I am also keen to be involved
Lesley
Professor Lesley Page CBE
Visiting Professor in Midwifery KCL
Adjunct professor UTS Australia
Griffith University Australia
Honorary research fellow Oxford Brookes University
mobile +44(o)7747708630
https://www.all4maternity.com/author/lesleypage/
<https://www.all4maternity.com/author/lesleypage/>twitter: lesleypageCBE@humanisingbirth
________________________________
From: A forum for discussion on midwifery and reproductive health research.
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========================================================================Date: Tue, 13 Nov 2018 10:02:06 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Trixie McAree <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Trixie McAree <[log in to unmask]>
Subject: Re: AIMS Journal update: Implementing Better Births
Comments: To: Johanne Dagustun <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Thank you very helpful
Trixie
--------------------------------------------------------------------------------------------------------
Professor Trixie McAree
Professor of Midwifery and Maternal Health
City South Campus, Ravensury 218/Birmingham Womens Hospital site
Birmingham City University/ Birmingham Womens and Childrens NHS Foundation Trust
B15 3TN
DL: 0121 3316196
Mob: 07894802961
https://orcid.org/0000-0001-7845-2195
[cid:image001.jpg@01D3E2D0.23CBF380][cid:image002.jpg@01D2B46C.6CAF2150]
From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Johanne Dagustun
Sent: 12 November 2018 20:44
To: [log in to unmask]
Subject: AIMS Journal update: Implementing Better Births
Dear all
As some of you may know, the AIMS Journal is now published online. The most recent issues have been focussed on Better Births implementation. Please take a look- I've added the links below.
AIMS is acutely aware of the years of impressive campaigning, research and policy work that underpins/culminated in the 2016 Better Births report, and in similar initiatives across the UK. But we are not complacent: too often in the past, of course, has the promise of such reports been weakly (or even destructively) implemented.
As well as participating in NHS-England's Maternity Transformation Programme's Stakeholder Council, AIMS is therefore keen to draw attention to the need for a continued focus on implementation efforts, and to support activists campaigning for effective implementation in their local areas. Hence this Journal focus.
AIMS has also published two new campaign articles on our website today - a further piece on continuity of carer and another regarding the recent Mmbrace report.
Please don't hesitate to get in touch if you have any feedback/queries.
Jo Dagustun
AIMS Volunteer
https://www.aims.org.uk/journal/index/30/1
https://www.aims.org.uk/journal/index/30/2
________________________________
To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
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<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;color:#1F497D;mso-fareast-language:EN-US">Thank you very helpful<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:16.0pt;font-family:"Bradley Hand ITC";color:#2E74B5">Trixie<o:p></o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Verdana",sans-serif;color:#2E74B5">--------------------------------------------------------------------------------------------------------<o:p></o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Verdana",sans-serif;color:#2E74B5"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Verdana",sans-serif;color:#2E74B5">Professor Trixie McAree<o:p></o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Verdana",sans-serif;color:#2E74B5">Professor of Midwifery and Maternal Health<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Verdana",sans-serif;color:#2E74B5"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Verdana",sans-serif;color:#2E74B5">City South Campus, Ravensury 218/Birmingham Womens Hospital site<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Verdana",sans-serif;color:#2E74B5">Birmingham City University/ Birmingham Womens and Childrens NHS Foundation Trust<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Verdana",sans-serif;color:#2E74B5">B15 3TN<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Verdana",sans-serif;color:#2E74B5"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Verdana",sans-serif;color:#2E74B5">DL: 0121 3316196<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Verdana",sans-serif;color:#2E74B5">Mob: 07894802961<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Verdana",sans-serif;color:#2E74B5"><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="EN" style="font-size:11.0pt;font-family:"Helvetica",sans-serif;color:#2E74B5">https://orcid.org/0000-0001-7845-2195</span><span style="font-size:11.0pt;font-family:"Verdana",sans-serif;color:#2E74B5"><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span lang="EN-US" style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span lang="EN-US" style="font-size:11.0pt;font-family:"Calibri",sans-serif"> A forum for discussion on midwifery and reproductive health research.
[mailto:[log in to unmask]] <b>On Behalf Of </b>Johanne Dagustun<br>
<b>Sent:</b> 12 November 2018 20:44<br>
<b>To:</b> [log in to unmask]<br>
<b>Subject:</b> AIMS Journal update: Implementing Better Births<o:p></o:p></span></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black">Dear all<o:p></o:p></span></p>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black">As some of you may know, the AIMS Journal is now published online. The most recent issues have been focussed on Better Births implementation. Please take a look- I've added the
links below. <o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black">AIMS is acutely aware of the years of impressive campaigning, research and policy work that underpins/culminated in the 2016 Better Births report, and in similar initiatives across
the UK. But we are not complacent: too often in the past, of course, has the promise of such reports been weakly (or even destructively) implemented. <o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black">As well as participating in NHS-England's Maternity Transformation Programme's Stakeholder Council, AIMS is therefore keen to draw attention to the need for a continued focus on
implementation efforts, and to support activists campaigning for effective implementation in their local areas. Hence this Journal focus. <o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black">AIMS has also published two new campaign articles on our website today - a further piece on continuity of carer and another regarding the recent Mmbrace report. <o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black">Please don't hesitate to get in touch if you have any feedback/queries.<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black">Jo Dagustun<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black">AIMS Volunteer<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif;color:black"><a href="https://www.aims.org.uk/journal/index/30/1" id="LPNoLP211698">https://www.aims.org.uk/journal/index/30/1</a><o:p></o:p></span></p>
</div>
<p class="MsoNormal" style="margin-bottom:12.0pt"><a href="https://www.aims.org.uk/journal/index/30/2" id="LPNoLP656400">https://www.aims.org.uk/journal/index/30/2</a><o:p></o:p></p>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
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--_005_76AFEC517E583542B66093BEC472650F29427905EXMBXCCstaffuce_--
========================================================================Date: Tue, 13 Nov 2018 10:04:47 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Trixie McAree <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Trixie McAree <[log in to unmask]>
Subject: Re: MIDWIFERY-RESEARCH Digest - 9 Nov 2018 to 10 Nov 2018
(#2018-200)
Comments: To: Soo Downe <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
MIME-Version: 1.0
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L2NnaS1iaW4vd2ViYWRtaW4/U1VCRUQxPU1JRFdJRkVSWS1SRVNFQVJDSCZBPTENCg=========================================================================Date: Tue, 13 Nov 2018 11:03:29 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
=?iso-8859-1?Q?Helga_Gottfreðsdóttir?= <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: =?iso-8859-1?Q?Helga_Gottfreðsdóttir?= <[log in to unmask]>
Subject: Re: MIDWIFERY-RESEARCH Digest - 9 Nov 2018 to 10 Nov 2018
(#2018-200)
Comments: To: "Page, Lesley" <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Please include me,
Bw Helga
Helga Gottfreðsdóttir, prófessor
Námsbrautarstjóri í ljósmóðurfræði
Hjúkrunarfræðideild/Landspitali
5254989/6632968
https://www.hi.is/starfsfolk/helgagot
[log in to unmask]
Helga Gottfreðsdóttir, professor
Department of Midwifery
Faculty of Nursing/Landspitali University Hospital
Tel: 00354 5254989/00354 6632968
-----Original Message-----
From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Page, Lesley
Sent: þriðjudagur, 13. nóvember 2018 09:14
To: [log in to unmask]
Subject: Re: MIDWIFERY-RESEARCH Digest - 9 Nov 2018 to 10 Nov 2018 (#2018-200)
I am also keen to be involved
Lesley
Professor Lesley Page CBE
Visiting Professor in Midwifery KCL
Adjunct professor UTS Australia
Griffith University Australia
Honorary research fellow Oxford Brookes University
mobile +44(o)7747708630
https://www.all4maternity.com/author/lesleypage/
<https://www.all4maternity.com/author/lesleypage/>twitter: lesleypageCBE@humanisingbirth
________________________________
From: A forum for discussion on midwifery and reproductive health research.
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========================================================================Date: Tue, 13 Nov 2018 11:45:10 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"Church, Sarah" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "Church, Sarah" <[log in to unmask]>
Subject: Re: MIDWIFERY-RESEARCH Digest - 9 Nov 2018 to 10 Nov 2018
(#2018-200)
In-Reply-To: <[log in to unmask]>
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I would also like to be involved
Kind regards
Sarah
Dr Sarah Church
Associate Professor in Midwifery
School of Health and Social Care
London South Bank University & Bart’s Health NHS Trust
103 Borough Road
London SE1 0AA
Tel: +44 (0) 20 7815 8351
Mob: 07909 534 166
e-mail: [log in to unmask]
________________________________________
From: A forum for discussion on midwifery and reproductive health research. [[log in to unmask]] on behalf of Trixie McAree [[log in to unmask]]
Sent: 13 November 2018 10:04
To: [log in to unmask]
Subject: Re: MIDWIFERY-RESEARCH Digest - 9 Nov 2018 to 10 Nov 2018 (#2018-200)
I would also like to be involved.
Best wishes
Trixie
--------------------------------------------------------------------------------------------------------
Professor Trixie McAree
Professor of Midwifery and Maternal Health
City South Campus, Ravensury 218/Birmingham Womens Hospital site
Birmingham City University/ Birmingham Womens and Childrens NHS Foundation Trust
B15 3TN
DL: 0121 3316196
Mob: 07894802961
https://orcid.org/0000-0001-7845-2195
-----Original Message-----
From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Soo Downe
Sent: 12 November 2018 08:02
To: [log in to unmask]
Subject: Re: MIDWIFERY-RESEARCH Digest - 9 Nov 2018 to 10 Nov 2018 (#2018-200)
Sounds good! I can sort this out if it is of interest to others? It will probably be straight after the end of the conference, so from about 4pm on June 19th - or possibly on the day after the conference, if we want a bit longer. There may be a small fee so we can book a room at the conference hotel, but it shouldn’t be much, and it could be open to those who are not attending the conference, but who are able to come up for the forum (and in this latter case maybe a full day on June 20th might be better?)
All the best
Soo
-----Original Message-----
From: A forum for discussion on midwifery and reproductive health research.
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========================================================================Date: Tue, 13 Nov 2018 11:48:49 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"Dr. Sally Pezaro" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "Dr. Sally Pezaro" <[log in to unmask]>
Subject: Re: MIDWIFERY-RESEARCH Digest - 9 Nov 2018 to 10 Nov 2018
(#2018-200)
Comments: To: [log in to unmask]
In-Reply-To: <[log in to unmask]>
MIME-Version: 1.0
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Count me in
Dr Sally Pezaro
Twitter: @SallyPezaro
Facebook: The Academic Midwife
Blog: sallypezaro.wordpress.com
On Tue, 13 Nov 2018 at 11:46, Church, Sarah <[log in to unmask]> wrote:
> I would also like to be involved
>
> Kind regards
> Sarah
>
> Dr Sarah Church
>
> Associate Professor in Midwifery
>
> School of Health and Social Care
>
> London South Bank University & Bart’s Health NHS Trust
>
> 103 Borough Road
>
> London SE1 0AA
>
> Tel: +44 (0) 20 7815 8351
>
> Mob: 07909 534 166
>
> e-mail: [log in to unmask]
> ________________________________________
> From: A forum for discussion on midwifery and reproductive health
> research. [[log in to unmask]] on behalf of Trixie McAree [
> [log in to unmask]]
> Sent: 13 November 2018 10:04
> To: [log in to unmask]
> Subject: Re: MIDWIFERY-RESEARCH Digest - 9 Nov 2018 to 10 Nov 2018
> (#2018-200)
>
> I would also like to be involved.
> Best wishes
>
>
> Trixie
>
> --------------------------------------------------------------------------------------------------------
>
> Professor Trixie McAree
> Professor of Midwifery and Maternal Health
>
> City South Campus, Ravensury 218/Birmingham Womens Hospital site
> Birmingham City University/ Birmingham Womens and Childrens NHS Foundation
> Trust
> B15 3TN
>
> DL: 0121 3316196
> Mob: 07894802961
>
> https://orcid.org/0000-0001-7845-2195
>
>
>
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health
> research. [mailto:[log in to unmask]] On Behalf Of Soo
> Downe
> Sent: 12 November 2018 08:02
> To: [log in to unmask]
> Subject: Re: MIDWIFERY-RESEARCH Digest - 9 Nov 2018 to 10 Nov 2018
> (#2018-200)
>
> Sounds good! I can sort this out if it is of interest to others? It will
> probably be straight after the end of the conference, so from about 4pm on
> June 19th - or possibly on the day after the conference, if we want a bit
> longer. There may be a small fee so we can book a room at the conference
> hotel, but it shouldn’t be much, and it could be open to those who are not
> attending the conference, but who are able to come up for the forum (and in
> this latter case maybe a full day on June 20th might be better?)
>
> All the best
>
> Soo
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research.
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
--
Kindest Regards
Dr. Sally Pezaro BA (Hons), DipMid, M.Sc. PhD
Tel: 07950035977
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<div dir="ltr"><div class="gmail_default" style="font-family:verdana,sans-serif">Count me in</div><div class="gmail_default" style="font-family:verdana,sans-serif"><br></div><div class="gmail_default" style="font-family:verdana,sans-serif">Dr Sally Pezaro</div><div class="gmail_default" style="font-family:verdana,sans-serif"><br></div><div class="gmail_default" style="font-family:verdana,sans-serif"><span style="color:rgb(33,33,33);font-family:wf_segoe-ui_normal,"Segoe UI","Segoe WP",Tahoma,Arial,sans-serif,serif,EmojiFont;font-size:15px">Twitter: @SallyPezaro</span><br style="color:rgb(33,33,33);font-family:wf_segoe-ui_normal,"Segoe UI","Segoe WP",Tahoma,Arial,sans-serif,serif,EmojiFont;font-size:15px"><span style="color:rgb(33,33,33);font-family:wf_segoe-ui_normal,"Segoe UI","Segoe WP",Tahoma,Arial,sans-serif,serif,EmojiFont;font-size:15px">Facebook: The Academic Midwife</span><br style="color:rgb(33,33,33);font-family:wf_segoe-ui_normal,"Segoe UI","Segoe WP",Tahoma,Arial,sans-serif,serif,EmojiFont;font-size:15px"><span style="color:rgb(33,33,33);font-family:wf_segoe-ui_normal,"Segoe UI","Segoe WP",Tahoma,Arial,sans-serif,serif,EmojiFont;font-size:15px">Blog: <a href="http://sallypezaro.wordpress.com">sallypezaro.wordpress.com</a></span>Â Â <br></div><br><div class="gmail_quote"><div dir="ltr">On Tue, 13 Nov 2018 at 11:46, Church, Sarah <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> wrote:<br></div><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">I would also like to be involved<br>
<br>
Kind regards<br>
Sarah<br>
<br>
Dr Sarah Church<br>
<br>
Associate Professor in Midwifery<br>
<br>
School of Health and Social Care<br>
<br>
London South Bank University & Bart’s Health NHS Trust<br>
<br>
103 Borough Road<br>
<br>
London SE1 0AA<br>
<br>
Tel:Â Â +44 (0) 20 7815 8351<br>
<br>
Mob: 07909 534 166<br>
<br>
e-mail:Â <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a><br>
________________________________________<br>
From: A forum for discussion on midwifery and reproductive health research.<br>
<hr>
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</p>
========================================================================Date: Tue, 13 Nov 2018 12:11:34 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"Page, Lesley" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "Page, Lesley" <[log in to unmask]>
Subject: Re: AIMS Journal update: Implementing Better Births
Comments: To: Johanne Dagustun <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Jo
this is wonderful.
what a coherent call to action
thank you
Lesley
Professor Lesley Page CBE
Visiting Professor in Midwifery KCL
Adjunct professor UTS Australia
Griffith University Australia
Honorary research fellow Oxford Brookes University
mobile +44(o)7747708630
https://www.all4maternity.com/author/lesleypage/
<https://www.all4maternity.com/author/lesleypage/>twitter: lesleypageCBE@humanisingbirth
________________________________
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========================================================================Date: Tue, 13 Nov 2018 14:10:50 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Katherine Hales <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Katherine Hales <[log in to unmask]>
Subject: Re: AIMS Journal update: Implementing Better Births
Comments: To: Johanne Dagustun <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Dear Johanne,
That is really useful - I have been increasingly struck by the irony of
ever increasing levels of of intervention implemented to avert risk and yet
the one intervention which has overwhelming evidence in its favour remains
almost impossible to implement. We are living in a time when there are 2
such diametrically opposing discourses. One stresses the need for ever
increasing medical and technological intervention for all women to avoid
risk and the other maintains that normality and safe practice are protected
by continuity of carer. I am very much afraid that the first discourse is
winning time after time while Better Births is paid lip service only. We
must try to do all we can to prevent the same failure happening again as
happened after "Changing Childbirth" but the challenges are considerably
greater in terms of higher levels of medicalisation 25 years on.
Katherine Hales
National Coordinator
*A*ssociation of *R*adical *M*idwives
Because Midwifery Matters
W: www.midwifery.org.uk
E: [log in to unmask]
E: [log in to unmask]
T: 07810665733
[image: Facebook] <https://facebook.com/radicalmidwives> [image: Twitter]
<https://twitter.com/radmicassoc>
On Mon, Nov 12, 2018 at 8:44 PM Johanne Dagustun <[log in to unmask]>
wrote:
> Dear all
>
> As some of you may know, the AIMS Journal is now published online. The
> most recent issues have been focussed on Better Births implementation.
> Please take a look- I've added the links below.
>
> AIMS is acutely aware of the years of impressive campaigning, research and
> policy work that underpins/culminated in the 2016 Better Births report, and
> in similar initiatives across the UK. But we are not complacent: too often
> in the past, of course, has the promise of such reports been weakly (or
> even destructively) implemented.
>
> As well as participating in NHS-England's Maternity Transformation
> Programme's Stakeholder Council, AIMS is therefore keen to draw attention
> to the need for a continued focus on implementation efforts, and to support
> activists campaigning for effective implementation in their local areas.
> Hence this Journal focus.
>
> AIMS has also published two new campaign articles on our website today - a
> further piece on continuity of carer and another regarding the recent
> Mmbrace report.
>
> Please don't hesitate to get in touch if you have any feedback/queries.
>
> Jo Dagustun
> AIMS Volunteer
> https://www.aims.org.uk/journal/index/30/1
> https://www.aims.org.uk/journal/index/30/2
>
>
> ------------------------------
>
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<div dir="ltr">Dear Johanne,<div><br></div><div>That is really useful - I have been increasingly struck by the irony of ever increasing levels of of intervention implemented to avert risk and yet the one intervention which has overwhelming evidence in its favour remains almost impossible to implement. We are living in a time when there are 2 such diametrically opposing discourses. One stresses the need for ever increasing medical and technological intervention for all women to avoid risk and the other maintains that normality and safe practice are protected by continuity of carer. I am very much afraid that the first discourse is winning time after time while Better Births is paid lip service only. We must try to do all we can to prevent the same failure happening again as happened after "Changing Childbirth" but the challenges are considerably greater in terms of higher levels of medicalisation 25 years on.   <br clear="all"><div><div dir="ltr" class="gmail_signature" data-smartmail="gmail_signature"><div dir="ltr"><p style="color:rgb(0,0,0);font-family:Poppins;font-size:13px"><span style="color:rgb(120,165,163);font-size:16px">Katherine Hales</span><br><span style="font-size:15px">National Coordinator</span></p><span style="color:rgb(0,0,0);font-family:Poppins;font-size:15px"><strong><span style="color:rgb(206,90,87)">A</span></strong>ssociation of <strong><span style="color:rgb(206,90,87)">R</span></strong>adical <strong><span style="color:rgb(206,90,87)">M</span></strong>idwives</span><br style="color:rgb(0,0,0);font-family:Poppins;font-size:13px"><span style="color:rgb(206,90,87);font-size:16px;font-family:"Euphoria Script"">Because Midwifery Matters</span><span style="color:rgb(0,0,0);font-family:Poppins;font-size:13px"></span><table border="0" width="193" cellspacing="0" cellpadding="0" style="font-family:Poppins;margin:0px;height:20px"><tbody><tr><td><span style="font-stretch:normal;font-size:13px;line-height:normal;font-family:Poppins"><span style="color:rgb(206,90,87)">W:</span></span></td><td><span style="font-stretch:normal;font-size:13px;line-height:normal;font-family:Poppins"><a href="https://www.midwifery.org.uk/" style="color:rgb(120,165,163)" target="_blank">www.midwifery.org.uk</a></span></td></tr></tbody></table><table border="0" width="269" cellspacing="0" cellpadding="0px" style="font-family:Poppins;height:20px"><tbody><tr><td><span style="font-stretch:normal;font-size:13px;line-height:normal;font-family:Poppins"><span style="color:rgb(206,90,87)">E: </span></span></td><td><span style="font-stretch:normal;font-size:13px;line-height:normal;font-family:Poppins"><a href="mailto:[log in to unmask]" style="color:rgb(120,165,163)" target="_blank">[log in to unmask]</a></span></td></tr></tbody></table><table border="0" width="269" cellspacing="0" cellpadding="0px" style="font-family:Poppins;height:20px"><tbody><tr><td><span style="font-stretch:normal;font-size:13px;line-height:normal;font-family:Poppins"><span style="color:rgb(206,90,87)">E: </span></span></td><td><span style="font-stretch:normal;font-size:13px;line-height:normal;font-family:Poppins"><a href="mailto:[log in to unmask]" style="color:rgb(120,165,163)" target="_blank">[log in to unmask]</a></span></td></tr></tbody></table><table border="0" width="173" cellspacing="0" cellpadding="0" style="font-family:Poppins;margin:0px;height:20px"><tbody><tr><td><span style="font-stretch:normal;font-size:13px;line-height:normal;font-family:Poppins"><span style="color:rgb(206,90,87)">T:</span></span></td><td><span style="font-stretch:normal;font-size:13px;line-height:normal;font-family:Poppins"><span style="color:rgb(120,165,163)">07810665733</span></span></td></tr></tbody></table><table border="0" cellpadding="0" style="font-family:Poppins"><tbody><tr><td style="padding-right:4px"><a href="https://facebook.com/radicalmidwives" style="display:inline-block" target="_blank"><img src="https://s1g.s3.amazonaws.com/f2291c6d31190a78067ece5b602f8990.png" alt="Facebook" width="26" height="26" style="border:none"></a></td><td style="padding-right:4px"><a href="https://twitter.com/radmicassoc" style="display:inline-block" target="_blank"><img src="https://s1g.s3.amazonaws.com/07368a75cec9e79b10eab58617b3ccd8.png" alt="Twitter" width="26" height="26" style="border:none"></a></td></tr></tbody></table></div></div></div><br></div></div><br><div class="gmail_quote"><div dir="ltr">On Mon, Nov 12, 2018 at 8:44 PM Johanne Dagustun <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> wrote:<br></div><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">
<div dir="ltr">
<div style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:12pt">
Dear all</div>
<div>
<div style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:12pt">
<br>
</div>
<div style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:12pt">
As some of you may know, the AIMS Journal is now published online. The most recent issues have been focussed on Better Births implementation. Please take a look- I've added the links below. </div>
<div style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:12pt">
<br>
</div>
<div style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:12pt">
AIMS is acutely aware of the years of impressive campaigning, research and policy work that underpins/culminated in the 2016 Better Births report, and in similar initiatives across the UK. But we are not complacent: too often in the past, of course, has the
promise of such reports been weakly (or even destructively) implemented. </div>
<div style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:12pt">
<br>
</div>
<div style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:12pt">
As well as participating in NHS-England's Maternity Transformation Programme's Stakeholder Council, AIMS is therefore keen to draw attention to the need for a continued focus on implementation efforts, and to support activists campaigning for effective implementation
in their local areas. Hence this Journal focus. </div>
<div style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:12pt">
<br>
</div>
<div style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:12pt">
AIMS has also published two new campaign articles on our website today - a further piece on continuity of carer and another regarding the recent Mmbrace report. </div>
<div style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:12pt">
<br>
</div>
<div style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:12pt">
Please don't hesitate to get in touch if you have any feedback/queries.</div>
<div style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:12pt">
<br>
</div>
<div style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:12pt">
Jo Dagustun</div>
<div style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:12pt">
AIMS Volunteer</div>
<div style="color:rgb(0,0,0);font-family:Calibri,Helvetica,sans-serif;font-size:12pt">
<a id="m_-187787300769446024LPNoLP211698" href="https://www.aims.org.uk/journal/index/30/1" target="_blank">https://www.aims.org.uk/journal/index/30/1</a><br>
</div>
<a id="m_-187787300769446024LPNoLP656400" href="https://www.aims.org.uk/journal/index/30/2" target="_blank">https://www.aims.org.uk/journal/index/30/2</a><br>
<br>
</div>
</div>
<br>
<hr>
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</blockquote></div>
<br>
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========================================================================Date: Tue, 13 Nov 2018 22:11:02 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Elaine Jefford <[log in to unmask]>
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research." <[log in to unmask]>
From: Elaine Jefford <[log in to unmask]>
Subject: Re: MIDWIFERY-RESEARCH Digest - 9 Nov 2018 to 10 Nov 2018
(#2018-200)
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Me too
Warm Regards
Dr Elaine jefford
Research Lead -Midwifery
https://www.youtube.com/watch?v=yp9rc9Bi3YM
School of Health & Human Sciences
T +61 2 66593973
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========================================================================Date: Wed, 14 Nov 2018 07:43:20 +0700
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Sophie Goyet <[log in to unmask]>
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Dear All,
I would also like to be involved.
I plan to attend the Normal Birth Conference.
Kind regards,
Sophie G.
-----Original Message-----
From: A forum for discussion on midwifery and reproductive health research.
[mailto:[log in to unmask]] On Behalf Of Elaine Jefford
Sent: Wednesday, November 14, 2018 05:11 AM
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(#2018-200)
Me too
Warm Regards
Dr Elaine jefford
Research Lead -Midwifery
https://www.youtube.com/watch?v=yp9rc9Bi3YM
School of Health & Human Sciences
T +61 2 66593973
[cid:image003.png@01D327BA.29EFAD50]
Hogbin Drive, Coffs Harbour NSW 2450
Honorary Senior Fellow Hull University - UK
Twitter: https://twitter.com/elaine_jefford
ORCID:26536070300 http://orcid.org/0000-0002-7970-227X
Researchgate:
https://www.researchgate.net/profile/Elaine_Jefford2/?ev=hdr_xprf
ResearcherID: http://www.researcherid.com/rid/B-3043-2014
Academia.edu<http://academia.edu/>:
https://scu-au.academia.edu/ElaineJefford
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www.linkedin.com/in/dr-elaine-jefford<http://www.linkedin.com/in/dr-elaine-j
efford>
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========================================================================Date: Wed, 14 Nov 2018 08:23:33 +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]>
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Subject: physiological birth action/debate session
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This sounds like a good idea Fiona - maybe 4pm-6pm on the Wednesday (the final day of the conference)?
On the Thursday after the conference, we will be holding a meeting of the new International Birth Research and Action Association (IBRAA) that will follow our COST Action - anyone is welcome to come and join the General Assembly of the Association. Once the Association business is sorted out (as this will be the first formal meeting) we could dedicate some time to continuing the debates of the evening before? This will have to be agreed with the Association steering group, so the agenda can be sorted to accommodate it, but if this is a plan of action I could see if I can progress it?
All the best
soo
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========================================================================Date: Wed, 14 Nov 2018 10:07:05 +0100
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Laura Iannuzzi <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Laura Iannuzzi <[log in to unmask]>
Subject: Debates on the =?utf-8?Q?‘uselessness’_?=and
costs of having MLU and homebirth in ongoing Italian Congress
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Dear all
I am attending the pre congress courses of the BIRTH Congress in Venice and I ll be speaking this afternoon of our experience in the Margherita birth centre in The Italian context
The doctor who was chairing the course this morning in his presentation posed the question of what is the benefit of having MLUs if women in large part need to be transferred (he mentioned the 40% transfer rate for nulliparous in the birthplace study) and access to obstetric led unit with consequent trauma for women and costs for the system and ‘risks’ related to emergency
(homebirth was not even considered to be an option being ‘risky’ - and he used US based literature )
So he was posing question on the issue of transfers
I am trying to slightly change my presentation trying to address this question (that express a very common cultural standpoint in some context, that encourages midwife led care in labour ward but not midwife led care in midwife led units or home)
For sure in my mind are coming reflection such as ;
- yes it might be quite a challenge the theme of transfer for both women/ family and midwives
- what is provided is not only intrapartum care
- the more you protect physiology the less u need to transfer
- the theme of women’s choice
- the fact that transfers are mainly not due to emergency reason but more ‘tranquil’ situation such as slow progress of labour
- what about the costs of unnecessary interventions ? Are we sure that they are lower than the costs of transfers
- health is more than a intact Perineum and so on
But as even if thoughly posed this is an interesting are of debate, I d like to know if possibile from you what would you argue, what points would you make to answer ?
This could be of massive help
Thanks!
Laura
Laura Iannuzzi
PhD, MSc, PgCert, BMId, RM
Lead midwife physiological pregnancy path and Margherita birth centre
Careggi university hospital
Italy
Inviato da iPhone
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========================================================================Date: Wed, 14 Nov 2018 09:08:49 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Johanne Dagustun <[log in to unmask]>
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research." <[log in to unmask]>
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Subject: Re: physiological birth action/debate session
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Great to see these practical arrangements in train.
Apologies if I've missed it Soo, but could you please point me in the direction of some background info/ briefing about this new body?
Many thanks.
Jo
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========================================================================Date: Wed, 14 Nov 2018 09:38:43 +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: Debates on the =?utf-8?Q?‘uselessness’_?=and
costs of having MLU and homebirth in ongoing Italian Congress
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U1VCRUQxPU1JRFdJRkVSWS1SRVNFQVJDSCZBPTENCg=========================================================================Date: Wed, 14 Nov 2018 09:47:49 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Trixie McAree <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Trixie McAree <[log in to unmask]>
Subject: Re: Debates on the =?utf-8?Q?‘uselessness’_?=and
costs of having MLU and homebirth in ongoing Italian Congress
Comments: To: Soo Downe <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
MIME-Version: 1.0
Content-Transfer-Encoding: base64
Content-Type: text/plain; charset="utf-8"
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UkVTRUFSQ0gmQT0xDQo========================================================================Date: Wed, 14 Nov 2018 09:49:51 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Billie Hunter <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Billie Hunter <[log in to unmask]>
Subject: Re: Debates on the =?utf-8?Q?‘uselessness’_?=and
costs of having MLU and homebirth in ongoing Italian Congress
Comments: To: Soo Downe <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
MIME-Version: 1.0
Content-Transfer-Encoding: base64
Content-Type: text/plain; charset="utf-8"
Message-ID: <[log in to unmask]>
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========================================================================Date: Wed, 14 Nov 2018 10:10:56 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"Sandall, Jane" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "Sandall, Jane" <[log in to unmask]>
Subject: Re: Debates on the =?Windows-1252?Q?‘uselessness’_?=and costs
of having MLU and homebirth in ongoing Italian Congress
In-Reply-To: <[log in to unmask]>
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I would also say
Birthplace data is based on women who are healthy at end of pregnancy so risk selection
The main cost driver is the increase of csection in obstetric settings
Transfer rates differ for primips and multips
Jane Sandall CBE
Professor of Women's Health
King's College London
[log in to unmask]
07713 743150
________________________________
From: A forum for discussion on midwifery and reproductive health research.
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========================================================================Date: Wed, 14 Nov 2018 10:20:19 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"Sandall, Jane" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "Sandall, Jane" <[log in to unmask]>
Subject: Fwd: Abstracts submission for the 2019 BMFMS conference -
deadline extended
In-Reply-To: <[log in to unmask]>
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Jane Sandall CBE
Professor of Women's Health
King's College London
[log in to unmask]
07713 743150
________________________________
From: Stella Rafferty <[log in to unmask]>
Sent: Wednesday, November 14, 2018 8:39 am
To: Stella Rafferty
Subject: Abstracts submission for the 2019 BMFMS conference - deadline extended
Dear BMFMS member
The deadline for submitting abstracts for the 2019 BMFMS conference has been extended toFriday 16th November 2018 at 12 noon.
