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] <[log in to unmask]> On Behalf Of Soo Downe
Sent: Wednesday, March 25, 2020 12:03 PM
To: Jennifer Stevens <[log in to unmask]>; Elena Skoko <[log in to unmask]>
Cc: [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] <[log in to unmask]> on behalf of Jennifer Stevens <[log in to unmask]>
Sent: Wednesday, March 25, 2020 2:58 PM
To: Elena Skoko <[log in to unmask]>
Cc: [log in to unmask] <[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]> 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/

 

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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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