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Found 471 results
  1. News Article
    Black women face a significantly higher risk of having a miscarriage than white, research suggests. The Lancet analysis of data on 4.6 million pregnancies in seven countries suggests being black increases miscarriage risk by 43%. It calls for people in the UK to be given support after their first pregnancy loss. Currently, referral to specialist clinics usually occurs after three consecutive losses only. Most countries, including the UK, do not collect statistics, but researchers estimate: 15% of pregnancies end in loss 1% of women will experience recurrent miscarriage. Some estimates of miscarriage rate are higher, but this is due to differences in how countries define pregnancy loss, which can be from a positive pregnancy test or from a scan. The report also found that women who suffered miscarriage, from all ethnic backgrounds, are more vulnerable to long-term health problems, such as blood clots, heart disease and depression. Read full story Source: BBC News, 27 April 2021
  2. News Article
    Pregnant women who catch COVID-19 are over 50% more likely to experience severe complications such as premature birth, admission to intensive care and death, a major study has found. Newborns of infected women were also nearly three times more at risk of severe medical complications and close to 10% tested positive during the first few days of their life, the study of more than 2,100 pregnant women across 18 countries worldwide revealed. Scientists leading the study warned the risk to mothers and babies is greater than acknowledged at the beginning of the pandemic, and called for pregnant women to be offered a COVID-19 vaccine. Stephen Kennedy, a professor of reproductive medicine at the University of Oxford, who co-led the study, said: “We now know that the risks to mothers and babies are greater than we assumed at the start of the pandemic and that known health measures when implemented must include pregnant women. “The information should help families, as the need to do all one can to avoid becoming infected is now clear. Read full story Source: The Independent, 24 April 2021
  3. News Article
    The Labour Party will call on the government to commit to a target of ending the Black maternal mortality gap during a landmark debate about the topic later on Monday. This comes as shocking figures show Black women are over four times more likely than white women to die during or after pregnancy or childbirth in the UK. MPs will debate a petition relating to Black maternal healthcare and mortality. Scheduled to take place at 6.15pm this evening, the session will be led by Petitions Committee Chair Catherine McKinnell MP. Read full story Source: The Independent, 19 April 2021
  4. News Article
    Pregnant women should be offered a Covid jab when other people their age get one, the UK's vaccine advisers say. They say the Pfizer and Moderna vaccines are preferable because data from the US in 90,000 pregnant women has not raised any safety concerns. Up until now, only women with underlying health conditions or those whose risk of exposure to the virus was high were eligible. The shift in advice brings the UK into line with other countries. The Joint Committee on Vaccination and Immunisation now advises that pregnant women should all be offered the Pfizer-BioNTech or Moderna vaccines where available, at the same time as the rest of the population. They are encouraged to discuss the risks and benefits of the vaccines with their doctor before making the appointment, but it is not a requirement. "There is no evidence to suggest that other vaccines are unsafe for pregnant women, but more research is needed," it added. Currently, there is a lack of data on the AstraZeneca vaccine in pregnancy because pregnant women were not included in trials, but the JCVI says more evidence may be forthcoming in the near future. Read full story Source: BBC News, 17 April 2021
  5. Content Article
    This is the Herts and West Essex Local Maternity and Neonatal system multilingual maternity resource padlet. It includes resources in multiple languages including Sign Language an in audio form. The initial concept and content was developed by Charlotte Easton, Better Births Project Midwife at West Hertfordshire Hospitals NHS Trust.
  6. News Article
    Mental health "hubs" for new, expectant or bereaved mothers are to be set up around England. The 26 sites, due to be opened by next April, will offer physical health checks and psychological therapy in one building. NHS England said these centres would provide treatment for about 6,000 new parents in the first year. Five years ago, 40% of areas in England had no dedicated maternal mental health services. Things have improved since then with some specialist services available in each of the 44 local NHS areas in England. But in the NHS's Long Term Plan, published in 2019, the health service pledged to offer more "evidence-based" support, including to partners and families through these hubs or "outreach clinics". The NHS hopes to offer services to people with moderate-to-severe difficulties, whereas earlier investment focused on the most acutely unwell mothers. These clinics will "integrate maternity, reproductive health and psychological therapy for women experiencing mental health difficulties directly arising from, or related to, the maternity experience," NHS England said. Read full story Source: 5 April 2021
  7. Content Article
    Tokophobia is an extreme fear of pregnancy and childbirth; it causes severe psychological distress and can have far reaching consequences. Despite this, tokophobia is under-researched and many healthcare professionals have never heard of it, explains Sarah-Jane Archibald in this BMJ Opinion article.
