Thanks Trixie
All the best
Soo
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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]>,
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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]>
MIME-Version: 1.0
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Message-ID: <[log in to unmask]>
--000000000000b5a3dd05a211e52c
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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? (I’m 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, Özge <[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 – 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 welcome🙏🏽💗
>
>
>
> “Now 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.”
>
>
>
> 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
>
>
>
> I’m very shocked by the language in the text below – first, use of the
> word allowed is very striking – 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 –
> handling bottles and formula and feeding one’s baby with a bottle surely
> carries equal if not more possibilities of infection risk – 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 don’t cuddle their babies – 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 others’ 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*
>
> *> *
>
> *> 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*
>
> *> *
>
> *> *
>
> *> *
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>
> *> H&A=1*
>
>
>
>
>
> --------
>
> Kathy Carter-Lee
>
> Midwife
>
> [log in to unmask]
>
> 021-425-115
>
> *Statement of Confidentiality:* *The contents of this e-mail message and
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--000000000000b5a3da05a211e52b
Content-Type: text/html; charset="UTF-8"
Content-Transfer-Encoding: quoted-printable
<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>
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<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Dear Soo,</span></p>
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<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>
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<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? (I’m asking because they are our UK member).
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<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(47,84,150)">Warm regards,</span></p>
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<b><span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(47,84,150)">Franka Cadée,
</span></b></p>
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<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(47,84,150)">President</span></p>
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<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">International Confederation of Midwives (ICM)</span></p>
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<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Koninginnegracht 60,</span></p>
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<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">2514 AE The Hague,</span></p>
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<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">The Netherlands.</span></p>
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<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Telephone: +31 (0) 70 3060520</span></p>
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<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">Mob: +31 (0) 657597094</span></p>
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<span style="font-size:10pt;font-family:"Verdana Pro Light",sans-serif;color:rgb(31,73,125)">T: @FrankaCadee</span></p>
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<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>
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<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>
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<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>
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<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>
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<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>
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<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>
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---------- 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>
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<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>
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<span style="font-size:12pt;color:black">All the very 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"> 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, Özge <<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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<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="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
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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">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) </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> </span><span style="font-size:17.5pt;color:rgb(20,23,26)"> 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"> </span><span style="font-size:17.5pt;color:rgb(20,23,26);border:1pt solid black;padding:0cm"> </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">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">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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<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)">
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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)">I am available to help
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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)">Lucia</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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<p style="margin:0cm 0cm 0.0001pt"><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">Clare – 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>
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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)">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.
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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)">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.
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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>
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<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: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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<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)">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)">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)">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: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">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">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">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">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">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"><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)">
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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)"> </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)">🙏🏽💗</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:9pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)"> </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)">“Now 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)"> </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.”</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)"> </span></p>
<div id="gmail-m_1135353163163757883m_-3210480424085774275gmail-m_-943123355756283910x_yiv9078082683x_gmail-m_8378988096270070723yiv5183700471x_AppleMailSignature">
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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)"> </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)"> | 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)"> </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)"> 9685 9118 | <b>F:</b> 9685 99599 | <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"><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"> </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"> </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)"> </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’m very shocked by the language in the text below – first, use of the word allowed is very striking – 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)"> </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 – handling bottles and formula and feeding one’s baby with a bottle
surely carries equal if not more possibilities of infection risk – 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 don’t cuddle their babies – 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)"> </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 others’ 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)"> </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)"> </span></p>
<p style="margin:0cm 0cm 0.0001pt"><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>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"> </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)"> </span></p>
<p style="margin:0cm 0cm 0.0001pt"><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: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)"> </span></p>
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<p style="margin:0cm 0cm 0.0001pt;line-height:12pt;background:rgb(255,235,156) none repeat scroll 0% 0%">
<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)"> </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)"> </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)"> </span></p>
<p style="margin:0cm 0cm 0.0001pt"><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)">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)"> </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)"> </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)">> 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)">>
<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)">> 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)"></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)">> 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)"></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)">> 9118 | F: 9685 99599 | E: <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)">> 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)">> 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)">>
<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)">> 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)"></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)">> <<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)">> "<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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<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">> <<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)">> 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)">> <<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)">> 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)">> 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)">> 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)">> 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)">> 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)"></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)">> 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)">> 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)">> 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)">> (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)">> 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)">> 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)">> 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)">> 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)">> 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)"></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)">> 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)">> 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)">> 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)">> 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)">> 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)"></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)">> 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)">> 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)">> (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)">> 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)">> 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)">> 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)">> 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)">> 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>
<p style="margin:0cm 0cm 0.0001pt"><i><span style="font-size:10pt;font-family:"Helvetica",sans-serif;color:rgb(38,40,42)">> Lancashire</span></i><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)">--------</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>
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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 Cit
INSERM UMR 1153
Maternit 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
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<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 Cit<br>
INSERM UMR 1153<br>
Maternit 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>
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--_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]>,
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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]>
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--Apple-Mail=_DDC5C995-D78C-4AE8-805E-F4051D01416E
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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, Özge <[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 “shelter at home”, 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:
>>>
>>>
>>> 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? (I’m 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, Özge <[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 – 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 welcome🙏🏽💗
>>>
>>> “Now 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.”
