This Week In Maternity... 2020 the year of the 'Nurse and Midwife'- Midwifery-led programs increasing in United States and Worldwide.
2020 NEWS & EVENTS
The World Health Organization has declared 2020 the "year of the nurse and midwife."
At the University of Tennessee Medical Center, it's a program that is growing fast. Their small team of 5 is in high demand and more women are seeking midwifery-led care as they understand its benefits.
Benefits of Midwifery-Led Care:
You can learn more about University of Tennessee Medical Center Midwife Program: www.wbir.com/article/news/health/more-mothers-choosing-midwives-to-deliver-at-ut-medical-center/51-d415e236-d210-41ec-b7df-03a5227f15f1?fbclid=IwAR04WKklt9enXpnXtaAouH5WwxYTWcVczgzGA26McyC9jjlEZFfgfF57gtQ
Researchers from King’s College London, Sheffield Hallam University, the University of Warwick and the National University of Ireland Galway analyzed data from 13 studies involving a total of 16,242 women. When midwives were the main providers of care during pregnancy, women were less likely to give birth prematurely or lose their babies before 24 weeks of gestation. Women were reported to be happier with the care they received, had fewer epidurals, fewer assisted births, and fewer episiotomies – or surgical incisions to reduce the risk of a tear. Finally, in midwife-led settings, women were no more likely to have caesarean births, but they tended to be in labour for about half an hour longer on average.
Read more: www.who.int/workforcealliance/media/news/2013/midwifecochrane/en/
World Health Organisation (WHO) 2020 'Year of the Nurse and Midwife' - www.who.int/news-room/events/detail/2020/01/01/default-calendar/2020---year-of-the-nurse-and-the-midwife
“There is a unique opportunity to honour the nursing contribution to the health of our world in 2020”
“This exciting proposal of the Year of the Nurse and Midwife in 2020 will go a long way to raising the profile of nursing and highlighting the importance of the need for more well-educated nurses, of investing in recruitment and retention strategies and of removing the barriers to the development of advanced nursing roles that are proving highly effective at expanding healthcare coverage,” Annette Kennedy, President of International's Council of Nurses (ICN).
This Week in Maternity... Maternal Morbidity & Mortality rates in US and Shoulder Dystocia explained
Rural-Urban differences in severe Maternal Morbidity and Mortality in the US, 2007-2015
In the United States, severe maternal morbidity and mortality is climbing—a reality that is especially challenging for rural communities, which face declining access to obstetric services.
This study found that severe maternal morbidity and mortality increased among both rural and urban residents in the study period, from 109 per 10,000 childbirth hospitalizations in 2007 to 152 per 10,000 in 2015.
Rural residents had a 9 percent greater probability of severe maternal morbidity and mortality, compared with urban residents. Attention to the challenges (both clinical and social factors) faced by rural patients and health care facilities is crucial to the success of efforts to reduce maternal morbidity and mortality in rural areas.
Read more: www.healthaffairs.org/doi/abs/10.1377/hlthaff.2019.00805
Labour Room Emergencies - Shoulder Dystocia
Shoulder dystocia, an obstetrician’s nightmare, represents an important cause for increase in morbidity of the mother and fetus. it is documented as the most common litigated cause in obstetrics since shoulder dystocia is associated with permanent birth-related neonatal injuries and maternal complications in majority of the cases
Periodic “skill drills” should be there for all the birth attendants for increasing awareness and training about shoulder dystocia.
Read more on Shoulder Dystocia: link.springer.com/chapter/10.1007/978-981-10-4953-8_35
Read more of this book on 'Labour Room Emergencies', including, Induction, Fetal Surveillance, Instrumental delivery, Caesarean delivery, ruptured uterus, postpartum sepsis, and much more...
Is the Birth Injury Early Notification Scheme achieving its aim?
NHS Resolution launched the Early Notification Scheme, a national programme for the early reporting of infants born with a potential severe brain injury, on 1 April 2017... but is it achieving its aim?
Its stated aim is to:-“Support the stated government priorities to halve the rate of stillbirth, neonatal death and brain injury and improve the safety of maternity care while also responding to the needs to families where clinical negligence is identified including through early admissions of liability where appropriate. The scheme also aims to improve the experience for NHS staff by speeding up the legal process and rapidly sharing learning from avoidable harm.”
The report confirms that the scheme has already reduced the time taken from incident to investigation in some cases involving brain injuries at birth and has led to swift admissions of liability. However, there is still improvements to be made including: