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LKS Current Awareness Bulletin
Midwifery October 2019
A current awareness update service from Library and Knowledge Services. If you know anyone
who could benefit from receiving this please ask them to sign up by emailing
[email protected] or [email protected]
We hope this bulletin is useful. We are keen to promote our services at your team meetings/huddles. If you feel that this would be useful, then please contact me to arrange a brief induction to how we can support you in education and training, researching for information, literature support, critical appraisal skills, free article requests, social media training (learn to Tweet!) and much much more.
Kind regards
Abbas Abbas Bismillah Head of Library and Knowledge Services Email [email protected] 01254 784308 (Ext: 84308) Mobile 0778 996 0868 ELHT Library @elhtlibrary Abbas - @bazzie1967
___________________________________________________________________ Digital maternity - harnessing digital technology in maternity services NHS Digital is running four digital maternity projects, within the harnessing Digital Technology workstream, to help NHS England meet its objective of improving outcomes in maternity services in England and supporting the Long Term plan. Source: NHS Digital Fetal anomaly screening: ultrasound practitioners handbook 'Appendix 6: nuchal translucency plot' has been replaced with a link to the Down's syndrome screening resource 'Nuchal translucency diagnostic plot self-assessment tool'. Source: Public Health England New OASI patient information launched New resources for women affected by obstetric anal sphincter injury (OASI), or vaginal tearing during birth, have been developed and published by the Royal College of Obstetricians and Gynaecologists. Source: Royal College of Obstetricians and Gynaecologists Newborn hearing screening: standards data report April 2017 to March 2018
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A report has been released of data reported against screening standards for the NHS newborn hearing screening programme. Source: Public Health England Ensuring pregnant women get the right hospital treatment for urgent medical problems A new acute care toolkit from the Royal College of Physicians and the Society for Acute Medicine provides practical guidance for healthcare staff caring for pregnant women with an urgent medical problem like chest or heart pain, breathlessness or severe headache. Source: Royal College of Physicians Class 4 Medicines Defect Information: Xonvea 10 mg/10 mg gastro-resistant tablets (MDR 025-10/19) Alliance Pharmaceuticals Ltd has informed the MHRA that there are possible side effects not reported on the Patient Information Leaflet. Source: Medicines and Healthcare products Regulatory Agency National Pregnancy in Diabetes Audit Report 2018 The National Pregnancy in Diabetes (NPID) audit measures the quality of antenatal care and pregnancy outcomes for women with pre-gestational diabetes. Source: HQIP Perinatal Mortality Review Tool – First Annual Report (2019) The national Perinatal Mortality Review Tool (PMRT) places at its core the fundamental aim of supporting objective, robust and standardised review to provide answers for bereaved parents about why their baby died. A secondary, but nonetheless important, aim is to ensure local and national learning to improve care and ultimately prevent future deaths. Source: HQIP Perinatal Mortality Surveillance Report 2019 The fifth MBRRACE-UK Perinatal Mortality Surveillance Report has been released which provides information on extended perinatal deaths in the UK and Crown Dependencies arising from births during 2017. Source: HQIP Rocket and NuSurgix fetal blood sampling (FBS) amnioscopes and FBS kits – stop using ethyl chloride spray during the fetal blood sampling procedure with these devices (MDA/2019/035) Manufactured by Rocket Medical and NuSurgix – potential incompatibility between ethyl chloride spray and the device. Source: Medicines and Healthcare products Regulatory Agency NMC launches changes to overseas registration process The Nursing and Midwifery Council (NMC) has launched its new overseas registration process for nurses and midwives. Source: NHS Employers Baby Loss Awareness Week There will be a General Debate on Baby Loss Awareness Week on Tuesday 8 October in the Commons Chamber. Source: House of Commons Library UK guidelines on the management of iron deficiency in pregnancy Iron deficiency remains a significant problem for pregnant women in the UK. The objective of the updated guidelines is to provide healthcare professionals with recommendations for the prevention, diagnosis and treatment of iron deficiency in pregnancy and in the postpartum period. Source: British Society for Haematology Saving Babies’ Lives Care Bundle v2 update The Society has raised concerns about the potential impact on obstetric ultrasound services following the implementation of Saving Babies’ Lives Care Bundle version 2 (SBLCBv2). Source: The Society of Radiographers
An economic evaluation of specialist counselling after baby loss A report has been released which highlights that specialist baby loss counselling is inexpensive, effective and reduces government expenditure. This is a rare instance where fiscal prudence and compassion converge. Source: Centre for Mental Health
For references where there is a link to the full text please use your NHS Athens username & password to access
British Journal of Midwifery
Current Issue: Volume 27, Issue 102 Oct 2019
ISSN (print): 0969-4900
ISSN (online): 2052-4307
Login via NHS Athens username & password to access https://openathens.nice.org.uk/
Baby Loss Awareness Week: ending the postcode lottery on therapy Oliver Plumb Pages: 612–613 https://doi.org/10.12968/bjom.2019.27.10.612 Abstract Every year, thousands of people experience the loss of a baby in pregnancy, at or soon after birth, and in infancy. Here, Oliver Plumb from Group B Strep Support demonstrates the difference psychological therapy can have on those people Sociological and psychological effects of stillbirth: theory, research, and midwifery Poppy Salenius Pages: 616–619 https://doi.org/10.12968/bjom.2019.27.10.616 Abstract Stillbirth rates in the UK remain among the highest in Europe despite national efforts to reduce the number of avoidable deaths. The grief experienced by parents following stillbirth is both devastating and complex, and receiving compassionate and effective midwifery care at this vulnerable time is essential. This article
uses psychological and sociological theories and perspectives to examine grief following stillbirth, and look at how these findings relate to midwifery practice. Chronic heart disease in pregnancy: exploring Marfan syndrome Cheryl Dunn Pages: 620–624 https://doi.org/10.12968/bjom.2019.27.10.620 Abstract Coronary heart disease is the biggest killer in the UK, causing more than a quarter of deaths in 2018 (British Heart Foundation, 2018). Congenital defects are the most common cause of heart disease in pregnancy (Wylie and Bryce, 2016). This article will discuss Marfan syndrome and the impact this has on pregnancy and childbirth. Current literature and research will be appraised and discussed to explore mode of delivery during the second stage of labour and calculate the most appropriate method of delivery. Additionally, this article will address how the midwife can support women with Marfan syndrome during the pregnancy booking, antenatal period and intrapartum period without labelling them, and discuss how this may be achieved in relation to the uncertainty reduction communication theory. An interpretative phenomenological study of midwives supporting home birth for women with complex needs Anna-Marie MadeleyVeronika WilliamsAbigail McNiven Pages: 625–632 https://doi.org/10.12968/bjom.2019.27.10.625 Abstract As the landscape of women presenting for maternity care changes, so do the challenges associated with providing quality, informed and compassionate care, particularly for women with complex needs. Perinatal mental ill health: the experiences of women from ethnic minority groups
Helen WatsonHora Soltani
Pages: 642–648
https://doi.org/10.12968/bjom.2019.27.10.642
Abstract This study aimed to investigate ethnic minority women's experiences and opinions of perinatal
mental health problems and the provision support services.
Fairy tale midwifery 10 years on: re-evaluating the lived experiences of newly qualified midwives
Kate AshforthEllen Kitson-Reynolds
Pages: 649–654
https://doi.org/10.12968/bjom.2019.27.10.649
Abstract Newly qualified midwives (NQM) experience a reality shock upon initiation of first post. Despite
efforts to smooth the transition to NQM status, there remains an incongruence between the expectations
(‘fairy tale’) and the realities of practice. Transition and preceptorship programmes aim to increase
competence and confidence, and improve the lived experiences of NQMs. Preceptorship, however, is
unstandardised and supernumerary shifts and rotations to clinical areas may be affected by service
demands. Sources of support in practice include peers, preceptors and midwives on shift. No new themes
emerged when comparing contemporary and original research, suggesting data saturation has been
reached, although it may still be pertinent to consider the experiences of NQMs in order to reduce attrition
rates and increase job satisfaction.