>>>
>>> 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
>>>
>>> I’m very shocked by the language in the text below – first, use of the word allowed is very striking – 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 – handling bottles and formula and feeding one’s baby with a bottle surely carries equal if not more possibilities of infection risk – 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 don’t cuddle their babies – 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 others’ 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
>>> >
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>>> > H&A
>>> > =1
>>> >
>>> >
>>> >
>>> > To unsubscribe from the NORMALBIRTH-RESEARCH list, click the following
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>>> > 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
>>> Statement of Confidentiality: The contents of this e-mail message and any attachments are confidential and are intended solely for addressee. The information may also be legally privileged. This transmission is sent in trust, for the sole purpose of delivery to the intended recipient. If you have received this transmission in error, any use, reproduction or dissemination of this transmission is strictly prohibited. If you are not the intended recipient, please immediately notify the sender by reply e-mail or phone and delete this message and its attachments, if any.
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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=""><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 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, Özge <<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 “shelter at home”, 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=""><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? (I’m 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 Cadée,</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 Cadée <<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, Özge <<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 – 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="">🙏🏽💗</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="">“Now 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.”</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="">I’m very shocked by the language in the text below – first, use of the word allowed is very striking – 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 – handling bottles and formula and feeding one’s baby with a bottle surely carries equal if not more possibilities of infection risk – 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 don’t cuddle their babies – 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 others’ 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,_zge_?= <[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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--_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, zge <[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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great, thanks!</div>
<div id="appendonsend"></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> 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, zge <[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,_zge?= <[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, zge <[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, zge <[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, zge <[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, zge <[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>
<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_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,_zge_?= <[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, zge <[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, zge <[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>
</tr>
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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, 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
>
> 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, 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>
<table width="480" cellspacing="0" cellpadding="0" 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" 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, zge <[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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To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
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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>
</div>
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<div>
<div dir="ltr" class="x_gmail_signature">
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<div dir="ltr">
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<div dir="ltr">
<div>
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<div dir="ltr">
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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>
</div>
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<div><span style="font-family:tahoma,sans-serif"></span><font size="2"><span style="font-family:tahoma,sans-serif"></span><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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<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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<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, zge <<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>
<table width="480" cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td colspan="2" valign="top" style="font-size:12px; font-family:Arial; width:480px; padding:0px; vertical-align:top">
<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>
<br>
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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,_zge?= <[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, zge <[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]>> napsal(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, zge <[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:SDown[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, zge <[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 Krikov
www.zenskekruhy.sk<http://www.zenskekruhy.sk/>
...aby repekt, dstojnos a slobodn voba ien v tehotenstve a pri prode boli samozrejmosou.
Ak chcete podpori obianske zdruenie ensk kruhy a jeho aktivity, budeme Vm van za V prspevok na et: IBAN: SK50 0200 0000 0029 8031 0758 vo VUB a.s.. Do sprvy pre prijmatea napte, prosm, "dar".