  8. News Article
    Miscarriage may be associated with an increased risk of early death, researchers have said. The BMJ published a study suggesting that this risk is particularly acute for those who have experienced repeated miscarriages, especially ones that occurred early on in a woman’s life. US-based researchers said that women who had experienced a miscarriage were 19% more likely to die prematurely. They pointed out that a miscarriage “could be an early marker of future health risk in women.” The authors of the paper hoped to see if there was any link between miscarriage and a risk of death before the age of 70. Data used was taken from 101,681 women as part of the Nurses’ Health Study in the US. This was made up of female nurses aged between 25 and 42 years. The researchers followed the women for 24 years and said that 2,936 premature deaths were recorded, this included 1,346 from cancer and 269 from cardiovascular disease. It appeared that death rates from all causes were comparable both for women with and without a history of miscarriage. However, rates were higher for women who had experienced three or more miscarriages as well as for women who had their first miscarriage under the age of 24. The study found that the association between miscarriage, or “spontaneous abortion,” and premature death was strongest for deaths from cardiovascular disease. Read full story Source: The Independent, 25 March 2021
  9. News Article
    Pregnant women and new mothers are three times as likely to suffer from poor mental health in the wake of the coronavirus pandemic, according to a new study. The report, carried out by a coalition of leading maternal mental health organisations, suggested before that the public health crisis up to 20% of women developed a mental illness during pregnancy or within the first year after having a baby. But in lockdown, 6 in 10 mothers had substantial concerns around their mental health, according to researchers who polled more than 5,000 pregnant women and parents. The study warned women were more likely to suffer from anxiety, depression, loneliness and suicidal thoughts during the COVID-19 crisis. The Maternal Mental Health Alliance is one of the organisations behind the research. Luciana Berger, a former Labour MP who is now chair of the group, said: “Today’s report should serve as an ear-splitting warning siren about the dangers to women’s maternal mental health and potential risks to the wellbeing of their babies." Read full story Source: The Independent, 16 March 2021
  10. Content Article
    At the First Do No Harm All Party Parliamentary Group (APPG) meeting on 26 January 2021 with the Minister for Patient Safety, Nadine Dorries MP, attendees asked a large number of questions, not all of which could be answered by the Minister due to time constraints. The unanswered questions were submitted to the Minister’s office at the Department for Health and Social Care for a written response. The Department has now provided answers.
  11. News Article
    Some pregnant women who have had gestational diabetes say a change to shielding advice in England has caused confusion. Some have been told to stay at home while others have not, based on a new algorithm which calculates an individual's risk from Covid. It identified an extra 1.7 million people as extremely clinically vulnerable in England this week. They will now be prioritised for a Covid vaccine. NHS England says not everyone with the same condition will be advised to shield but suggests people contact their GP to discuss their individual case. Heather Davis Mahoney, from Hertfordshire, had gestational diabetes while carrying her second child, and was monitored closely during her third pregnancy. She has not been told to shield, but says it's worrying when others from similar backgrounds have been told they should. "There's been an explosion of confusion. People don't know what's going on and are worried about putting themselves and their babies at risk," she says. But GP Dr David Triska said just because someone has gestational diabetes or had it in the past, doesn't mean they should be shielding. "I think the major point of confusion is that people are expecting that this is a binary 'yes' or 'no' per condition algorithm - and it is not," he said. "The reason why people are getting different answers from various sources is because this is an individual risk assessment." Read full story Source: BBC News, 20 February 2021
  12. News Article
    NHS guidance which often forces pregnant women who test positive with coronavirus to give birth alone is legally wrong, lawyers warned. Official guidance drawn up by NHS England states that if a woman tests positive for Covid, their husband or partner must self-isolate at home and is not allowed to support them during childbirth. But campaigners and lawyers told The Independent their guidance for visitor restrictions in maternity services during the pandemic is legally inaccurate as people have the “right to private and family life” under Article Eight of the Human Rights Act. Maria Booker, of Birthrights, a leading maternity care charity, said: “The NHS oversimplifies the government’s self-isolating Covid regulations and tells partners they have to stay at home. But this hasn’t taken into account the legal nuance that government rules state people can leave home if they have a reasonable excuse." “A woman being anxious about giving birth alone, which most people will be, is likely to legally constitute as a reasonable excuse." “It is completely inhumane for a woman to give birth without a partner or supporter. It is even scarier giving birth alone you are Covid positive. It is terrifying. Nobody should give birth alone and that includes Covid positive women.” Read full story Source: The Independent, 13 February 2021
  13. Content Article
    'Continuity of carer' in midwifery is when a woman has consistency in who they see during their pregnancy, labour and postnatal period. In this video, three midwives share their experiences of working in this way and talk about the benefits they've seen for women, babies and their own practice. They provide examples of how this model can improve the safety of services and offer advice for teams and individuals embarking on the continuity of carer journey. 
