elena Skoko <[log in to unmask]<mailto:[log in to unmask]>> wrote:
Dear colleagues,
as Italian users' rappresentatives, we have issued a Position statement on COVID-19 and respectful maternity care.
https://ovoitalia.wordpress.com/2020/03/24/position-statement-emergenza-codiv-19-e-assistenza-rispettosa-alla-maternita-e-nascita/
Thank you for sharing. If you feel like it, you can endorse the statement with your organisation or association by replying to me. Thank you!
Sorry for not having a translation in English yet.
Best wishes and stay safe
Elena Skoko
Obstetric Violence Observatory Italy
www.ovoitalia.wordpress.com/<http://www.ovoitalia.wordpress.com/>
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Jennifer R Stevens DrPHc CNM MS
Midwifery education
UNFPA Bangladesh
Boston University
Goodbirth.net
Bangla mobile/whatsapp- +88 017 0937 0213
US mobile: +1610 223 4079
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Maria Booker
Programmes Director
07974 804887
birthrights.org.uk<http://birthrights.org.uk/>
@birthrightsorg
We are a small charity with a big mission. Please donate<http://www.birthrights.org.uk/> today.
Please note that I work part-time and don't work on Fridays.
[https://drive.google.com/a/birthrights.org.uk/uc?id=1XyB0-UCYkuPTIKISzh4VUSxio87WPTJc&export=download]
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Please see below for an excellent statement from Birthrights</div>
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<br>
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All the best</div>
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<br>
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<div style="font-family: Calibri, Arial, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
Soo</div>
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<br>
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> Maria Booker <[log in to unmask]><br>
<b>Sent:</b> Tuesday, March 31, 2020 10:16 AM<br>
<b>To:</b> Elena Ateva <[log in to unmask]><br>
<b>Cc:</b> Soo Downe <School of Community Health & Midwifery> <[log in to unmask]>; Jennifer Stevens <[log in to unmask]>; Elena Skoko <[log in to unmask]>; [log in to unmask] <[log in to unmask]><br>
<b>Subject:</b> Re: ITALY: COVID-19 & RMC Position statement</font>
<div> </div>
</div>
<div>
<div dir="ltr">Dear Elena and RMC colleagues
<div><br>
</div>
<div>This is the <a href="https://www.birthrights.org.uk/wp-content/uploads/2020/03/Final-Covid-19-Birthrights-31.3.20.pdf">
statement</a> Birthrights has published today calling for the protection of the rights of women giving birth in the UK during the current crisis.</div>
<div><br>
</div>
<div>All best wishes,</div>
<div><br>
</div>
<div>Maria</div>
<div><br>
</div>
<div>
<div style="color:rgb(136,136,136)"><br>
</div>
<div style="color:rgb(136,136,136)">
<p dir="ltr" style="color:rgb(34,34,34); font-family:arial,sans-serif; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
<span style="color:rgb(225,27,85); background-color:transparent; vertical-align:baseline; white-space:pre-wrap"><b>Maria Booker</b></span></p>
<p dir="ltr" style="color:rgb(34,34,34); font-family:arial,sans-serif; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
<span style="color:rgb(50,50,65); background-color:transparent; vertical-align:baseline; white-space:pre-wrap"><b>Programmes Director</b></span></p>
<p dir="ltr" style="color:rgb(34,34,34); font-family:arial,sans-serif; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
<span style="color:rgb(50,50,65); background-color:transparent; vertical-align:baseline; white-space:pre-wrap">07974 804887</span></p>
<p dir="ltr" style="color:rgb(34,34,34); font-family:arial,sans-serif; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
<span style="color:rgb(50,50,65); background-color:transparent; vertical-align:baseline; white-space:pre-wrap"><a href="http://birthrights.org.uk/" target="_blank">birthrights.org.uk</a></span></p>
<p dir="ltr" style="color:rgb(34,34,34); font-family:arial,sans-serif; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
<span style="color:rgb(50,50,65); background-color:transparent; vertical-align:baseline; white-space:pre-wrap">@birthrightsorg</span></p>