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many thanks!</div>
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<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, zge <[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>> napsal(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">
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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, zge <<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, zge <<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>
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<div>Zuzka Krikov<br>
</div>
<div><a href="http://www.zenskekruhy.sk/" target="_blank">www.zenskekruhy.sk</a></div>
<div><br>
</div>
<div>..<font size="2">.aby repekt, dstojnos a slobodn voba ien v tehotenstve a pri prode boli samozrejmosou.</font></div>
<div>
<h2><font size="2"><span style="font-weight:normal">Ak chcete podpori obianske zdruenie ensk kruhy a jeho aktivity, budeme Vm van za V prspevok na et: </span><font style="font-weight:normal">IBAN: SK50 0200 0000 0029 8031 0758 </font><span style="font-weight:normal">vo
VUB a.s.. Do sprvy pre prijmatea napte, prosm, "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]>,
ICM President <[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>
</div>
<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]>,
"[log in to unmask]" <[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, zge <[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, zge <[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 Cade,
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, zge <[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]>> napsal(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, zge <[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, zge <[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>
<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 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, zge <[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, zge <[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 Cade,
</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, zge <<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>> napsal(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, zge <<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>;
<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>; TUNCALP MINGARD, zge <<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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<p class="x_MsoNormal"><span lang="EN-GB">-- </span></p>
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<p class="x_MsoNormal"><span lang="EN-GB">Zuzka Krikov</span></p>
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<p class="x_MsoNormal"><span lang="EN-GB"><a href="http://www.zenskekruhy.sk/" target="_blank">www.zenskekruhy.sk</a></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, dstojnos a slobodn voba ien v tehotenstve a pri prode boli samozrejmosou.</span><span lang="EN-GB"></span></p>
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<h2><span lang="EN-GB" style="font-size:10.0pt; font-weight:normal">Ak chcete podpori obianske zdruenie ensk kruhy a jeho aktivity, budeme Vm van za V prspevok na et: IBAN: SK50 0200 0000 0029 8031 0758 vo VUB a.s.. Do sprvy pre prijmatea napte,
prosm, "dar".</span><span lang="EN-GB"></span></h2>
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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,_zge?= <[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, zge <[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, zge <[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 Cade,
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, zge <[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]>> napsal(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, zge <[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, zge <[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 Krikov
www.zenskekruhy.sk<http://www.zenskekruhy.sk/>
...aby repekt, dstojnos a slobodn voba ien v tehotenstve a pri prode boli samozrejmosou.
Ak chcete podpori obianske zdruenie ensk kruhy a jeho aktivity, budeme Vm van za V prspevok na et: IBAN: SK50 0200 0000 0029 8031 0758 vo VUB a.s.. Do sprvy pre prijmatea napte, prosm, "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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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, zge <[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, zge <[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 Cade,
</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, zge <<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>> napsal(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, zge <<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, zge <<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"><a href="http://www.zenskekruhy.sk/" target="_blank">www.zenskekruhy.sk</a></span></p>
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<span lang="EN-GB">..</span><span lang="EN-GB" style="font-size:10.0pt">.aby repekt, dstojnos a slobodn voba ien v tehotenstve a pri prode 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 obianske zdruenie ensk kruhy a jeho aktivity, budeme Vm van za V prspevok na et: IBAN: SK50 0200 0000 0029 8031 0758 vo VUB a.s.. Do sprvy pre prijmatea napte,
prosm, "dar".</span><span lang="EN-GB"></span></h2>
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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]>
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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]> <[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 <elena.sko[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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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>
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<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>
</div>
<div>
<p class="MsoNormal"><u></u> <u></u></p>
</div>
<div>
<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>
</div>
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<p class="MsoNormal"><u></u> <u></u></p>
</div>
<div>
<p class="MsoNormal">Sorry for not having a translation in English yet. <u></u><u></u></p>
</div>
<div>
<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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<div>
<div>
<p class="MsoNormal"><u></u> <u></u></p>
</div>
<div>
<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>
<div>
<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"><u></u> <u></u></p>
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<p class="MsoNormal">-- <u></u><u></u></p>
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<div>
<p class="MsoNormal">Jennifer R Stevens DrPHc CNM MS <u></u><u></u></p>
<div>
<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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<p class="MsoNormal">Boston University<u></u><u></u></p>
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<p class="MsoNormal">Goodbirth.net<u></u><u></u></p>
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<p class="MsoNormal">Bangla mobile/whatsapp- +88 017 0937 0213<u></u><u></u></p>
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</blockquote>
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<span style="color:rgb(225,27,85); background-color:transparent; vertical-align:baseline; white-space:pre-wrap"><b>Maria Booker</b></span></p>
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<span style="color:rgb(50,50,65); background-color:transparent; vertical-align:baseline; white-space:pre-wrap">07974 804887</span></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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<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>
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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]>,
Antonio Ig Sierra Garrocho <[log in to unmask]>
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]>
In-Reply-To: <[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 • Research Midwife/Professional Practice Fellow/PhD Candidate
Department of Women’s & Children’s Health : Te Tari Hauora Wāhine me te Tamariki
Dunedin School of Medicine, Section of Obstetrics & Gynaecology,
PO Box 56
Dunedin
Mobile: 027 2301522
From: A forum for discussion on midwifery and reproductive health
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