  14. News Article
    A hospital has reported a "significant" increase in the number of pregnant women being treated for coronavirus. New Cross Hospital, in Wolverhampton, said part of its maternity ward had been sectioned off for Covid patients. Nationally, the proportion of pregnant women in intensive care has almost doubled since the first wave. The Royal College of Obstetricians and Gynaecologists said pregnant women were at no greater risk of being infected with Covid than the general public. The Royal Wolverhampton NHS Trust's chief executive said the cause of the increase in the city was unclear. "We're seeing a lot more pregnant women now suffering with Covid and some of them have been very, very ill," Prof David Loughton said at a regional coronavirus briefing on Friday."We have had some deaths," he continued, "so that is really sad". An intensive care audit has shown the percentage of pregnant women aged 16-49 has almost doubled in the second wave compared to the first wave of the pandemic. Up until the end of August, 29 women in that age bracket who had been admitted with coronavirus were pregnant, compared to 103 from September to the end of January. Recently, the intensive care unit treated two Covid-positive pregnant patients and almost 200 expectant mothers tested positive in the city during the past quarter. Read full story Source: BBC News, 2 February 2021
  15. News Article
    Pregnant women attending scans and appointments alone are repeatedly being told they cannot record or take photographs of their unborn child to show their partner, according to a survey. The poll of more than 3,450 pregnant women by the campaign group Pregnant Then Screwed found that more than half of respondents (52%) attended scans alone and were also told that they could not record or take photographs during the appointment. NHS trusts have been warned that they could be acting unlawfully if they continue to ban partners of pregnant women accessing hospital appointments remotely. Women are repeatedly being told it is “illegal” to photograph or film their scan, despite this not being the case, said the charity Birthrights, which sought the legal advice. “We are keen to see maternity services accommodate partners in person, in line with national guidance,” said Birthrights’ programmes director, Maria Booker. “However if this is really not possible at some hospitals during the current peak, maternity services must find other ways to ensure women feel supported and partners remain involved.” Read full story Source: The Guardian, 31 January 2021
  16. Content Article
    The author of this review argues that, while many of us benefit from advances and new technologies used in medical drug development, there is one group that has barely made any gains at all: pregnant women. This review presents an overview of the current situation for this group, the issues and the available evidence; as well as exploring the barriers and options in better addressing pregnancy and maternal health. This document was written on behalf of the Birmingham Health Partners Centre for Regulatory Science and Innovation.
  17. News Article
    When pharmacist Ifeoma Onwuka, known to her friends as Laura, went into hospital to have her daughter, she and her husband hoped the delivery would go smoothly, and that they would soon be able to take their new arrival home  to meet her siblings.  Onwuka's labor was induced at James Paget University Hospital in Great Yarmouth in late April 2018. Things progressed quickly and there were soon signs that her baby was in distress, causing staff to begin preparations for an emergency Caesarian section, but Onwuka's daughter was born in the recovery room. Shortly after the birth, Onwuka's condition began to deteriorate. According to the family's lawyer, Tim Deeming, she began to bleed heavily, and was taken into surgery where attempts were made to stem the loss of blood. Hours later, and only after a second consultant had been called in, she was given an emergency hysterectomy. The mother-of-three died three days later. The coroner, Yvonne Blake, said an expert had told Onwuka's inquest that the delay to surgery contributed to her death, since acting early could have controlled the bleeding.  Black mothers have worse outcomes during pregnancy or childbirth than any other ethnic group in England. According to the latest confidential inquiry into maternal deaths (MBRRACE-UK). Black people in England are four times more likely to die in pregnancy or within the first six weeks of childbirth than their White counterparts.  Read full story Source: CNN. 14 January 2021
  18. Content Article
    This report, the seventh MBRRACE-UK annual report of the Confidential Enquiry into Maternal Deaths and Morbidity, includes surveillance data on women who died during or up to one year after pregnancy between 2016 and 2018 in the UK. In addition, it also includes Confidential Enquiries into the care of women who died between 2016 and 2018 in the UK and Ireland from epilepsy and stroke, general medical and surgical disorders, anaesthetic causes, haemorrhage, amniotic fluid embolism and sepsis. The report also includes a Morbidity Confidential Enquiry into the care of women with pulmonary embolism.