<p dir="ltr" style="color:rgb(34,34,34); font-family:arial,sans-serif; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
<span style="color:rgb(225,27,85); vertical-align:baseline; white-space:pre-wrap"></span></p>
<p dir="ltr" style="color:rgb(34,34,34); font-family:arial,sans-serif; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
<span style="color:rgb(50,50,65); background-color:transparent; vertical-align:baseline; white-space:pre-wrap"><b>We are a small charity with a big mission. Please
<a href="http://www.birthrights.org.uk/" target="_blank">donate</a> today.</b></span></p>
<p dir="ltr" style="color:rgb(34,34,34); font-family:arial,sans-serif; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
<span style="color:rgb(225,27,85); vertical-align:baseline; white-space:pre-wrap"></span></p>
<p dir="ltr" style="color:rgb(34,34,34); font-family:arial,sans-serif; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
</p>
<p style="color:rgb(34,34,34); font-family:arial,sans-serif; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
<span style="color:rgb(50,50,65); background-color:transparent; vertical-align:baseline; white-space:pre-wrap"><i>Please note that I work part-time and don't work on Fridays.</i></span></p>
<p dir="ltr" style="color:rgb(34,34,34); font-family:arial,sans-serif; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
<span style="color:rgb(50,50,65); background-color:transparent; vertical-align:baseline; white-space:pre-wrap"><i><br>
</i></span></p>
<p dir="ltr" style="color:rgb(34,34,34); font-family:arial,sans-serif; line-height:1.38; margin-top:0pt; margin-bottom:0pt">
<span style="color:rgb(50,50,65); background-color:transparent; vertical-align:baseline; white-space:pre-wrap"><i><img width="200" height="118" src="https://drive.google.com/a/birthrights.org.uk/uc?id=1XyB0-UCYkuPTIKISzh4VUSxio87WPTJc&export=download"></i></span></p>
</div>
</div>
</div>
<br>
<div class="gmail_quote">
<div dir="ltr" class="gmail_attr">On Wed, Mar 25, 2020 at 4:13 PM Elena Ateva <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> wrote:<br>
</div>
<blockquote class="gmail_quote" style="margin:0px 0px 0px 0.8ex; border-left:1px solid rgb(204,204,204); padding-left:1ex">
<div lang="EN-US">
<div class="gmail-m_-4350734531981930651WordSection1">
<p class="MsoNormal">Dear All,<u></u><u></u></p>
<p class="MsoNormal"><u></u> <u></u></p>
<p class="MsoNormal">I have just sent a calendar invite for April 16 when the next Global RMC Council meeting will be held. We will be joined by colleagues from WHO and they can address all your questions about the guidance and recommendations.<u></u><u></u></p>
<p class="MsoNormal"><u></u> <u></u></p>
<p class="MsoNormal">I hope many of you will be able to join!<u></u><u></u></p>
<p class="MsoNormal"><u></u> <u></u></p>
<p class="MsoNormal"><u></u> <u></u></p>
<p class="MsoNormal">Best regards,<u></u><u></u></p>
<p class="MsoNormal">Elena<u></u><u></u></p>
<p class="MsoNormal"><u></u> <u></u></p>
<div>
<div style="border-right:none; border-bottom:none; border-left:none; border-top:1pt solid rgb(225,225,225); padding:3pt 0in 0in">
<p class="MsoNormal"><b>From:</b> <a href="mailto:[log in to unmask]" target="_blank">
[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>
<b>On Behalf Of </b>Soo Downe<br>
<b>Sent:</b> Wednesday, March 25, 2020 12:03 PM<br>
<b>To:</b> Jennifer Stevens <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>; Elena Skoko <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Cc:</b> <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a><br>
<b>Subject:</b> Re: ITALY: COVID-19 & RMC Position statement<u></u><u></u></p>
</div>
</div>
<p class="MsoNormal"><u></u> <u></u></p>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black">This is a recommendation from the WHO intrapartum guidelines Jennifer, that has applied to all settings since the guidelines were published:<u></u><u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p class="MsoNormal"><i><span style="font-size:12pt; color:black">Companionship during labour and childbirth 3. A companion of choice is recommended for all women throughout labour and childbirth.