Please see link below for information on how to submit:
https://www.bmfmsconference.co.uk/abstracts/<https://emea01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.bmfmsconference.co.uk%2Fabstracts%2F&data=01%7C01%7Cjane.sandall%40kcl.ac.uk%7C045599a0603f4bf01f2508d64a0ca766%7C8370cf1416f34c16b83c724071654356%7C0&sdata=VxkuZWKOXPe%2Fbc0eu1MXy8m7zltJ0NbjtsZIxk3L174%3D&reserved=0>
Kind regards
Stella
Stella Rafferty
Specialist Societies Co-ordinator
27 Sussex Place
Regent’s Park
London
NW1 4 RG
T: +44 20 7772 6211
E:[log in to unmask]<mailto:[log in to unmask]>
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<div style="direction: ltr;">Jane Sandall CBE</div>
<div style="direction: ltr;">Professor of Women's Health</div>
<div style="direction: ltr;">King's College London</div>
<div style="direction: ltr;">[log in to unmask]</div>
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<div id="divRplyFwdMsg" dir="dir="ltr""><font face="Calibri, sans-serif" style="font-size:11pt" color="#000000"><b>From:</b> Stella Rafferty <[log in to unmask]><br>
<b>Sent:</b> Wednesday, November 14, 2018 8:39 am<br>
<b>To:</b> Stella Rafferty<br>
<b>Subject:</b> Abstracts submission for the 2019 BMFMS conference - deadline extended
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<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D">Dear BMFMS member</span><span lang="EN-US" style="font-size:11.0pt; font-family:"Calibri",sans-serif"></span></p>
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<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D">The deadline for submitting abstracts for the 2019 BMFMS conference has been extended to</span><span style="color:#1F497D">Friday 16<sup>th</sup> November
2018 at 12 noon</span><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D">.</span></p>
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<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D">Please see link below for information on how to submit:</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D"><a href="https://emea01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.bmfmsconference.co.uk%2Fabstracts%2F&data=01%7C01%7Cjane.sandall%40kcl.ac.uk%7C045599a0603f4bf01f2508d64a0ca766%7C8370cf1416f34c16b83c724071654356%7C0&sdata=VxkuZWKOXPe%2Fbc0eu1MXy8m7zltJ0NbjtsZIxk3L174%3D&reserved=0" originalsrc="https://www.bmfmsconference.co.uk/abstracts/" shash="ESH+3Gavr+bzTLYb03lPq6iFHxjNe1ewghdPmhAII7fMxV+1EWZANcFUN1bPEHL88qgUYuvm0/K90kFtN5LJ8HHSNiEnhIc0BZmfK4TtUbLar3FFXswS0Zg9u75Rb0V/8P1IE1g8AMQ/3rMOk2OIIHvFwpiN+RembM26xZyWyzk=">https://www.bmfmsconference.co.uk/abstracts/</a></span></p>
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<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D">Kind regards</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D">Stella</span></p>
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<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif; color:#404040">Stella Rafferty</span><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"><br>
Specialist Societies Co-ordinator</span></p>
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<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">T: +44 20 7772 6211</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">E:<u><a href="mailto:[log in to unmask]">[log in to unmask]</a></u></span><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#1F497D"></span></p>
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--_000_AM6PR03MB38627A28C2B060F2C15ED7D6D5C30AM6PR03MB3862eurp_--
========================================================================Date: Wed, 14 Nov 2018 10:23:42 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Rachel Rowe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Rachel Rowe <[log in to unmask]>
Subject: Re: Debates on the =?utf-8?Q?‘uselessness’_?=and
costs of having MLU and homebirth in ongoing Italian Congress
Comments: To: Soo Downe <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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========================================================================Date: Wed, 14 Nov 2018 10:35:58 +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: physiological birth action/debate session: new Association
Comments: To: Johanne Dagustun <[log in to unmask]>
Comments: cc: Villarmea Requejo Stella <[log in to unmask]>
Content-Type: multipart/alternative;
boundary="_000_AM0PR03MB4514B143DFEC8F3BCE9C447B97C30AM0PR03MB4514eurp_"
MIME-Version: 1.0
Message-ID: <[log in to unmask]>
--_000_AM0PR03MB4514B143DFEC8F3BCE9C447B97C30AM0PR03MB4514eurp_
Content-Type: text/plain; charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable
The articles of the new Association are still being finalised Jo – it will be registered in Spain very soon, then we will let everyone know about it!
All the best
Soo
From: Johanne Dagustun <[log in to unmask]>
Sent: 14 November 2018 09:09
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: physiological birth action/debate session
Great to see these practical arrangements in train.
Apologies if I've missed it Soo, but could you please point me in the direction of some background info/ briefing about this new body?
Many thanks.
Jo
________________________________
From: A forum for discussion on midwifery and reproductive health research.
########################################################################
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========================================================================Date: Wed, 14 Nov 2018 10:44:25 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"Gillen, Patricia" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "Gillen, Patricia" <[log in to unmask]>
Subject: Re: Debates on the =?utf-8?Q?‘uselessness’_?=and
costs of having MLU and homebirth in ongoing Italian Congress
Comments: To: Laura Iannuzzi <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
MIME-Version: 1.0
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Content-Type: text/plain; charset="utf-8"
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QVJDSCZBPTENCg=========================================================================Date: Wed, 14 Nov 2018 10:49:38 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Soo Downe <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Soo Downe <[log in to unmask]>
Subject: FW: Re MAMA study - national midwives survey,
please disseminate (Closes 30th Nov 2018)
Comments: To: "[log in to unmask]"
<[log in to unmask]>
Comments: cc: "[log in to unmask]" <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Dear all
Julie Watson has asked for the information below to be circulated to all: please reply to Julie and not to the lists if you have any questions or comments! Thanks
As a member of JISC network I am contacting colleagues to help support the dissemination of a collaborative national survey:
Midwives wanted for survey on advising pregnant women about alcohol
We are a research team from University of Edinburgh and University of Hull looking for midwives to fill in a survey about advising pregnant women about alcohol. The survey takes about 15-20 minutes to complete.
The survey is an opportunity for midwives to make their voice heard, to assist in identifying potential barriers for discussing alcohol in antenatal care will help midwives, women, partners, and babies. We are very appreciative for the time given to complete this survey.
We want to make sure we capture the situation in all four nations of the UK, so if you can please share the survey with your midwife colleagues across Wales, and in England, Scotland and Northern Ireland.
The survey is open until the 30th of November and midwives who fill it out have the opportunity to enter into a prize draw to win one of three £100 John Lewis vouchers.
More detailed information about the survey is available as you access the survey link.
Any questions can be addressed to the Principal Investigator, Lisa Schölin, at [log in to unmask]<mailto:[log in to unmask]>
The link to the survey is:
https://edinburgh.eu.qualtrics.com/jfe/form/SV_3jwtQ2kbjC9Tug5
Thank you, in advance, Julie
Thank you Team MAMA!
Lisa Schölin, School of Health in Social Science, University of Edinburgh
Julie Watson, Lesley Smith and Judith Dyson Faculty of Health Sciences, Midwifery, University of Hull
Julie Watson
Midwife, SCPHN-HV, FiHV, RGN, Msc APPCP
Lecturer / Senior Fellow HEA
Research active: Maternal and child health
Faculty of Health Sciences
Health and Social Work
University of Hull
Hull
HU7 7RX
www.hull.ac.uk<http://www.hull.ac.uk>
Email: [log in to unmask]<mailto:[log in to unmask]>
Direct Dial: 01482 463225
[University of Central Lancashire]
Please consider the environment before printing
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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D;mso-fareast-language:EN-US">Dear all<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D;mso-fareast-language:EN-US"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D;mso-fareast-language:EN-US">Julie Watson has asked for the information below to be circulated to all:
<b>please reply to Julie and not to the lists if you have any questions or comments</b>! Thanks<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D;mso-fareast-language:EN-US"><o:p> </o:p></span></p>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
</div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">As a member of JISC network I am contacting colleagues to help support the dissemination of a collaborative national survey:<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
</div>
<div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Midwives wanted for survey on advising pregnant women about alcohol</span></b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">We are a research team from University of Edinburgh and University of Hull looking for midwives to fill
in a survey about advising pregnant women about alcohol. The survey takes about 15-20 minutes to complete. <o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">The survey is an opportunity for midwives to make their voice heard, to assist in identifying potential
barriers for discussing alcohol in antenatal care will help midwives, women, partners, and babies. We are very appreciative for the time given to complete this survey. <o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">We want to make sure we capture the situation in all four nations of the UK, so if you can please share
the survey with your midwife colleagues across Wales, and in England, Scotland and Northern Ireland. <o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">The survey is open until the 30th of November and midwives who fill it out have the opportunity to enter
into a prize draw to win one of three £100 John Lewis vouchers. <o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">More detailed information about the survey is available as you access the survey link. <o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Any questions can be addressed to the Principal Investigator, Lisa Schölin, at
<a href="mailto:[log in to unmask]">[log in to unmask]</a><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> <o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">The link to the survey is: <o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:black"><a href="https://edinburgh.eu.qualtrics.com/jfe/form/SV_3jwtQ2kbjC9Tug5" target="_blank">https://edinburgh.eu.qualtrics.com/jfe/form/SV_3jwtQ2kbjC9Tug5</a></span><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Thank you, in advance, Julie<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Thank you Team MAMA!<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Lisa Schölin,</span></b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"> School
of Health in Social Science, University of Edinburgh<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Julie Watson, Lesley Smith and Judith Dyson </span></b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Faculty
of Health Sciences, Midwifery, University of Hull<o:p></o:p></span></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
</div>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
<div>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Julie Watson<br>
Midwife, SCPHN-HV, FiHV, RGN, Msc APPCP<br>
Lecturer / Senior Fellow HEA<br>
Research active: Maternal and child health <br>
Faculty of Health Sciences<br>
Health and Social Work<br>
University of Hull<br>
Hull<br>
HU7 7RX<br>
<br>
<a href="http://www.hull.ac.uk">www.hull.ac.uk</a><br>
<br>
Email: <a href="mailto:[log in to unmask]">[log in to unmask]</a><br>
Direct Dial: 01482 463225<o:p></o:p></span></p>
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--_000_AM0PR03MB4514D09002D18D034DCAF1AF97C30AM0PR03MB4514eurp_--
========================================================================Date: Wed, 14 Nov 2018 12:29:12 +0100
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
salexand <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: salexand <[log in to unmask]>
Organization: ulb
Subject: Re: Debates on the =?UTF-8?Q?‘uselessness’_?=and
costs of having MLU and homebirth in ongoing Italian Congress
Comments: To: Rachel Rowe <[log in to unmask]>
Comments: cc: Rachel Rowe <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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If we stop attempting MLU births because there is a transfer risk,
Then presumably we need to
- stop attempting VBAC because there is a risk of CS in labour
- stop attempting vaginal breech (for countries where this continues)
because there is a risk of CS in labour
- stop non pharmacological management of pain because there is a risk a
peridural will occur nevertheles
And I am sure you can invent many more
Sophie Alexander
Le 14.11.2018 11:23, Rachel Rowe a écrit :
> Following on from your initial thoughts Laura, and Soo's comments, I would also say that we have evidence about women's experience of transfer from midwifery units. In the main, this shows that while women talk about being "disappointed" that they did not have the birth that they planned for, they value and reflect positively on their midwifery unit experience. While some women, as with women who plan birth in any setting, may experience 'trauma' as a consequence of their birth experience, there is less evidence from women's accounts of trauma caused by transfer itself. Often, where there is trauma this is a consequence of how the transfer is managed. Transfer, or the potential for transfer, should be considered part of planning birth in a midwifery unit, and indeed is part of the reason why we see good outcomes in planned midwifery unit births. With sensitive care it need not be traumatic.
>
> All best
> Rachel
>
> Rachel Rowe BA(Hons), DPhil
> University Research Lecturer
> Senior Health Services Researcher & NIHR Post Doctoral Fellow
> National Perinatal Epidemiology Unit
> Nuffield Department of Population Health
> University of Oxford
> Old Road Campus
> Oxford
> OX3 7LF
>
> Tel: 01865 289713
> Fax: 01865 289701
> [log in to unmask]
> http://www.npeu.ox.ac.uk/ [1]
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Soo Downe
> Sent: 14 November 2018 09:39
> To: [log in to unmask]
> Subject: Re: Debates on the 'uselessness' and costs of having MLU and homebirth in ongoing Italian Congress
>
> I would say:
>
> 1. all women in hospital have had to transfer from home to hospital, often in strong labour, but no-one seems to worry about this - if we wanted minimum transfers in labour, we would have 100% home birth, with women only being transferred when they really needed the hospital 2. there are units with much lower transfer rates, still with safe outcomes, so if we want to reduce transfers lets look at these units, and use their guidelines - lets not work on the basis of units where the guidelines are so restrictive, without any benefit to mothers and babies.
> 3. If there really is a need for 40% transfer (which is unlikely) this still means that 60% of women are able to have their baby as they want to in a BC. This is much higher than the % of healthy women who manage to have the kind of birth they originally wanted in hospital - so what is the problem? Indeed, if we want to maximise the chance for women to have physiological births, even with a 40% transfer rate, BCs beat hospitals every time
>
> All the best
>
> Soo
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research. <[log in to unmask]> On Behalf Of Laura Iannuzzi
> Sent: 14 November 2018 09:07
> To: [log in to unmask]
> Subject: Debates on the 'uselessness' and costs of having MLU and homebirth in ongoing Italian Congress
>
> Dear all
> I am attending the pre congress courses of the BIRTH Congress in Venice and I ll be speaking this afternoon of our experience in the Margherita birth centre in The Italian context The doctor who was chairing the course this morning in his presentation posed the question of what is the benefit of having MLUs if women in large part need to be transferred (he mentioned the 40% transfer rate for nulliparous in the birthplace study) and access to obstetric led unit with consequent trauma for women and costs for the system and 'risks' related to emergency (homebirth was not even considered to be an option being 'risky' - and he used US based literature ) So he was posing question on the issue of transfers
>
> I am trying to slightly change my presentation trying to address this question (that express a very common cultural standpoint in some context, that encourages midwife led care in labour ward but not midwife led care in midwife led units or home)
>
> For sure in my mind are coming reflection such as ;
> - yes it might be quite a challenge the theme of transfer for both women/ family and midwives
> - what is provided is not only intrapartum care
> - the more you protect physiology the less u need to transfer
> - the theme of women's choice
> - the fact that transfers are mainly not due to emergency reason but more 'tranquil' situation such as slow progress of labour
> - what about the costs of unnecessary interventions ? Are we sure that they are lower than the costs of transfers
> - health is more than a intact Perineum and so on
>
> But as even if thoughly posed this is an interesting are of debate, I d like to know if possibile from you what would you argue, what points would you make to answer ?
> This could be of massive help
> Thanks!
> Laura
>
> Laura Iannuzzi
> PhD, MSc, PgCert, BMId, RM
> Lead midwife physiological pregnancy path and Margherita birth centre Careggi university hospital Italy
>
> Inviato da iPhone
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<p> </p>
<p>If we stop attempting MLU births because there is a transfer risk,</p>
<p>Then presumably we need to</p>
<p>- stop attempting VBAC because there is a risk of CS in labour</p>
<p>- stop attempting vaginal breech (for countries where this continues) because there is a risk of CS in labour</p>
<p>- stop non pharmacological management of pain because there is a risk a peridural will occur nevertheles</p>
<p> </p>
<p>And I am sure you can invent many more</p>
<p>Sophie Alexander</p>
<p> </p>
<p>Le 14.11.2018 11:23, Rachel Rowe a écrit :</p>
<blockquote type="cite" style="padding-left:5px; border-left:#1010ff 2px solid; margin-left:5px"><!-- html ignored --><!-- head ignored --><!-- meta ignored -->
<pre>Following on from your initial thoughts Laura, and Soo's comments, I would also say that we have evidence about women's experience of transfer from midwifery units. In the main, this shows that while women talk about being "disappointed" that they did not have the birth that they planned for, they value and reflect positively on their midwifery unit experience. While some women, as with women who plan birth in any setting, may experience 'trauma' as a consequence of their birth experience, there is less evidence from women's accounts of trauma caused by transfer itself. Often, where there is trauma this is a consequence of how the transfer is managed. Transfer, or the potential for transfer, should be considered part of planning birth in a midwifery unit, and indeed is part of the reason why we see good outcomes in planned midwifery unit births. With sensitive care it need not be traumatic.
All best
Rachel
Rachel Rowe BA(Hons), DPhil
University Research Lecturer
Senior Health Services Researcher & NIHR Post Doctoral Fellow
National Perinatal Epidemiology Unit
Nuffield Department of Population Health
University of Oxford
Old Road Campus
Oxford
OX3 7LF
Tel: 01865 289713
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========================================================================Date: Wed, 14 Nov 2018 11:34:22 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
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research." <[log in to unmask]>
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Subject: Re: Debates on the =?Windows-1252?Q?‘uselessness’_?=and costs
of having MLU and homebirth in ongoing Italian Congress
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Love it
Lesley
Professor Lesley Page CBE
Visiting Professor in Midwifery KCL
Adjunct professor UTS Australia
Griffith University Australia
Honorary research fellow Oxford Brookes University
mobile +44(o)7747708630
https://www.all4maternity.com/author/lesleypage/
<https://www.all4maternity.com/author/lesleypage/>twitter: lesleypageCBE@humanisingbirth
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========================================================================Date: Wed, 14 Nov 2018 12:38:05 +0000
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========================================================================Date: Wed, 14 Nov 2018 12:40:10 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"Sandall, Jane" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "Sandall, Jane" <[log in to unmask]>
Subject: FW: International normal birth research conference 2019 call for
abstracts now open!
In-Reply-To: <[log in to unmask]>
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========================================================================Date: Wed, 14 Nov 2018 13:24:46 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
MacVane Phipps Fiona <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: MacVane Phipps Fiona <[log in to unmask]>
Subject: Re: Debates on the =?utf-8?Q?‘uselessness’_?=and
costs of having MLU and homebirth in ongoing Italian Congress
Comments: To: Billie Hunter <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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RVNFQVJDSCZBPTENCg=========================================================================Date: Wed, 14 Nov 2018 14:08:47 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"McCourt, Christine" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "McCourt, Christine" <[log in to unmask]>
Subject: Re: Debates on the =?utf-8?Q?‘uselessness’_?=and
costs of having MLU and homebirth in ongoing Italian Congress
In-Reply-To: <[log in to unmask]>
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ay9jZ2ktYmluL3dlYmFkbWluP1NVQkVEMT1NSURXSUZFUlktUkVTRUFSQ0gmQT0xDQo========================================================================Date: Wed, 14 Nov 2018 17:24:22 +0100
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Laura Iannuzzi <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Laura Iannuzzi <[log in to unmask]>
Subject: Re: Debates on the =?utf-8?Q?‘uselessness’_?=and
costs of having MLU and homebirth in ongoing Italian Congress
Comments: To: "McCourt, Christine" <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Dear all thank you very much for all your inputs, I tried to say something. At the end of the presentation the problem was moved to ‘MLUs are too expensive we cannot have a team of 6-10 midwives for that number of births when there is a shortage of midwives in labour ward’ (useless to have said that the activities of a birth centre are not only intrapartum and that (unfortunately) many times midwives are moving between areas.
By the way maybe it was because there were enough argument to move the debate from the transfer issue ;)
When prejudice dominate there is always a problem for any solution :)
But at least I tried to make the point that the conversation will be L ways biased if we focus on professionials views instead on women’s health.
I enjoyed the opportunity at least to try to offer a different perspective and it was really impressive to me to see all your mails that made me once more again aware that each one of us wherever is and whatever the task has been asked is at some level giving voice to a community is not just speaking for her/himself
Thanks for all the support
I feel the chair of the session didn’t move from his position at all, but surely I did !
Laura
Inviato da iPhone
> Il giorno 14 nov 2018, alle ore 15:08, McCourt, Christine <[log in to unmask]> ha scritto:
>
> Just to add a few points to the already excellent responses:
>
> - in the Birthplace study, transfer rates were highest in alongside midwife units, where transfer time is very short and usually just a lift or corridor.
> - as Laura has said, when you look at the rates from Birthplace, they are different for multips and from different settings but also a large proportion are not emergency
> - we also had evidence in the Birthplace organisational case studies that a range of professional and organisational issues could be affecting transfer rates so attention is needed to skills, confidence (so training) but also integration and relationships within a service (so that transfers are based on good professional jdgement of clinical needs/women's wishes not on territorialism or professional conflicts or organisational imperatives such as crowding or lack of staffing)
> - the economic evaluation included the costs of transfers in a very comprehensive way
> - the analysis was designed to take into account all transfers when considering the clinical outcomes - this means that any such risks were included in the analysis - the findings represent the outcomes of the full continuum of care according to where women planned the setting, defined at the start of care in labour
> - the work done on experiences of transfers showed that from the women's viewpoint (and their birth partner's) it is how you manage the transfer that really matters: they could have a positive experience but it did need to be well managed and supported and with appropriately tailored good quality information. Professional conflict or poorly developed transfer arrangements will not support a positive experience. Women ideally want some continuity too, with the midwife able to transfer with them, and good care and attention on arrival, not judgement - of them or of the professional who provided their care to that point.
>
> Other studies such as Overgaard's in Denmark and the Canadian studies and the Australian study have used similar methodology to ensure these kind of issues are taken into account.
>
> It seems at times that people in quite senior roles feel entitled to speak on an issue without reading the research in detail, to check the methods and what is covered, so then draw misleading conclusions such as 'it is all very well to say it is cost effective but what about the cost of transfers' and convey them to others with an air of authority.
>
>
>
>
>
>
> On 14/11/2018, 13:24, "A forum for discussion on midwifery and reproductive health research. on behalf of MacVane Phipps Fiona" <[log in to unmask] on behalf of [log in to unmask]> wrote:
>
> Keep up the good work, Laura! I agree with previous comments but where is the 40% transfer rate coming from? I think it is important to also talk about education, education for midwives, for women and for doctors about physiological birth. A lecture from a vet always goes down well. Imagine you are breeding horses, what conditions would a veterinarian say would be optimal for a safe birth? Vets usually say, a known, warm, safe, quiet, dark environment. No intrusions, let the mother do it herself (no tugging, pulling etc.) but know how to help if and when it becomes necessary, . The physiology of birth works for all mammals (and human babies don't have those long awkward legs with sharp elbows)! If physiology is respected and women and midwives both understand this and have developed a trusting relationship then transfers will go down.
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research. <[log in to unmask]> On Behalf Of Billie Hunter
> Sent: 14 November 2018 09:50
> To: [log in to unmask]
> Subject: Re: Debates on the ‘uselessness’ and costs of having MLU and homebirth in ongoing Italian Congress
>
> Great answers Soo and Laura! It's so important to turn these arguments on their head and point out the flaws in the 'logic'!
> Good luck with the presentation Laura & congratulations on the important work you are doing in Italy Very best Billie
>
> Billie Hunter, RCM Professor of Midwifery & Director, WHO Collaborating Centre for Midwifery Development, School of Healthcare Sciences, Cardiff University.
>
> Sent from my iPhone - apologies for any typos
>
>> On 14 Nov 2018, at 09:38, Soo Downe <[log in to unmask]> wrote:
>>
>> I would say:
>>
>> 1. all women in hospital have had to transfer from home to hospital,
>> often in strong labour, but no-one seems to worry about this - if we wanted minimum transfers in labour, we would have 100% home birth, with women only being transferred when they really needed the hospital 2. there are units with much lower transfer rates, still with safe outcomes, so if we want to reduce transfers lets look at these units, and use their guidelines - lets not work on the basis of units where the guidelines are so restrictive, without any benefit to mothers and babies.
>> 3. If there really is a need for 40% transfer (which is unlikely) this
>> still means that 60% of women are able to have their baby as they want
>> to in a BC. This is much higher than the % of healthy women who manage
>> to have the kind of birth they originally wanted in hospital - so what
>> is the problem? Indeed, if we want to maximise the chance for women to
>> have physiological births, even with a 40% transfer rate, BCs beat
>> hospitals every time
>>
>> All the best
>>
>> Soo
>>
>>
>> -----Original Message-----
>> From: A forum for discussion on midwifery and reproductive health
>> research. <[log in to unmask]> On Behalf Of Laura
>> Iannuzzi
>> Sent: 14 November 2018 09:07
>> To: [log in to unmask]
>> Subject: Debates on the ‘uselessness’ and costs of having MLU and
>> homebirth in ongoing Italian Congress
>>
>> Dear all
>> I am attending the pre congress courses of the BIRTH Congress in
>> Venice and I ll be speaking this afternoon of our experience in the
>> Margherita birth centre in The Italian context The doctor who was
>> chairing the course this morning in his presentation posed the
>> question of what is the benefit of having MLUs if women in large part
>> need to be transferred (he mentioned the 40% transfer rate for
>> nulliparous in the birthplace study) and access to obstetric led unit
>> with consequent trauma for women and costs for the system and ‘risks’
>> related to emergency (homebirth was not even considered to be an
>> option being ‘risky’ - and he used US based literature ) So he was
>> posing question on the issue of transfers
>>
>> I am trying to slightly change my presentation trying to address this
>> question (that express a very common cultural standpoint in some
>> context, that encourages midwife led care in labour ward but not
>> midwife led care in midwife led units or home)
>>
>> For sure in my mind are coming reflection such as ;
>> - yes it might be quite a challenge the theme of transfer for both
>> women/ family and midwives
>> - what is provided is not only intrapartum care
>> - the more you protect physiology the less u need to transfer
>> - the theme of women’s choice
>> - the fact that transfers are mainly not due to emergency reason but
>> more ‘tranquil’ situation such as slow progress of labour
>> - what about the costs of unnecessary interventions ? Are we sure that
>> they are lower than the costs of transfers
>> - health is more than a intact Perineum and so on
>>
>>
>> But as even if thoughly posed this is an interesting are of debate, I d like to know if possibile from you what would you argue, what points would you make to answer ?
>> This could be of massive help
>> Thanks!
>> Laura
>>
>> Laura Iannuzzi
>> PhD, MSc, PgCert, BMId, RM
>> Lead midwife physiological pregnancy path and Margherita birth centre
>> Careggi university hospital Italy
>>
>>
>>
>> Inviato da iPhone
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========================================================================Date: Wed, 14 Nov 2018 20:58:04 +0100
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Lucia Rocca <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Lucia Rocca <[log in to unmask]>
Subject: Re: Debates on the =?UTF-8?Q?‘uselessness’_?=and
costs of having MLU and homebirth in ongoing Italian Congress
Comments: To: Laura Iannuzzi <[log in to unmask]>,
Chantelle Winstanley <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Hi Laura,
sorry for coming in the discussion late! but you had very comprehensive
responses.
I can only add from a pragmatic practice view point that in an AMU where I
was Consultant midwife with my amazing colleague Chantelle Winstanley, we
managed as a team to deom intrapartum transfer from 43% to 19% in 4 months
by implementing staff training, support in practive, reflective sessions on
transfers and working with the women....
On the other hand we were also telling women that if there was a need to
recommend transfer they would have been looked after beautifully by the LW
staff who followed a similar phylosophy of care. The women really
appreciated this approach. Often if the women feel transfer as a failure,
it actually comes form the staff and conflict between areas of work. So we
need to work proactively on keeping geographical and professional
cross-boundary work positive and build relationships!
As for what you say in regard of 'When prejudice dominate there is always a
problem for any solution' it is so true....it is exhausting but we nee dto
keep pushing with a 'stick and carrot system' we need to work on the new
generation of obstetricians to ensure they appreciate interprofessional
collaboration.
Keep pushing! you are doing an amazing job 💓💓
xx
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 Wed, 14 Nov 2018 at 17:24, Laura Iannuzzi <[log in to unmask]>
wrote:
> Dear all thank you very much for all your inputs, I tried to say
> something. At the end of the presentation the problem was moved to ‘MLUs
> are too expensive we cannot have a team of 6-10 midwives for that number of
> births when there is a shortage of midwives in labour ward’ (useless to
> have said that the activities of a birth centre are not only intrapartum
> and that (unfortunately) many times midwives are moving between areas.
> By the way maybe it was because there were enough argument to move the
> debate from the transfer issue ;)
> When prejudice dominate there is always a problem for any solution :)
> But at least I tried to make the point that the conversation will be L
> ways biased if we focus on professionials views instead on women’s health.
> I enjoyed the opportunity at least to try to offer a different perspective
> and it was really impressive to me to see all your mails that made me once
> more again aware that each one of us wherever is and whatever the task has
> been asked is at some level giving voice to a community is not just
> speaking for her/himself
>
> Thanks for all the support
> I feel the chair of the session didn’t move from his position at all, but
> surely I did !
> Laura
>
> Inviato da iPhone
>
> > Il giorno 14 nov 2018, alle ore 15:08, McCourt, Christine <
> [log in to unmask]> ha scritto:
> >
> > Just to add a few points to the already excellent responses:
> >
> > - in the Birthplace study, transfer rates were highest in alongside
> midwife units, where transfer time is very short and usually just a lift or
> corridor.
> > - as Laura has said, when you look at the rates from Birthplace, they
> are different for multips and from different settings but also a large
> proportion are not emergency
> > - we also had evidence in the Birthplace organisational case studies
> that a range of professional and organisational issues could be affecting
> transfer rates so attention is needed to skills, confidence (so training)
> but also integration and relationships within a service (so that transfers
> are based on good professional jdgement of clinical needs/women's wishes
> not on territorialism or professional conflicts or organisational
> imperatives such as crowding or lack of staffing)
> > - the economic evaluation included the costs of transfers in a very
> comprehensive way
> > - the analysis was designed to take into account all transfers when
> considering the clinical outcomes - this means that any such risks were
> included in the analysis - the findings represent the outcomes of the full
> continuum of care according to where women planned the setting, defined at
> the start of care in labour
> > - the work done on experiences of transfers showed that from the women's
> viewpoint (and their birth partner's) it is how you manage the transfer
> that really matters: they could have a positive experience but it did need
> to be well managed and supported and with appropriately tailored good
> quality information. Professional conflict or poorly developed transfer
> arrangements will not support a positive experience. Women ideally want
> some continuity too, with the midwife able to transfer with them, and good
> care and attention on arrival, not judgement - of them or of the
> professional who provided their care to that point.
> >
> > Other studies such as Overgaard's in Denmark and the Canadian studies
> and the Australian study have used similar methodology to ensure these kind
> of issues are taken into account.
> >
> > It seems at times that people in quite senior roles feel entitled to
> speak on an issue without reading the research in detail, to check the
> methods and what is covered, so then draw misleading conclusions such as
> 'it is all very well to say it is cost effective but what about the cost of
> transfers' and convey them to others with an air of authority.
> >
> >
> >
> >
> >
> >
> > On 14/11/2018, 13:24, "A forum for discussion on midwifery and
> reproductive health research. on behalf of MacVane Phipps Fiona" <
> [log in to unmask] on behalf of
> [log in to unmask]> wrote:
> >
> > Keep up the good work, Laura! I agree with previous comments but
> where is the 40% transfer rate coming from? I think it is important to also
> talk about education, education for midwives, for women and for doctors
> about physiological birth. A lecture from a vet always goes down well.
> Imagine you are breeding horses, what conditions would a veterinarian say
> would be optimal for a safe birth? Vets usually say, a known, warm, safe,
> quiet, dark environment. No intrusions, let the mother do it herself (no
> tugging, pulling etc.) but know how to help if and when it becomes
> necessary, . The physiology of birth works for all mammals (and human
> babies don't have those long awkward legs with sharp elbows)! If physiology
> is respected and women and midwives both understand this and have developed
> a trusting relationship then transfers will go down.
> >
> > -----Original Message-----
> > From: A forum for discussion on midwifery and reproductive health
> research. <[log in to unmask]> On Behalf Of Billie Hunter
> > Sent: 14 November 2018 09:50
> > To: [log in to unmask]
> > Subject: Re: Debates on the ‘uselessness’ and costs of having MLU and
> homebirth in ongoing Italian Congress
> >
> > Great answers Soo and Laura! It's so important to turn these
> arguments on their head and point out the flaws in the 'logic'!
> > Good luck with the presentation Laura & congratulations on the
> important work you are doing in Italy Very best Billie
> >
> > Billie Hunter, RCM Professor of Midwifery & Director, WHO
> Collaborating Centre for Midwifery Development, School of Healthcare
> Sciences, Cardiff University.
> >
> > Sent from my iPhone - apologies for any typos
> >
> >> On 14 Nov 2018, at 09:38, Soo Downe <[log in to unmask]> wrote:
> >>
> >> I would say:
> >>
> >> 1. all women in hospital have had to transfer from home to hospital,
> >> often in strong labour, but no-one seems to worry about this - if we
> wanted minimum transfers in labour, we would have 100% home birth, with
> women only being transferred when they really needed the hospital 2. there
> are units with much lower transfer rates, still with safe outcomes, so if
> we want to reduce transfers lets look at these units, and use their
> guidelines - lets not work on the basis of units where the guidelines are
> so restrictive, without any benefit to mothers and babies.
> >> 3. If there really is a need for 40% transfer (which is unlikely) this
> >> still means that 60% of women are able to have their baby as they want
> >> to in a BC. This is much higher than the % of healthy women who manage
> >> to have the kind of birth they originally wanted in hospital - so what
> >> is the problem? Indeed, if we want to maximise the chance for women to
> >> have physiological births, even with a 40% transfer rate, BCs beat
> >> hospitals every time
> >>
> >> All the best
> >>
> >> Soo
> >>
> >>
> >> -----Original Message-----
> >> From: A forum for discussion on midwifery and reproductive health
> >> research. <[log in to unmask]> On Behalf Of Laura
> >> Iannuzzi
> >> Sent: 14 November 2018 09:07
> >> To: [log in to unmask]
> >> Subject: Debates on the ‘uselessness’ and costs of having MLU and
> >> homebirth in ongoing Italian Congress
> >>
> >> Dear all
> >> I am attending the pre congress courses of the BIRTH Congress in
> >> Venice and I ll be speaking this afternoon of our experience in the
> >> Margherita birth centre in The Italian context The doctor who was
> >> chairing the course this morning in his presentation posed the
> >> question of what is the benefit of having MLUs if women in large part
> >> need to be transferred (he mentioned the 40% transfer rate for
> >> nulliparous in the birthplace study) and access to obstetric led unit
> >> with consequent trauma for women and costs for the system and ‘risks’
> >> related to emergency (homebirth was not even considered to be an
> >> option being ‘risky’ - and he used US based literature ) So he was
> >> posing question on the issue of transfers
> >>
> >> I am trying to slightly change my presentation trying to address this
> >> question (that express a very common cultural standpoint in some
> >> context, that encourages midwife led care in labour ward but not
> >> midwife led care in midwife led units or home)
> >>
> >> For sure in my mind are coming reflection such as ;
> >> - yes it might be quite a challenge the theme of transfer for both
> >> women/ family and midwives
> >> - what is provided is not only intrapartum care
> >> - the more you protect physiology the less u need to transfer
> >> - the theme of women’s choice
> >> - the fact that transfers are mainly not due to emergency reason but
> >> more ‘tranquil’ situation such as slow progress of labour
> >> - what about the costs of unnecessary interventions ? Are we sure that
> >> they are lower than the costs of transfers
> >> - health is more than a intact Perineum and so on
> >>
> >>
> >> But as even if thoughly posed this is an interesting are of debate, I d
> like to know if possibile from you what would you argue, what points would
> you make to answer ?
> >> This could be of massive help
> >> Thanks!
> >> Laura
> >>
> >> Laura Iannuzzi
> >> PhD, MSc, PgCert, BMId, RM
> >> Lead midwife physiological pregnancy path and Margherita birth centre
> >> Careggi university hospital Italy
> >>
> >>
> >>
> >> Inviato da iPhone
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<div dir="ltr"><div>Hi Laura,</div><div>sorry for coming in the discussion late! but you had very comprehensive responses. <br></div><div><br></div><div>I can only add from a pragmatic practice view point that in an AMU where I was Consultant midwife with my amazing colleague Chantelle Winstanley, we managed as a team to deom intrapartum transfer from 43% to 19% in 4 months by implementing staff training, support in practive, reflective sessions on transfers and working with the women....</div><div>On the other hand we were also telling women that if there was a need to recommend transfer they would have been looked after beautifully by the LW staff who followed a similar phylosophy of care. The women really appreciated this approach. Often if the women feel transfer as a failure, it actually comes form the staff and conflict between areas of work. So we need to work proactively on keeping geographical and professional cross-boundary work positive and build relationships! <br></div><div><br></div><div>As for what you say in regard of 'When prejudice dominate there is always a problem for any solution' it is so true....it is exhausting but we nee dto keep pushing with a 'stick and carrot system' we need to work on the new generation of obstetricians to ensure they appreciate interprofessional collaboration. <br></div><div><br></div><div>Keep pushing! you are doing an amazing job 💓💓<br></div><div><br></div><div>xx</div><div><br></div><div>Lucia</div><div><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><br><div class="gmail_quote"><div dir="ltr">On Wed, 14 Nov 2018 at 17:24, Laura Iannuzzi <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> wrote:<br></div><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">Dear all thank you very much for all your inputs, I tried to say something. At the end of the presentation the problem was moved to ‘MLUs are too expensive we cannot have a team of 6-10 midwives for that number of births when there is a shortage of midwives in labour ward’ (useless to have said that the activities of a birth centre are not only intrapartum and that (unfortunately) many times midwives are moving between areas.<br>
By the way maybe it was because there were enough argument to move the debate from the transfer issue ;) <br>
When prejudice dominate there is always a problem for any solution :)<br>
But at least I tried to make the point that the conversation will be L ways biased if we focus on professionials views instead on women’s health.<br>
I enjoyed the opportunity at least to try to offer a different perspective and it was really impressive to me to see all your mails that made me once more again aware that each one of us wherever is and whatever the task has been asked is at some level giving voice to a community is not just speaking for her/himself <br>
<br>
Thanks for all the support<br>
I feel the chair of the session didn’t move from his position at all, but surely I did !<br>
Laura <br>
<br>
Inviato da iPhone<br>
<br>
> Il giorno 14 nov 2018, alle ore 15:08, McCourt, Christine <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> ha scritto:<br>
> <br>
> Just to add a few points to the already excellent responses:<br>
> <br>
> - in the Birthplace study, transfer rates were highest in alongside midwife units, where transfer time is very short and usually just a lift or corridor. <br>
> - as Laura has said, when you look at the rates from Birthplace, they are different for multips and from different settings but also a large proportion are not emergency<br>
> - we also had evidence in the Birthplace organisational case studies that a range of professional and organisational issues could be affecting transfer rates so attention is needed to skills, confidence (so training) but also integration and relationships within a service (so that transfers are based on good professional jdgement of clinical needs/women's wishes not on territorialism or professional conflicts or organisational imperatives such as crowding or lack of staffing)<br>
> - the economic evaluation included the costs of transfers in a very comprehensive way<br>
> - the analysis was designed to take into account all transfers when considering the clinical outcomes - this means that any such risks were included in the analysis - the findings represent the outcomes of the full continuum of care according to where women planned the setting, defined at the start of care in labour<br>
> - the work done on experiences of transfers showed that from the women's viewpoint (and their birth partner's) it is how you manage the transfer that really matters: they could have a positive experience but it did need to be well managed and supported and with appropriately tailored good quality information. Professional conflict or poorly developed transfer arrangements will not support a positive experience. Women ideally want some continuity too, with the midwife able to transfer with them, and good care and attention on arrival, not judgement - of them or of the professional who provided their care to that point. <br>
> <br>
> Other studies such as Overgaard's in Denmark and the Canadian studies and the Australian study have used similar methodology to ensure these kind of issues are taken into account.<br>
> <br>
> It seems at times that people in quite senior roles feel entitled to speak on an issue without reading the research in detail, to check the methods and what is covered, so then draw misleading conclusions such as 'it is all very well to say it is cost effective but what about the cost of transfers' and convey them to others with an air of authority. <br>
> <br>
> <br>
> <br>
> <br>
> <br>
> <br>
> On 14/11/2018, 13:24, "A forum for discussion on midwifery and reproductive health research. on behalf of MacVane Phipps Fiona" <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> on behalf of <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> wrote:<br>
> <br>
>Â Â Keep up the good work, Laura! I agree with previous comments but where is the 40% transfer rate coming from? I think it is important to also talk about education, education for midwives, for women and for doctors about physiological birth. A lecture from a vet always goes down well. Imagine you are breeding horses, what conditions would a veterinarian say would be optimal for a safe birth? Vets usually say, a known, warm, safe, quiet, dark environment. No intrusions, let the mother do it herself (no tugging, pulling etc.) but know how to help if and when it becomes necessary, . The physiology of birth works for all mammals (and human babies don't have those long awkward legs with sharp elbows)! If physiology is respected and women and midwives both understand this and have developed a trusting relationship then transfers will go down.<br>
> <br>
>Â Â -----Original Message-----<br>
>Â Â From: A forum for discussion on midwifery and reproductiv<br>
<hr>
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========================================================================Date: Wed, 14 Nov 2018 20:09:15 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Maria Healy <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Maria Healy <[log in to unmask]>
Subject: Re: Debates on the =?utf-8?Q?‘uselessness’_?=and
costs of having MLU and homebirth in ongoing Italian Congress
Comments: To: Lucia Rocca <[log in to unmask]>
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========================================================================Date: Wed, 14 Nov 2018 21:25:21 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"Sandall, Jane" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "Sandall, Jane" <[log in to unmask]>
Subject: FW: Abstracts submission for the 2019 BMFMS conference - deadline
extended
In-Reply-To: <[log in to unmask]>
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========================================================================Date: Thu, 15 Nov 2018 14:14:15 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Jane Fry <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Jane Fry <[log in to unmask]>
Subject: Re: MIDWIFERY-RESEARCH Digest - 9 Nov 2018 to 10 Nov 2018
(#2018-200)
Comments: To: "Page, Lesley" <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
Content-Type: text/plain; charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable
MIME-Version: 1.0
Message-ID: <[log in to unmask]>
I would also like to be involved
Kind Regards,
Jane
Dr. Jane Fry, PhD, MA, BA (Hons), ADM, RM
Senior Lecturer
Bournemouth University
Faculty of Health and Social Sciences
Fourth Floor
St Mary's Community Health Campus
Milton Road
Portsmouth
P03 6AD
01202968310
-----Original Message-----
From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Page, Lesley
Sent: 13 November 2018 09:14
To: [log in to unmask]
Subject: Re: MIDWIFERY-RESEARCH Digest - 9 Nov 2018 to 10 Nov 2018 (#2018-200)
I am also keen to be involved
Lesley
Professor Lesley Page CBE
Visiting Professor in Midwifery KCL
Adjunct professor UTS Australia
Griffith University Australia
Honorary research fellow Oxford Brookes University
mobile +44(o)7747708630
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From: A forum for discussion on midwifery and reproductive health research.
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========================================================================Date: Fri, 16 Nov 2018 11:40:11 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"Sandall, Jane" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "Sandall, Jane" <[log in to unmask]>
Subject: FW: Wellbeing of Women Research Project Grants now open!
In-Reply-To: <[log in to unmask]>
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--_007_AM6PR03MB38621746810ABA2AAD9B27FAD5DD0AM6PR03MB3862eurp_--
========================================================================Date: Fri, 16 Nov 2018 12:14:55 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
University of Oxford CPD Centre <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: University of Oxford CPD Centre <[log in to unmask]>
Subject: Introduction to Statistics for Health Care Research,
University of Oxford
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University of Oxford
Introduction to Statistics for Health Care Research
28 January – 22 March 2019
Take your first steps to unlock the power of statistics
Register here: https://conted.ox.ac.uk/ISHCR
An eight-week accredited postgraduate online short course
• Understand and manipulate basic mathematical and statistical techniques as preparation for more specialized courses in health care
• Understand the statistical issues in the planning and analysis of research
• Understand the basic statistical aspects of published research
• Apply statistical analysis to cohort studies, case control studies and randomized controlled trials
Further details and how to apply
https://conted.ox.ac.uk/ISHCR
########################################################################
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<li><b><span style="font-size:11.0pt;font-family:
"Calibri",sans-serif;mso-bidi-font-family:"Times New Roman";color:#1F497D;
mso-themecolor:text2">Understand and manipulate basic mathematical and statistical techniques as preparation for more specialized courses in health care</span></b></li>
<li><b><span style="font-size:11.0pt;font-family:
"Calibri",sans-serif;mso-bidi-font-family:"Times New Roman";color:#1F497D;
mso-themecolor:text2">Understand the statistical issues in the planning and analysis of research</span></b></li>
<li><b><span style="font-size:11.0pt;font-family:
"Calibri",sans-serif;mso-bidi-font-family:"Times New Roman";color:#1F497D;
mso-themecolor:text2">Understand the basic statistical aspects of published research</span></b></li>
<li><b><span style="font-size:11.0pt;font-family:
"Calibri",sans-serif;mso-bidi-font-family:"Times New Roman";color:#1F497D;
mso-themecolor:text2">Apply statistical analysis to cohort studies, case control studies and randomized controlled trials</span></b></li>
</ul>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:
auto;text-align:center" align="center"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;
mso-bidi-font-family:"Times New Roman";color:#632523"><br />
</span></b><span class="MsoHyperlink"><b><span style="font-size:16.0pt;
font-family:"Calibri",sans-serif;mso-bidi-font-family:"Times New Roman""><a href="https://www.conted.ox.ac.uk/ISHCR">Further details and how to apply</a></span></b></span></p>
</p>
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--part-3KhlgZlCHm1ifNgnB2qVBAZpSA1P8xgI6N52EDABAnWtV--
========================================================================Date: Sat, 17 Nov 2018 22:25:14 +1100
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: Debates on the =?utf-8?Q?‘uselessness’_?=and
costs of having MLU and homebirth in ongoing Italian Congress
Comments: To: Trixie McAree <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
Content-type: text/plain; charset=utf-8
Content-transfer-encoding: quoted-printable
MIME-version: 1.0 (1.0)
Message-ID: <[log in to unmask]>
Excellent response Soo - please can I use this example Soo and Laura?
Very best wishes
Sheena
www.sheenabyrom.com
> On 14 Nov 2018, at 20:47, Trixie McAree <[log in to unmask]> wrote:
>
> Great argument!
> Trixie
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Soo Downe
> Sent: 14 November 2018 09:39
> To: [log in to unmask]
> Subject: Re: Debates on the ‘uselessness’ and costs of having MLU and homebirth in ongoing Italian Congress
>
> I would say:
>
> 1. all women in hospital have had to transfer from home to hospital, often in strong labour, but no-one seems to worry about this - if we wanted minimum transfers in labour, we would have 100% home birth, with women only being transferred when they really needed the hospital 2. there are units with much lower transfer rates, still with safe outcomes, so if we want to reduce transfers lets look at these units, and use their guidelines - lets not work on the basis of units where the guidelines are so restrictive, without any benefit to mothers and babies.
> 3. If there really is a need for 40% transfer (which is unlikely) this still means that 60% of women are able to have their baby as they want to in a BC. This is much higher than the % of healthy women who manage to have the kind of birth they originally wanted in hospital - so what is the problem? Indeed, if we want to maximise the chance for women to have physiological births, even with a 40% transfer rate, BCs beat hospitals every time
>
> All the best
>
> Soo
>
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research. <[log in to unmask]> On Behalf Of Laura Iannuzzi
> Sent: 14 November 2018 09:07
> To: [log in to unmask]
> Subject: Debates on the ‘uselessness’ and costs of having MLU and homebirth in ongoing Italian Congress
>
> Dear all
> I am attending the pre congress courses of the BIRTH Congress in Venice and I ll be speaking this afternoon of our experience in the Margherita birth centre in The Italian context The doctor who was chairing the course this morning in his presentation posed the question of what is the benefit of having MLUs if women in large part need to be transferred (he mentioned the 40% transfer rate for nulliparous in the birthplace study) and access to obstetric led unit with consequent trauma for women and costs for the system and ‘risks’ related to emergency (homebirth was not even considered to be an option being ‘risky’ - and he used US based literature ) So he was posing question on the issue of transfers
>
> I am trying to slightly change my presentation trying to address this question (that express a very common cultural standpoint in some context, that encourages midwife led care in labour ward but not midwife led care in midwife led units or home)
>
> For sure in my mind are coming reflection such as ;
> - yes it might be quite a challenge the theme of transfer for both women/ family and midwives
> - what is provided is not only intrapartum care
> - the more you protect physiology the less u need to transfer
> - the theme of women’s choice
> - the fact that transfers are mainly not due to emergency reason but more ‘tranquil’ situation such as slow progress of labour
> - what about the costs of unnecessary interventions ? Are we sure that they are lower than the costs of transfers
> - health is more than a intact Perineum and so on
>
>
> But as even if thoughly posed this is an interesting are of debate, I d like to know if possibile from you what would you argue, what points would you make to answer ?
> This could be of massive help
> Thanks!
> Laura
>
> Laura Iannuzzi
> PhD, MSc, PgCert, BMId, RM
> Lead midwife physiological pregnancy path and Margherita birth centre Careggi university hospital Italy
>
>
>
> Inviato da iPhone
> ########################################################################
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========================================================================Date: Sat, 17 Nov 2018 12:38:40 +0100
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Laura Iannuzzi <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Laura Iannuzzi <[log in to unmask]>
Subject: Re: Debates on the =?utf-8?Q?‘uselessness’_?=and
costs of having MLU and homebirth in ongoing Italian Congress
Comments: To: SHEENA BYROM <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Ciao Sheena!
Absolutely fine to me of course
And just to add a little funny element, while in Venice there were debates about the ‘risks and costs’ of home birth and midwife led unit far from the hospital and the need of women to stay in hospital (so that we can avoid transfers-related issue) , chatting with a taxi driver I discovered that women that love in the Lido area (where the movie festival takes place) in order to get to hospital to give birth have to take a water taxi or bus to get the the other side of the island where the hospital is.... so to be transferred from an island to other to get to hospital as routine way in that area..
Really interesting !
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By the way it was a stimulating (at time painful) Congress
:)
Hugs from Florence
Laura
Inviato da iPhone
> Il giorno 17 nov 2018, alle ore 12:25, SHEENA BYROM <[log in to unmask]> ha scritto:
>
> Excellent response Soo - please can I use this example Soo and Laura?
>
> Very best wishes
>
> Sheena
>
> www.sheenabyrom.com
>
>> On 14 Nov 2018, at 20:47, Trixie McAree <[log in to unmask]> wrote:
>>
>> Great argument!
>> Trixie
>>
>> -----Original Message-----
>> From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Soo Downe
>> Sent: 14 November 2018 09:39
>> To: [log in to unmask]
>> Subject: Re: Debates on the ‘uselessness’ and costs of having MLU and homebirth in ongoing Italian Congress
>>
>> I would say:
>>
>> 1. all women in hospital have had to transfer from home to hospital, often in strong labour, but no-one seems to worry about this - if we wanted minimum transfers in labour, we would have 100% home birth, with women only being transferred when they really needed the hospital 2. there are units with much lower transfer rates, still with safe outcomes, so if we want to reduce transfers lets look at these units, and use their guidelines - lets not work on the basis of units where the guidelines are so restrictive, without any benefit to mothers and babies.
>> 3. If there really is a need for 40% transfer (which is unlikely) this still means that 60% of women are able to have their baby as they want to in a BC. This is much higher than the % of healthy women who manage to have the kind of birth they originally wanted in hospital - so what is the problem? Indeed, if we want to maximise the chance for women to have physiological births, even with a 40% transfer rate, BCs beat hospitals every time
>>
>> All the best
>>
>> Soo
>>
>>
>> -----Original Message-----
>> From: A forum for discussion on midwifery and reproductive health research. <[log in to unmask]> On Behalf Of Laura Iannuzzi
>> Sent: 14 November 2018 09:07
>> To: [log in to unmask]
>> Subject: Debates on the ‘uselessness’ and costs of having MLU and homebirth in ongoing Italian Congress
>>
>> Dear all
>> I am attending the pre congress courses of the BIRTH Congress in Venice and I ll be speaking this afternoon of our experience in the Margherita birth centre in The Italian context The doctor who was chairing the course this morning in his presentation posed the question of what is the benefit of having MLUs if women in large part need to be transferred (he mentioned the 40% transfer rate for nulliparous in the birthplace study) and access to obstetric led unit with consequent trauma for women and costs for the system and ‘risks’ related to emergency (homebirth was not even considered to be an option being ‘risky’ - and he used US based literature ) So he was posing question on the issue of transfers
>>
>> I am trying to slightly change my presentation trying to address this question (that express a very common cultural standpoint in some context, that encourages midwife led care in labour ward but not midwife led care in midwife led units or home)
>>
>> For sure in my mind are coming reflection such as ;
>> - yes it might be quite a challenge the theme of transfer for both women/ family and midwives
>> - what is provided is not only intrapartum care
>> - the more you protect physiology the less u need to transfer
>> - the theme of women’s choice
>> - the fact that transfers are mainly not due to emergency reason but more ‘tranquil’ situation such as slow progress of labour
>> - what about the costs of unnecessary interventions ? Are we sure that they are lower than the costs of transfers
>> - health is more than a intact Perineum and so on
>>
>>
>> But as even if thoughly posed this is an interesting are of debate, I d like to know if possibile from you what would you argue, what points would you make to answer ?
>> This could be of massive help
>> Thanks!
>> Laura
>>
>> Laura Iannuzzi
>> PhD, MSc, PgCert, BMId, RM
>> Lead midwife physiological pregnancy path and Margherita birth centre Careggi university hospital Italy
>>
>>
>>
>> Inviato da iPhone
>> ########################################################################
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========================================================================Date: Sat, 17 Nov 2018 13:30:47 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Sheila Brown <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Sheila Brown <[log in to unmask]>
Subject: Re: MIDWIFERY-RESEARCH Digest - 6 Nov 2018 to 7 Nov 2018
(#2018-197)
Comments: To: [log in to unmask]
In-Reply-To: <[log in to unmask]>
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Hi All
Apologies that my response to this thread is delayed.
Perhaps we could also consider a method of "scaling-up" the promotion of
normal physiological birth and woman centered care with similar approach
used for the "Becoming Breastfeeding Friendly" project led by Yale
University. This is being used in Scotland, Wales and England.
https://publichealth.yale.edu/bfci/
Best Wishes,
Sheila (Bangor University, North Wales).
On Thu, 8 Nov 2018 at 08:32, Susan Crowther (snm) <[log in to unmask]>
wrote:
> Hi Gillian and all,
>
> What a good thread. I agree that a global reach initiative to reclaim the
> term ‘normal birth’ and provide strategies and structured teaching and
> assessing tools is needed. Normal birth’ has not been demonised everywhere
> as it has been in the UK recently. Having just read the recent Lancet CS
> series it is absolutely time to do something to safeguard normal birth. The
> foundations of knowledge are there, we have the evidence. I suspect most of
> us on this list could list at least 10 points without much effort from the
> top of our heads! There are various local and national
> initiatives/guidelines over the years but a proactive global reach would be
> inspiring.
>
> I would very much like to be involved. Perhaps to start a small group
> exploring global funding options?
>
> Go well
> Dr Susan Crowther
> Professor of Midwifery
> Faculty of Health and Social Care | Robert Gordon University | Garthdee
> Road|Aberdeen | AB10 7AQ
> T: +44(0)1224 263291<tel:+441224%20263291>| E mail: [log in to unmask]
> <mailto:[log in to unmask]>
> ORCID ID: 0000-0002-4133-2189
> Twitter: https://twitter.com/SusanCrowtherMW
> New book 2017 https://twitter.com<https://twitter.com/SusanCrowtherMW
> >/spiritbirthbook
> Blog:
> DrSusanCrowther.com<x-apple-msg-load://FA94F0BC-AD61-470A-8F25-ECA235DFEB6B/
> DrSusanCrowther.wordpress.com>
> Those finding themselves at birth need to pause .. allow the profundity of
> its meaning to surface and inspire their actions
>
> On 8 Nov 2018, at 00:02, MIDWIFERY-RESEARCH automatic digest system <
> [log in to unmask]<mailto:[log in to unmask]>> wrote:
>
> There are 25 messages totaling 9024 lines in this issue.
>
> Topics of the day:
>
> 1. MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018 (#2018-190) (22)
> 2. purple line (2)
> 3. New Course - Advanced Qualitative Research Methods
>
> ########################################################################
>
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>
> ----------------------------------------------------------------------
>
> Date: Wed, 7 Nov 2018 20:00:32 +1300
> From: SHEENA BYROM <[log in to unmask]<mailto:[log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Hello Gillian,
>
> I absolutely agree with you. And in a time when we are ‘not allowed’ to
> use the term ‘normal birth’ - a call to action similar to Unicef and BFI
> would seem sensible. I have debated this before with Francesca Entwistle.
>
> Soo Downe is working with the WHO on these matters, and may offer some
> insight. Soo and I are planning the development of something similar to the
> now abolished RCM's Ten Tops Tips (not using this phrase) for NB to support
> women and practitioners, but just in the early stages and any help welcomed.
>
> I would be more than happy to be part of a small team looking at
> developing standards etc - we have so much evidence and it would be good to
> pull it together.
>
> Something else, we are soon to launch a Normal Birth Repository of
> information - freely accessible to all - just making the final tweeks to
> the website, so this will be something else to contribute to a strategy…
>
> Thank you for raising this critical issue...
>
>
>
> With very best wishes,
>
> Sheena
>
> Website: sheenabyrom.com<http://sheenabyrom.com> <
> http://www.sheenabyrom.com/>
>
> Twitter: @SagefemmeSB <https://twitter.com/SagefemmeSB>
>
> On 1 Nov 2018, at 02:17, Gillian Meldrum <[log in to unmask]<mailto:
> [log in to unmask]>> wrote:
>
> I think what is needed is an international & national normal birth
> strategy with a co-ordinating body. The UNICEF Baby Friendly Initiative, in
> partnership with WHO, is a good model to consider.
> They have made slow but steady progress over the last 27 years, with many
> challenges similar to normal birth.
> It has to start with an understanding of why normal birth matters - the
> increase in interventions is often lamented, but rarely do we see the
> negative impacts of this or it’s often weak rationales explicitly stated in
> the media or communicated to women.
> The importance of normal birth, and how to achieve it, may be taught to
> midwifery students, but not to doctors and most lay people are unaware.
> BFI at a local level means setting policies & guidelines for best
> evidence-based practice, training staff & auditing their skills, knowledge
> & understanding, and most importantly, auditing mothers’ experiences so
> that we hear their voices & find out if we are getting it right.
> Nationally, they co-ordinate a national network of infant feeding leads
> who link in to all maternity, neonatal, health visiting & children’s
> centre staff in the country (except for some areas in England who are not
> signed up). They have established standards for universities training
> midwives & health visitors.
> Currently they are working on a medical student curriculum.
> They work together with other national bodies involved in
> https://ukbreastfeeding.org/ <https://ukbreastfeeding.org/>
> They are a tiny unit, but have clear aims and focus - we have never had
> any organisation promoting normal birth in such a structured way.
> Who of you has contacts with WHO? We need an Innocenti Declaration for
> normal birth and a an equivalent of the 10 steps framework to protect it.
> Then a UK organisation which exists for the purpose of implementing those
> standards.
>
> On a slightly different note, I think the improvements in induction rates
> in the 1990s can be partly attributed to the contribution of NCT & AIMS
> which encouraged women to expect more oppprtunities for informed choice &
> resulted in more women asking for less intervention, together with the
> publication in 1989 of Chalmers et al Effective Care in Pregnancy &
> Childbirth - this gave massive support to clinicians.
>
> Gillian Meldrum
>
> On Wed, 31 Oct 2018 at 10:43, Macfarlane, Alison <
> [log in to unmask]<mailto:[log in to unmask]> <mailto:
> [log in to unmask]>> wrote:
> We have a lot more research evidence since the early 1990s when the
> policies first changed and more recent robust research which has confirmed
> and extended the earlier more limited evidence on which the policies were
> based. Although research questions remain, I don’t think more research is
> the prime need now. An outside observer can see the majority of women
> giving birth in ever larger obstetric units with rocketing levels of
> intervention and a few midwifery units and private midwifery companies for
> the minority of women who manage to find out that they have a choice. I
> know you midwives are run off your feet, but it looks like you have a
> choice between letting it all happen and becoming the RCOG / RCN Faculty of
> Obstetric Nursing or taking some action.
>
>
>
> Alison Macfarlane
>
>
>
> From: MacVane Phipps Fiona [mailto:[log in to unmask]
> <mailto:[log in to unmask]>]
> Sent: 30 October 2018 12:56
> To: Macfarlane, Alison; A forum for discussion on midwifery and
> reproductive health research.
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
>
>
> Alison
>
> Thank you for this. I didn't see your graphs. were they circulated on this
> list? I find your suggestion very chilling yet very credible, particularly
> if this government plan, as widely rumoured, to throw open NHS contracts to
> any US trade deal. I can't think of anything worse than the UK maternity
> service being influenced/comtrolled by US care providers (read 'Insurance
> conglomerates'). I find it very hard to understand why the large body of
> evidence supporting midwifery care and the midwifery model of birth has
> failed to alter this trend. I'm happy to be involved in any discussion
> about research that could be done to investigate.
>
> Best wishes,
>
> Fiona
>
>
>
>
>
> From: Macfarlane, Alison <[log in to unmask]<mailto:
> [log in to unmask]> <mailto:[log in to unmask]>>
> Sent: 30 October 2018 12:29:53
> To: A forum for discussion on midwifery and reproductive health research.;
> MacVane Phipps Fiona
> Subject: RE: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
>
>
> Dear all,
>
> I hope you don't mind me commenting on this from a statistical
> perspective. The graphs I circulated show that in England childbirth is
> changing but in a non-evidence-based direction that I think most people on
> this list think is wrong.
>
> How long before some hard-nosed finance person notices that fewer than
> half of births in England are spontaneous and proposes that a 'solution' to
> the shortage of midwives would be replacing a substantial number of
> midwifery posts with obstetric nursing assistants to help the obstetricians
> conduct an ever growing proportion of births? This reached 39 per cent in
> 2007-18.
>
> Good luck and I hope you do better than King Canute.
>
> Alison Macfarlane
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research.
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
> <https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
> >
>
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
> <https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
> >
>
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 07:47:00 +0000
> From: "Prins, Marianne" <[log in to unmask]<mailto:
> [log in to unmask]>>
> Subject: purple line
>
> Dear all,
> I am curious whether midwives ‘use’ the purple line in their care. Do you
> observe progression of the line and what do you do with the results? Do you
> for example postpone vaginal examinations in case the purple line is
> visible?
> Best Whishes
> Marianne
>
> From: A forum for discussion on midwifery and reproductive health
> research. <[log in to unmask]<mailto:
> [log in to unmask]>> On Behalf Of SHEENA BYROM
> Sent: woensdag 7 november 2018 08:01
> To: [log in to unmask]<mailto:
> [log in to unmask]>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Hello Gillian,
>
> I absolutely agree with you. And in a time when we are ‘not allowed’ to
> use the term ‘normal birth’ - a call to action similar to Unicef and BFI
> would seem sensible. I have debated this before with Francesca Entwistle.
>
> Soo Downe is working with the WHO on these matters, and may offer some
> insight. Soo and I are planning the development of something similar to the
> now abolished RCM's Ten Tops Tips (not using this phrase) for NB to support
> women and practitioners, but just in the early stages and any help welcomed.
>
> I would be more than happy to be part of a small team looking at
> developing standards etc - we have so much evidence and it would be good to
> pull it together.
>
> Something else, we are soon to launch a Normal Birth Repository of
> information - freely accessible to all - just making the final tweeks to
> the website, so this will be something else to contribute to a strategy…
>
> Thank you for raising this critical issue...
>
>
>
> With very best wishes,
>
> Sheena
>
> Website: sheenabyrom.com<http://sheenabyrom.com><
> http://www.sheenabyrom.com>
>
> Twitter: @SagefemmeSB<https://twitter.com/SagefemmeSB>
>
>
> On 1 Nov 2018, at 02:17, Gillian Meldrum <[log in to unmask]<mailto:
> [log in to unmask]><mailto:[log in to unmask]>> wrote:
>
> I think what is needed is an international & national normal birth
> strategy with a co-ordinating body. The UNICEF Baby Friendly Initiative, in
> partnership with WHO, is a good model to consider.
> They have made slow but steady progress over the last 27 years, with many
> challenges similar to normal birth.
> It has to start with an understanding of why normal birth matters - the
> increase in interventions is often lamented, but rarely do we see the
> negative impacts of this or it’s often weak rationales explicitly stated in
> the media or communicated to women.
> The importance of normal birth, and how to achieve it, may be taught to
> midwifery students, but not to doctors and most lay people are unaware.
> BFI at a local level means setting policies & guidelines for best
> evidence-based practice, training staff & auditing their skills, knowledge
> & understanding, and most importantly, auditing mothers’ experiences so
> that we hear their voices & find out if we are getting it right.
> Nationally, they co-ordinate a national network of infant feeding leads
> who link in to all maternity, neonatal, health visiting & children’s
> centre staff in the country (except for some areas in England who are not
> signed up). They have established standards for universities training
> midwives & health visitors.
> Currently they are working on a medical student curriculum.
> They work together with other national bodies involved in
> https://ukbreastfeeding.org/
> They are a tiny unit, but have clear aims and focus - we have never had
> any organisation promoting normal birth in such a structured way.
> Who of you has contacts with WHO? We need an Innocenti Declaration for
> normal birth and a an equivalent of the 10 steps framework to protect it.
> Then a UK organisation which exists for the purpose of implementing those
> standards.
>
> On a slightly different note, I think the improvements in induction rates
> in the 1990s can be partly attributed to the contribution of NCT & AIMS
> which encouraged women to expect more oppprtunities for informed choice &
> resulted in more women asking for less intervention, together with the
> publication in 1989 of Chalmers et al Effective Care in Pregnancy &
> Childbirth - this gave massive support to clinicians.
>
> Gillian Meldrum
>
> On Wed, 31 Oct 2018 at 10:43, Macfarlane, Alison <
> [log in to unmask]<mailto:[log in to unmask]><mailto:
> [log in to unmask]>> wrote:
> We have a lot more research evidence since the early 1990s when the
> policies first changed and more recent robust research which has confirmed
> and extended the earlier more limited evidence on which the policies were
> based. Although research questions remain, I don’t think more research is
> the prime need now. An outside observer can see the majority of women
> giving birth in ever larger obstetric units with rocketing levels of
> intervention and a few midwifery units and private midwifery companies for
> the minority of women who manage to find out that they have a choice. I
> know you midwives are run off your feet, but it looks like you have a
> choice between letting it all happen and becoming the RCOG / RCN Faculty of
> Obstetric Nursing or taking some action.
>
> Alison Macfarlane
>
> From: MacVane Phipps Fiona [mailto:[log in to unmask]<mailto:
> [log in to unmask]>]
> Sent: 30 October 2018 12:56
> To: Macfarlane, Alison; A forum for discussion on midwifery and
> reproductive health research.
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Alison
> Thank you for this. I didn't see your graphs. were they circulated on this
> list? I find your suggestion very chilling yet very credible, particularly
> if this government plan, as widely rumoured, to throw open NHS contracts to
> any US trade deal. I can't think of anything worse than the UK maternity
> service being influenced/comtrolled by US care providers (read 'Insurance
> conglomerates'). I find it very hard to understand why the large body of
> evidence supporting midwifery care and the midwifery model of birth has
> failed to alter this trend. I'm happy to be involved in any discussion
> about research that could be done to investigate.
> Best wishes,
> Fiona
>
>
> ________________________________
> From: Macfarlane, Alison <[log in to unmask]<mailto:
> [log in to unmask]><mailto:[log in to unmask]>>
> Sent: 30 October 2018 12:29:53
> To: A forum for discussion on midwifery and reproductive health research.;
> MacVane Phipps Fiona
> Subject: RE: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Dear all,
>
> I hope you don't mind me commenting on this from a statistical
> perspective. The graphs I circulated show that in England childbirth is
> changing but in a non-evidence-based direction that I think most people on
> this list think is wrong.
>
> How long before some hard-nosed finance person notices that fewer than
> half of births in England are spontaneous and proposes that a 'solution' to
> the shortage of midwives would be replacing a substantial number of
> midwifery posts with obstetric nursing assistants to help the obstetricians
> conduct an ever growing proportion of births? This reached 39 per cent in
> 2007-18.
>
> Good luck and I hope you do better than King Canute.
>
> Alison Macfarlane
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research.
> ________________________________
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ________________________________
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ________________________________
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 08:15:01 +0000
> From: "Page, Lesley" <[log in to unmask]<mailto:
> [log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> I would be very much in support of this
>
>
> Lesley
>
> Professor Lesley Page CBE
> Visiting Professor in Midwifery KCL
> Adjunct professor UTS Australia
> Griffith University Australia
> Honorary research fellow Oxford Brookes University
>
> mobile +44(o)7747708630
>
>
>
> https://www.all4maternity.com/author/lesleypage/
>
> <https://www.all4maternity.com/author/lesleypage/>twitter:
> lesleypageCBE@humanisingbirth
>
>
>
>
>
>
>
> ________________________________
> From: A forum for discussion on midwifery and reproductive health research.
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 08:28:33 +0000
> From: MacVane Phipps Fiona <[log in to unmask]<mailto:
> [log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> I very much support any initiative in support of physiological labour and
> birth and would like to be included in any group working on this
>
> Kind regards,
>
> Fiona Macvane Phipps
>
>
> ________________________________
> From: A forum for discussion on midwifery and reproductive health research.
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 08:47:46 +0000
> From: "Scamell, Mandie" <[log in to unmask]<mailto:
> [log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> This is a really exciting opportunity. Every cloud and all that. I would
> be happy to be involved if I can help at all.
>
> BW
>
> Mandie
>
> Sent from my iPhone
>
> On 7 Nov 2018, at 07:01, SHEENA BYROM <
> [log in to unmask]<mailto:
> [log in to unmask]><mailto:
> [log in to unmask]>> wrote:
>
> Hello Gillian,
>
> I absolutely agree with you. And in a time when we are ‘not allowed’ to
> use the term ‘normal birth’ - a call to action similar to Unicef and BFI
> would seem sensible. I have debated this before with Francesca Entwistle.
>
> Soo Downe is working with the WHO on these matters, and may offer some
> insight. Soo and I are planning the development of something similar to the
> now abolished RCM's Ten Tops Tips (not using this phrase) for NB to support
> women and practitioners, but just in the early stages and any help welcomed.
>
> I would be more than happy to be part of a small team looking at
> developing standards etc - we have so much evidence and it would be good to
> pull it together.
>
> Something else, we are soon to launch a Normal Birth Repository of
> information - freely accessible to all - just making the final tweeks to
> the website, so this will be something else to contribute to a strategy…
>
> Thank you for raising this critical issue...
>
>
>
> With very best wishes,
>
> Sheena
>
> Website: sheenabyrom.com<http://sheenabyrom.com><
> http://www.sheenabyrom.com>
>
> Twitter: @SagefemmeSB<https://twitter.com/SagefemmeSB>
>
> On 1 Nov 2018, at 02:17, Gillian Meldrum <[log in to unmask]<mailto:
> [log in to unmask]><mailto:[log in to unmask]>> wrote:
>
> I think what is needed is an international & national normal birth
> strategy with a co-ordinating body. The UNICEF Baby Friendly Initiative, in
> partnership with WHO, is a good model to consider.
> They have made slow but steady progress over the last 27 years, with many
> challenges similar to normal birth.
> It has to start with an understanding of why normal birth matters - the
> increase in interventions is often lamented, but rarely do we see the
> negative impacts of this or it’s often weak rationales explicitly stated in
> the media or communicated to women.
> The importance of normal birth, and how to achieve it, may be taught to
> midwifery students, but not to doctors and most lay people are unaware.
> BFI at a local level means setting policies & guidelines for best
> evidence-based practice, training staff & auditing their skills, knowledge
> & understanding, and most importantly, auditing mothers’ experiences so
> that we hear their voices & find out if we are getting it right.
> Nationally, they co-ordinate a national network of infant feeding leads
> who link in to all maternity, neonatal, health visiting & children’s
> centre staff in the country (except for some areas in England who are not
> signed up). They have established standards for universities training
> midwives & health visitors.
> Currently they are working on a medical student curriculum.
> They work together with other national bodies involved in
> https://ukbreastfeeding.org/
> They are a tiny unit, but have clear aims and focus - we have never had
> any organisation promoting normal birth in such a structured way.
> Who of you has contacts with WHO? We need an Innocenti Declaration for
> normal birth and a an equivalent of the 10 steps framework to protect it.
> Then a UK organisation which exists for the purpose of implementing those
> standards.
>
> On a slightly different note, I think the improvements in induction rates
> in the 1990s can be partly attributed to the contribution of NCT & AIMS
> which encouraged women to expect more oppprtunities for informed choice &
> resulted in more women asking for less intervention, together with the
> publication in 1989 of Chalmers et al Effective Care in Pregnancy &
> Childbirth - this gave massive support to clinicians.
>
> Gillian Meldrum
>
> On Wed, 31 Oct 2018 at 10:43, Macfarlane, Alison <
> [log in to unmask]<mailto:[log in to unmask]><mailto:
> [log in to unmask]>> wrote:
> We have a lot more research evidence since the early 1990s when the
> policies first changed and more recent robust research which has confirmed
> and extended the earlier more limited evidence on which the policies were
> based. Although research questions remain, I don’t think more research is
> the prime need now. An outside observer can see the majority of women
> giving birth in ever larger obstetric units with rocketing levels of
> intervention and a few midwifery units and private midwifery companies for
> the minority of women who manage to find out that they have a choice. I
> know you midwives are run off your feet, but it looks like you have a
> choice between letting it all happen and becoming the RCOG / RCN Faculty of
> Obstetric Nursing or taking some action.
>
> Alison Macfarlane
>
> From: MacVane Phipps Fiona [mailto:[log in to unmask]<mailto:
> [log in to unmask]>]
> Sent: 30 October 2018 12:56
> To: Macfarlane, Alison; A forum for discussion on midwifery and
> reproductive health research.
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
>
> Alison
>
> Thank you for this. I didn't see your graphs. were they circulated on this
> list? I find your suggestion very chilling yet very credible, particularly
> if this government plan, as widely rumoured, to throw open NHS contracts to
> any US trade deal. I can't think of anything worse than the UK maternity
> service being influenced/comtrolled by US care providers (read 'Insurance
> conglomerates'). I find it very hard to understand why the large body of
> evidence supporting midwifery care and the midwifery model of birth has
> failed to alter this trend. I'm happy to be involved in any discussion
> about research that could be done to investigate.
>
> Best wishes,
>
> Fiona
>
>
>
> ________________________________
> From: Macfarlane, Alison <[log in to unmask]<mailto:
> [log in to unmask]><mailto:[log in to unmask]>>
> Sent: 30 October 2018 12:29:53
> To: A forum for discussion on midwifery and reproductive health research.;
> MacVane Phipps Fiona
> Subject: RE: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Dear all,
>
> I hope you don't mind me commenting on this from a statistical
> perspective. The graphs I circulated show that in England childbirth is
> changing but in a non-evidence-based direction that I think most people on
> this list think is wrong.
>
> How long before some hard-nosed finance person notices that fewer than
> half of births in England are spontaneous and proposes that a 'solution' to
> the shortage of midwives would be replacing a substantial number of
> midwifery posts with obstetric nursing assistants to help the obstetricians
> conduct an ever growing proportion of births? This reached 39 per cent in
> 2007-18.
>
> Good luck and I hope you do better than King Canute.
>
> Alison Macfarlane
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research.
> ________________________________
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ________________________________
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ________________________________
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 16:04:07 +0700
> From: Sophie Goyet <[log in to unmask]<mailto:[log in to unmask]
> >>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Me too! And congratulations for the repository. I am excited to see it.
> Kind regards,
> Sophie G.
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research.
> [mailto:[log in to unmask]] On Behalf Of MacVane Phipps
> Fiona
> Sent: Wednesday, November 07, 2018 03:29 PM
> To: [log in to unmask]<mailto:
> [log in to unmask]>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> I very much support any initiative in support of physiological labour and
> birth and would like to be included in any group working on this
>
> Kind regards,
>
> Fiona Macvane Phipps
>
>
> ________________________________
> From: A forum for discussion on midwifery and reproductive health research.
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=3
>
>
> ---
> This email has been checked for viruses by Avast antivirus software.
> https://www.avast.com/antivirus
>
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 11:33:42 +0200
> From: Hilde Agema <[log in to unmask]<mailto:[log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Hi all!
>
>
>
> This sounds like a good idea. One could call it the
> “MotherFriendlyInitiative†(promoting normal/vaginal birth) where the
> “BabyFriendlyInitiative†promotes breastfeeding.
>
>
>
> Have a good day.
>
>
>
> Hilde Agema
>
>
>
> From: A forum for discussion on midwifery and reproductive health
> research. [mailto:[log in to unmask]] On Behalf Of
> Scamell, Mandie
> Sent: Wednesday, November 7, 2018 10:48 AM
> To: [log in to unmask]<mailto:
> [log in to unmask]>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
>
>
> This is a really exciting opportunity. Every cloud and all that. I would
> be happy to be involved if I can help at all.
>
>
>
> BW
>
>
>
> Mandie
>
> Sent from my iPhone
>
>
> On 7 Nov 2018, at 07:01, SHEENA BYROM <
> [log in to unmask]<mailto:
> [log in to unmask]>> wrote:
>
> Hello Gillian,
>
>
>
> I absolutely agree with you. And in a time when we are ‘not allowed’ to
> use the term ‘normal birth’ - a call to action similar to Unicef and BFI
> would seem sensible. I have debated this before with Francesca Entwistle.
>
>
>
> Soo Downe is working with the WHO on these matters, and may offer some
> insight. Soo and I are planning the development of something similar to the
> now abolished RCM's Ten Tops Tips (not using this phrase) for NB to support
> women and practitioners, but just in the early stages and any help welcomed.
>
>
>
> I would be more than happy to be part of a small team looking at
> developing standards etc - we have so much evidence and it would be good to
> pull it together.
>
>
>
> Something else, we are soon to launch a Normal Birth Repository of
> information - freely accessible to all - just making the final tweeks to
> the website, so this will be something else to contribute to a strategy…
>
>
>
> Thank you for raising this critical issue...
>
>
>
>
>
>
>
> With very best wishes,
>
> Sheena
>
> Website: sheenabyrom.com<http://sheenabyrom.com> <
> http://www.sheenabyrom.com>
>
> Twitter: @SagefemmeSB <https://twitter.com/SagefemmeSB>
>
>
>
>
>
> On 1 Nov 2018, at 02:17, Gillian Meldrum <[log in to unmask]<mailto:
> [log in to unmask]>> wrote:
>
>
>
> I think what is needed is an international & national normal birth
> strategy with a co-ordinating body. The UNICEF Baby Friendly Initiative, in
> partnership with WHO, is a good model to consider.
>
> They have made slow but steady progress over the last 27 years, with many
> challenges similar to normal birth.
>
> It has to start with an understanding of why normal birth matters - the
> increase in interventions is often lamented, but rarely do we see the
> negative impacts of this or it’s often weak rationales explicitly stated in
> the media or communicated to women.
>
> The importance of normal birth, and how to achieve it, may be taught to
> midwifery students, but not to doctors and most lay people are unaware.
>
> BFI at a local level means setting policies & guidelines for best
> evidence-based practice, training staff & auditing their skills, knowledge
> & understanding, and most importantly, auditing mothers’ experiences so
> that we hear their voices & find out if we are getting it right.
>
> Nationally, they co-ordinate a national network of infant feeding leads
> who link in to all maternity, neonatal, health visiting & children’s
> centre staff in the country (except for some areas in England who are not
> signed up). They have established standards for universities training
> midwives & health visitors.
>
> Currently they are working on a medical student curriculum.
>
> They work together with other national bodies involved in
>
> https://ukbreastfeeding.org/
>
> They are a tiny unit, but have clear aims and focus - we have never had
> any organisation promoting normal birth in such a structured way.
>
> Who of you has contacts with WHO? We need an Innocenti Declaration for
> normal birth and a an equivalent of the 10 steps framework to protect it.
> Then a UK organisation which exists for the purpose of implementing those
> standards.
>
>
>
> On a slightly different note, I think the improvements in induction rates
> in the 1990s can be partly attributed to the contribution of NCT & AIMS
> which encouraged women to expect more oppprtunities for informed choice &
> resulted in more women asking for less intervention, together with the
> publication in 1989 of Chalmers et al Effective Care in Pregnancy &
> Childbirth - this gave massive support to clinicians.
>
>
>
> Gillian Meldrum
>
>
>
> On Wed, 31 Oct 2018 at 10:43, Macfarlane, Alison <
> [log in to unmask]<mailto:[log in to unmask]>> wrote:
>
> We have a lot more research evidence since the early 1990s when the
> policies first changed and more recent robust research which has confirmed
> and extended the earlier more limited evidence on which the policies were
> based. Although research questions remain, I don’t think more research is
> the prime need now. An outside observer can see the majority of women
> giving birth in ever larger obstetric units with rocketing levels of
> intervention and a few midwifery units and private midwifery companies for
> the minority of women who manage to find out that they have a choice. I
> know you midwives are run off your feet, but it looks like you have a
> choice between letting it all happen and becoming the RCOG / RCN Faculty of
> Obstetric Nursing or taking some action.
>
>
>
> Alison Macfarlane
>
>
>
> From: MacVane Phipps Fiona [mailto:[log in to unmask]]
> Sent: 30 October 2018 12:56
> To: Macfarlane, Alison; A forum for discussion on midwifery and
> reproductive health research.
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
>
>
> Alison
>
> Thank you for this. I didn't see your graphs. were they circulated on this
> list? I find your suggestion very chilling yet very credible, particularly
> if this government plan, as widely rumoured, to throw open NHS contracts to
> any US trade deal. I can't think of anything worse than the UK maternity
> service being influenced/comtrolled by US care providers (read 'Insurance
> conglomerates'). I find it very hard to understand why the large body of
> evidence supporting midwifery care and the midwifery model of birth has
> failed to alter this trend. I'm happy to be involved in any discussion
> about research that could be done to investigate.
>
> Best wishes,
>
> Fiona
>
>
>
>
>
>
> _____
>
>
> From: Macfarlane, Alison <[log in to unmask]<mailto:
> [log in to unmask]>>
> Sent: 30 October 2018 12:29:53
> To: A forum for discussion on midwifery and reproductive health research.;
> MacVane Phipps Fiona
> Subject: RE: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
>
>
> Dear all,
>
> I hope you don't mind me commenting on this from a statistical
> perspective. The graphs I circulated show that in England childbirth is
> changing but in a non-evidence-based direction that I think most people on
> this list think is wrong.
>
> How long before some hard-nosed finance person notices that fewer than
> half of births in England are spontaneous and proposes that a 'solution' to
> the shortage of midwives would be replacing a substantial number of
> midwifery posts with obstetric nursing assistants to help the obstetricians
> conduct an ever growing proportion of births? This reached 39 per cent in
> 2007-18.
>
> Good luck and I hope you do better than King Canute.
>
> Alison Macfarlane
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research.
>
>
> _____
>
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH <
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1>
> &A=1
>
>
>
>
>
> _____
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH <
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1>
> &A=1
>
>
>
>
>
> _____
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH <
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1>
> &A=1
>
>
>
> _____
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
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> &A=1
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>
> ########################################################################
>
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> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 11:33:59 +0000
> From: Trixie McAree <[log in to unmask]<mailto:
> [log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> I think this is key, having a key strategy will enhance success at
> re-normalising a normal physiological function.
> The strategy will need to encompass targeted research, briefing papers and
> something practical. Working in a joint clinical academic post my time is
> accounted for and costed therefore maybe collaborating more widly on a few
> big projects may be the way forward.
> Best wishes
> Trixie
>
>
> From: A forum for discussion on midwifery and reproductive health
> research. [mailto:[log in to unmask]] On Behalf Of SHEENA
> BYROM
> Sent: 07 November 2018 07:01
> To: [log in to unmask]<mailto:
> [log in to unmask]>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Hello Gillian,
>
> I absolutely agree with you. And in a time when we are ‘not allowed’ to
> use the term ‘normal birth’ - a call to action similar to Unicef and BFI
> would seem sensible. I have debated this before with Francesca Entwistle.
>
> Soo Downe is working with the WHO on these matters, and may offer some
> insight. Soo and I are planning the development of something similar to the
> now abolished RCM's Ten Tops Tips (not using this phrase) for NB to support
> women and practitioners, but just in the early stages and any help welcomed.
>
> I would be more than happy to be part of a small team looking at
> developing standards etc - we have so much evidence and it would be good to
> pull it together.
>
> Something else, we are soon to launch a Normal Birth Repository of
> information - freely accessible to all - just making the final tweeks to
> the website, so this will be something else to contribute to a strategy…
>
> Thank you for raising this critical issue...
>
>
>
> With very best wishes,
>
> Sheena
>
> Website: sheenabyrom.com<http://sheenabyrom.com><
> http://www.sheenabyrom.com>
>
> Twitter: @SagefemmeSB<https://twitter.com/SagefemmeSB>
>
>
> On 1 Nov 2018, at 02:17, Gillian Meldrum <[log in to unmask]<mailto:
> [log in to unmask]><mailto:[log in to unmask]>> wrote:
>
> I think what is needed is an international & national normal birth
> strategy with a co-ordinating body. The UNICEF Baby Friendly Initiative, in
> partnership with WHO, is a good model to consider.
> They have made slow but steady progress over the last 27 years, with many
> challenges similar to normal birth.
> It has to start with an understanding of why normal birth matters - the
> increase in interventions is often lamented, but rarely do we see the
> negative impacts of this or it’s often weak rationales explicitly stated in
> the media or communicated to women.
> The importance of normal birth, and how to achieve it, may be taught to
> midwifery students, but not to doctors and most lay people are unaware.
> BFI at a local level means setting policies & guidelines for best
> evidence-based practice, training staff & auditing their skills, knowledge
> & understanding, and most importantly, auditing mothers’ experiences so
> that we hear their voices & find out if we are getting it right.
> Nationally, they co-ordinate a national network of infant feeding leads
> who link in to all maternity, neonatal, health visiting & children’s
> centre staff in the country (except for some areas in England who are not
> signed up). They have established standards for universities training
> midwives & health visitors.
> Currently they are working on a medical student curriculum.
> They work together with other national bodies involved in
> https://ukbreastfeeding.org/
> They are a tiny unit, but have clear aims and focus - we have never had
> any organisation promoting normal birth in such a structured way.
> Who of you has contacts with WHO? We need an Innocenti Declaration for
> normal birth and a an equivalent of the 10 steps framework to protect it.
> Then a UK organisation which exists for the purpose of implementing those
> standards.
>
> On a slightly different note, I think the improvements in induction rates
> in the 1990s can be partly attributed to the contribution of NCT & AIMS
> which encouraged women to expect more oppprtunities for informed choice &
> resulted in more women asking for less intervention, together with the
> publication in 1989 of Chalmers et al Effective Care in Pregnancy &
> Childbirth - this gave massive support to clinicians.
>
> Gillian Meldrum
>
> On Wed, 31 Oct 2018 at 10:43, Macfarlane, Alison <
> [log in to unmask]<mailto:[log in to unmask]><mailto:
> [log in to unmask]>> wrote:
> We have a lot more research evidence since the early 1990s when the
> policies first changed and more recent robust research which has confirmed
> and extended the earlier more limited evidence on which the policies were
> based. Although research questions remain, I don’t think more research is
> the prime need now. An outside observer can see the majority of women
> giving birth in ever larger obstetric units with rocketing levels of
> intervention and a few midwifery units and private midwifery companies for
> the minority of women who manage to find out that they have a choice. I
> know you midwives are run off your feet, but it looks like you have a
> choice between letting it all happen and becoming the RCOG / RCN Faculty of
> Obstetric Nursing or taking some action.
>
> Alison Macfarlane
>
> From: MacVane Phipps Fiona [mailto:[log in to unmask]<mailto:
> [log in to unmask]>]
> Sent: 30 October 2018 12:56
> To: Macfarlane, Alison; A forum for discussion on midwifery and
> reproductive health research.
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Alison
> Thank you for this. I didn't see your graphs. were they circulated on this
> list? I find your suggestion very chilling yet very credible, particularly
> if this government plan, as widely rumoured, to throw open NHS contracts to
> any US trade deal. I can't think of anything worse than the UK maternity
> service being influenced/comtrolled by US care providers (read 'Insurance
> conglomerates'). I find it very hard to understand why the large body of
> evidence supporting midwifery care and the midwifery model of birth has
> failed to alter this trend. I'm happy to be involved in any discussion
> about research that could be done to investigate.
> Best wishes,
> Fiona
>
>
> ________________________________
> From: Macfarlane, Alison <[log in to unmask]<mailto:
> [log in to unmask]><mailto:[log in to unmask]>>
> Sent: 30 October 2018 12:29:53
> To: A forum for discussion on midwifery and reproductive health research.;
> MacVane Phipps Fiona
> Subject: RE: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Dear all,
>
> I hope you don't mind me commenting on this from a statistical
> perspective. The graphs I circulated show that in England childbirth is
> changing but in a non-evidence-based direction that I think most people on
> this list think is wrong.
>
> How long before some hard-nosed finance person notices that fewer than
> half of births in England are spontaneous and proposes that a 'solution' to
> the shortage of midwives would be replacing a substantial number of
> midwifery posts with obstetric nursing assistants to help the obstetricians
> conduct an ever growing proportion of births? This reached 39 per cent in
> 2007-18.
>
> Good luck and I hope you do better than King Canute.
>
> Alison Macfarlane
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research.
> ________________________________
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ________________________________
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ________________________________
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 12:27:08 +0000
> From: University of Oxford CPD Centre <[log in to unmask]
> <mailto:[log in to unmask]>>
> Subject: New Course - Advanced Qualitative Research Methods
>
> Qualitative Research Methods
>
> 1 – 5 April 2019
> Rewley House, Oxford, UK
>
> Register here:
> https://www.conted.ox.ac.uk/courses/advanced-qualitative-research-methods
>
> Advancing skills and knowledge of complex issues in qualitative research
>
> Led by experienced qualitative experts, this module will provide students
> with knowledge, insights and techniques relating to the more advanced
> aspects of qualitative research. This will include providing students with
> a comprehensive understanding of the theoretical perspectives within
> qualitative research designs, specific qualitative methodologies and
> analyses, advanced data collection methods and complex issues in
> qualitative research (e.g. critical appraisal). Students will be taught the
> knowledge and skills needed to critically engage with complex concepts
> relevant to the more advanced aspects of qualitative research.
>
> Full details and information on how to apply can be found on the course
> webpage -
> https://www.conted.ox.ac.uk/courses/advanced-qualitative-research-methods
>
>
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 12:35:19 +0000
> From: Elizabeth Newnham <[log in to unmask]<mailto:[log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> I agree,
>
> I remember being struck at the time the way that BFHI policy affected
> practice change.
>
> Would also be happy to be involved in any work/discussion in this area.
>
>
> Warm regards,
> Liz Newnham
>
>
>
>
> From: A forum for discussion on midwifery and reproductive health
> research. [mailto:[log in to unmask]] On Behalf Of SHEENA
> BYROM
> Sent: Wednesday 7 November 2018 07:01
> To: [log in to unmask]<mailto:
> [log in to unmask]>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Hello Gillian,
>
> I absolutely agree with you. And in a time when we are ‘not allowed’ to
> use the term ‘normal birth’ - a call to action similar to Unicef and BFI
> would seem sensible. I have debated this before with Francesca Entwistle.
>
> Soo Downe is working with the WHO on these matters, and may offer some
> insight. Soo and I are planning the development of something similar to the
> now abolished RCM's Ten Tops Tips (not using this phrase) for NB to support
> women and practitioners, but just in the early stages and any help welcomed.
>
> I would be more than happy to be part of a small team looking at
> developing standards etc - we have so much evidence and it would be good to
> pull it together.
>
> Something else, we are soon to launch a Normal Birth Repository of
> information - freely accessible to all - just making the final tweeks to
> the website, so this will be something else to contribute to a strategy…
>
> Thank you for raising this critical issue...
>
>
>
> With very best wishes,
>
> Sheena
>
> Website: sheenabyrom.com<http://sheenabyrom.com><
> http://www.sheenabyrom.com>
>
> Twitter: @SagefemmeSB<https://twitter.com/SagefemmeSB>
>
>
> On 1 Nov 2018, at 02:17, Gillian Meldrum <[log in to unmask]<mailto:
> [log in to unmask]><mailto:[log in to unmask]>> wrote:
>
> I think what is needed is an international & national normal birth
> strategy with a co-ordinating body. The UNICEF Baby Friendly Initiative, in
> partnership with WHO, is a good model to consider.
> They have made slow but steady progress over the last 27 years, with many
> challenges similar to normal birth.
> It has to start with an understanding of why normal birth matters - the
> increase in interventions is often lamented, but rarely do we see the
> negative impacts of this or it’s often weak rationales explicitly stated in
> the media or communicated to women.
> The importance of normal birth, and how to achieve it, may be taught to
> midwifery students, but not to doctors and most lay people are unaware.
> BFI at a local level means setting policies & guidelines for best
> evidence-based practice, training staff & auditing their skills, knowledge
> & understanding, and most importantly, auditing mothers’ experiences so
> that we hear their voices & find out if we are getting it right.
> Nationally, they co-ordinate a national network of infant feeding leads
> who link in to all maternity, neonatal, health visiting & children’s
> centre staff in the country (except for some areas in England who are not
> signed up). They have established standards for universities training
> midwives & health visitors.
> Currently they are working on a medical student curriculum.
> They work together with other national bodies involved in
> https://ukbreastfeeding.org/
> They are a tiny unit, but have clear aims and focus - we have never had
> any organisation promoting normal birth in such a structured way.
> Who of you has contacts with WHO? We need an Innocenti Declaration for
> normal birth and a an equivalent of the 10 steps framework to protect it.
> Then a UK organisation which exists for the purpose of implementing those
> standards.
>
> On a slightly different note, I think the improvements in induction rates
> in the 1990s can be partly attributed to the contribution of NCT & AIMS
> which encouraged women to expect more oppprtunities for informed choice &
> resulted in more women asking for less intervention, together with the
> publication in 1989 of Chalmers et al Effective Care in Pregnancy &
> Childbirth - this gave massive support to clinicians.
>
> Gillian Meldrum
>
> On Wed, 31 Oct 2018 at 10:43, Macfarlane, Alison <
> [log in to unmask]<mailto:[log in to unmask]><mailto:
> [log in to unmask]>> wrote:
> We have a lot more research evidence since the early 1990s when the
> policies first changed and more recent robust research which has confirmed
> and extended the earlier more limited evidence on which the policies were
> based. Although research questions remain, I don’t think more research is
> the prime need now. An outside observer can see the majority of women
> giving birth in ever larger obstetric units with rocketing levels of
> intervention and a few midwifery units and private midwifery companies for
> the minority of women who manage to find out that they have a choice. I
> know you midwives are run off your feet, but it looks like you have a
> choice between letting it all happen and becoming the RCOG / RCN Faculty of
> Obstetric Nursing or taking some action.
>
> Alison Macfarlane
>
> From: MacVane Phipps Fiona [mailto:[log in to unmask]<mailto:
> [log in to unmask]>]
> Sent: 30 October 2018 12:56
> To: Macfarlane, Alison; A forum for discussion on midwifery and
> reproductive health research.
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Alison
> Thank you for this. I didn't see your graphs. were they circulated on this
> list? I find your suggestion very chilling yet very credible, particularly
> if this government plan, as widely rumoured, to throw open NHS contracts to
> any US trade deal. I can't think of anything worse than the UK maternity
> service being influenced/comtrolled by US care providers (read 'Insurance
> conglomerates'). I find it very hard to understand why the large body of
> evidence supporting midwifery care and the midwifery model of birth has
> failed to alter this trend. I'm happy to be involved in any discussion
> about research that could be done to investigate.
> Best wishes,
> Fiona
>
>
> ________________________________
> From: Macfarlane, Alison <[log in to unmask]<mailto:
> [log in to unmask]><mailto:[log in to unmask]>>
> Sent: 30 October 2018 12:29:53
> To: A forum for discussion on midwifery and reproductive health research.;
> MacVane Phipps Fiona
> Subject: RE: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Dear all,
>
> I hope you don't mind me commenting on this from a statistical
> perspective. The graphs I circulated show that in England childbirth is
> changing but in a non-evidence-based direction that I think most people on
> this list think is wrong.
>
> How long before some hard-nosed finance person notices that fewer than
> half of births in England are spontaneous and proposes that a 'solution' to
> the shortage of midwives would be replacing a substantial number of
> midwifery posts with obstetric nursing assistants to help the obstetricians
> conduct an ever growing proportion of births? This reached 39 per cent in
> 2007-18.
>
> Good luck and I hope you do better than King Canute.
>
> Alison Macfarlane
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research.
> ________________________________
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ________________________________
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ________________________________
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 12:36:52 +0000
> From: MacVane Phipps Fiona <[log in to unmask]<mailto:
> [log in to unmask]>>
> Subject: Re: purple line
>
> I am not currently in clinical practice as I am an educator and research
> midwife at present. However in my experience and what i tell students is
> that nothing should be used in isolation. Observe, listen, use all your
> senses, and yes, seeing a purple line develop may well be part of that but
> it is understanding the whole picture of labour that will make reliance on
> staged VEs unnecessary. A VE is a tool and may well be useful if you need
> to act on information that can only be confirmed by VE but as an holistic
> art, midwifery uses all senses and all observations. An abdominal
> examination can tell you a lot about descent and rotation as well.
>
>
> ________________________________
> From: A forum for discussion on midwifery and reproductive health research.
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 13:10:47 +0000
> From: Katherine Hales <[log in to unmask]<mailto:
> [log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Yes indeed I have received notice today that our local induction of labour
> rate reached 47% in September this year. Given that our C Section rate has
> been up to 38% lately that would suggest that our spontaneous normal birth
> rate must regularly be lower than 20%. I am very disheartened by this and
> feel almost powerless to be a "proper" midwife at times!
> Glad to help in any way I can.
>
>
>
>
> Katherine Hales
> National Coordinator
>
> Association of Radical Midwives
> Because Midwifery Matters
> www.midwifery.org.uk<http://www.midwifery.org.uk>:
> [log in to unmask]<mailto:[log in to unmask]>
> [log in to unmask]<mailto:[log in to unmask]>:07810665733.
>
>
> On Wed, 7 Nov 2018, 07:01 SHEENA BYROM <
> [log in to unmask]<mailto:
> [log in to unmask]> wrote:
>
> Hello Gillian,
>
> I absolutely agree with you. And in a time when we are ‘not allowed’ to
> use the term ‘normal birth’ - a call to action similar to Unicef and BFI
> would seem sensible. I have debated this before with Francesca Entwistle.
>
> Soo Downe is working with the WHO on these matters, and may offer some
> insight. Soo and I are planning the development of something similar to the
> now abolished RCM's Ten Tops Tips (not using this phrase) for NB to support
> women and practitioners, but just in the early stages and any help
> welcomed.
>
> I would be more than happy to be part of a small team looking at
> developing standards etc - we have so much evidence and it would be good to
> pull it together.
>
> Something else, we are soon to launch a *Normal Birth Repository* of
> information - freely accessible to all - just making the final tweeks to
> the website, so this will be something else to contribute to a strategy…
>
> Thank you for raising this critical issue...
>
>
>
> With very best wishes,
>
> Sheena
>
> Website: sheenabyrom.com<http://sheenabyrom.com> <
> http://www.sheenabyrom.com>
>
> Twitter: @SagefemmeSB <https://twitter.com/SagefemmeSB>
>
> On 1 Nov 2018, at 02:17, Gillian Meldrum <[log in to unmask]<mailto:
> [log in to unmask]>> wrote:
>
> I think what is needed is an international & national normal birth
> strategy with a co-ordinating body. The UNICEF Baby Friendly Initiative, in
> partnership with WHO, is a good model to consider.
> They have made slow but steady progress over the last 27 years, with many
> challenges similar to normal birth.
> It has to start with an understanding of why normal birth matters - the
> increase in interventions is often lamented, but rarely do we see the
> negative impacts of this or it’s often weak rationales explicitly stated in
> the media or communicated to women.
> The importance of normal birth, and how to achieve it, may be taught to
> midwifery students, but not to doctors and most lay people are unaware.
> BFI at a local level means setting policies & guidelines for best
> evidence-based practice, training staff & auditing their skills, knowledge
> & understanding, and most importantly, auditing mothers’ experiences so
> that we hear their voices & find out if we are getting it right.
> Nationally, they co-ordinate a national network of infant feeding leads
> who link in to all maternity, neonatal, health visiting & children’s
> centre staff in the country (except for some areas in England who are not
> signed up). They have established standards for universities training
> midwives & health visitors.
> Currently they are working on a medical student curriculum.
> They work together with other national bodies involved in
> https://ukbreastfeeding.org/
> They are a tiny unit, but have clear aims and focus - we have never had
> any organisation promoting normal birth in such a structured way.
> Who of you has contacts with WHO? We need an Innocenti Declaration for
> normal birth and a an equivalent of the 10 steps framework to protect it.
> Then a UK organisation which exists for the purpose of implementing those
> standards.
>
> On a slightly different note, I think the improvements in induction rates
> in the 1990s can be partly attributed to the contribution of NCT & AIMS
> which encouraged women to expect more oppprtunities for informed choice &
> resulted in more women asking for less intervention, together with the
> publication in 1989 of Chalmers et al Effective Care in Pregnancy &
> Childbirth - this gave massive support to clinicians.
>
> Gillian Meldrum
>
> On Wed, 31 Oct 2018 at 10:43, Macfarlane, Alison <
> [log in to unmask]<mailto:[log in to unmask]>> wrote:
>
> We have a lot more research evidence since the early 1990s when the
> policies first changed and more recent robust research which has confirmed
> and extended the earlier more limited evidence on which the policies were
> based. Although research questions remain, I don’t think more research is
> the prime need now. An outside observer can see the majority of women
> giving birth in ever larger obstetric units with rocketing levels of
> intervention and a few midwifery units and private midwifery companies for
> the minority of women who manage to find out that they have a choice. I
> know you midwives are run off your feet, but it looks like you have a
> choice between letting it all happen and becoming the RCOG / RCN Faculty of
> Obstetric Nursing or taking some action.
>
>
>
> Alison Macfarlane
>
>
>
> *From:* MacVane Phipps Fiona [mailto:[log in to unmask]]
> *Sent:* 30 October 2018 12:56
> *To:* Macfarlane, Alison; A forum for discussion on midwifery and
> reproductive health research.
> *Subject:* Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
>
>
> Alison
>
> Thank you for this. I didn't see your graphs. were they circulated on
> this list? I find your suggestion very chilling yet very credible,
> particularly if this government plan, as widely rumoured, to throw open NHS
> contracts to any US trade deal. I can't think of anything worse than the UK
> maternity service being influenced/comtrolled by US care providers (read
> 'Insurance conglomerates'). I find it very hard to understand why the large
> body of evidence supporting midwifery care and the midwifery model of birth
> has failed to alter this trend. I'm happy to be involved in any discussion
> about research that could be done to investigate.
>
> Best wishes,
>
> Fiona
>
>
>
>
> ------------------------------
>
> *From:* Macfarlane, Alison <[log in to unmask]<mailto:
> [log in to unmask]>>
> *Sent:* 30 October 2018 12:29:53
> *To:* A forum for discussion on midwifery and reproductive health
> research.; MacVane Phipps Fiona
> *Subject:* RE: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
>
>
> Dear all,
>
> I hope you don't mind me commenting on this from a statistical
> perspective. The graphs I circulated show that in England childbirth is
> changing but in a non-evidence-based direction that I think most people on
> this list think is wrong.
>
> How long before some hard-nosed finance person notices that fewer than
> half of births in England are spontaneous and proposes that a 'solution' to
> the shortage of midwives would be replacing a substantial number of
> midwifery posts with obstetric nursing assistants to help the obstetricians
> conduct an ever growing proportion of births? This reached 39 per cent in
> 2007-18.
>
> Good luck and I hope you do better than King Canute.
>
> Alison Macfarlane
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health
> research.
> ------------------------------
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ------------------------------
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
>
> ------------------------------
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 13:18:24 +0000
> From: MacVane Phipps Fiona <[log in to unmask]<mailto:
> [log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> What concerns me is the possible loss of midwifery to obstetric nursing
> when the UK standards of midwifery and the fact that all women in the UK
> have a midwife have been held up as standards around the world for so many
> years. I was interviewing one of my own research participants recently and
> was very sad to hear that in the postnatal period she felt unable to ask a
> midwife for advice as she perceived them as very 'task orientated' and
> never saw the same midwife twice, or her 'named midwife' at all. As a
> community midwife 20 years ago, one of the best parts of the job was
> developing a relationship with the women in my caseload, and feeling that
> we could just sit down and have a chat about how things were going.
>
>
> ________________________________
> From: A forum for discussion on midwifery and reproductive health research.
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 15:03:38 +0000
> From: "Page, Lesley" <[log in to unmask]<mailto:
> [log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Have just been in email communication with Liz.
>
>
> I wonder if the Humanization of birth would be a good framework to use?
> WHO might be interested?
>
>
> Lesley
>
> Professor Lesley Page CBE
> Visiting Professor in Midwifery KCL
> Adjunct professor UTS Australia
> Griffith University Australia
> Honorary research fellow Oxford Brookes University
>
> mobile +44(o)7747708630
>
>
>
> https://www.all4maternity.com/author/lesleypage/
>
> <https://www.all4maternity.com/author/lesleypage/>twitter:
> lesleypageCBE@humanisingbirth
>
>
>
>
>
>
>
> ________________________________
> From: A forum for discussion on midwifery and reproductive health research.
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 15:09:41 +0000
> From: "Kay, Lesley" <[log in to unmask]<mailto:
> [log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Hi there,
> Sounds like a great idea - I would be interested in any work/discussion.
> Regards
>
> Lesley
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research.
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 15:16:47 +0000
> From: Soo Downe <[log in to unmask]<mailto:[log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> definitely
>
>
> ________________________________
> From: A forum for discussion on midwifery and reproductive health research.
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 17:37:09 +0100
> From: Sophie Alexander <[log in to unmask]<mailto:[log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Yes, but "humanisation" is a bit like the "baby friendly" wording which
> looks as if all other units are "baby unfriendly" and here the opposite
> would be "unhuman birth"?...And all this gets under the skin of some
> people.
>
> I would vote for something which includes the "positive experience of WHO"
> and NO UNNECESSARY ACTION (if it's not broken why mend it?), and promotion
> of salutogenesis and empowerment...
>
>
> Sophie Alexander MD, PhD
> PERU (Perinatal Epidemiology and Reproductive health Unit)
> Ecole de Santé Publique
> Universite Libre de Bruxelles
> 808 route de Lennik
> 1070 Brussels
> Belgium
> Tel +32 2555 4063
>
> -----Message d'origine-----
> De : A forum for discussion on midwifery and reproductive health research.
> [mailto:[log in to unmask]] De la part de Page, Lesley
> Envoyé : mercredi 7 novembre 2018 16:04
> À : [log in to unmask]<mailto:
> [log in to unmask]>
> Objet : Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Have just been in email communication with Liz.
>
>
> I wonder if the Humanization of birth would be a good framework to use? WHO
> might be interested?
>
>
> Lesley
>
> Professor Lesley Page CBE
> Visiting Professor in Midwifery KCL
> Adjunct professor UTS Australia
> Griffith University Australia
> Honorary research fellow Oxford Brookes University
>
> mobile +44(o)7747708630
>
>
>
> https://www.all4maternity.com/author/lesleypage/
>
> <https://www.all4maternity.com/author/lesleypage/>twitter:
> lesleypageCBE@humanisingbirth
>
>
>
>
>
>
>
> ________________________________
> From: A forum for discussion on midwifery and reproductive health research.
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=3
>
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 13:39:41 +0000
> From: Yvonne McGrath <[log in to unmask]<mailto:[log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Hi all,
>
> I agree totally. I am new consultant midwife and would be very keen to
> being involved in setting standards/strategy to move these discussions
> forward and pull all of the evidence together.
>
> Best wishes
> Yvonne
>
> On Wed, 7 Nov 2018, 12:36 pm Elizabeth Newnham <[log in to unmask]<mailto:
> [log in to unmask]> wrote:
>
> I agree,
>
>
>
> I remember being struck at the time the way that BFHI policy affected
> practice change.
>
>
>
> Would also be happy to be involved in any work/discussion in this area.
>
>
>
>
>
> Warm regards,
> Liz Newnham
>
>
>
>
>
>
>
> *From:* A forum for discussion on midwifery and reproductive health
> research. [mailto:[log in to unmask]] *On Behalf Of *SHEENA
> BYROM
> *Sent:* Wednesday 7 November 2018 07:01
> *To:* [log in to unmask]<mailto:
> [log in to unmask]>
> *Subject:* Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
>
>
> Hello Gillian,
>
>
>
> I absolutely agree with you. And in a time when we are ‘not allowed’ to
> use the term ‘normal birth’ - a call to action similar to Unicef and BFI
> would seem sensible. I have debated this before with Francesca Entwistle.
>
>
>
> Soo Downe is working with the WHO on these matters, and may offer some
> insight. Soo and I are planning the development of something similar to the
> now abolished RCM's Ten Tops Tips (not using this phrase) for NB to support
> women and practitioners, but just in the early stages and any help
> welcomed.
>
>
>
> I would be more than happy to be part of a small team looking at
> developing standards etc - we have so much evidence and it would be good to
> pull it together.
>
>
>
> Something else, we are soon to launch a *Normal Birth Repository* of
> information - freely accessible to all - just making the final tweeks to
> the website, so this will be something else to contribute to a strategy…
>
>
>
> Thank you for raising this critical issue...
>
>
>
>
>
>
>
> With very best wishes,
>
> Sheena
>
> Website: sheenabyrom.com<http://sheenabyrom.com> <
> http://www.sheenabyrom.com>
>
> Twitter: @SagefemmeSB <https://twitter.com/SagefemmeSB>
>
>
>
> On 1 Nov 2018, at 02:17, Gillian Meldrum <[log in to unmask]<mailto:
> [log in to unmask]>> wrote:
>
>
>
> I think what is needed is an international & national normal birth
> strategy with a co-ordinating body. The UNICEF Baby Friendly Initiative, in
> partnership with WHO, is a good model to consider.
>
> They have made slow but steady progress over the last 27 years, with many
> challenges similar to normal birth.
>
> It has to start with an understanding of why normal birth matters - the
> increase in interventions is often lamented, but rarely do we see the
> negative impacts of this or it’s often weak rationales explicitly stated in
> the media or communicated to women.
>
> The importance of normal birth, and how to achieve it, may be taught to
> midwifery students, but not to doctors and most lay people are unaware.
>
> BFI at a local level means setting policies & guidelines for best
> evidence-based practice, training staff & auditing their skills, knowledge
> & understanding, and most importantly, auditing mothers’ experiences so
> that we hear their voices & find out if we are getting it right.
>
> Nationally, they co-ordinate a national network of infant feeding leads
> who link in to all maternity, neonatal, health visiting & children’s
> centre staff in the country (except for some areas in England who are not
> signed up). They have established standards for universities training
> midwives & health visitors.
>
> Currently they are working on a medical student curriculum.
>
> They work together with other national bodies involved in
>
> https://ukbreastfeeding.org/
>
> They are a tiny unit, but have clear aims and focus - we have never had
> any organisation promoting normal birth in such a structured way.
>
> Who of you has contacts with WHO? We need an Innocenti Declaration for
> normal birth and a an equivalent of the 10 steps framework to protect it.
> Then a UK organisation which exists for the purpose of implementing those
> standards.
>
>
>
> On a slightly different note, I think the improvements in induction rates
> in the 1990s can be partly attributed to the contribution of NCT & AIMS
> which encouraged women to expect more oppprtunities for informed choice &
> resulted in more women asking for less intervention, together with the
> publication in 1989 of Chalmers et al Effective Care in Pregnancy &
> Childbirth - this gave massive support to clinicians.
>
>
>
> Gillian Meldrum
>
>
>
> On Wed, 31 Oct 2018 at 10:43, Macfarlane, Alison <
> [log in to unmask]<mailto:[log in to unmask]>> wrote:
>
> We have a lot more research evidence since the early 1990s when the
> policies first changed and more recent robust research which has confirmed
> and extended the earlier more limited evidence on which the policies were
> based. Although research questions remain, I don’t think more research is
> the prime need now. An outside observer can see the majority of women
> giving birth in ever larger obstetric units with rocketing levels of
> intervention and a few midwifery units and private midwifery companies for
> the minority of women who manage to find out that they have a choice. I
> know you midwives are run off your feet, but it looks like you have a
> choice between letting it all happen and becoming the RCOG / RCN Faculty of
> Obstetric Nursing or taking some action.
>
>
>
> Alison Macfarlane
>
>
>
> *From:* MacVane Phipps Fiona [mailto:[log in to unmask]]
> *Sent:* 30 October 2018 12:56
> *To:* Macfarlane, Alison; A forum for discussion on midwifery and
> reproductive health research.
> *Subject:* Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
>
>
> Alison
>
> Thank you for this. I didn't see your graphs. were they circulated on this
> list? I find your suggestion very chilling yet very credible, particularly
> if this government plan, as widely rumoured, to throw open NHS contracts to
> any US trade deal. I can't think of anything worse than the UK maternity
> service being influenced/comtrolled by US care providers (read 'Insurance
> conglomerates'). I find it very hard to understand why the large body of
> evidence supporting midwifery care and the midwifery model of birth has
> failed to alter this trend. I'm happy to be involved in any discussion
> about research that could be done to investigate.
>
> Best wishes,
>
> Fiona
>
>
>
>
> ------------------------------
>
> *From:* Macfarlane, Alison <[log in to unmask]<mailto:
> [log in to unmask]>>
> *Sent:* 30 October 2018 12:29:53
> *To:* A forum for discussion on midwifery and reproductive health
> research.; MacVane Phipps Fiona
> *Subject:* RE: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
>
>
> Dear all,
>
> I hope you don't mind me commenting on this from a statistical
> perspective. The graphs I circulated show that in England childbirth is
> changing but in a non-evidence-based direction that I think most people on
> this list think is wrong.
>
> How long before some hard-nosed finance person notices that fewer than
> half of births in England are spontaneous and proposes that a 'solution' to
> the shortage of midwives would be replacing a substantial number of
> midwifery posts with obstetric nursing assistants to help the obstetricians
> conduct an ever growing proportion of births? This reached 39 per cent in
> 2007-18.
>
> Good luck and I hope you do better than King Canute.
>
> Alison Macfarlane
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research.
> ------------------------------
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
>
>
> ------------------------------
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
>
>
> ------------------------------
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 16:19:44 +0000
> From: Julie Watson <[log in to unmask]<mailto:[log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Dear All
> I agree with the theme of this conversation and would be very happy to get
> involved
>
> Best wishes Julie
>
> [cid:image001.jpg@01D32AF1.BAE26340]
>
> Julie Watson
> Midwife, SCPHN-HV, RGN, FiHV, PgCTLHE, MscAPPCP
> Lecturer /Senior Fellow HEA
> Research active: Maternal & child health
> School of Health and Social Work
> Dearne 232
> University of Hull
> Kingston Upon Hull,
> HU6 7RX, UK
>
> [log in to unmask]<mailto:[log in to unmask]><mailto:
> [log in to unmask]> | 01482 463225
>
> https://orcid.org/0000-0002-7765-7225
>
> www.hull.ac.uk<http://www.hull.ac.uk><http://www.hull.ac.uk/>
> [cid:image002.png@01D32AF1.BAE26340]@UniOfHull <
> https://twitter.com/UniOfHull> [cid:image003.png@01D32AF1.BAE26340]
> /UniversityOfHull<https://www.facebook.com/UniversityOfHull/>
> [cid:image004.png@01D32AF1.BAE26340] universityofhull<
> https://www.instagram.com/universityofhull/>
>
>
>
> From: Yvonne McGrath [mailto:[log in to unmask]]
> Sent: 07 November 2018 13:40
> To: [log in to unmask]<mailto:
> [log in to unmask]>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Hi all,
>
> I agree totally. I am new consultant midwife and would be very keen to
> being involved in setting standards/strategy to move these discussions
> forward and pull all of the evidence together.
>
> Best wishes
> Yvonne
>
> On Wed, 7 Nov 2018, 12:36 pm Elizabeth Newnham <[log in to unmask]<mailto:
> [log in to unmask]><mailto:[log in to unmask]> wrote:
> I agree,
>
> I remember being struck at the time the way that BFHI policy affected
> practice change.
>
> Would also be happy to be involved in any work/discussion in this area.
>
>
> Warm regards,
> Liz Newnham
>
>
>
> From: A forum for discussion on midwifery and reproductive health
> research. [mailto:[log in to unmask]<mailto:
> [log in to unmask]>] On Behalf Of SHEENA BYROM
> Sent: Wednesday 7 November 2018 07:01
> To: [log in to unmask]<mailto:
> [log in to unmask]><mailto:
> [log in to unmask]>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Hello Gillian,
>
> I absolutely agree with you. And in a time when we are ‘not allowed’ to
> use the term ‘normal birth’ - a call to action similar to Unicef and BFI
> would seem sensible. I have debated this before with Francesca Entwistle.
>
> Soo Downe is working with the WHO on these matters, and may offer some
> insight. Soo and I are planning the development of something similar to the
> now abolished RCM's Ten Tops Tips (not using this phrase) for NB to support
> women and practitioners, but just in the early stages and any help welcomed.
>
> I would be more than happy to be part of a small team looking at
> developing standards etc - we have so much evidence and it would be good to
> pull it together.
>
> Something else, we are soon to launch a Normal Birth Repository of
> information - freely accessible to all - just making the final tweeks to
> the website, so this will be something else to contribute to a strategy…
>
> Thank you for raising this critical issue...
>
>
>
> With very best wishes,
>
> Sheena
>
> Website: sheenabyrom.com<http://sheenabyrom.com><
> http://www.sheenabyrom.com>
>
> Twitter: @SagefemmeSB<https://twitter.com/SagefemmeSB>
>
> On 1 Nov 2018, at 02:17, Gillian Meldrum <[log in to unmask]<mailto:
> [log in to unmask]><mailto:[log in to unmask]>> wrote:
>
> I think what is needed is an international & national normal birth
> strategy with a co-ordinating body. The UNICEF Baby Friendly Initiative, in
> partnership with WHO, is a good model to consider.
> They have made slow but steady progress over the last 27 years, with many
> challenges similar to normal birth.
> It has to start with an understanding of why normal birth matters - the
> increase in interventions is often lamented, but rarely do we see the
> negative impacts of this or it’s often weak rationales explicitly stated in
> the media or communicated to women.
> The importance of normal birth, and how to achieve it, may be taught to
> midwifery students, but not to doctors and most lay people are unaware.
> BFI at a local level means setting policies & guidelines for best
> evidence-based practice, training staff & auditing their skills, knowledge
> & understanding, and most importantly, auditing mothers’ experiences so
> that we hear their voices & find out if we are getting it right.
> Nationally, they co-ordinate a national network of infant feeding leads
> who link in to all maternity, neonatal, health visiting & children’s
> centre staff in the country (except for some areas in England who are not
> signed up). They have established standards for universities training
> midwives & health visitors.
> Currently they are working on a medical student curriculum.
> They work together with other national bodies involved in
> https://ukbreastfeeding.org/
> They are a tiny unit, but have clear aims and focus - we have never had
> any organisation promoting normal birth in such a structured way.
> Who of you has contacts with WHO? We need an Innocenti Declaration for
> normal birth and a an equivalent of the 10 steps framework to protect it.
> Then a UK organisation which exists for the purpose of implementing those
> standards.
>
> On a slightly different note, I think the improvements in induction rates
> in the 1990s can be partly attributed to the contribution of NCT & AIMS
> which encouraged women to expect more oppprtunities for informed choice &
> resulted in more women asking for less intervention, together with the
> publication in 1989 of Chalmers et al Effective Care in Pregnancy &
> Childbirth - this gave massive support to clinicians.
>
> Gillian Meldrum
>
> On Wed, 31 Oct 2018 at 10:43, Macfarlane, Alison <
> [log in to unmask]<mailto:[log in to unmask]><mailto:
> [log in to unmask]>> wrote:
> We have a lot more research evidence since the early 1990s when the
> policies first changed and more recent robust research which has confirmed
> and extended the earlier more limited evidence on which the policies were
> based. Although research questions remain, I don’t think more research is
> the prime need now. An outside observer can see the majority of women
> giving birth in ever larger obstetric units with rocketing levels of
> intervention and a few midwifery units and private midwifery companies for
> the minority of women who manage to find out that they have a choice. I
> know you midwives are run off your feet, but it looks like you have a
> choice between letting it all happen and becoming the RCOG / RCN Faculty of
> Obstetric Nursing or taking some action.
>
> Alison Macfarlane
>
> From: MacVane Phipps Fiona [mailto:[log in to unmask]<mailto:
> [log in to unmask]>]
> Sent: 30 October 2018 12:56
> To: Macfarlane, Alison; A forum for discussion on midwifery and
> reproductive health research.
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Alison
> Thank you for this. I didn't see your graphs. were they circulated on this
> list? I find your suggestion very chilling yet very credible, particularly
> if this government plan, as widely rumoured, to throw open NHS contracts to
> any US trade deal. I can't think of anything worse than the UK maternity
> service being influenced/comtrolled by US care providers (read 'Insurance
> conglomerates'). I find it very hard to understand why the large body of
> evidence supporting midwifery care and the midwifery model of birth has
> failed to alter this trend. I'm happy to be involved in any discussion
> about research that could be done to investigate.
> Best wishes,
> Fiona
>
>
> ________________________________
> From: Macfarlane, Alison <[log in to unmask]<mailto:
> [log in to unmask]><mailto:[log in to unmask]>>
> Sent: 30 October 2018 12:29:53
> To: A forum for discussion on midwifery and reproductive health research.;
> MacVane Phipps Fiona
> Subject: RE: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Dear all,
>
> I hope you don't mind me commenting on this from a statistical
> perspective. The graphs I circulated show that in England childbirth is
> changing but in a non-evidence-based direction that I think most people on
> this list think is wrong.
>
> How long before some hard-nosed finance person notices that fewer than
> half of births in England are spontaneous and proposes that a 'solution' to
> the shortage of midwives would be replacing a substantial number of
> midwifery posts with obstetric nursing assistants to help the obstetricians
> conduct an ever growing proportion of births? This reached 39 per cent in
> 2007-18.
>
> Good luck and I hope you do better than King Canute.
>
> Alison Macfarlane
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research.
> ________________________________
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ________________________________
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ________________________________
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ________________________________
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ________________________________
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 18:06:18 +0000
> From: Mandy Forrester <[log in to unmask]<mailto:
> [log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Dear Sheena and Colleagues,
>
> The RCM will be publishing new Midwifery Care in Labour guidance on 19th
> November.
>
> The guidance has been developed by Helen Spiby and her team at Nottingham
> University.
>
> Systematic reviews are registered on PROSPERO.
>
> Kind regards,
>
> Mandy
>
> Mandy Forrester
> Head of Quality and Standards
> Visiting Fellow Bournemouth University
> The Royal College of Midwives
> 15 Mansfield Street
> London W1G 9NH
>
> Tele: 0300 303 0444
> Mob: 07824901466
> Direct line: 0207 312 3535
> Fax: 020 7312 3536
> Web: www.rcm.org.uk<http://www.rcm.org.uk><http://www.rcm.org.uk/>
> Facebook: www.facebook.com/MidwivesRCM<http://www.facebook.com/MidwivesRCM
> ><http://www.facebook.com/MidwivesRCM>
> Twitter: www.twitter.com/MidwivesRCM<http://www.twitter.com/MidwivesRCM><
> http://www.twitter.com/MidwivesRCM>
>
> [MSW Week 2018 Email Signature]
>
>
>
> From: A forum for discussion on midwifery and reproductive health
> research. [mailto:[log in to unmask]] On Behalf Of SHEENA
> BYROM
> Sent: 07 November 2018 07:01
> To: [log in to unmask]<mailto:
> [log in to unmask]>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Hello Gillian,
>
> I absolutely agree with you. And in a time when we are ‘not allowed’ to
> use the term ‘normal birth’ - a call to action similar to Unicef and BFI
> would seem sensible. I have debated this before with Francesca Entwistle.
>
> Soo Downe is working with the WHO on these matters, and may offer some
> insight. Soo and I are planning the development of something similar to the
> now abolished RCM's Ten Tops Tips (not using this phrase) for NB to support
> women and practitioners, but just in the early stages and any help welcomed.
>
> I would be more than happy to be part of a small team looking at
> developing standards etc - we have so much evidence and it would be good to
> pull it together.
>
> Something else, we are soon to launch a Normal Birth Repository of
> information - freely accessible to all - just making the final tweeks to
> the website, so this will be something else to contribute to a strategy…
>
> Thank you for raising this critical issue...
>
>
>
> With very best wishes,
>
> Sheena
>
> Website: sheenabyrom.com<http://sheenabyrom.com><
> http://www.sheenabyrom.com>
>
> Twitter: @SagefemmeSB<https://twitter.com/SagefemmeSB>
>
>
> On 1 Nov 2018, at 02:17, Gillian Meldrum <[log in to unmask]<mailto:
> [log in to unmask]><mailto:[log in to unmask]>> wrote:
>
> I think what is needed is an international & national normal birth
> strategy with a co-ordinating body. The UNICEF Baby Friendly Initiative, in
> partnership with WHO, is a good model to consider.
> They have made slow but steady progress over the last 27 years, with many
> challenges similar to normal birth.
> It has to start with an understanding of why normal birth matters - the
> increase in interventions is often lamented, but rarely do we see the
> negative impacts of this or it’s often weak rationales explicitly stated in
> the media or communicated to women.
> The importance of normal birth, and how to achieve it, may be taught to
> midwifery students, but not to doctors and most lay people are unaware.
> BFI at a local level means setting policies & guidelines for best
> evidence-based practice, training staff & auditing their skills, knowledge
> & understanding, and most importantly, auditing mothers’ experiences so
> that we hear their voices & find out if we are getting it right.
> Nationally, they co-ordinate a national network of infant feeding leads
> who link in to all maternity, neonatal, health visiting & children’s
> centre staff in the country (except for some areas in England who are not
> signed up). They have established standards for universities training
> midwives & health visitors.
> Currently they are working on a medical student curriculum.
> They work together with other national bodies involved in
> https://ukbreastfeeding.org/
> They are a tiny unit, but have clear aims and focus - we have never had
> any organisation promoting normal birth in such a structured way.
> Who of you has contacts with WHO? We need an Innocenti Declaration for
> normal birth and a an equivalent of the 10 steps framework to protect it.
> Then a UK organisation which exists for the purpose of implementing those
> standards.
>
> On a slightly different note, I think the improvements in induction rates
> in the 1990s can be partly attributed to the contribution of NCT & AIMS
> which encouraged women to expect more oppprtunities for informed choice &
> resulted in more women asking for less intervention, together with the
> publication in 1989 of Chalmers et al Effective Care in Pregnancy &
> Childbirth - this gave massive support to clinicians.
>
> Gillian Meldrum
>
> On Wed, 31 Oct 2018 at 10:43, Macfarlane, Alison <
> [log in to unmask]<mailto:[log in to unmask]><mailto:
> [log in to unmask]>> wrote:
> We have a lot more research evidence since the early 1990s when the
> policies first changed and more recent robust research which has confirmed
> and extended the earlier more limited evidence on which the policies were
> based. Although research questions remain, I don’t think more research is
> the prime need now. An outside observer can see the majority of women
> giving birth in ever larger obstetric units with rocketing levels of
> intervention and a few midwifery units and private midwifery companies for
> the minority of women who manage to find out that they have a choice. I
> know you midwives are run off your feet, but it looks like you have a
> choice between letting it all happen and becoming the RCOG / RCN Faculty of
> Obstetric Nursing or taking some action.
>
> Alison Macfarlane
>
> From: MacVane Phipps Fiona [mailto:[log in to unmask]<mailto:
> [log in to unmask]>]
> Sent: 30 October 2018 12:56
> To: Macfarlane, Alison; A forum for discussion on midwifery and
> reproductive health research.
