The Royal College of General Practitioners has launched the Women’s Health Educational Framework. This is a new library of resources for women’s health, relevant for continuous professional development for GPs and other primary healthcare professionals. It contains the following sections: maternal health; sexual and reproductive Health; pre-menopause; and peri/post-menopause. The resources include eLearning modules, national guidance, courses, workshops, journal articles and reviews on clinical or managerial topics of relevance to GPs and other primary healthcare professionals.
Visit the Women’s Health Educational Framework here
Women who have inherited bleeding disorders may be at significant risk of bleeding following miscarriage, abortion, antenatal procedures and delivery. They require multidisciplinary specialised care tailored to the individual, with cross-specialty communication, including anaesthetists and neonatologists as necessary.
The conditions covered in this guideline are haemophilia A and B, von Willebrand disease (VWD), factor XI deficiency, rare factor deficiencies, fibrinogen disorders, Bernard Soulier Syndrome (BSS), Glanzmann’s thrombasthenia (GT) and other platelet function disorders.
This guideline is intended for both specialist haematologists and obstetricians who have experience in managing pregnant patients with bleeding disorders. In addition, it may be a useful reference text for obstetric anaesthetists and neonatologists. This is the first edition of a combined United Kingdom Haemophilia Centre Doctors’ Organisation (UKHCDO) and Royal College of Obstetricians and Gynaecologists (RCOG) guideline although a previous guideline was written by the UKHCDO in 2006.
The Royal College of Midwives has endorsed a new campaign called Always ask which is designed to empower pregnant women to overcome fears of asking health professionals questions. The campaign is designed to reduce the number of women who have serious pregnancy complications, or a loss that could have been prevented. The campaign is joint one by Tommys, Kings College London and BabyCentre. It centres on two animation co-created with women and health professionals, and follows recent research from Babycentre that shows more than 60% of women worry that they’re wasting midwives’ time, so don’t ask about health concerns.
Click here for more information on the campaign from Tommys and to view the videos.
Following a further comprehensive review of the evidence, the UK National Screening Committee has not recommended a national screening programme for GBS in pregnancy.
The test currently available cannot accurately distinguish between those mothers whose babies are at risk and those who are not. This means that a large number of women would unnecessarily be offered antibiotics, with the balance of harms and benefits from this approach being unknown.
This report published by the Foundation of Nursing Studies describes a project that aimed to set up weekly antenatal information and support group in a Children’s Centre to increase potential for secure attachments between mother and infant, increase confidence, encourage peer support and inform and empower mothers.
Public Health England has updated and rebranded its leaflets on screening tests and pregnancy scans. Screening tests for you and your baby: gives information on the screening tests offered during pregnancy and after the baby is born, and is available in a variety of languages.
An Royal College of Midwives press release discusses a new report on the threats faced by maternity services.
The report ‘The gathering storm: England’s midwifery workforce challenges’ outlines how issues such as rising levels of complexity in pregnancy, midwife shortages and financial constraints in the NHS are ramping up the pressure on England’s maternity workforce and services.
The report also puts forward solutions to the problems in maternity services. It sets out ways in which decision makers across government and England’s NHS can tackle the situation. These include a more adaptable approach to requests for flexible working, and allowing the NHS Pay Review Body free reign to recommend staff pay wards. This will help retain midwives and not push them into costlier agency work. Implementing other changes will also help too, such as ensuring more low-risk women give birth outside of obstetric units.