<b>Recommended</b></span></i><span style="font-size:12pt; color:black"><u></u><u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black">I think the idea is that the lack of privacy and etc should not be used as an excuse to limit companionship - rather that the human right of companionship should lead to a change in hospital design/ward
set up so that it can be provided.<u></u><u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black"> I know there is debate about this in the light of covid-19 for some settings in Europe - but in others it is still absolutely seen as a right, and, indeed, as a way of minimising cross-infection
for staff, as, if a woman has a birth companion she is better able to labour without the need for constant staff support, is less likely to need an epidural (so to need an anaesthetist) and is less likely to need a CS (and so, again, less likely to occupy
a theatre and need theatre staff, and more likely to be able to leave hospital quicker). <u></u><u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black">My understanding, by the way, is that healthy pregnant women are the social group of adults least likely to be infected with C-19/to experience severe disease once infected - the theory being that,
paradoxically, because they are immune suppressed they dont mount the catastrophic auto-immune response that characterises the worst effects of the disease -but Im not sure where I got that information from (<b>it could be mis-information!)</b>. Can anyone
enlighten me on this?<u></u><u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black">Many thanks<u></u><u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black">soo<u></u><u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black">Many thanks<u></u><u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black">Soo <u></u><u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12pt; color:black"><u></u> <u></u></span></p>
</div>
<div class="MsoNormal" align="center" style="text-align:center">
<hr size="2" width="98%" align="center">
</div>
<div id="gmail-m_-4350734531981930651divRplyFwdMsg">
<p class="MsoNormal"><b><span style="color:black">From:</span></b><span style="color:black">
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> on behalf of Jennifer Stevens <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Wednesday, March 25, 2020 2:58 PM<br>
<b>To:</b> Elena Skoko <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Cc:</b> <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Subject:</b> Re: ITALY: COVID-19 & RMC Position statement</span> <u></u><u></u></p>
<div>
<p class="MsoNormal"> <u></u><u></u></p>
</div>
</div>
<div>
<div>
<div>
<p class="MsoNormal">Thank you for sharing this.<u></u><u></u></p>
</div>
</div>
<div>
<p class="MsoNormal"><u></u> <u></u></p>
</div>
<div>
<p class="MsoNormal">I was surprised to see a companion of choice listed on the info graphic. Although a right I fully support during normal circumstances, I have some concerns around it now during the COVID outbreak, especially in LMIC where often inadequate
screening and privacy is available. What are others thoughts on this? Also, is this supported in current WHO recommendations?<u></u><u></u></p>
</div>
<div>
<p class="MsoNormal"><u></u> <u></u></p>
</div>
<div>
<p class="MsoNormal">Thank you!<u></u><u></u></p>
</div>
<div>
<p class="MsoNormal">Jennifer Stevens<u></u><u></u></p>
</div>
<div>
<p class="MsoNormal"><u></u> <u></u></p>
<div>
<div>
<p class="MsoNormal">On Tue, Mar 24, 2020 at 9:40 PM Elena Skoko <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> wrote:<u></u><u></u></p>
</div>
<blockquote style="border-top:none; border-right:none; border-bottom:none; border-left:1pt solid rgb(204,204,204); padding:0in 0in 0in 6pt; margin-left:4.8pt; margin-right:0in">
<div>
<p class="MsoNormal">Dear colleagues, <u></u><u></u></p>
<div>
<p class="MsoNormal"><u></u> <u></u></p>
</div>
<div>
<p class="MsoNormal">as Italian users' rappresentatives, we have issued a Position statement on COVID-19 and respectful maternity care. <u></u><u></u></p>
</div>
<div>
<p class="MsoNormal"><u></u> <u></u></p>
</div>
<div>