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Alison
> Thank you for this. I didn't see your graphs. were they circulated on this
> list? I find your suggestion very chilling yet very credible, particularly
> if this government plan, as widely rumoured, to throw open NHS contracts to
> any US trade deal. I can't think of anything worse than the UK maternity
> service being influenced/comtrolled by US care providers (read 'Insurance
> conglomerates'). I find it very hard to understand why the large body of
> evidence supporting midwifery care and the midwifery model of birth has
> failed to alter this trend. I'm happy to be involved in any discussion
> about research that could be done to investigate.
> Best wishes,
> Fiona
>
>
> ________________________________
> From: Macfarlane, Alison <[log in to unmask]<mailto:
> [log in to unmask]><mailto:[log in to unmask]>>
> Sent: 30 October 2018 12:29:53
> To: A forum for discussion on midwifery and reproductive health research.;
> MacVane Phipps Fiona
> Subject: RE: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Dear all,
>
> I hope you don't mind me commenting on this from a statistical
> perspective. The graphs I circulated show that in England childbirth is
> changing but in a non-evidence-based direction that I think most people on
> this list think is wrong.
>
> How long before some hard-nosed finance person notices that fewer than
> half of births in England are spontaneous and proposes that a 'solution' to
> the shortage of midwives would be replacing a substantial number of
> midwifery posts with obstetric nursing assistants to help the obstetricians
> conduct an ever growing proportion of births? This reached 39 per cent in
> 2007-18.
>
> Good luck and I hope you do better than King Canute.
>
> Alison Macfarlane
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research.
> ________________________________
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ________________________________
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ________________________________
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBE
>
> ------------------------------
>
> Date: Wed, 7 Nov 2018 18:25:00 +0000
> From: "McCourt, Christine" <[log in to unmask]<mailto:
> [log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Or mother-baby friendly as is also good for babies
>
> Christine McCourt
> Professor of Maternal Health & Centre Lead
> Centre for Maternal & Child Health Research
> School of Health Sciences<http://www.city.ac.uk/health>
> City, University of London
> 1 Myddelton Street
> London EC1R 1UW
>
> Tel: 0207 040 5863
> Mob: 0791 235 1476
> Twitter: @ProfMcCourt
>
> [ps://
> blogs.city.ac.uk/mchresearch/files/2015/06/cute-newborn-babycute-newborn-babies-21k444f-624x390.j
> ]<https://blogs.city.ac.uk/mchresearch/>
>
> Centre for Maternal and Child Health Research | City ...
> The Centre for Maternal and Child Health Research carries out high quality
> research that aims to improve the health and care of women, children,
> families and communities.
> Read more...<https://blogs.city.ac.uk/mchresearch/>
>
>
>
> Want to further your clinical and academic career? To find out more about
> City, University of London’s MSc Advanced Practice Midwifery programme
> please click here<
> http://www.city.ac.uk/courses/postgraduate/advanced-practice-in-health-and-social-care-midwifery#course-detail=0
> >.
>
>
>
>
> [cid:image002.jpg@01D39935.C983C990]
>
>
>
>
> From: "[log in to unmask]<mailto:
> [log in to unmask]>" <[log in to unmask]
> <mailto:[log in to unmask]>> on behalf of Hilde Agema <
> [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]>>, Hilde Agema <
> [log in to unmask]<mailto:[log in to unmask]>>
> Date: Wednesday, 7 November 2018 at 09:33
> To: "[log in to unmask]<mailto:
> [log in to unmask]>" <[log in to unmask]
> <mailto:[log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Hi all!
>
> This sounds like a good idea. One could call it the
> “MotherFriendlyInitiative†(promoting normal/vaginal birth) where the
> “BabyFriendlyInitiative†promotes breastfeeding.
>
> Have a good day.
>
> Hilde Agema
>
> From: A forum for discussion on midwifery and reproductive health
> research. [mailto:[log in to unmask]] On Behalf Of
> Scamell, Mandie
> Sent: Wednesday, November 7, 2018 10:48 AM
> To: [log in to unmask]<mailto:
> [log in to unmask]>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> This is a really exciting opportunity. Every cloud and all that. I would
> be happy to be involved if I can help at all.
>
> BW
>
> Mandie
> Sent from my iPhone
>
> On 7 Nov 2018, at 07:01, SHEENA BYROM <
> [log in to unmask]<mailto:
> [log in to unmask]><mailto:
> [log in to unmask]>> wrote:
> Hello Gillian,
>
> I absolutely agree with you. And in a time when we are ‘not allowed’ to
> use the term ‘normal birth’ - a call to action similar to Unicef and BFI
> would seem sensible. I have debated this before with Francesca Entwistle.
>
> Soo Downe is working with the WHO on these matters, and may offer some
> insight. Soo and I are planning the development of something similar to the
> now abolished RCM's Ten Tops Tips (not using this phrase) for NB to support
> women and practitioners, but just in the early stages and any help welcomed.
>
> I would be more than happy to be part of a small team looking at
> developing standards etc - we have so much evidence and it would be good to
> pull it together.
>
> Something else, we are soon to launch a Normal Birth Repository of
> information - freely accessible to all - just making the final tweeks to
> the website, so this will be something else to contribute to a strategy…
>
> Thank you for raising this critical issue...
>
>
>
> With very best wishes,
>
> Sheena
>
> Website: sheenabyrom.com<http://sheenabyrom.com><
> http://www.sheenabyrom.com>
>
> Twitter: @SagefemmeSB<https://twitter.com/SagefemmeSB>
>
>
>
> On 1 Nov 2018, at 02:17, Gillian Meldrum <[log in to unmask]<mailto:
> [log in to unmask]><mailto:[log in to unmask]>> wrote:
>
> I think what is needed is an international & national normal birth
> strategy with a co-ordinating body. The UNICEF Baby Friendly Initiative, in
> partnership with WHO, is a good model to consider.
> They have made slow but steady progress over the last 27 years, with many
> challenges similar to normal birth.
> It has to start with an understanding of why normal birth matters - the
> increase in interventions is often lamented, but rarely do we see the
> negative impacts of this or it’s often weak rationales explicitly stated in
> the media or communicated to women.
> The importance of normal birth, and how to achieve it, may be taught to
> midwifery students, but not to doctors and most lay people are unaware.
> BFI at a local level means setting policies & guidelines for best
> evidence-based practice, training staff & auditing their skills, knowledge
> & understanding, and most importantly, auditing mothers’ experiences so
> that we hear their voices & find out if we are getting it right.
> Nationally, they co-ordinate a national network of infant feeding leads
> who link in to all maternity, neonatal, health visiting & children’s
> centre staff in the country (except for some areas in England who are not
> signed up). They have established standards for universities training
> midwives & health visitors.
> Currently they are working on a medical student curriculum.
> They work together with other national bodies involved in
> https://ukbreastfeeding.org/
> They are a tiny unit, but have clear aims and focus - we have never had
> any organisation promoting normal birth in such a structured way.
> Who of you has contacts with WHO? We need an Innocenti Declaration for
> normal birth and a an equivalent of the 10 steps framework to protect it.
> Then a UK organisation which exists for the purpose of implementing those
> standards.
>
> On a slightly different note, I think the improvements in induction rates
> in the 1990s can be partly attributed to the contribution of NCT & AIMS
> which encouraged women to expect more oppprtunities for informed choice &
> resulted in more women asking for less intervention, together with the
> publication in 1989 of Chalmers et al Effective Care in Pregnancy &
> Childbirth - this gave massive support to clinicians.
>
> Gillian Meldrum
>
> On Wed, 31 Oct 2018 at 10:43, Macfarlane, Alison <
> [log in to unmask]<mailto:[log in to unmask]><mailto:
> [log in to unmask]>> wrote:
> We have a lot more research evidence since the early 1990s when the
> policies first changed and more recent robust research which has confirmed
> and extended the earlier more limited evidence on which the policies were
> based. Although research questions remain, I don’t think more research is
> the prime need now. An outside observer can see the majority of women
> giving birth in ever larger obstetric units with rocketing levels of
> intervention and a few midwifery units and private midwifery companies for
> the minority of women who manage to find out that they have a choice. I
> know you midwives are run off your feet, but it looks like you have a
> choice between letting it all happen and becoming the RCOG / RCN Faculty of
> Obstetric Nursing or taking some action.
>
> Alison Macfarlane
>
> From: MacVane Phipps Fiona [mailto:[log in to unmask]<mailto:
> [log in to unmask]>]
> Sent: 30 October 2018 12:56
> To: Macfarlane, Alison; A forum for discussion on midwifery and
> reproductive health research.
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Alison
> Thank you for this. I didn't see your graphs. were they circulated on this
> list? I find your suggestion very chilling yet very credible, particularly
> if this government plan, as widely rumoured, to throw open NHS contracts to
> any US trade deal. I can't think of anything worse than the UK maternity
> service being influenced/comtrolled by US care providers (read 'Insurance
> conglomerates'). I find it very hard to understand why the large body of
> evidence supporting midwifery care and the midwifery model of birth has
> failed to alter this trend. I'm happy to be involved in any discussion
> about research that could be done to investigate.
> Best wishes,
> Fiona
>
>
> ________________________________
> From: Macfarlane, Alison <[log in to unmask]<mailto:
> [log in to unmask]><mailto:[log in to unmask]>>
> Sent: 30 October 2018 12:29:53
> To: A forum for discussion on midwifery and reproductive health research.;
> MacVane Phipps Fiona
> Subject: RE: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Dear all,
>
> I hope you don't mind me commenting on this from a statistical
> perspective. The graphs I circulated show that in England childbirth is
> changing but in a non-evidence-based direction that I think most people on
> this list think is wrong.
>
> How long before some hard-nosed finance person notices that fewer than
> half of births in England are spontaneous and proposes that a 'solution' to
> the shortage of midwives would be replacing a substantial number of
> midwifery posts with obstetric nursing assistants to help the obstetricians
> conduct an ever growing proportion of births? This reached 39 per cent in
> 2007-18.
>
> Good luck and I hope you do better than King Canute.
>
> Alison Macfarlane
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health research.
> ________________________________
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
>
> ________________________________
> 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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> ------------------------------
>
> Date: Wed, 7 Nov 2018 21:01:02 +0000
> From: Gillian Meldrum <[log in to unmask]<mailto:
> [log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Yes, humanisation of birth and human rights in childbirth/reproduction is
> what it is all based on - all normal birth issues really relate to human
> rights - to information, choice & autonomy, support, bodily integrity,
> health etc
> (WHO/UNICEF BFI is founded on UNCRC’s rights for children.)
> We need a partnership of policy makers, academics & clinicians. Who are the
> potential normal birth policy makers in the world? Are there any?
>
> Gillian
>
> On Wed, 7 Nov 2018 at 15:03, Page, Lesley <
> [log in to unmask]<mailto:
> [log in to unmask]>> wrote:
>
> Have just been in email communication with Liz.
>
>
> I wonder if the Humanization of birth would be a good framework to use?
> WHO might be interested?
>
>
> Lesley
>
> Professor Lesley Page CBE
> Visiting Professor in Midwifery KCL
> Adjunct professor UTS Australia
> Griffith University Australia
> Honorary research fellow Oxford Brookes University
>
> mobile +44(o)7747708630
>
>
>
> https://www.all4maternity.com/author/lesleypage/
>
> <https://www.all4maternity.com/author/lesleypage/>twitter:
> lesleypageCBE@humanisingbirth
>
>
>
>
>
>
>
> ________________________________
> From: A forum for discussion on midwifery and reproductive health research.
> ########################################################################
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> ------------------------------
>
> Date: Wed, 7 Nov 2018 21:13:34 +0000
> From: Gillian Meldrum <[log in to unmask]<mailto:
> [log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Good point about terms can under people’s skin ...
> But units which have not taken the trouble to audit themselves to find out
> from mothers what their experiences were may indeed be “baby unfriendlyâ€
> and will never know.
> Which units can demonstrate, through regular feedback from women, that they
> are providing “xxx salutogenic/empowering care� The only data we have is
> birth outcomes ... but nothing about the steps (as in 10 BFI steps) women
> experience which will lead to the final outcomes.
>
> Gillian
>
> On Wed, 7 Nov 2018 at 16:09, Sophie Alexander <[log in to unmask]<mailto:
> [log in to unmask]>> wrote:
>
> Yes, but "humanisation" is a bit like the "baby friendly" wording which
> looks as if all other units are "baby unfriendly" and here the opposite
> would be "unhuman birth"?...And all this gets under the skin of some
> people.
>
> I would vote for something which includes the "positive experience of WHO"
> and NO UNNECESSARY ACTION (if it's not broken why mend it?), and promotion
> of salutogenesis and empowerment...
>
>
> Sophie Alexander MD, PhD
> PERU (Perinatal Epidemiology and Reproductive health Unit)
> Ecole de Santé Publique
> Universite Libre de Bruxelles
> 808 route de Lennik
> 1070 Brussels
> Belgium
> Tel +32 2555 4063
>
> -----Message d'origine-----
> De : A forum for discussion on midwifery and reproductive health research.
> [mailto:[log in to unmask]] De la part de Page, Lesley
> Envoyé : mercredi 7 novembre 2018 16:04
> À : [log in to unmask]<mailto:
> [log in to unmask]>
> Objet : Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Have just been in email communication with Liz.
>
>
> I wonder if the Humanization of birth would be a good framework to use? WHO
> might be interested?
>
>
> Lesley
>
> Professor Lesley Page CBE
> Visiting Professor in Midwifery KCL
> Adjunct professor UTS Australia
> Griffith University Australia
> Honorary research fellow Oxford Brookes University
>
> mobile +44(o)7747708630
>
>
>
> https://www.all4maternity.com/author/lesleypage/
>
> <https://www.all4maternity.com/author/lesleypage/>twitter:
> lesleypageCBE@humanisingbirth
>
>
>
>
>
>
>
> ________________________________
> From: A forum for discussion on midwifery and reproductive health research.
> ########################################################################
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> ------------------------------
>
> Date: Wed, 7 Nov 2018 21:20:31 +0000
> From: Soo Downe <[log in to unmask]<mailto:[log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> this measure might be useful?:
>
>
>
> https://www.internationalchildbirth.com/uploads/8/0/2/6/8026178/ici_full_bw.pdf
>
>
> all the best
>
>
> soo
>
>
> ________________________________
> From: A forum for discussion on midwifery and reproductive health research.
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> ------------------------------
>
> Date: Wed, 7 Nov 2018 21:28:21 +0000
> From: Sheila Brown <[log in to unmask]<mailto:
> [log in to unmask]>>
> Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018
> (#2018-190)
>
> Perfect
>
> On Wed, 7 Nov 2018 at 21:21, Soo Downe <[log in to unmask]<mailto:
> [log in to unmask]>> wrote:
>
> this measure might be useful?:
>
>
>
>
> https://www.internationalchildbirth.com/uploads/8/0/2/6/8026178/ici_full_bw.pdf
>
>
> all the best
>
>
> soo
>
>
> ________________________________
> From: A forum for discussion on midwifery and reproductive health research.
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>
>
> --
> *Sheila JS Brown*
> *07840 296 731*
>
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> ------------------------------
>
> End of MIDWIFERY-RESEARCH Digest - 6 Nov 2018 to 7 Nov 2018 (#2018-197)
> ***********************************************************************
>
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<div dir="ltr"><div dir="ltr">Hi All<div><br></div><div>Apologies that my response to this thread is delayed.</div><div><br></div><div>Perhaps we could also consider a method of "scaling-up" the promotion of normal physiological birth and woman centered care with similar approach used for the "Becoming Breastfeeding Friendly" project led by Yale University. This is being used in Scotland, Wales and England.</div><div><br></div><div><a href="https://publichealth.yale.edu/bfci/">https://publichealth.yale.edu/bfci/</a><br></div><div><br></div><div>Best Wishes,</div><div><br></div><div>Sheila (Bangor University, North Wales).</div></div></div><br><div class="gmail_quote"><div dir="ltr">On Thu, 8 Nov 2018 at 08:32, Susan Crowther (snm) <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> wrote:<br></div><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">Hi Gillian and all,<br>
<br>
What a good thread. I agree that a global reach initiative to reclaim the term ‘normal birth’ and provide strategies and structured teaching and assessing tools is needed. Normal birth’ has not been demonised everywhere as it has been in the UK recently. Having just read the recent Lancet CS series it is absolutely time to do something to safeguard normal birth. The foundations of knowledge are there, we have the evidence. I suspect most of us on this list could list at least 10 points without much effort from the top of our heads! There are various local and national initiatives/guidelines over the years but a proactive global reach would be inspiring.<br>
<br>
I would very much like to be involved. Perhaps to start a small group exploring global funding options?<br>
<br>
Go well<br>
Dr Susan Crowther<br>
Professor of Midwifery<br>
Faculty of Health and Social Care | Robert Gordon University | Garthdee Road|Aberdeen | AB10 7AQ<br>
T: +44(0)1224 263291<tel:+441224%20263291>| E mail: <a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a><mailto:<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
ORCID ID:Â 0000-0002-4133-2189<br>
Twitter: <a href="https://twitter.com/SusanCrowtherMW" rel="noreferrer" target="_blank">https://twitter.com/SusanCrowtherMW</a><br>
New book 2017Â <a href="https://twitter.com" rel="noreferrer" target="_blank">https://twitter.com</a><<a href="https://twitter.com/SusanCrowtherMW" rel="noreferrer" target="_blank">https://twitter.com/SusanCrowtherMW</a>>/spiritbirthbook<br>
Blog: DrSusanCrowther.com<x-apple-msg-load://FA94F0BC-AD61-470A-8F25-ECA235DFEB6B/<a href="http://DrSusanCrowther.wordpress.com" rel="noreferrer" target="_blank">DrSusanCrowther.wordpress.com</a>><br>
Those finding themselves at birth need to pause .. allow the profundity of its meaning to surface and inspire their actions<br>
<br>
On 8 Nov 2018, at 00:02, MIDWIFERY-RESEARCH automatic digest system <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a><mailto:<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>> wrote:<br>
<br>
There are 25 messages totaling 9024 lines in this issue.<br>
<br>
Topics of the day:<br>
<br>
 1. MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018 (#2018-190) (22)<br>
 2. purple line (2)<br>
 3. New Course - Advanced Qualitative Research Methods<br>
<br>
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----------------------------------------------------------------------<br>
<br>
Date:Â Â Wed, 7 Nov 2018 20:00:32 +1300<br>
From:Â Â SHEENA BYROM <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a><mailto:<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>><br>
Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018 (#2018-190)<br>
<br>
Hello Gillian,<br>
<br>
I absolutely agree with you. And in a time when we are ‘not allowed’ to use the term ‘normal birth’ - a call to action similar to Unicef and BFI would seem sensible. I have debated this before with Francesca Entwistle.<br>
<br>
Soo Downe is working with the WHO on these matters, and may offer some insight. Soo and I are planning the development of something similar to the now abolished RCM's Ten Tops Tips (not using this phrase) for NB to support women and practitioners, but just in the early stages and any help welcomed.<br>
<br>
I would be more than happy to be part of a small team looking at developing standards etc - we have so much evidence and it would be good to pull it together.<br>
<br>
Something else, we are soon to launch a Normal Birth Repository of information - freely accessible to all - just making the final tweeks to the website, so this will be something else to contribute to a strategy…<br>
<br>
Thank you for raising this critical issue...<br>
<br>
<br>
<br>
With very best wishes,<br>
<br>
Sheena<br>
<br>
Website: <a href="http://sheenabyrom.com" rel="noreferrer" target="_blank">sheenabyrom.com</a><<a href="http://sheenabyrom.com" rel="noreferrer" target="_blank">http://sheenabyrom.com</a>> <<a href="http://www.sheenabyrom.com/" rel="noreferrer" target="_blank">http://www.sheenabyrom.com/</a>><br>
<br>
Twitter: @SagefemmeSB <<a href="https://twitter.com/SagefemmeSB" rel="noreferrer" target="_blank">https://twitter.com/SagefemmeSB</a>><br>
<br>
On 1 Nov 2018, at 02:17, Gillian Meldrum <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a><mailto:<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>> wrote:<br>
<br>
I think what is needed is an international & national normal birth strategy with a co-ordinating body. The UNICEF Baby Friendly Initiative, in partnership with WHO, is a good model to consider.<br>
They have made slow but steady progress over the last 27 years, with many challenges similar to normal birth.<br>
It has to start with an understanding of why normal birth matters - the increase in interventions is often lamented, but rarely do we see the negative impacts of this or it’s often weak rationales explicitly stated in the media or communicated to women.<br>
The importance of normal birth, and how to achieve it, may be taught to midwifery students, but not to doctors and most lay people are unaware.<br>
BFI at a local level means setting policies & guidelines for best evidence-based practice, training staff & auditing their skills, knowledge & understanding, and most importantly, auditing mothers’ experiences so that we hear their voices & find out if we are getting it right.<br>
Nationally, they co-ordinate a national network of infant feeding leads who link in to all maternity, neonatal, health visiting & children’s centre staff in the country (except for some areas in England who are not signed up). They have established standards for universities training midwives & health visitors.<br>
Currently they are working on a medical student curriculum.<br>
They work together with other national bodies involved in<br>
<a href="https://ukbreastfeeding.org/" rel="noreferrer" target="_blank">https://ukbreastfeeding.org/</a> <<a href="https://ukbreastfeeding.org/" rel="noreferrer" target="_blank">https://ukbreastfeeding.org/</a>><br>
They are a tiny unit, but have clear aims and focus - we have never had any organisation promoting normal birth in such a structured way.<br>
Who of you has contacts with WHO? We need an Innocenti Declaration for normal birth and a an equivalent of the 10 steps framework to protect it. Then a UK organisation which exists for the purpose of implementing those standards.<br>
<br>
On a slightly different note, I think the improvements in induction rates in the 1990s can be partly attributed to the contribution of NCT & AIMS which encouraged women to expect more oppprtunities for informed choice & resulted in more women asking for less intervention, together with the publication in 1989 of Chalmers et al Effective Care in Pregnancy & Childbirth - this gave massive support to clinicians.<br>
<br>
Gillian Meldrum<br>
<br>
On Wed, 31 Oct 2018 at 10:43, Macfarlane, Alison <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a><mailto:<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> <mailto:<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>> wrote:<br>
We have a lot more research evidence since the early 1990s when the policies first changed and more recent robust research which has confirmed and extended the earlier more limited evidence on which the policies were based. Although research questions remain, I don’t think more research is the prime need now. An outside observer can see the majority of women giving birth in ever larger obstetric units with rocketing levels of intervention and a few midwifery units and private midwifery companies for the minority of women who manage to find out that they have a choice. I know you midwives are run off your feet, but it looks like you have a choice between letting it all happen and becoming the RCOG / RCN Faculty of Obstetric Nursing or taking some action.<br>
<br>
<br>
<br>
Alison Macfarlane<br>
<br>
<br>
<br>
From: MacVane Phipps Fiona [mailto:<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a> <mailto:<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>]<br>
Sent: 30 October 2018 12:56<br>
To: Macfarlane, Alison; A forum for discussion on midwifery and reproductive health research.<br>
Subject: Re: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018 (#2018-190)<br>
<br>
<br>
<br>
Alison<br>
<br>
Thank you for this. I didn't see your graphs. were they circulated on this list? I find your suggestion very chilling yet very credible, particularly if this government plan, as widely rumoured, to throw open NHS contracts to any US trade deal. I can't think of anything worse than the UK maternity service being influenced/comtrolled by US care providers (read 'Insurance conglomerates'). I find it very hard to understand why the large body of evidence supporting midwifery care and the midwifery model of birth has failed to alter this trend. I'm happy to be involved in any discussion about research that could be done to investigate.<br>
<br>
Best wishes,<br>
<br>
Fiona<br>
<br>
<br>
<br>
<br>
<br>
From: Macfarlane, Alison <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a><mailto:<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> <mailto:<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>><br>
Sent: 30 October 2018 12:29:53<br>
To: A forum for discussion on midwifery and reproductive health research.; MacVane Phipps Fiona<br>
Subject: RE: MIDWIFERY-RESEARCH Digest - 26 Oct 2018 to 28 Oct 2018 (#2018-190)<br>
<br>
<br>
<br>
Dear all,<br>
<br>
I hope you don't mind me commenting on this from a statistical perspective. The graphs I circulated show that in England childbirth is changing but in a non-evidence-based direction that I think most people on this list think is wrong.<br>
<br>
How long before some hard-nosed finance person notices that fewer than half of births in England are spontaneous and proposes that a 'solution' to the shortage of midwives would be replacing a substantial number of midwifery posts with obstetric nursing assistants to help the obstetricians conduct an ever growing proportion of births? This reached 39 per cent in 2007-18.<br>
<br>
Good luck and I hope you do better than King Canute.<br>
<br>
Alison Macfarlane<br>
<br>
-----Original Message-----<br>
From: A forum for discussion on midwifery and reproductive health research.<br>
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------------------------------<br>
<br>
Date:Â Â Wed, 7 Nov 2018 07:47:00 +0000<br>
From:Â Â "Prins, Marianne" <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a><mailto:<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>>><br>
Subject: purple line<br>
<br>
Dear all,<br>
I am curious whether midwives ‘use’ the purple line in their care. Do you observe progression of the line and what do you do with the results? Do you for example postpone vaginal examinations in case the purple line is visible?<br>
Best Whishes<br>
Marianne<br>
<br>
From: A forum for discussion on midwifery and reproductive health research.<br>
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</p>
========================================================================Date: Mon, 19 Nov 2018 16:05:31 +0100
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Lucia Rocca <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Lucia Rocca <[log in to unmask]>
Subject: Fwd: Fw: Debates on the
=?UTF-8?Q?‘uselessness’_?=and costs of having MLU
and homebirth in ongoing Italian Congress
In-Reply-To: <[log in to unmask]>
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Dear All,
please see below the response from Chantelle,
------------------------------
*From:* Chantelle Winstanley <[log in to unmask]>
*Sent:* Monday, November 19, 2018 3:01 PM
*To:* Rocca-Ihenacho, Lucia
*Subject:* FW: Debates on the ‘uselessness’ and costs of having MLU and
homebirth in ongoing Italian Congress
HI Lucia
My message didn’t get sent to the wider team on the research email as I’m
not recognised as a user.
Feel free to circulate this onwards if you feel it is of some use …….
Hope to see you soon !
C xx
Chantelle Winstanley
Consultant Midwife
St Georges Hospital NHS Foundation Trust
Tel: 07825144241
Please note: My working days are Monday and Thursday only
*From:* Chantelle Winstanley
*Sent:* 19 November 2018 14:58
*To:* 'Lucia Rocca'; A forum for discussion on midwifery and reproductive
health research.; Laura Iannuzzi
*Subject:* RE: Debates on the ‘uselessness’ and costs of having MLU and
homebirth in ongoing Italian Congress
Dear Laura
I’m coming to this very late following your conference……..thank you, Lucia,
for copying me in.
Firstly Laura, what a wonderful job you are doing fighting / pushing /
questioning / challenging and not giving up your pursuit of a midwife-led
unit in Italy ! As Lucia said, it is really hard work and pretty
exhausting, especially when the dominant discourse is dismissive of the
existing evidence surrounding the benefits of midwifery units, particularly
the evidence which highlights supporting women’s choices / positive birth
experiences and the differences in environment and philosophies [generally
speaking] between an obstetric delivery suite versus a midwife-led birthing
area. I loved the comment about speaking with vets about optimal birthing
in animals ;)
How wonderful it is to see such a rich discussion and fabulous feedback to
support your queries from an amazing group of midwifery academics (I must
get myself back on this forum!)
As Lucia highlighted (and I can only speak from a pragmatic / anecdotal
perspective) – I lead an AMU in a very busy teaching hospital in London.
We’ve worked really hard over the past 4 years to make this area a
welcoming, safe and open choice to *all *women who have a desire to have an
optimal / active birth away from the medicalised delivery suite.
For the past year, our transfer rates have dropped even lower to an average
of 16% in total (nullips and multips combined)– almost half of that is for
women who request an epidural or who seek analgesia for a very long and
protracted labour whereby we suspect there is an obstruction (and have
utilised all of our midwifery know-how to support this situation.)
Excluding epidurals, our average transfer rate this year is <10% and
serious emergencies make up <0.5% of the total number of births per month.
I feel this is something to celebrate! And I know we are not alone…..I’m
certain there are other hospitals out there in UK who have similar or even
more promising results….these figures are perhaps useful for any future
discussions you may be having to drive this change forward?
It is worth noting that, under my leadership and with an excellent team
around me and clear multi-disciplinary communication, I regularly push for
‘out of guideline care’ for women to support their choice and rights in
childbirth; to not exclude birth centre as a choice if a ‘risk factor’
exists and to talk openly and honestly about what this means and what
factors, if any , can we put in place to safely mitigate for these ‘risks.’
It is often a challenge [I may make this sound like it’s a
walk-in-the-park; it certainly isn’t!] and we have to constantly and
diplomatically challenge the current ‘evidence’ presented by obstetricians
and midwives alike to deter women from using our birth centre. Nor are we
perfect. So our AMU offers care pathways for women who would be excluded by
guideline. One could argue that this fact, in itself, will increase the
transfer rate.
As Soo rightly pointed out, women transfer-in from home into hospital at
some point in their labour. There is little difference? For women who
opt-out of a home birth, all transfers are positive, right?? Pragmatically,
we present a transfer from our AMU to the delivery suite as a
*positive *thing…..that
there has become a clinical safety issue which means our skilled obstetric
team should be involved and share the care…..yet our philosophy should
remain as intact as possible; aligning to the bio-psycho-social model of
care; dignity, respect, shared-decision making; active birthing, quiet room
etc etc. In the majority of cases, women describe a positive birth
experience *in spite *of a transfer in place of birth and the possible
addition of medical interventions. Again, I feel this is anecdotal evidence
to be celebrated and added to this on-going international debate.
Keep up the good work everyone!
And best of luck, Laura
Chantelle
Chantelle Winstanley
Consultant Midwife
St Georges Hospital NHS Foundation Trust
Tel: 07825144241
Please note: My working days are Monday and Thursday only
*From:* Lucia Rocca [mailto:[log in to unmask] <[log in to unmask]>]
*Sent:* 14 November 2018 19:58
*To:* A forum for discussion on midwifery and reproductive health
research.; Laura Iannuzzi; Chantelle Winstanley
*Subject:* Re: Debates on the ‘uselessness’ and costs of having MLU and
homebirth in ongoing Italian Congress
Hi Laura,
sorry for coming in the discussion late! but you had very comprehensive
responses.
I can only add from a pragmatic practice view point that in an AMU where I
was Consultant midwife with my amazing colleague Chantelle Winstanley, we
managed as a team to deom intrapartum transfer from 43% to 19% in 4 months
by implementing staff training, support in practive, reflective sessions on
transfers and working with the women....
On the other hand we were also telling women that if there was a need to
recommend transfer they would have been looked after beautifully by the LW
staff who followed a similar phylosophy of care. The women really
appreciated this approach. Often if the women feel transfer as a failure,
it actually comes form the staff and conflict between areas of work. So we
need to work proactively on keeping geographical and professional
cross-boundary work positive and build relationships!
As for what you say in regard of 'When prejudice dominate there is always a
problem for any solution' it is so true....it is exhausting but we nee dto
keep pushing with a 'stick and carrot system' we need to work on the new
generation of obstetricians to ensure they appreciate interprofessional
collaboration.
Keep pushing! you are doing an amazing job 💓💓
xx
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 Wed, 14 Nov 2018 at 17:24, Laura Iannuzzi <[log in to unmask]>
wrote:
Dear all thank you very much for all your inputs, I tried to say something.
At the end of the presentation the problem was moved to ‘MLUs are too
expensive we cannot have a team of 6-10 midwives for that number of births
when there is a shortage of midwives in labour ward’ (useless to have said
that the activities of a birth centre are not only intrapartum and that
(unfortunately) many times midwives are moving between areas.
By the way maybe it was because there were enough argument to move the
debate from the transfer issue ;)
When prejudice dominate there is always a problem for any solution :)
But at least I tried to make the point that the conversation will be L ways
biased if we focus on professionials views instead on women’s health.
I enjoyed the opportunity at least to try to offer a different perspective
and it was really impressive to me to see all your mails that made me once
more again aware that each one of us wherever is and whatever the task has
been asked is at some level giving voice to a community is not just
speaking for her/himself
Thanks for all the support
I feel the chair of the session didn’t move from his position at all, but
surely I did !
Laura
Inviato da iPhone
> Il giorno 14 nov 2018, alle ore 15:08, McCourt, Christine <
[log in to unmask]> ha scritto:
>
> Just to add a few points to the already excellent responses:
>
> - in the Birthplace study, transfer rates were highest in alongside
midwife units, where transfer time is very short and usually just a lift or
corridor.
> - as Laura has said, when you look at the rates from Birthplace, they are
different for multips and from different settings but also a large
proportion are not emergency
> - we also had evidence in the Birthplace organisational case studies that
a range of professional and organisational issues could be affecting
transfer rates so attention is needed to skills, confidence (so training)
but also integration and relationships within a service (so that transfers
are based on good professional jdgement of clinical needs/women's wishes
not on territorialism or professional conflicts or organisational
imperatives such as crowding or lack of staffing)
> - the economic evaluation included the costs of transfers in a very
comprehensive way
> - the analysis was designed to take into account all transfers when
considering the clinical outcomes - this means that any such risks were
included in the analysis - the findings represent the outcomes of the full
continuum of care according to where women planned the setting, defined at
the start of care in labour
> - the work done on experiences of transfers showed that from the women's
viewpoint (and their birth partner's) it is how you manage the transfer
that really matters: they could have a positive experience but it did need
to be well managed and supported and with appropriately tailored good
quality information. Professional conflict or poorly developed transfer
arrangements will not support a positive experience. Women ideally want
some continuity too, with the midwife able to transfer with them, and good
care and attention on arrival, not judgement - of them or of the
professional who provided their care to that point.
>
> Other studies such as Overgaard's in Denmark and the Canadian studies and
the Australian study have used similar methodology to ensure these kind of
issues are taken into account.
>
> It seems at times that people in quite senior roles feel entitled to
speak on an issue without reading the research in detail, to check the
methods and what is covered, so then draw misleading conclusions such as
'it is all very well to say it is cost effective but what about the cost of
transfers' and convey them to others with an air of authority.
>
>
>
>
>
>
> On 14/11/2018, 13:24, "A forum for discussion on midwifery and
reproductive health research. on behalf of MacVane Phipps Fiona" <
[log in to unmask] on behalf of
[log in to unmask]> wrote:
>
> Keep up the good work, Laura! I agree with previous comments but where
is the 40% transfer rate coming from? I think it is important to also talk
about education, education for midwives, for women and for doctors about
physiological birth. A lecture from a vet always goes down well. Imagine
you are breeding horses, what conditions would a veterinarian say would be
optimal for a safe birth? Vets usually say, a known, warm, safe, quiet,
dark environment. No intrusions, let the mother do it herself (no tugging,
pulling etc.) but know how to help if and when it becomes necessary, . The
physiology of birth works for all mammals (and human babies don't have
those long awkward legs with sharp elbows)! If physiology is respected and
women and midwives both understand this and have developed a trusting
relationship then transfers will go down.
>
> -----Original Message-----
> From: A forum for discussion on midwifery and reproductive health
research. <[log in to unmask]> On Behalf Of Billie Hunter
> Sent: 14 November 2018 09:50
> To: [log in to unmask]
> Subject: Re: Debates on the ‘uselessness’ and costs of having MLU and
homebirth in ongoing Italian Congress
>
> Great answers Soo and Laura! It's so important to turn these arguments
on their head and point out the flaws in the 'logic'!
> Good luck with the presentation Laura & congratulations on the
important work you are doing in Italy Very best Billie
>
> Billie Hunter, RCM Professor of Midwifery & Director, WHO
Collaborating Centre for Midwifery Development, School of Healthcare
Sciences, Cardiff University.
>
> Sent from my iPhone - apologies for any typos
>
>> On 14 Nov 2018, at 09:38, Soo Downe <[log in to unmask]> wrote:
>>
>> I would say:
>>
>> 1. all women in hospital have had to transfer from home to hospital,
>> often in strong labour, but no-one seems to worry about this - if we
wanted minimum transfers in labour, we would have 100% home birth, with
women only being transferred when they really needed the hospital 2. there
are units with much lower transfer rates, still with safe outcomes, so if
we want to reduce transfers lets look at these units, and use their
guidelines - lets not work on the basis of units where the guidelines are
so restrictive, without any benefit to mothers and babies.
>> 3. If there really is a need for 40% transfer (which is unlikely) this
>> still means that 60% of women are able to have their baby as they want
>> to in a BC. This is much higher than the % of healthy women who manage
>> to have the kind of birth they originally wanted in hospital - so what
>> is the problem? Indeed, if we want to maximise the chance for women to
>> have physiological births, even with a 40% transfer rate, BCs beat
>> hospitals every time
>>
>> All the best
>>
>> Soo
>>
>>
>> -----Original Message-----
>> From: A forum for discussion on midwifery and reproductive health
>> research. <[log in to unmask]> On Behalf Of Laura
>> Iannuzzi
>> Sent: 14 November 2018 09:07
>> To: [log in to unmask]
>> Subject: Debates on the ‘uselessness’ and costs of having MLU and
>> homebirth in ongoing Italian Congress
>>
>> Dear all
>> I am attending the pre congress courses of the BIRTH Congress in
>> Venice and I ll be speaking this afternoon of our experience in the
>> Margherita birth centre in The Italian context The doctor who was
>> chairing the course this morning in his presentation posed the
>> question of what is the benefit of having MLUs if women in large part
>> need to be transferred (he mentioned the 40% transfer rate for
>> nulliparous in the birthplace study) and access to obstetric led unit
>> with consequent trauma for women and costs for the system and ‘risks’
>> related to emergency (homebirth was not even considered to be an
>> option being ‘risky’ - and he used US based literature ) So he was
>> posing question on the issue of transfers
>>
>> I am trying to slightly change my presentation trying to address this
>> question (that express a very common cultural standpoint in some
>> context, that encourages midwife led care in labour ward but not
>> midwife led care in midwife led units or home)
>>
>> For sure in my mind are coming reflection such as ;
>> - yes it might be quite a challenge the theme of transfer for both
>> women/ family and midwives
>> - what is provided is not only intrapartum care
>> - the more you protect physiology the less u need to transfer
>> - the theme of women’s choice
>> - the fact that transfers are mainly not due to emergency reason but
>> more ‘tranquil’ situation such as slow progress of labour
>> - what about the costs of unnecessary interventions ? Are we sure that
>> they are lower than the costs of transfers
>> - health is more than a intact Perineum and so on
>>
>>
>> But as even if thoughly posed this is an interesting are of debate, I d
like to know if possibile from you what would you argue, what points would
you make to answer ?
>> This could be of massive help
>> Thanks!
>> Laura
>>
>> Laura Iannuzzi
>> PhD, MSc, PgCert, BMId, RM
>> Lead midwife physiological pregnancy path and Margherita birth centre
>> Careggi university hospital Italy
>>
>>
>>
>> Inviato da iPhone
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<div dir="ltr"><br clear="all"><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 id="m_-8940291738635007357divtagdefaultwrapper" style="font-size:12pt;color:#000000;font-family:Calibri,Helvetica,sans-serif"><span style="font-size:large"></span><span style="font-family:tahoma,sans-serif"><font size="2">Dear All,</font></span></div><div style="font-size:12pt;color:#000000;font-family:Calibri,Helvetica,sans-serif"><span style="font-family:tahoma,sans-serif"><font size="2">please see below the response from Chantelle,</font></span></div><div style="font-size:12pt;color:#000000;font-family:Calibri,Helvetica,sans-serif"><span style="font-family:tahoma,sans-serif"><font size="2"></font></span><br></div><div id="m_-8940291738635007357divtagdefaultwrapper" style="font-size:12pt;color:#000000;font-family:Calibri,Helvetica,sans-serif" dir="ltr">
<br>
<div style="color:rgb(0,0,0)">
<hr style="display:inline-block;width:98%">
<div id="m_-8940291738635007357divRplyFwdMsg" dir="ltr"><font style="font-size:11pt" face="Calibri, sans-serif" color="#000000"><b>From:</b> Chantelle Winstanley <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>><br>
<b>Sent:</b> Monday, November 19, 2018 3:01 PM<br>
<b>To:</b> Rocca-Ihenacho, Lucia<br>
<b>Subject:</b> FW: Debates on the ‘uselessness’ and costs of having MLU and homebirth in ongoing Italian Congress</font>
<div>Â </div>
</div>
<div link="blue" vlink="purple" lang="EN-GB">
<div class="m_-8940291738635007357x_WordSection1">
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">HI Lucia
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">My message didn’t get sent to the wider team on the research email as I’m not recognised as a user.
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Feel free to circulate this onwards if you feel it is of some use …….</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Hope to see you soon !
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">C xx</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<div>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Chantelle Winstanley
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Consultant Midwife
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">St Georges Hospital NHS Foundation Trust
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Tel: 07825144241</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Please note: My working days are Monday and Thursday only
</span></p>
</div>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<div>
<div style="border:none;border-top:solid #b5c4df 1.0pt;padding:3.0pt 0cm 0cm 0cm">
<p class="m_-8940291738635007357x_MsoNormal"><b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"" lang="EN-US">From:</span></b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"" lang="EN-US"> Chantelle Winstanley
<br>
<b>Sent:</b> 19 November 2018 14:58<br>
<b>To:</b> 'Lucia Rocca'; A forum for discussion on midwifery and reproductive health research.; Laura Iannuzzi<br>
<b>Subject:</b> RE: Debates on the ‘uselessness’ and costs of having MLU and homebirth in ongoing Italian Congress</span></p>
</div>
</div>
<p class="m_-8940291738635007357x_MsoNormal">Â </p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Dear Laura
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">I’m coming to this very late following your conference……..thank you, Lucia, for copying me in.
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Firstly Laura, what a wonderful job you are doing fighting / pushing / questioning / challenging and not giving up your pursuit of a midwife-led unit in
Italy ! As Lucia said, it is really hard work and pretty exhausting, especially when the dominant discourse is dismissive of the existing evidence surrounding the benefits of midwifery units, particularly the evidence which highlights supporting women’s choices
/ positive birth experiences and the differences in environment and philosophies [generally speaking] between an obstetric delivery suite versus a midwife-led birthing area. I loved the comment about speaking with vets about optimal birthing in animals ;)
 </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">How wonderful it is to see such a rich discussion and fabulous feedback to support your queries from an amazing group of midwifery academics (I must get
myself back on this forum!) </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">As Lucia highlighted (and I can only speak from a pragmatic / anecdotal perspective) – I lead an AMU in a very busy teaching hospital in London. We’ve worked
really hard over the past 4 years to make this area a welcoming, safe and open choice to
<i>all </i>women who have a desire to have an optimal / active birth away from the medicalised delivery suite.
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">For the past year, our transfer rates have dropped even lower to an average of 16% in total (nullips and multips combined)– almost half of that is for women
who request  an epidural or who seek analgesia for a very long and protracted labour whereby we suspect there is an obstruction (and have utilised all of our midwifery know-how to support this situation.)</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Excluding epidurals, our average transfer rate this year is <10% and serious emergencies make up <0.5% of the total number of births per month. I feel this
is something to celebrate! And I know we are not alone…..I’m certain there are other hospitals out there in UK who have similar or even more promising results….these figures are perhaps useful for any future discussions you may be having to drive this change
forward?</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">It is worth noting that, under my leadership and with an excellent team around me and clear multi-disciplinary communication, I regularly push for ‘out
 of guideline care’ for women to support their choice and rights in childbirth; to not exclude birth centre as a choice if a ‘risk factor’ exists and to talk openly and honestly about what this means and what factors, if any , can we put in place to safely
mitigate for these ‘risks.’ It is often a challenge [I may make this sound like it’s a walk-in-the-park; it certainly isn’t!] and we have to constantly and diplomatically challenge the current ‘evidence’ presented by obstetricians and midwives alike to deter
women from using our birth centre. Nor are we perfect. So our AMU offers care pathways for women who would be excluded by guideline. One could argue that this fact, in itself, will increase the transfer rate.
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">As Soo rightly pointed out, women transfer-in from home into hospital at some point in their labour. There is little difference? For women who opt-out
of a home birth, all transfers are positive, right?? Pragmatically, we present a transfer from our AMU to the delivery suite as a
<i>positive </i>thing…..that there has become a clinical safety issue which means our skilled obstetric team should be involved and share the care…..yet our philosophy should remain as intact as possible; aligning to the bio-psycho-social model of care; dignity,
respect, shared-decision making; active birthing, quiet room etc etc. In the majority of cases, women describe a positive birth experience
<i>in spite </i>of a transfer in place of birth and the possible addition of medical interventions. Again, I feel this is anecdotal evidence to be celebrated and added to this on-going international debate.
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"></span><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Keep up the good work everyone!
</span>
</p><p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">And best of luck, Laura</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Chantelle
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Chantelle Winstanley
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Consultant Midwife
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">St Georges Hospital NHS Foundation Trust
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Tel: 07825144241</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Please note: My working days are Monday and Thursday only
</span></p>
<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Â </span></p>
<p class="m_-8940291738635007357x_MsoNormal"><b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"" lang="EN-US">From:</span></b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"" lang="EN-US"> Lucia Rocca [<a href="mailto:[log in to unmask]" id="m_-8940291738635007357LPlnk921357" class="m_-8940291738635007357OWAAutoLink" target="_blank">mailto:[log in to unmask]</a>]
<br>
<b>Sent:</b> 14 November 2018 19:58<br>
<b>To:</b> A forum for discussion on midwifery and reproductive health research.; Laura Iannuzzi; Chantelle Winstanley<br>
<b>Subject:</b> Re: Debates on the ‘uselessness’ and costs of having MLU and homebirth in ongoing Italian Congress</span></p>
<p class="m_-8940291738635007357x_MsoNormal">Â </p>
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<p class="m_-8940291738635007357x_MsoNormal">Hi Laura,</p>
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<p class="m_-8940291738635007357x_MsoNormal">sorry for coming in the discussion late! but you had very comprehensive responses.
</p>
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<p class="m_-8940291738635007357x_MsoNormal">Â </p>
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<p class="m_-8940291738635007357x_MsoNormal">I can only add from a pragmatic practice view point that in an AMU where I was Consultant midwife with my amazing colleague Chantelle Winstanley, we managed as a team to deom intrapartum transfer from 43% to 19% in 4 months by implementing
staff training, support in practive, reflective sessions on transfers and working with the women....</p>
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<p class="m_-8940291738635007357x_MsoNormal">On the other hand we were also telling women that if there was a need to recommend transfer they would have been looked after beautifully by the LW staff who followed a similar phylosophy of care. The women really appreciated this approach.
Often if the women feel transfer as a failure, it actually comes form the staff and conflict between areas of work. So we need to work proactively on keeping geographical and professional cross-boundary work positive and build relationships!
</p>
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<p class="m_-8940291738635007357x_MsoNormal">Â </p>
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<p class="m_-8940291738635007357x_MsoNormal">As for what you say in regard of 'When prejudice dominate there is always a problem for any solution' it is so true....it is exhausting but we nee dto keep pushing with a 'stick and carrot system' we need to work on the new generation
of obstetricians to ensure they appreciate interprofessional collaboration. </p>
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<p class="m_-8940291738635007357x_MsoNormal">Â </p>
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<p class="m_-8940291738635007357x_MsoNormal">Keep pushing! you are doing an amazing job <span style="font-family:"Segoe UI Symbol","sans-serif"">
💓💓</span></p>
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<p class="m_-8940291738635007357x_MsoNormal">Â </p>
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<p class="m_-8940291738635007357x_MsoNormal">xx</p>
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<p class="m_-8940291738635007357x_MsoNormal">Lucia</p>
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<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">Dr Lucia Rocca-Ihenacho</span></p>
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<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">PhD, MSc, RM</span></p>
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<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:10.0pt">Lecturer in Midwifery and NIHR Research Fellow</span></p>
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<p class="m_-8940291738635007357x_MsoNormal"><span style="color:black;background:white">Centre for Maternal and Child Health Research</span></p>
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<p class="m_-8940291738635007357x_MsoNormal"><span style="color:black;background:white">School of Health Sciences</span></p>
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<p class="m_-8940291738635007357x_MsoNormal"><span style="color:black;background:white">City Univers</span>ity London</p>
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<p class="m_-8940291738635007357x_MsoNormal">1 Myddelton Street</p>
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<p class="m_-8940291738635007357x_MsoNormal">London <br>
EC1R 1UW</p>
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<p class="m_-8940291738635007357x_MsoNormal"><span style="font-family:"Tahoma","sans-serif"">07989 230313</span></p>
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<p class="m_-8940291738635007357x_MsoNormal"><span style="font-size:10.0pt">Skype contact: luciainsky</span></p>
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<p class="m_-8940291738635007357x_MsoNormal">On Wed, 14 Nov 2018 at 17:24, Laura Iannuzzi <<a href="mailto:[log in to unmask]" id="m_-8940291738635007357LPlnk110661" class="m_-8940291738635007357OWAAutoLink" target="_blank">[log in to unmask]</a>> wrote:</p>
</div>
<blockquote style="border:none;border-left:solid #cccccc 1.0pt;padding:0cm 0cm 0cm 6.0pt;margin-left:4.8pt;margin-top:5.0pt;margin-right:0cm;margin-bottom:5.0pt">
<p class="m_-8940291738635007357x_MsoNormal">Dear all thank you very much for all your inputs, I tried to say something. At the end of the presentation the problem was moved to ‘MLUs are too expensive we cannot have a team of 6-10 midwives for that number of births when there is
a shortage of midwives in labour ward’ (useless to have said that the activities of a birth centre are not only intrapartum and that (unfortunately) many times midwives are moving between areas.<br>
By the way maybe it was because there were enough argument to move the debate from the transfer issue ;)
<br>
When prejudice dominate there is always a problem for any solution :)<br>
But at least I tried to make the point that the conversation will be L ways biased if we focus on professionials views instead on women’s health.<br>
I enjoyed the opportunity at least to try to offer a different perspective and it was really impressive to me to see all your mails that made me once more again aware that each one of us wherever is and whatever the task has been asked is at some level giving
voice to a community is not just speaking for her/himself <br>
<br>
Thanks for all the support<br>
I feel the chair of the session didn’t move from his position at all, but surely I did !<br>
Laura <br>
<br>
Inviato da iPhone<br>
<br>
> Il giorno 14 nov 2018, alle ore 15:08, McCourt, Christine <<a href="mailto:[log in to unmask]" id="m_-8940291738635007357LPlnk832276" class="m_-8940291738635007357OWAAutoLink" target="_blank">[log in to unmask]</a>> ha scritto:<br>
> <br>
> Just to add a few points to the already excellent responses:<br>
> <br>
> - in the Birthplace study, transfer rates were highest in alongside midwife units, where transfer time is very short and usually just a lift or corridor.
<br>
> - as Laura has said, when you look at the rates from Birthplace, they are different for multips and from different settings but also a large proportion are not emergency<br>
> - we also had evidence in the Birthplace organisational case studies that a range of professional and organisational issues could be affecting transfer rates so attention is needed to skills, confidence (so training) but also integration and relationships
within a service (so that transfers are based on good professional jdgement of clinical needs/women's wishes not on territorialism or professional conflicts or organisational imperatives such as crowding or lack of staffing)<br>
> - the economic evaluation included the costs of transfers in a very comprehensive way<br>
> - the analysis was designed to take into account all transfers when considering the clinical outcomes - this means that any such risks were included in the analysis - the findings represent the outcomes of the full continuum of care according to where women
planned the setting, defined at the start of care in labour<br>
> - the work done on experiences of transfers showed that from the women's viewpoint (and their birth partner's) it is how you manage the transfer that really matters: they could have a positive experience but it did need to be well managed and supported and
with appropriately tailored good quality information. Professional conflict or poorly developed transfer arrangements will not support a positive experience. Women ideally want some continuity too, with the midwife able to transfer with them, and good care
and attention on arrival, not judgement - of them or of the professional who provided their care to that point.
<br>
> <br>
> Other studies such as Overgaard's in Denmark and the Canadian studies and the Australian study have used similar methodology to ensure these kind of issues are taken into account.<br>
> <br>
> It seems at times that people in quite senior roles feel entitled to speak on an issue without reading the research in detail, to check the methods and what is covered, so then draw misleading conclusions such as 'it is all very well to say it is cost effective
but what about the cost of transfers' and convey them to others with an air of authority.
<br>
> <br>
> <br>
> <br>
> <br>
> <br>
> <br>
> On 14/11/2018, 13:24, "A forum for discussion on midwifery and reproductive health research. on behalf of MacVane Phipps Fiona" <<a href="mailto:[log in to unmask]" id="m_-8940291738635007357LPlnk910014" class="m_-8940291738635007357OWAAutoLink" target="_blank">[log in to unmask]</a>
on behalf of <a href="mailto:[log in to unmask]" id="m_-8940291738635007357LPlnk555993" class="m_-8940291738635007357OWAAutoLink" target="_blank">
[log in to unmask]</a>> wrote:<br>
> <br>
>Â Â Keep up the good work, Laura! I agree with previous comments but where is the 40% transfer rate coming from? I think it is important to also talk about education, education for midwives, for women and for doctors about physiological birth. A lecture from
a vet always goes down well. Imagine you are breeding horses, what conditions would a veterinarian say would be optimal for a safe birth? Vets usually say, a known, warm, safe, quiet, dark environment. No intrusions, let the mother do it herself (no tugging,
pulling etc.) but know how to help if and when it becomes necessary, . The physiology of birth works for all mammals (and human babies don't have those long awkward legs with sharp elbows)! If physiology is respected and women and midwives both understand
this and have developed a trusting relationship then transfers will go down.<br>
> <br>
>Â Â -----Original Message-----<br>
>Â Â From: A forum for discussion on midwifery and reproductiv<br>
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========================================================================Date: Mon, 19 Nov 2018 20:23:22 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"McCourt, Christine" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
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From: "McCourt, Christine" <[log in to unmask]>
Subject: FW: [REPRONETWORK] Two recent pieces of interest...
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========================================================================Date: Tue, 20 Nov 2018 14:49:40 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Mandy Forrester <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Mandy Forrester <[log in to unmask]>
Subject: RCM Midwifery Blue Top Guidance Programme
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Dear Colleagues,
I am pleased to let you know that the Royal College of Midwives (RCM) has launched its Midwifery Blue Top Guidance Programme. Guidance developed by the programme should be viewed as complementing other robust sources of evidence-based information such as that produced by the National Institute for Health and Care Excellence, the Scottish Intercollegiate Guidelines Network and local guidance supporting the provision of safe care that achieves optimal clinical and psychosocial outcomes.
The first set of guidance is Midwifery care in labour guidance for women in all settings.
This guidance aims to provide an accessible version of systematically produced evidence for aspects of care related to labour and birth. It was developed in collaboration with the University of Nottingham's Maternal Health and Wellbeing Research Group, including contributions from a multi-disciplinary Expert Advisory Group.
Four new systematic reviews informed the work, links for which can be found in the guidance document.
The guidance can be accessed here (open access): https://www.rcm.org.uk/sites/default/files/Midwifery%20care%20in%20labour%20guidance%20for%20all%20women%20in%20all%20settings%20A4%202018%2028pp_5.pdf
A companion version to this document is also available for women and those supporting them and can be accessed here: https://www.rcm.org.uk/sites/default/files/Midwifery%20care%20in%20labour%20guidance%20for%20all%20women%20in%20all%20settings%20Information%20for%20Women%20and%20Families%20A4%202018%2016pp_6.pdf
We hope you find the guidance useful.
Kind regards,
Mandy
Mandy Forrester
Head of Quality and Standards
Visiting Fellow Bournemouth University
The Royal College of Midwives
Kind regards,
Mandy
Mandy Forrester
Head of Quality and Standards
Visiting Fellow Bournemouth University
The Royal College of Midwives
15 Mansfield Street
London W1G 9NH
Tele: 0300 303 0444
Mob: 07824901466
Direct line: 0207 312 3535
Fax: 020 7312 3536
Web: www.rcm.org.uk<http://www.rcm.org.uk/>
Facebook: www.facebook.com/MidwivesRCM<http://www.facebook.com/MidwivesRCM>
Twitter: www.twitter.com/MidwivesRCM<http://www.twitter.com/MidwivesRCM>
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<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">Dear Colleagues,<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">I am pleased to let you know that the Royal College of Midwives (RCM) has launched its Midwifery Blue Top Guidance Programme. Guidance developed by the programme should be viewed
as complementing other robust sources of evidence-based information such as that produced by the National Institute for Health and Care Excellence, the Scottish Intercollegiate Guidelines Network and local guidance supporting the provision of safe care that
achieves optimal clinical and psychosocial outcomes.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">The first set of guidance is
<i>Midwifery care in labour guidance for women in all</i> <i>settings</i>. <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">This guidance aims to provide an accessible version of systematically produced evidence for aspects of care related to labour and birth. It was developed in collaboration with
the University of Nottingham’s Maternal Health and Wellbeing Research Group, including contributions from a multi-disciplinary Expert Advisory Group. <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">Four new systematic reviews informed the work, links for which can be found in the guidance document. <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">The guidance can be accessed here (open access):
</span><a href="https://www.rcm.org.uk/sites/default/files/Midwifery%20care%20in%20labour%20guidance%20for%20all%20women%20in%20all%20settings%20A4%202018%2028pp_5.pdf">https://www.rcm.org.uk/sites/default/files/Midwifery%20care%20in%20labour%20guidance%20for%20all%20women%20in%20all%20settings%20A4%202018%2028pp_5.pdf</a><span style="font-size:12.0pt"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">A companion version to this document is also available for women and those supporting them and can be accessed here:
</span><span style="color:#1F497D"><a href="https://www.rcm.org.uk/sites/default/files/Midwifery%20care%20in%20labour%20guidance%20for%20all%20women%20in%20all%20settings%20Information%20for%20Women%20and%20Families%20A4%202018%2016pp_6.pdf">https://www.rcm.org.uk/sites/default/files/Midwifery%20care%20in%20labour%20guidance%20for%20all%20women%20in%20all%20settings%20Information%20for%20Women%20and%20Families%20A4%202018%2016pp_6.pdf</a><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">We hope you find the guidance useful.<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Kind regards,<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Mandy<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><b><span style="color:#0F243E;mso-fareast-language:EN-GB"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="text-autospace:none"><b><span style="color:#0F243E;mso-fareast-language:EN-GB">Mandy Forrester<o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-autospace:none"><b><span style="color:#0F243E;mso-fareast-language:EN-GB">Head of Quality and Standards<o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Visiting Fellow Bournemouth University<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">The Royal College of Midwives<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#0F243E"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#0F243E"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Kind regards,<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Mandy<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><b><span style="color:#0F243E;mso-fareast-language:EN-GB"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="text-autospace:none"><b><span style="color:#0F243E;mso-fareast-language:EN-GB">Mandy Forrester<o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-autospace:none"><b><span style="color:#0F243E;mso-fareast-language:EN-GB">Head of Quality and Standards<o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Visiting Fellow Bournemouth University<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">The Royal College of Midwives<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">15 Mansfield Street<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">London W1G 9NH<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Tele: 0300 303 0444<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Mob: 07824901466<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Direct line: 0207 312 3535<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Fax: 020 7312 3536<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Franklin Gothic Book","sans-serif";color:#0F243E;mso-fareast-language:EN-GB">Web:
<a href="http://www.rcm.org.uk/"><span style="color:#0F243E">www.rcm.org.uk</span></a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Franklin Gothic Book","sans-serif";color:#0F243E;mso-fareast-language:EN-GB">Facebook:
<a href="http://www.facebook.com/MidwivesRCM"><span style="color:#0F243E">www.facebook.com/MidwivesRCM</span></a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Franklin Gothic Book","sans-serif";color:#0F243E;mso-fareast-language:EN-GB">Twitter:
<a href="http://www.twitter.com/MidwivesRCM"><span style="color:#0F243E">www.twitter.com/MidwivesRCM</span></a></span><span style="font-family:"Franklin Gothic Book","sans-serif";color:#1F497D;mso-fareast-language:EN-GB"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#0F243E"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#0F243E;mso-fareast-language:EN-GB"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:#1F497D;mso-fareast-language:EN-GB"><o:p> </o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
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--_000_LNXP265MB133878D6B6F647E66DB91595CFD90LNXP265MB1338GBRP_--
========================================================================Date: Wed, 21 Nov 2018 03:56:07 +1100
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: RCM Midwifery Blue Top Guidance Programme
Comments: To: Mandy Forrester <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Hi Mandy
Thank you so much for sending these links, and congratulations to all involved.
I’ll read carefully and share - just on first glance I wondered if you could clarify something please?
In first document on page 6 under Evidence Summary - 2nd para it states:
‘There is currently no clear evidence to favour a planned home birth or planned maternity unit birth in terms of outcomes for women and babies who do not need obstetric care, but more research needs to be done’.
Then below a contradictory statement under Recommendations for practice
There is good evidence to recommend that:
• Midwives should inform women that giving birth in a midwifery unit may improve the outcomes and experiences for those who do not need obstetric care
Am I reading this wrongly?
Very best wishes
Sheena
www.sheenabyrom.com
> On 21 Nov 2018, at 01:49, Mandy Forrester <[log in to unmask]> wrote:
>
> Dear Colleagues,
>
> I am pleased to let you know that the Royal College of Midwives (RCM) has launched its Midwifery Blue Top Guidance Programme. Guidance developed by the programme should be viewed as complementing other robust sources of evidence-based information such as that produced by the National Institute for Health and Care Excellence, the Scottish Intercollegiate Guidelines Network and local guidance supporting the provision of safe care that achieves optimal clinical and psychosocial outcomes.
>
> The first set of guidance is Midwifery care in labour guidance for women in all settings.
>
> This guidance aims to provide an accessible version of systematically produced evidence for aspects of care related to labour and birth. It was developed in collaboration with the University of Nottingham’s Maternal Health and Wellbeing Research Group, including contributions from a multi-disciplinary Expert Advisory Group.
>
> Four new systematic reviews informed the work, links for which can be found in the guidance document.
>
> The guidance can be accessed here (open access): https://www.rcm.org.uk/sites/default/files/Midwifery%20care%20in%20labour%20guidance%20for%20all%20women%20in%20all%20settings%20A4%202018%2028pp_5.pdf
>
> A companion version to this document is also available for women and those supporting them and can be accessed here: https://www.rcm.org.uk/sites/default/files/Midwifery%20care%20in%20labour%20guidance%20for%20all%20women%20in%20all%20settings%20Information%20for%20Women%20and%20Families%20A4%202018%2016pp_6.pdf
>
> We hope you find the guidance useful.