The Scottish Clinical Supervision Model for midwives Susan KeyHelene MarshallCaroline J Hollins Martin Pages: 655–663 https://doi.org/10.12968/bjom.2019.27.10.655
Abstract The Nursing and Midwifery Council (NMC) model of statutory supervision for midwives ceased in 2017 following a change in UK legislation. In response, the Scottish Government and NHS Education for Scotland (NES) worked with NHS Health Boards to develop a new employer-led model of clinical supervision. The aim of this model is to help midwives provide improved services, safer care and improved outcomes for women and infants in keeping with professional regulation. The new Scottish Clinical Supervision Model is also designed to increase midwives' personal wellbeing and help them deal with the everyday challenges of clinical practice. The design is a radical departure from the previous NMC model because it incorporates facilitation and coaching methods which teach midwives to respond, reflect and restore self, and reduce stress and increase resilience. In an attempt to improve nurturing leadership, the key components of this new model are underpinned by a person-centred approach, during which the supervisor provides unconditional positive regard and empathy towards the supervisee. Equipping midwives to develop contemporary supervision is supported by NES through online education. Barriers to women's access to alongside midwifery units in England. Author(s): Rayment, Juliet; Rance, Susanna; McCourt, Christine; Sandall CBE RM, Jane Source: Midwifery; Oct 2019; vol. 77 ; p. 78-85 Publication Date: Oct 2019 Publication Type(s): Academic Journal Available at Midwifery - from Unpaywall Abstract: Alongside midwifery units (AMUs) are managed by midwives and proximate to obstetric units (OUs), offering a home-like birth environment for women with straightforward pregnancies. They support physiological birth, with fast access to medical care if needed. AMUs have good perinatal outcomes and lower rates of interventions than OUs. In England, uptake remains lower than potential use, despite recent changes in policy to support their use. This article reports on experiences of access from a broader study that investigated AMU organisation and care. Organisational case studies in four National Health Service (NHS) Trusts in England, selected for variation geographically and in features of their midwifery units. Fieldwork (December 2011 to October 2012) included observations (>100 h); semi-structured interviews with staff, managers and stakeholders (n = 89) and with postnatal women and partners (n = 47), on which this paper reports. Data were analysed thematically using NVivo10 software. Women, partners and families felt welcome and valued in the AMU. They were drawn to the AMUs' environment, philosophy and approach to technology, including pain management. Access for some was hindered by inconsistent information about the existence, environment and safety of AMUs, and barriers to admission in early labour. Key barriers to AMUs arise through inequitable information and challenges with admission in early labour. Most women still give birth in obstetric units and despite increases in the numbers of women birthing on AMUs since 2010, addressing these barriers will be essential to future scale-up. Database: CINAHL Barriers to women's access to alongside midwifery units in England. Author(s): Rayment, Juliet; Rance, Susanna; McCourt, Christine; Sandall CBE RM, Jane Source: Midwifery; Oct 2019; vol. 77 ; p. 78-85 Publication Date: Oct 2019 Publication Type(s): Academic Journal Available at Midwifery - from Unpaywall Abstract: Alongside midwifery units (AMUs) are managed by midwives and proximate to obstetric units (OUs), offering a home-like birth environment for women with straightforward pregnancies. They support physiological birth, with fast access to medical care if needed. AMUs have good perinatal outcomes and lower rates of interventions than OUs. In England, uptake remains lower than potential use, despite recent changes in policy to support their use. This article reports on experiences of access from a broader study that investigated AMU organisation and care. Organisational case studies in four National Health Service (NHS) Trusts in England, selected for variation geographically and in features of their midwifery units. Fieldwork (December 2011 to October 2012) included observations (>100 h); semi-structured interviews with staff, managers and stakeholders (n = 89) and with postnatal women and partners (n = 47), on which this paper reports. Data were analysed thematically using NVivo10 software. Women, partners and families felt welcome and valued in the AMU. They were drawn to the AMUs' environment, philosophy and
approach to technology, including pain management. Access for some was hindered by inconsistent information about the existence, environment and safety of AMUs, and barriers to admission in early labour. Key barriers to AMUs arise through inequitable information and challenges with admission in early labour. Most women still give birth in obstetric units and despite increases in the numbers of women birthing on AMUs since 2010, addressing these barriers will be essential to future scale-up. Database: CINAHL We can obtain the following for you free of charge Effect of workshop training on midwives' communication skills and maternal satisfaction in maternity block. Author(s): Rezaei-Abhari, Farideh; Khorshidi, Somayeh; Pourasghar, Mehdi; Yazdani-Charati, Jamshid; Shirvani, Marjan Ahmad Source: Journal of Nursing & Midwifery Sciences; Oct 2019; vol. 6 (no. 4); p. 157-163 Publication Date: Oct 2019 Publication Type(s): Academic Journal Abstract:Context: Communication skills have an important role in people satisfactions. Mothers' satisfactions with midwives' communication skills can make an appropriate setting in order to achieve psychological and physical health of mothers. Aims: The aim of this study was to determine the effect of training workshop on midwives' communication skills and mothers' satisfaction in maternity unit. Setting and Design: This semi-experimental study was done with participation of 40 midwives in maternity unit and 100 mothers in postnatural delivery ward in Mahdieh Hospital, Tehran, Iran, in 2016. Materials and Methods: Sampling was done by census method for midwives and by available method for mothers. Two sessions of communication skills workshop were performed for mothers in two consecutive days. Midwives' communication skills were assessed by Jerabek questionnaire and mothers' satisfaction was measured by satisfaction with communication questionnaire before intervention and 4 weeks later. Statistical Analysis Used: Kolmogorov-Smirnov test, frequency, mean, standard deviation, pair and independent t-test, and Pearson correlation coefficient and regression were used for data analysis. Results: Before intervention, mean and standard deviation for midwives' communication skills was 99.44 ± 9.19 and for mothers' satisfaction was 61.88 ± 17.8. After communication skills training workshop, midwives' communication skill raised to 139.62 ± 7.13 (P = 0.002) and mothers' satisfaction increased to 88.68 ± 12.79 (P = 0.003). Conclusion: Communication skill training to midwives may have a positive effect on mothers' satisfaction. Thus, integrating communication skills training in continuing midwifery education program is suggested. Database: CINAHL Request this article from the library The effect of training program on the knowledge level of midwifery students about child abuse. Author(s): Büyük, Esra Tural Source: Journal of Nursing & Midwifery Sciences; Oct 2019; vol. 6 (no. 4); p. 171-176 Publication Date: Oct 2019 Publication Type(s): Academic Journal Abstract:Context: Midwives are in a key position given that they are the first members of the healthcare profession to meet the baby and the family in both the treatment and the rehabilitative setting. Aim: The present study aimed to determine the awareness levels of midwifery students on child abuse and neglect, and to evaluate the efficacy of a planned training on this issue. Setting and Design: A semi-experimental study was performed in a Health Sciences Faculty, Turkey. Materials and Methods: Midwifery students (n = 85) enrolled in a Health Sciences Faculty comprised the sample of the study. The data were collected using a sociodemographic characteristics form and the Scale for the Identification of Symptoms and Risks of Child Abuse and Neglect (SISRCAN). Statistical Analysis Used: The study included a pretest, a training program on child abuse and neglect, and a posttest, and the data were analyzed using SPSS 21.0. Number, percentage, mean, paired samples t-test, and Wilcoxon test were used for the comparison of the values. A statistical significance level of P = 0.05 was applied. Results: Among the participants, 61.2% stated that they had encountered cases of child abuse before while 40% stated that they themselves had experienced child abuse. The participants' mean posttraining score on the whole SISRCAN and their mean posttraining scores
on the subscales of "physical symptoms of the child," "behavioral symptoms of child abuse," "characteristics of parents prone to abusing and neglecting their children," and "neglect and familial characteristics in child abuse and neglect" were found to significantly differ statistically (P < 0.001) compared to the mean scores they obtained in pretraining on the total scale and the mentioned subscales. Conclusion: Training programs that aim to raise the knowledge level of midwifery student, who play an especially important role in children's health, on child abuse and neglect in their future career should be planned and implemented effectively by the managers of health-care centers and hospitals. Database: CINAHL Request this article from the library Impact of sense of coherence and work values perception on stress and self-reported health of midwives. Author(s): Gebriné, Krisztina Éles; Lampek, Kinga; Sárváry, Andrea; Sárváry, Attila; Takács, Péter; Zrínyi, Miklós Source: Midwifery; Oct 2019; vol. 77 ; p. 9-15 Publication Date: Oct 2019 Publication Type(s): Academic Journal Abstract:The aim of the research was to explore how sense of coherence (SOC) and work values (WVs) impact on stress and perceived health of midwives. Sense of coherence, by definition, reflects a person's view of life and capacity to respond to stressful situations. A further goal was to evaluate the mediating effect of WVs between stress and health. A cross sectional, correlational design was used. Participants were randomly selected from 13 hospitals across Hungary. The final sample included 228 midwives. Main measures included Sense of Coherence Questionnaire, stress subscale from the Demand-Control-Support scale, Super's Work Values Inventory and Subjective Health Test developed by the authors. Statistical analyses determined correlation coefficients, difference by independent t -test, and linear regression. Participants reported high level of stress, showed average SOC and subjective health. The most preferred work values were altruism (Mean = 12.40), economic returns (Mean = 12.11) and supervisory relations (Mean = 11.99). SOC and health were positively (r = 0.47, p < 0.001), while SOC and stress were negatively associated (r = −0.36, p < 0.001). WVs indirectly mediated the relationship between health and stress (r = -0.55, p < 0.001). Midwives who worked less than 5 years in practice did not differ on health, stress, WVs and SOC from those who had been working longer. Going from worst to best perceived personal health increased intention to stay in midwifery by 32% in the linear regression model. In this study we documented relatively greater levels of stress and average levels of health and SOC among midwives. This paper confirmed that SOC had a positive impact on stress and health specifically for midwives. Uniquely, work values indirectly influenced the relationship between stress and health. Improving SOC and WVs advance the health of midwives which will reduce the probability of leaving the profession. Database: CINAHL Request this article from the library
https://openathens.nice.org.uk/ BMJ Best PracticeBMJ Best Practice is a decision-support tool published by the BMJ Group and is a single source of evidence based medicine, which combines the latest research evidence, guidelines and expert opinion – providing essential learning on prevention, diagnosis, treatment and prognosis. BMJ Best Practice is of use to all staff - Doctors, Nurses and Midwives, HCAs, Patients, Volunteers, Admin. The website also has a CME/CPD activity tracking tool which logs your searches and active hours and allows users to create activity certificates to support revalidation and CME/CPD
BMJ Learning FREE learning modules for ALL staff and students at ELHT We can show you how you too can access these resources and more. Have you heard of BMJ Learning? Do you know how to register? Do you need help finding courses? Free training sessions on BMJ Learning to all staff and students at East Lancashire Hospitals. We will show you how to register and find eLearning courses relevant to you. These courses can be counted towards your CPD and you will receive a certificate of completion.
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BMJ Learning Courses – more are available
Antenatal and newborn screening Step by step: diabetes in pregnancy Step by step: Diagnosing and managing fertility problems in primary care
Come and join our Reflective Reading Club which will
provide attendees with 3 hours of valuable CPD! It will
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and to critically reflect upon a published paper using a
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read a pre-set paper prior to attending the session.
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Library and Knowledge Services Team
Abbas Bismillah Head of Library and Knowledge Services Clare Morton Library Operational Services Manager Patrick Glaister Clinical Librarian Judith Aquino E-Resources Librarian Sarah Glover Library Services Officer Charlotte Holden Library Services Officer Lauren Kay Library Services Officer
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