This Week in Maternity - Tips to prevent stillbirth, Cesarean sections in women with high BMI and Second victim experience
Tips to provide best practice care to help prevent stillbirth
Safe Care Victoria is aiming to reduce the rate of stillbirths across Victoria, Australia. They have shared 6 tips to aid in providing best practice care for pregnant women:
They are also encouraging women to:
They share other support resources on their website - https://www.bettersafercare.vic.gov.au/news-and-media/six-tips-to-provide-best-practice-care-for-pregnant-women
Women with increased BMI could be having unnecessary cesarean sections
A study of 526 patients in Canada has found that patients with a higher BMI took up to 2.67 hours longer to reach a dilation of 10cm compared to women with a normal weight. A high BMI was also associated with increased oxytocin use.
The study highlights that care providers should take into consideration the time it takes for labor to progress in women with high BMI to help avoid undertaking premature cesarean sections.
Second victim experience is an underestimated problem
A study in the Netherlands has looked at the experiences of healthcare providers who have been involved in a patient safety incident during their careers.
4369 doctor and nurse respondents were involved, 462 of which had been involved in an incident in the last 6 months that caused permanent harm or death. Those who had experienced an incident were more likely to report symptoms including hyper-vigilance, they felt doubts about knowledge or skill, felt unable to provide quality care and felt uncomfortable within a team. Where the outcome of the incident was more severe these symptoms lasted longer.
The study concludes ‘Attention should be given to how to cope with these symptoms as they profoundly affect personal well-being, professional performance as well as teamwork-related efforts directly influencing patient safety and the provision of quality care.’