This RCOG guideline recommends that women who are obese should be supported to lose weight before conception and between pregnancies to ensure the healthiest possible outcome for mother and baby. This is the second edition of this guideline. The first edition was published in 2010 as a joint guideline with the Centre of Maternal and Child Enquiries under the title ‘Management of Women with Obesity in Pregnancy’.
RCOG previously co-developed a new digital tool, Planning for Pregnancy, which provides tailored information for women on how they can prepare before conception in order to have a healthy pregnancy.
See the RCOG Press release here , RCM press release here
View the RCOG Greentop Care of Women with Obesity in Pregnancyhere
Case study looking at how public health midwives and midwifery support workers at Wrightington, Wigan and Leigh NHS Foundation Trust identified an opportunity to redesign services to provide 1:1 support to families, offering bespoke parenting sessions, meeting the individual needs of the family. Further case studies that illustrate and quantify the contribution of nursing, midwifery and care staff, demonstrating the delivery of the Five Year Forward View (FYFV) can be found here within The Atlas of Shared Learning
The Local Government Association has published Fit for and during pregnancy: a key role for local government. This report contains case studies of health visitors, family workers, midwives, social care and children’s centres staff helping families through pregnancy as well as areas experimenting with a new local government role of consultant public health midwife.
Download the report here
Routine oxytocin injected directly into the bloodstream, rather than into the muscle, after birth results in fewer people suffering severe bleeding (postpartum haemorrhage).
The overall rate of postpartum haemorrhage (PPH) or side effects was similar between the groups, but the intravenous group had fewer severe haemorrhages, needed fewer blood transfusions and fewer admissions to high dependency care. Intramuscular route oxytocin is currently recommended in the UK, partly due to concerns about side effects.
This trial, carried out in a single maternity unit in the Republic of Ireland, randomised 1,075 women to receive either intravenous or intramuscular oxytocin after giving birth. The incidence of severe PPH was small, 66 women amongst about 1,000 and the trial did not detect a difference for the 217 women who had all grades of bleeding. This study provides further evidence on the effectiveness and safety of intravenous oxytocin given during the third stage of labour in women without cardiovascular disease. However, as a single trial, it may not be the final word on the topic.
“The way forward is clear: give slow intravenous oxytocin to those with a cannula already in situ – those who have been induced, augmented, delivering twins or with epidurals. Those at low risk can safely continue to use intramuscular oxytocin.”
Andrew Weeks, Professor of International Maternal Health, Sanyu Research Unit, University of Liverpool; Consultant Obstetrician, Liverpool Women’s Hospital
New advice on perinatal mental health services for women, their partners and their families has been launched today by the Royal College of Psychiatrists in partnership with NHS England and Health Education England. The ‘Building Capacity, psychiatry leadership in perinatal mental health services’ project has released a new set of perinatal mental health leaflets written jointly by perinatal psychiatrists, women with lived experience of perinatal mental illness, and their partners.
This guidance provides midwives with high-quality evidence for caring for women during labour and birth. It provides an accessible version of evidence-based recommendations for all aspects of labour and birth, and it’s hoped that it will enable an inclusive approach to support women receiving midwifery care in the UK. Midwifery care makes a positive contribution to the health and wellbeing of childbearing women and their families.
Read the RCM press release here
Download the guidance here
NHS England has published Maternity DMA Report – Digital Maturity Assessment of Maternity Services in England 2018. The Digital Maturity Assessment (DMA) is a complete picture of the digital maternity landscape across England – a baseline for improvement at both a national and local level.