<p class="MsoNormal"><a href="https://ovoitalia.wordpress.com/2020/03/24/position-statement-emergenza-codiv-19-e-assistenza-rispettosa-alla-maternita-e-nascita/" target="_blank">https://ovoitalia.wordpress.com/2020/03/24/position-statement-emergenza-codiv-19-e-assistenza-rispettosa-alla-maternita-e-nascita/</a> <u></u><u></u></p>
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<p class="MsoNormal"><u></u> <u></u></p>
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<p class="MsoNormal">Thank you for sharing. If you feel like it, you can endorse the statement with your organisation or association by replying to me. Thank you!<u></u><u></u></p>
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<p class="MsoNormal"><u></u> <u></u></p>
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<p class="MsoNormal">Sorry for not having a translation in English yet. <u></u><u></u></p>
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<p class="MsoNormal"><u></u> <u></u></p>
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<p class="MsoNormal">Best wishes and stay safe<u></u><u></u></p>
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<p class="MsoNormal"><u></u> <u></u></p>
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<p class="MsoNormal">Elena Skoko<u></u><u></u></p>
</div>
<div>
<p class="MsoNormal">Obstetric Violence Observatory Italy<u></u><u></u></p>
</div>
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<p class="MsoNormal"><a href="http://www.ovoitalia.wordpress.com/" target="_blank">www.ovoitalia.wordpress.com/</a><u></u><u></u></p>
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<p class="MsoNormal">Jennifer R Stevens DrPHc CNM MS <u></u><u></u></p>
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<p class="MsoNormal">Midwifery education <u></u><u></u></p>
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<p class="MsoNormal">UNFPA Bangladesh<u></u><u></u></p>
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<span style="color:rgb(50,50,65); background-color:transparent; vertical-align:baseline; white-space:pre-wrap"><a href="http://birthrights.org.uk/" target="_blank" style="color:rgb(17,85,204)">birthrights.org.uk</a></span></p>
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<span style="color:rgb(50,50,65); background-color:transparent; vertical-align:baseline; white-space:pre-wrap">@birthrightsorg</span></p>
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<span style="color:rgb(50,50,65); background-color:transparent; vertical-align:baseline; white-space:pre-wrap"><b>We are a small charity with a big mission. Please
<a href="http://www.birthrights.org.uk/" target="_blank" style="color:rgb(17,85,204)">
donate</a> today.</b></span></p>
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========================================================================Date: Tue, 31 Mar 2020 19:40:30 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
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Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Antonio Ig Sierra Garrocho <[log in to unmask]>
Subject: PPE use in Maternity Care
Comments: To: Lucia Rocca <[log in to unmask]>
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========================================================================Date: Wed, 1 Apr 2020 09:05:11 +1300
Reply-To: [log in to unmask]
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Pauline Dawson <[log in to unmask]>
Subject: Re: PPE use in Maternity Care
Comments: To: Antonio Ig Sierra Garrocho <[log in to unmask]>
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Hi,
We have had this issue in Aotearoa New Zealand. A lot of the questions seem to be fear driven rather than evidence based. Our ministry of health has issued the attached for community midwives. Further information here https://www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novel-coronavirus/covid-19-novel-coronavirus-information-specific-audiences/covid-19-novel-coronavirus-resources-health-professionals#midwives
Kind regards
Pauline Dawson R.M., MMid âą Research Midwife/Professional Practice Fellow/PhD Candidate
Department of Womenâs & Childrenâs Health : Te Tari Hauora WÄhine me te Tamariki
Dunedin School of Medicine, Section of Obstetrics & Gynaecology,
PO Box 56
Dunedin
Mobile: 027 2301522â
From: A forum for discussion on midwifery and reproductive health
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