>
> Kind regards,
>
> Mandy
>
> Mandy Forrester
> Head of Quality and Standards
> Visiting Fellow Bournemouth University
> The Royal College of Midwives
>
>
> Kind regards,
>
> Mandy
>
> Mandy Forrester
> Head of Quality and Standards
> Visiting Fellow Bournemouth University
> The Royal College of Midwives
> 15 Mansfield Street
> London W1G 9NH
>
> Tele: 0300 303 0444
> Mob: 07824901466
> Direct line: 0207 312 3535
> Fax: 020 7312 3536
> Web: www.rcm.org.uk
> Facebook: www.facebook.com/MidwivesRCM
> Twitter: www.twitter.com/MidwivesRCM
>
>
>
>
>
> 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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<html><head><meta http-equiv="content-type" content="text/html; charset=utf-8"></head><body dir="auto">Hi Mandy<div><br></div><div>Thank you so much for sending these links, and congratulations to all involved. </div><div><br></div><div>I’ll read carefully and share - just on first glance I wondered if you could clarify something please? </div><div><br></div><div>In first document on page 6 under Evidence Summary - 2nd para it states:</div><div><br></div><div><div><br></div><div>‘There is currently no clear evidence to favour a planned home birth or planned maternity unit birth in terms of outcomes for women and babies who do not need obstetric care, but more research needs to be done’.</div></div><div><br></div><div>Then below a contradictory statement under Recommendations for practice</div><div><div><br></div><div><br></div><div>There is good evidence to recommend that:</div><div>• Midwives should inform women that giving birth in a midwifery unit may improve the outcomes and experiences for those who do not need obstetric care</div></div><div><br></div><div><br></div><div>Am I reading this wrongly? </div><div><br><br><div dir="ltr" id="AppleMailSignature">Very best wishes<div><br></div><div>Sheena </div><div><br></div><div><a href="http://www.sheenabyrom.com">www.sheenabyrom.com</a></div></div><div dir="ltr"><br>On 21 Nov 2018, at 01:49, Mandy Forrester <<a href="mailto:[log in to unmask]">[log in to unmask]</a>> wrote:<br><br></div><blockquote type="cite"><div dir="ltr">
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<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">Dear Colleagues,<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">I am pleased to let you know that the Royal College of Midwives (RCM) has launched its Midwifery Blue Top Guidance Programme. Guidance developed by the programme should be viewed
as complementing other robust sources of evidence-based information such as that produced by the National Institute for Health and Care Excellence, the Scottish Intercollegiate Guidelines Network and local guidance supporting the provision of safe care that
achieves optimal clinical and psychosocial outcomes.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">The first set of guidance is
<i>Midwifery care in labour guidance for women in all</i> <i>settings</i>. <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">This guidance aims to provide an accessible version of systematically produced evidence for aspects of care related to labour and birth. It was developed in collaboration with
the University of Nottingham’s Maternal Health and Wellbeing Research Group, including contributions from a multi-disciplinary Expert Advisory Group. <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">Four new systematic reviews informed the work, links for which can be found in the guidance document. <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">The guidance can be accessed here (open access):
</span><a href="https://www.rcm.org.uk/sites/default/files/Midwifery%20care%20in%20labour%20guidance%20for%20all%20women%20in%20all%20settings%20A4%202018%2028pp_5.pdf">https://www.rcm.org.uk/sites/default/files/Midwifery%20care%20in%20labour%20guidance%20for%20all%20women%20in%20all%20settings%20A4%202018%2028pp_5.pdf</a><span style="font-size:12.0pt"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">A companion version to this document is also available for women and those supporting them and can be accessed here:
</span><span style="color:#1F497D"><a href="https://www.rcm.org.uk/sites/default/files/Midwifery%20care%20in%20labour%20guidance%20for%20all%20women%20in%20all%20settings%20Information%20for%20Women%20and%20Families%20A4%202018%2016pp_6.pdf">https://www.rcm.org.uk/sites/default/files/Midwifery%20care%20in%20labour%20guidance%20for%20all%20women%20in%20all%20settings%20Information%20for%20Women%20and%20Families%20A4%202018%2016pp_6.pdf</a><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:14.0pt"><span style="font-size:12.0pt">We hope you find the guidance useful.<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Kind regards,<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Mandy<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><b><span style="color:#0F243E;mso-fareast-language:EN-GB"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="text-autospace:none"><b><span style="color:#0F243E;mso-fareast-language:EN-GB">Mandy Forrester<o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-autospace:none"><b><span style="color:#0F243E;mso-fareast-language:EN-GB">Head of Quality and Standards<o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Visiting Fellow Bournemouth University<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">The Royal College of Midwives<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#0F243E"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#0F243E"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Kind regards,<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Mandy<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><b><span style="color:#0F243E;mso-fareast-language:EN-GB"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="text-autospace:none"><b><span style="color:#0F243E;mso-fareast-language:EN-GB">Mandy Forrester<o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-autospace:none"><b><span style="color:#0F243E;mso-fareast-language:EN-GB">Head of Quality and Standards<o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Visiting Fellow Bournemouth University<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">The Royal College of Midwives<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">15 Mansfield Street<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">London W1G 9NH<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Tele: 0300 303 0444<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:#0F243E;mso-fareast-language:EN-GB">Mob: 07824901466<o:p></o:p></span></p>
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--Apple-Mail-757CC8CD-2C1A-4CE7-A8EA-003B4E5861BC--
========================================================================Date: Tue, 20 Nov 2018 17:00:18 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Billie Hunter <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Billie Hunter <[log in to unmask]>
Subject: Re: RCM Midwifery Blue Top Guidance Programme
Comments: To: SHEENA BYROM <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
Content-Type: multipart/alternative;
boundary="_000_BC25F2E452DA4BD1A45A8B83C2F02CDCcardiffacuk_"
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========================================================================Date: Tue, 20 Nov 2018 19:17:22 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Ellen Blix <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Ellen Blix <[log in to unmask]>
Subject: PhD course Theories and models for midwifery - in a Nordic context
Content-Type: multipart/mixed;
boundary="_002_DB7PR04MB47167EFC360E42D735DC3BA4A5D90DB7PR04MB4716eurp_"
MIME-Version: 1.0
Message-ID: <[log in to unmask]>
--_002_DB7PR04MB47167EFC360E42D735DC3BA4A5D90DB7PR04MB4716eurp_
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Course will be held in Reykjavik, Iceland from April 29th to May 1st.
https://ugla.hi.is/kennsluskra/index.php?tab=nam&chapter=namskeid&id=70972620190&namskra=0
Regards
Ólöf Ásta Ólafsdóttir, supervisor, University of Iceland
Ellen Blix, professor, OsloMet - Oslo Metropolitan University, Norway
Christina Prinds, associate professor, University of Southern Denmark
Ingela Lundgren, professor, University of Gothenburg, Sweden
Katri Vehviläinen-Julkunen, professor, University of Eastern Finland
The NJF Congress of the Nordic Federation of Midwives 2019 will be held in Reykjavik 2-4 May
https://www.njfcongress.is/
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========================================================================Date: Wed, 21 Nov 2018 10:28:28 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"Page, Lesley" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "Page, Lesley" <[log in to unmask]>
Subject: Re: RCM Midwifery Blue Top Guidance Programme
Comments: To: Billie Hunter <[log in to unmask]>,
SHEENA BYROM <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Dear All
I have only read the guidelines quickly but I agree with Sheena and Debbie the evidence summary appears to lack congruence and is therefore confusing. Of course in most areas there will be some conflicting evidence. This makes presenting a summary of evidence in such a complex area very difficult. We always have to remember people will want a quick read. However It might need some narrative around some of this old evidence, and the suitability of the methodology for the question. Could this be added as a footnote or an addendum?
It is a pity to see this statement so early on, particularly because Dorothy Shaw proposes midwifery led care as a solution to the too little too late: too much too soon problem in the Lancet Maternal Health special edition referred to in the guidelines.
I am sorry to be commenting after the guidelines have been published. Was there a consultation that I missed?
In regard to epidurals I recommend the book by Elizabeth Newnham and others, Towards the Humanisation of birth: A study of epidural analgesia and hospital birth culture published by Palgrave MacMillan 2018.
With thanks and best wishes
Lesley
Professor Lesley Page CBE
Visiting Professor in Midwifery KCL
Adjunct professor UTS Australia
Griffith University Australia
Honorary research fellow Oxford Brookes University
mobile +44(o)7747708630
https://www.all4maternity.com/author/lesleypage/
<https://www.all4maternity.com/author/lesleypage/>twitter: lesleypageCBE@humanisingbirth
________________________________
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========================================================================Date: Wed, 21 Nov 2018 10:50:32 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Claire Feeley <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Claire Feeley <[log in to unmask]>
Subject: Re: RCM Midwifery Blue Top Guidance Programme
Comments: To: "Page, Lesley" <[log in to unmask]>
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I read it as a comparison between MLU's and homebirth? But now I've read it again I realise I misinterpreted the text in a different way!
It appears that these guidelines have been generated from mostly Cochrane reviews which would make these statements due to the lack of place of birth RCT's. I think this needs to be explicitly stated alongside some narrative regarding the evidence that we do have i.e. Birthplace. The wording might need some adjustment to clarify, we don't need the press jumping on this and running with it!
Best wishes,
Claire Feeley
PhD Student/ MidwifeUniversity of Central Lancashire
On Wednesday, 21 November 2018, 10:28:40 GMT, Page, Lesley <[log in to unmask]> wrote:
Dear All
I have only read the guidelines quickly but I agree with Sheena and Debbie the evidence summary appears to lack congruence and is therefore confusing. Of course in most areas there will be some conflicting evidence. This makes presenting a summary of evidence in such a complex area very difficult. We always have to remember people will want a quick read. However It might need some narrative around some of this old evidence, and the suitability of the methodology for the question. Could this be added as a footnote or an addendum?
It is a pity to see this statement so early on, particularly because Dorothy Shaw proposes midwifery led care as a solution to the too little too late: too much too soon problem in the Lancet Maternal Health special edition referred to in the guidelines.
I am sorry to be commenting after the guidelines have been published. Was there a consultation that I missed?
In regard to epidurals I recommend the book by Elizabeth Newnham and others, Towards the Humanisation of birth: A study of epidural analgesia and hospital birth culture published by Palgrave MacMillan 2018.
With thanks and best wishes
Lesley
Professor Lesley Page CBE
Visiting Professor in Midwifery KCL
Adjunct professor UTS Australia
Griffith University Australia
Honorary research fellow Oxford Brookes University
mobile +44(o)7747708630
https://www.all4maternity.com/author/lesleypage/
<https://www.all4maternity.com/author/lesleypage/>twitter: lesleypageCBE@humanisingbirth
________________________________
From: A forum for discussion on midwifery and reproductive health research.
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<html><head></head><body><div class="ydp53670784yahoo-style-wrap" style="font-family:Helvetica Neue, Helvetica, Arial, sans-serif;font-size:13px;"><div></div>
<div>I read it as a comparison between MLU's and homebirth? But now I've read it again I realise I misinterpreted the text in a different way!</div><div><br></div><div> It appears that these guidelines have been generated from mostly Cochrane reviews which would make these statements due to the lack of place of birth RCT's. I think this needs to be explicitly stated alongside some narrative regarding the evidence that we do have i.e. Birthplace. The wording might need some adjustment to clarify, we don't need the press jumping on this and running with it!<br></div><div><br></div><div>Best wishes,</div><div><br></div><div>Claire Feeley</div><div><br></div><div>PhD Student/ Midwife</div><div>University of Central Lancashire<br></div>
</div><div id="yahoo_quoted_3081792402" class="yahoo_quoted">
<div style="font-family:'Helvetica Neue', Helvetica, Arial, sans-serif;font-size:13px;color:#26282a;">
<div>
On Wednesday, 21 November 2018, 10:28:40 GMT, Page, Lesley <[log in to unmask]> wrote:
</div>
<div><br></div>
<div><br></div>
<div><div dir="ltr">Dear All<br clear="none"><br clear="none"><br clear="none">I have only read the guidelines quickly but I agree with Sheena and Debbie the evidence summary appears to lack congruence and is therefore confusing. Of course in most areas there will be some conflicting evidence. This makes presenting a summary of evidence in such a complex area very difficult. We always have to remember people will want a quick read. However It might need some narrative around some of this old evidence, and the suitability of the methodology for the question. Could this be added as a footnote or an addendum?<br clear="none"><br clear="none"><br clear="none">It is a pity to see this statement so early on, particularly because Dorothy Shaw proposes midwifery led care as a solution to the too little too late: too much too soon problem in the Lancet Maternal Health special edition referred to in the guidelines.<br clear="none"><br clear="none"><br clear="none">I am sorry to be commenting after the guidelines have been published. Was there a consultation that I missed?<br clear="none"><br clear="none"><br clear="none"> In regard to epidurals I recommend the book by Elizabeth Newnham and others, Towards the Humanisation of birth: A study of epidural analgesia and hospital birth culture published by Palgrave MacMillan 2018.<br clear="none"><br clear="none"><br clear="none">With thanks and best wishes<br clear="none"><br clear="none"><br clear="none">Lesley<br clear="none"><br clear="none">Professor Lesley Page CBE<br clear="none">Visiting Professor in Midwifery KCL<br clear="none">Adjunct professor UTS Australia<br clear="none">Griffith University Australia<br clear="none">Honorary research fellow Oxford Brookes University<br clear="none"><br clear="none">mobile +44(o)7747708630<br clear="none"><br clear="none"><br clear="none"><br clear="none"> <a shape="rect" href="https://www.all4maternity.com/author/lesleypage/" target="_blank">https://www.all4maternity.com/author/lesleypage/</a><br clear="none"><br clear="none"><<a shape="rect" href="https://www.all4maternity.com/author/lesleypage/" target="_blank">https://www.all4maternity.com/author/lesleypage/</a>>twitter: <a shape="rect" ymailto="mailto:lesleypageCBE@humanisingbirth" href="mailto:lesleypageCBE@humanisingbirth">lesleypageCBE@humanisingbirth</a><br clear="none"><br clear="none"><br clear="none"><br clear="none"><br clear="none"><br clear="none"><br clear="none"><br clear="none">________________________________<br clear="none">From: A forum for discussion on midwifery and reproductive health research.<div class="yqt3283238545" id="yqtfd56216"><br clear="none">########################################################################<br clear="none"><br clear="none">To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:<br clear="none"><a shape="rect" href="https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1" target="_blank">https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1</a></div></div></div>
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------=_Part_6916963_683903006.1542797432047--
========================================================================Date: Wed, 21 Nov 2018 12:01:30 +0100
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Lucia Rocca <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Lucia Rocca <[log in to unmask]>
Subject: Re: RCM Midwifery Blue Top Guidance Programme
Comments: To: "Page, Lesley" <[log in to unmask]>
In-Reply-To: <[log in to unmask]>
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Hi Lesley and all,
I agree that it would be useful to clarify the text as many of us have
misinterpreted what is written. Also it is a pity not to mention about high
quality systematic reviews such as Scarf et al. (2018) which come to clear
conclusions. Being based only on Cochrane review will lead to weaker
conclusions and recommendations for practice.
best wishes
Lucia
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 Wed, 21 Nov 2018 at 11:28, Page, Lesley <
[log in to unmask]> wrote:
> Dear All
>
>
> I have only read the guidelines quickly but I agree with Sheena and Debbie
> the evidence summary appears to lack congruence and is therefore confusing.
> Of course in most areas there will be some conflicting evidence. This makes
> presenting a summary of evidence in such a complex area very difficult. We
> always have to remember people will want a quick read. However It might
> need some narrative around some of this old evidence, and the suitability
> of the methodology for the question. Could this be added as a footnote or
> an addendum?
>
>
> It is a pity to see this statement so early on, particularly because
> Dorothy Shaw proposes midwifery led care as a solution to the too little
> too late: too much too soon problem in the Lancet Maternal Health special
> edition referred to in the guidelines.
>
>
> I am sorry to be commenting after the guidelines have been published. Was
> there a consultation that I missed?
>
>
> In regard to epidurals I recommend the book by Elizabeth Newnham and
> others, Towards the Humanisation of birth: A study of epidural analgesia
> and hospital birth culture published by Palgrave MacMillan 2018.
>
>
> With thanks and best wishes
>
>
> Lesley
>
> Professor Lesley Page CBE
> Visiting Professor in Midwifery KCL
> Adjunct professor UTS Australia
> Griffith University Australia
> Honorary research fellow Oxford Brookes University
>
> mobile +44(o)7747708630
>
>
>
> https://www.all4maternity.com/author/lesleypage/
>
> <https://www.all4maternity.com/author/lesleypage/>twitter:
> lesleypageCBE@humanisingbirth
>
>
>
>
>
>
>
> ________________________________
> From: A forum for discussion on midwifery and reproductive health research.
> ########################################################################
>
> To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
> https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
>
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<div dir="ltr"><div>Hi <span class="" style="" id=":47d.1" tabindex="-1">Lesley</span> and all, <br></div><div><br></div><div>I agree that it would be useful to clarify the text as many of us have misinterpreted what is written. Also it is a pity not to mention about high quality systematic reviews such as Scarf <span class="" style="" id=":47d.2" tabindex="-1">et</span> <span class="" style="" id=":47d.3" tabindex="-1">al</span>. (2018) which come to clear conclusions. Being based only on <span class="" style="" id=":47d.4" tabindex="-1">Cochrane</span> review will lead to weaker conclusions and recommendations for <span class="" style="" id=":47d.6" tabindex="-1">practice</span>. <br></div><div><br></div><div><br></div><div>best wishes</div><div><br></div><div>Lucia<br></div><div><br><div><span style="font-family:tahoma,sans-serif"><font size="2">PhD, <span class="" style="" id=":47d.7" tabindex="-1">MSc</span>, RM<br></font></span></div><span style="font-family:tahoma,sans-serif"></span><font size="2">Lecturer in Midwifery and <span class="" style="" id=":47d.8" tabindex="-1">NIHR</span> 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 <span class="" style="" id=":47d.9" tabindex="-1">Univers</span></span></span><span class="" style="" id=":47d.10" tabindex="-1">ity</span> London</div>
<div>1 <span class="" style="" id=":47d.11" tabindex="-1">Myddelton</span> 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><div><div dir="ltr" class="m_6085178742093249246gmail_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 dir="ltr"><font size="2"><span class="" style="" id=":47d.12" tabindex="-1">Skype</span> contact: <span class="" style="" id=":47d.13" tabindex="-1">luciainsky</span></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">On Wed, 21 Nov 2018 at 11:28, Page, Lesley <<a href="mailto:[log in to unmask]" target="_blank">[log in to unmask]</a>> wrote:<br></div><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">Dear All<br>
<br>
<br>
I have only read the guidelines quickly but I agree with Sheena and Debbie the evidence summary appears to lack congruence and is therefore confusing. Of course in most areas there will be some conflicting evidence. This makes presenting a summary of evidence in such a complex area very difficult. We always have to remember people will want a quick read. However It might need some narrative around some of this old evidence, and the suitability of the methodology for the question. Could this be added as a footnote or an addendum?<br>
<br>
<br>
It is a pity to see this statement so early on, particularly because Dorothy Shaw proposes midwifery led care as a solution to the too little too late: too much too soon problem in the Lancet Maternal Health special edition referred to in the guidelines.<br>
<br>
<br>
I am sorry to be commenting after the guidelines have been published. Was there a consultation that I missed?<br>
<br>
<br>
 In regard to epidurals I recommend the book by Elizabeth Newnham and others, Towards the Humanisation of birth: A study of epidural analgesia and hospital birth culture published by Palgrave MacMillan 2018.<br>
<br>
<br>
With thanks and best wishes<br>
<br>
<br>
Lesley<br>
<br>
Professor Lesley Page CBE<br>
Visiting Professor in Midwifery KCL<br>
Adjunct professor UTS Australia<br>
Griffith University Australia<br>
Honorary research fellow Oxford Brookes University<br>
<br>
mobile +44(o)7747708630<br>
<br>
<br>
<br>
 <a href="https://www.all4maternity.com/author/lesleypage/" rel="noreferrer" target="_blank">https://www.all4maternity.com/author/lesleypage/</a><br>
<br>
<<a href="https://www.all4maternity.com/author/lesleypage/" rel="noreferrer" target="_blank">https://www.all4maternity.com/author/lesleypage/</a>>twitter: lesleypageCBE@humanisingbirth<br>
<br>
<br>
<br>
<br>
<br>
<br>
<br>
________________________________<br>
From: A forum for discussion on midwifery and reproductive health research.<br>
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--000000000000e046bc057b2aac2a--
========================================================================Date: Wed, 21 Nov 2018 11:06:53 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Mary Edmondson <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Mary Edmondson <[log in to unmask]>
Subject: Re: Listening to the fetal heart in the latent phase
Content-Type: text/plain; charset=us-ascii
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I am involved in reviewing a guideline.
Could members please offer opinion or guidance on the frequency of Auscultation of the fetal heart in the latent phase of labour in MLBU or antenatal/triage environments, for:
1/ Low risk women
2/ High risk women
I would be grateful.
Kind regards
Mary Edmondson
Midwife
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========================================================================Date: Wed, 21 Nov 2018 19:41:36 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Amanda Burleigh <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Amanda Burleigh <[log in to unmask]>
Subject: rcm guidance
Mime-Version: 1.0
Content-Transfer-Encoding: quoted-printable
Content-Type: text/plain; charset="utf-8"
Message-ID: <[log in to unmask]>
I have been approached by many confused members regarding the advice to delay cord clamping for 1-3 minutes which is not based on any recent evidence at all and is a retrograde step in the battle for babies to receive their cord blood.
The latest evidence by Ola Andersson 2018 shows that clamping earlier than three minutes can lead to anaemia and that 1 min clamping is now early clamping. NICE used the 2013 systematic review to recommend 1-5 minutes. Almost 6 years later the RCM is using this review to advise 1-3 minutes. In the light of the most recent evidence this is damaging to babies and there is great consternation amongst the campaigners, experts, lay people and midwives.
The one minute recommendation also gives the green light to the cord blood companies, particularly the public banks who do not offer informed choice to parents and do not advertise the benefits of dcc/occ on their websites (they encourage the largest sample possible) to encourage parents to store/donate their babies blood without knowing that consequences of their actions can adversely affect their babies development.
The RCM have been well placed to lead the way in bringing evidence into practice but in publishing this guidance with no input from experts have seriously undermined the research of the researchers and the effects of the global campaigners who are battling for evidence based practice. We do not have any sound evidence t say when it is safe to cut a pulsating cord.
The guidance needs changing and the timing of 1-3 minutes needs removing.
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========================================================================Date: Wed, 21 Nov 2018 21:40:27 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Amanda Burleigh <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Amanda Burleigh <[log in to unmask]>
Subject: RCM Midwifery Blue Top Guidance Programme
Mime-Version: 1.0
Content-Transfer-Encoding: quoted-printable
Content-Type: text/plain; charset="utf-8"
Message-ID: <[log in to unmask]>
I have been approached by many confused members regarding the advice to delay cord clamping for 1-3 minutes which is not based on any recent evidence at all and is a retrograde step in the battle for babies to receive their cord blood.
The latest evidence by Ola Andersson 2018 shows that clamping earlier than three minutes can lead to anaemia and that 1 min clamping is now early clamping. NICE used the 2013 systematic review to recommend 1-5 minutes. Almost 6 years later the RCM is using this review to advise 1-3 minutes. In the light of the most recent evidence this is damaging to babies and there is great consternation amongst the campaigners, experts, lay people and midwives.
The one minute recommendation also gives the green light to the cord blood companies, particularly the public banks who do not offer informed choice to parents and do not advertise the benefits of dcc/occ on their websites (they encourage the largest sample possible) to encourage parents to store/donate their babies blood without knowing that consequences of their actions can adversely affect their babies development.
The RCM have been well placed to lead the way in bringing evidence into practice but in publishing this guidance with no input from experts have seriously undermined the research of the researchers and the effects of the global campaigners who are battling for evidence based practice. We do not have any sound evidence t say when it is safe to cut a pulsating cord.
The guidance needs changing and the timing of 1-3 minutes needs removing.
########################################################################
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https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1
========================================================================Date: Wed, 21 Nov 2018 21:41:38 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Amanda Burleigh <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Amanda Burleigh <[log in to unmask]>
Subject: RCM guidelines
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RCM Blue Top Guidance
https://t.co/mEKELL4D1H
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========================================================================Date: Thu, 22 Nov 2018 12:09:47 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Fiona Clare Dykes <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Fiona Clare Dykes <[log in to unmask]>
Subject: MAINN Conference - reminder-call for abstracts
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========================================================================Date: Thu, 22 Nov 2018 12:39:06 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
"Susan Crowther (snm)" <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: "Susan Crowther (snm)" <[log in to unmask]>
Subject: Call for abstracts for 2019 hermeneutic phenomenology symposium UK
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========================================================================Date: Fri, 23 Nov 2018 02:12:41 +0000
Reply-To: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>,
Jenny Gamble <[log in to unmask]>
Sender: "A forum for discussion on midwifery and reproductive health
research." <[log in to unmask]>
From: Jenny Gamble <[log in to unmask]>
Subject: Professor and Clinical Chair - Maternal and Child Health -
Griffith University and Gold Coast Health - Queensland, Australia
MIME-Version: 1.0
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Hi everyone
We are recruiting!!!!
Professor of Maternal and Child Health - based on the Gold Coast, Queensland, Australia... this is an exciting position.
Midwifery@Griffith are a strong, values-driven, highly productive academic team.... and Gold Coast University Hospital has a strategic plan aligned to scaling up caseload midwifery (continuity of midwifery care/ known midwife).... and they are well on the way with 25% of women provided with a known midwife next year.
The Professor of Maternal and Child Health is a joint initiative between Griffith University and the Gold Coast Hospital & Health Service. The Professor of Maternal and Child Health will provide leadership in the critical examination of current trends and evidence-based practice in maternal, newborn and children's care, and related implications for research, education and practice. A key focus for this role will translating research into practice and practice development.
This is a fixed term (5 years), full time position based on the Gold Coast.
Here is the advertisement on SEEK
https://www.seek.com.au/job/37763870?type=standard
See attached for Info Pack.
Please spread the word.
Regards Jenny
Professor Jenny Gamble, CF, SFHEA
AAUT 2017
Head of Midwifery, School of Nursing and Midwifery
T +61 7 33821083: M +61 404080518
Midwifery@Griffith: Leading the way*Transforming lives
[ORCID icon] http://orcid.org/0000-0002-3749-3473<https://www.scopus.com/redirect.uri?url=http://www.orcid.org/0000-0002-3749-3473&authorId=35610701100&origin=AuthorProfile&orcId=0000-0002-3749-3473&category=orcidLink>
[cid:39293588-d71f-49b1-a7a5-9eaaf37d6723]
I pay respect to the past, present and future First Australians on whose land we live and work. I acknowledge the loss of lands, cultures and treasures that have had immense consequences for people, communities and nations. I would like us to journey together toward a better future.
########################################################################
To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link:
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--_000_ME1PR01MB1649D7D9DE9B1D0EED565CE5D7D40ME1PR01MB1649ausp_
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<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<style type="text/css" style="display:none;"><!-- P {margin-top:0;margin-bottom:0;} --></style>
</head>
<body dir="ltr">
<div id="divtagdefaultwrapper" style="font-size:12pt;color:#000000;font-family:Calibri,Helvetica,sans-serif;" dir="ltr">
<p style="margin-top:0;margin-bottom:0"><span style="font-size: 12pt;">Hi everyone</span><br>
</p>
<p style="margin-top:0;margin-bottom:0"><span style="font-size: 12pt;"><span style="font-family: Calibri, Helvetica, sans-serif, Helvetica, EmojiFont, "Apple Color Emoji", "Segoe UI Emoji", NotoColorEmoji, "Segoe UI Symbol", "Android Emoji", EmojiSymbols; font-size: 16px;">We
are recruiting!!!! </span></span></p>
<p style="margin-top:0;margin-bottom:0"><span style="font-size: 12pt;"><span style="font-family: Calibri, Helvetica, sans-serif, Helvetica, EmojiFont, "Apple Color Emoji", "Segoe UI Emoji", NotoColorEmoji, "Segoe UI Symbol", "Android Emoji", EmojiSymbols; font-size: 16px;">Professor
of <span style="font-family: Calibri, Helvetica, sans-serif, Helvetica, EmojiFont, "Apple Color Emoji", "Segoe UI Emoji", NotoColorEmoji, "Segoe UI Symbol", "Android Emoji", EmojiSymbols; font-size: 16px;">Maternal and Child Health - b</span></span></span>ased
on the Gold Coast, Queensland, Australia... this is an exciting position.</p>
<p style="margin-top:0;margin-bottom:0"><br>
</p>
<p style="margin-top:0;margin-bottom:0">Midwifery@Griffith are a strong, values-driven, highly productive academic team.... and Gold Coast University Hospital has a strategic plan aligned to scaling up caseload midwifery (continuity of midwifery care/ known
midwife).... and they are well on the way with 25% of women provided with a known midwife next year.</p>
<p style="margin-top:0;margin-bottom:0"><br>
</p>
<p style="margin-top:0;margin-bottom:0"></p>
<div>The Professor of Maternal and Child Health is a joint initiative between Griffith University and the Gold Coast Hospital & Health Service. The Professor of Maternal and Child Health will provide leadership in the critical examination of current trends
and evidence-based practice in maternal, newborn and children's care, and related implications for research, education and practice. A key focus for this role will translating research into practice and practice development.</div>
<div><br>
</div>
<div>This is a fixed term (5 years), full time position based on the Gold Coast. </div>
<p style="margin-top:0;margin-bottom:0"><br>
</p>
<p style="margin-top:0;margin-bottom:0">Here is the advertisement on SEEK</p>
<p style="margin-top:0;margin-bottom:0"><a href="https://www.seek.com.au/job/37763870?type=standard" class="OWAAutoLink" id="LPlnk590991" previewremoved="true">https://www.seek.com.au/job/37763870?type=standard</a><br>
<br>
</p>
<p style="margin-top:0;margin-bottom:0">See attached for Info Pack.</p>
<p style="margin-top:0;margin-bottom:0"><br>
</p>
<p style="margin-top:0;margin-bottom:0">Please spread the word.</p>
<p style="margin-top:0;margin-bottom:0"><br>
</p>
<p style="margin-top:0;margin-bottom:0"><br>
</p>
<p style="margin-top:0;margin-bottom:0">Regards Jenny</p>
<p style="margin-top:0;margin-bottom:0"><br>
</p>
<div id="Signature">
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<p style="font-family:Calibri,Helvetica,sans-serif; margin:0cm 0cm 0.0001pt; background:white">
<a name="_GoBack" id="LPNoLP"></a><span style="font-family:"Calibri",sans-serif; color:black; background:white">Professor Jenny Gamble, CF, SFHEA</span><span style="font-family:"Calibri",sans-serif; color:black"></span></p>
<p style="font-family:Calibri,Helvetica,sans-serif; margin:0cm 0cm 0.0001pt; background:white">
<span style="font-family:"Calibri",sans-serif; color:black; background:white">AAUT 2017</span></p>
<p style="font-family:Calibri,Helvetica,sans-serif; margin:0cm 0cm 0.0001pt; background:white; orphans:2; text-align:start; widows:2; word-spacing:0px">
<span style="font-family:"Calibri",sans-serif; color:black; background:white">Head of Midwifery, School of Nursing and Midwifery</span><span style="font-family:"Calibri",sans-serif; color:black"></span></p>
<p style="font-family:Calibri,Helvetica,sans-serif; margin:0cm 0cm 0.0001pt; background:white; orphans:2; text-align:start; widows:2; word-spacing:0px">
<span style="font-family:"Calibri",sans-serif; color:black; background:white">T +61 7 33821083: M +61 404080518</span></p>
<p style="font-family:Calibri,Helvetica,sans-serif; margin:0cm 0cm 0.0001pt; background:white; orphans:2; text-align:start; widows:2; word-spacing:0px">
<span style="font-family:"Calibri",sans-serif; color:black; background:white"><b style="color:rgb(33,33,33); font-family:Calibri,sans-serif; font-size:14.6667px"><span style="color:red">Midwifery@Griffith:</span></b><b style="color:rgb(33,33,33); font-family:Calibri,sans-serif; font-size:14.6667px"><span style="color:rgb(68,68,68)"> Leading
the way*Transforming lives</span></b><br>
</span></p>
<p style="margin:0cm 0cm 0.0001pt; background:white; orphans:2; text-align:start; widows:2; word-spacing:0px">
<span><img class="inputIcon" alt="ORCID icon" style="border: 0px; vertical-align: middle; color: rgb(50, 50, 50); user-select: none;" src="https://www.scopus.com/static/proteus-images/ORCID_icon.png"><span style="color:rgb(50,50,50); font-family:NexusSan,Arial,Georgia,sans-serif,serif; font-size:16px"> </span><span class="anchorText" style="color:rgb(0,115,152)"><a href="https://www.scopus.com/redirect.uri?url=http://www.orcid.org/0000-0002-3749-3473&authorId=35610701100&origin=AuthorProfile&orcId=0000-0002-3749-3473&category=orcidLink" class="secondaryLink" target="_blank" title="View this author’s ORCID profile" style="color:rgb(0,115,152)" id="LPNoLP">http://orcid.org/0000-0002-3749-3473</a></span></span></p>
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<span><span style="color:rgb(0,0,255); font-family:georgia,serif,serif,EmojiFont; font-size:12.79px"><img class="EmojiInsert" style="" data-outlook-trace="F:1|T:1" src="cid:39293588-d71f-49b1-a7a5-9eaaf37d6723"><br>
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<p style="margin:0cm 0cm 0.0001pt; background:white; orphans:2; text-align:start; widows:2; word-spacing:0px">
<span><span style="color:rgb(0,0,255); font-family:georgia,serif,serif,EmojiFont; font-size:12.79px">I pay respect to the past, present and future First Australians on whose land we live and work. I acknowledge the loss of lands, cultures and treasures that
have had immense consequences for people, communities and nations. I would like us to journey together toward a better future.</span></span></p>
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