Incidence of Postpartum Haemorrhage increasing – Study from Australia
A population‐based study using Victorian Perinatal Data Collection data for 764 244 births found that the incidence of primary postpartum haemorrhage, severe primary postpartum haemorrhage and associated maternal morbidities have increased significantly over time. The highest incidence of PPH was experienced in women who had an unplanned caesarean birth. Study available here
IJGO Special edition - Thinking beyond maternal mortality: Re-conceptualizing and
measuring maternal morbidity
The International Journal of Gynaecology and Obstetrics has published a special supplement presenting a series of papers which shares aspects of the maternal morbidity working groups work over the past 5 years. It includes new insights into the assessment of maternal morbidity and tools to do so. Read it in full here.
World Preeclampsia Day
Tuesday was world preeclampsia day. It can have severe consequences for mothers and babies and it is estimated 20% of the worlds maternal deaths are from preeclampsia.
NICE maternity impact report published
The UK National institute for health and care excellence (NICE) has published a report on how NICE guidance can contribute to improvements in safety and personalisation of maternity care. Including recommendations on smoking in pregnancy, diabetes in pregnancy, choice of birth setting & involvement in decisions about care. The full report is available here
How I saved my daughter from a medical error
This article written by a physician highlights an incident involving his 4 day old daughter. He provides advice to parents when visiting hospital including being prepared providing an accurate medical history, ask questions and be heard.
Each baby costs UK hospitals £1000 injury insurance
NHS maternity hospitals are paying out insurance premiums of almost £1000 for each baby they deliver to protect themselves and staff against the cost of medical negligence this Times article reports. Jeremy Hunt last month told a medical conference that 25 babies were injured during birth each week in NHS hospitals with 4-5 of those suffering lifelong brain damage.
Every year more than 50,000 women nearly die in childbirth in the US
50,000 women nearly die each year in the US during childbirth. Of those women that do die over half of the deaths could be prevented. In this video 3 mothers tell the stories of what happened to them.
Risk Factors for hospital readmission due to infection following caesarean section
A study presented at the American college of obstetricians and gynaecologists annual meeting highlighted hospital readmission due to infection following caesarean. Of 3805 women undergoing caesarean delivery, 30 women (0.8%) had readmission due to infection. This was associated with younger maternal age, higher BMI, operative time ≥60 min, and ruptured membrane. Abstract available here.
UK Maternal Mental Health Matters Awareness Week
This week is the UK Maternal Mental Health Matters Awareness Week. Up to 1 in 5 women will develop a mental illness during pregnancy or in the first year after birth. An RCOG survey of women’s experiences of mental health problems during or after pregnancy found:
When childbirth results in physical and emotional trauma – Podcast
Up to 40% of women don’t have a ‘normal’ birth. This podcast with the founders of the of the Australasia birth trauma association discusses when childbirth results in physical and emotional trauma and how experiences can be improved.
American Congress of Obstetrician & Gynaecologists annual meeting 2018
Last weekend the ACOG Annual Clinical Meeting took place in Texas. ACOG TV captured some of the key takeaways from the meeting including this video which talks about the ‘Second Victim’ Phenomenon and the measures in place to support clinicians. A second victim is a health care provider who has been involved in an unanticipated adverse patient event, medical error or patient related injury and is traumatised by the event.