  19. Content Article
    Following the publication of Donna Ockenden’s first report: Emerging Findings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury and Telford Hospitals NHS Trust on 11 December 2020, the NHS has issued this latest update. Read previous letter update
  20. News Article
    More women may suffer pain due to being conscious while undergoing caesareans or other pregnancy-related surgery under general anaesthetic than realised, a troubling new study has found. The report, conducted by medical journal Anaesthesia, found being awake while having a caesarean is far more common than it is with other types of surgery. Researchers discovered that one in 256 women going through pregnancy-related surgery are aware of what was going on — a far higher proportion than the one in every 19,000 identified in a previous national audit. If a patient is conscious at some point while under general anaesthetic, they may be able to recall events from the surgery such as pain or the sensation of being trapped, the researchers said. While the experiences generally only last for a few seconds or minutes, anaesthetists remain highly concerned. Women also felt tugging, stitching, feelings of dissociation and not being able to breathe - with some suffering long-term psychological damage that often involved characteristics of post-traumatic stress disorder. Read full story Source: The Independent, 13 January 2021
  21. News Article
    Thousands of women have had abortions after falling pregnant while having difficulties accessing contraception during the pandemic, healthcare providers have warned. Sexual health clinics have been forced to shut or run reduced services while staff are transferred to work with Covid patients or have to self-isolate – with the profound disruption leaving many women unable to access their usual methods of contraception. Many women are struggling to get the most effective long-acting contraceptive choices of a coil or an implant due to these requiring face-to-face appointments which have largely been suspended as consultations are carried out remotely via phone or video call to curb the spread of COVID-19. British Pregnancy Advisory Service, the UK's largest abortion provider, told The Independent they provided the progestogen-only contraceptive pill to almost 10,000 women undergoing an abortion between May and October last year. Katherine O’Brien, a spokesperson for the service, said: “Many of these women will have fallen pregnant after struggling to access contraception, so there really is a huge unmet need for contraceptive services which will only worsen as lockdown and Covid continues. “We routinely hear from women during the pandemic who simply can’t access their regular method of contraception because of clinics closing or staff being deployed elsewhere or staff self-isolating.” Read full story Source: The Independent, 9 January 2021
  22. Content Article
    In this written statement to Parliament, the Minister for Patient Safety, Suicide Prevention and Mental Health, Nadine Dorries, gives an update on the government’s response to the recommendations of the Independent Medicines and Medical Devices Safety (IMMDS) Review, sometimes referred to as the Cumberlege Review. Nadine Dorries concludes: "The report of the IMMDS Review powerfully demonstrates the importance of hearing the patient voice in patient safety matters. The actions outlined here demonstrate the government’s commitment to learning from this report, and will support vital work already underway to hear the voice of the patient as part of the NHS Patient Safety Strategy. We currently plan to respond further to the report of the IMMDS Review during 2021."
  23. News Article
    Rachel Hardeman has dedicated her career to fighting racism and the harm it has inflicted on the health of Black Americans. As a reproductive health equity researcher, she has been especially disturbed by the disproportionately high mortality rates for Black babies. In an effort to find some of the reasons behind the high death rates, Hardeman, an associate professor at the University of Minnesota School of Public Health, and three other researchers combed through the records of 1.8 million Florida hospital births between 1992 and 2015 looking for clues. They found a tantalising statistic. Although Black newborns are three times as likely to die as White newborns, when Black babies are delivered by Black doctors, their mortality rate is cut in half. "Strikingly, these effects appear to manifest more strongly in more complicated cases," the researchers wrote, "and when hospitals deliver more Black newborns." They found no similar relationship between White doctors and White births. Nor did they find a difference in maternal death rates when the doctor's race was the same as the patient's. Read full story Research paper Source: The Washington Post, 9 January 2021
  24. Content Article
    Women receiving treatment for epilepsy are being urged to discuss with a healthcare professional the right treatment for them if they anticipate becoming pregnant even sometime in the future, following a Medicines and Healthcare products Regulatory Agency (MHRA) safety review. Lamotrigine (Lamictal) and levetiracetam (Keppra) have been found to be safer than other antiepileptic drugs in pregnancy. The MHRA advises patients not to stop taking their current medicines without first discussing it with a healthcare professional.
  25. Content Article
    Information for all women of childbearing age, those currently pregnant or breastfeeding on coronavirus (COVID-19) vaccination.
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