Perinatal Positivity Film – Raising awareness of perinatal mental health
A short film has been released that shares families experiences of perinatal mental health. The film was produced following research into families experiences, interviewing people in-depth and involved close work with health care professionals.
The project hopes by sharing stories people will be more aware of perinatal mental health, talk about it and be more able to find help. Highlighting that mental wellbeing difficulties surrounding childbirth and pregnancy can affect both mums and dad.
The website – perinatalpositivity.org – has resources for professionals as well as people experiencing mental wellbeing issues. The video can be viewed below.
Maternal mortality after cesarean section in the Netherlands – Study
A study conducted in the Netherlands has sought to examine the incidence of maternal mortality related to cesarean section. Medical records of cases reported to the Dutch Maternal Mortality and Severe Morbidity Audit Committee were assessed covering the period between January 1999 and December 2013.
The results found the risk of death cesarean section was 21.9 per 100.000 cesarean sections versus 3.8 deaths per 100.000 vaginal births. With the study concluding:
‘Compared to vaginal birth, maternal mortality after cesarean section was three times higher following exclusion of deaths that had no association with surgery. In approximately one in ten deaths after cesarean section, surgery did in fact initiate the chain of morbid events.’
The full study can be viewed here.
Hyperemesis gravidarum does not usually recur in each pregnancy
An article written on Ob/Gyn Updated has summarised the findings of a study into the reoccurrence of severe morning sickness for women.
Results of the study showed 3 out of 4 women who suffered from Hyperemesis gravidarum did not experience it in a subsequent pregnancy.
The article highlights that the incidence of hyperemesis is 0.5-2.0% and is the most common cause of first-trimester hospital admissions.
Read the full article here.
Trends and Disparities in Delivery Hospitalizations Involving Severe Maternal Morbidity, 2006-2015
The Healthcare Cost and Utilization Project (HCUP) has published data into hospitalisations involving severe maternal morbidity in the US from 2006 to 2015.
The data shows the rate of severe maternal morbidity at delivery increased by 45% with the most common indicators including blood transfusion and hysterectomy.
Other findings include:
Women from the youngest and oldest age group, those paid by medicare and women from lower income communities were more likely to have deliveries with severe maternal morbidity.
Full findings can be viewed here.
Non-clinical interventions to reduce unnecessary caesarean section
A research article titled ‘Non-clinical interventions to reduce unnecessary caesarean section targeted at organisations, facilities and systems: Systematic review of qualitative studies’ has been published looking into stakeholder views on the barriers to non-clinical interventions for reducing unnecessary caesarean sections.
The study, a systematic review, included 25 studies from 17 countries including over 1500 stakeholders. Stakeholders were policy makers, managers, health professionals, women, family members and community representatives. Studies included looked at midwife staffing models, financial strategies and organisational culture.
Three key themes were identified:
Highlighting that initiatives to reduce unnecessary caesarean sections are more likely to succeed if they ‘address stakeholder concerns about power, workloads and responsibilities’ including teamwork, training, supportive culture and safety and quality of care.
The study concludes:
‘The global concern on the unprecedented increase of caesarean section has translated into societal willingness to change this trend by implementing interventions to optimize the use of caesarean section. This systematic review presents the evidence-based for critical structural, health system and organizational factors that will require careful local consideration in the design and implementation of such interventions.’
The full study can be read here.