This Week in Maternity... Maternal-Assisted Cesareans- A more nurtured approach and Supporting Rural Midwifery Practice using mHealth
Australian Women fights to deliver her own daughter by Caesarean section
Australian woman Bec Secomb lay back on the operating table holding her arms aloft as her husband Josh stroked her forehead. She was about to help deliver her own baby via caesarean section."Okay, you can reach down now," she heard her obstetrician say.
It's not an option that can be routinely offered to all would-be mothers, and never for an emergency caesarean. But for a minority of Australian women who desperately want to give birth "naturally", the opportunity to be directly involved - literally hands-on - in the birth could be a game-changer when a vaginal birth is too risky for mother and baby.
Read full story here: https://www.stuff.co.nz/life-style/parenting/baby/116181009/australian-woman-fights-to-deliver-her-own-daughter-by-caesarean-section
Supporting rural midwifery practice using a mobile health (mHealth) intervention: a qualitative descriptive study.
Geographic and digital isolation pose significant challenges to rural midwifery practice in a high income country such as Scotland. Midwives need to be involved in the development of m-health interventions for them to be acceptable and tailored to their needs in a rural and remote context.
The study highlights how m-health interventions can support continuous professional development whilst on the move with no internet connectivity. However, pride in current practice and unease with advances in mobile technology are barriers to the adoption of an m-health intervention. M-health interventions could be of value to other specialised healthcare practitioners in these regions, including general practitioners, to manage women with complications in their pregnancies.
Managing Medical and Obstetric Emergencies and Trauma Course (mMOET)
The mMOET course provides knowledge, skills and procedures to save mum and baby in life-threatening circumstances.
The aims of the course include:
Saving a Mother and her baby, Delivering a Miracle at Oak Hill Hospital
This Video offers a fascinating account of how healthcare professionals worked together save a mother and her baby after an amniotic fluid embolism was diagnosed...
Amniotic Fluid embolism is very rare and is when the amniotic fluid gets in to the blood stream causing life-threatening complications... Code Blue was called and it is amazing how the team at Oak Hill Hospital worked together to save mother and baby.
Below link to watch the full story:
Question: Sarah, Consultant O&G, Australia
I have used the pillow once and it was great. The case was an emergency Caesarean at full dilatation after failed instrumental. The Caesar was actually very straight forward and blood loss only 300ml. I was very impressed. My only question is...
"Can we perform a caesar with the woman in lithotomy if we are also using a Fetal Pillow?"
Reply: Peter Dawes, Director of Sales AUS/NZ
Our guideline / information for use (IFU) directs users of Fetal Pillow to place patients legs flat on operating table. This is once you have positioned the Fetal Pillow in the posterior position toward coccyx / posterior Fornix (Balloon under engaged part of fetal head… past any caput & moulding / any position of fetal head – station zero and below).
Still, there are some O&G MOs that perform E-CS in stirrups and/or position the legs in mid- lithotomy position… however we feel that this reduces the ability for the balloon to elevate the Fetal Head to its capacity and if over lubricate it could move due to addition space available.
Laying patients legs flat on operating table prior to inflation will assist to entrap the device between Fetal head and pelvic floor and gain best uplift, lesson the ability for the device to move during inflation process.
For further information on the 'Steps and Instructions for Use' of the Fetal Pillow please visit: https://www.safeob.com/fetalpillow.html#use
This week in Maternity… How to reduce Maternal Mortality rates and Patient Impact on Obstetric Training
How to Reduce Maternal Mortality Rates in the United States
This interview provides useful information of addressing maternal mortality rates with improved management of obstetric emergencies.
In the podcast Professor Elizabeth Howell is interviewed and explains the relatively simple ways to address this problem.Dr Howell states that, “Maternal Mortality is a real issue in the United States compared to other high-income countries. Their major causes are cardiovascular disease, haemorrhage, high blood pressure, blood clots and infection. Sadly, statistics do show that 60-63% of these deaths are shown to be preventable.”
The podcast also discusses the ‘The safety bundles’ by the ‘Alliance for Innovation and Maternal Health’ which looks at the most preventable causes of maternal deaths. The safety bundles are a format that is published and then help hospitals in implementing the bundles and resources they need when faced with this maternal mortality causes.
Listen to the full Podcast here: https://edhub.ama-assn.org/jn-learning/audio-player/17455228?resultClick=1&bypassSolrId=M_17455228
Obstetric Multi-Professional Training and its impact on patient outcomes in Australia
The aim of this study is to evaluate the implementation of the Practical Obstetric Multi-Professional Training (PROMPT) simulation using the Kirkpatrick’s framework. It explores participants’ acquisition of knowledge and skills, its impact on clinical outcomes and organisational change to integrate the PROMPT programme as a credentialing tool.
Participants reported an improvement of both clinical and non-technical skills highlighting principles of teamwork, communication, leadership and prioritisation in an emergency situation.