Julie Graham @JoolsGra
Audit midwife lead | Women's QI everyday | Informed consent, safe birth, safe staff | 🐾🐾 NW London, England Joined November 2017-
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@alice_toppingx Suggest further discussions around the optimum gestation to discuss the growth chart; if the woman is interested in a chart other than that which the trust can offer; the length of time allocated for antenatal appts, esp. for women who need an interpreter.
Growth restriction is incredibly common, the biggest preventable cause of stillbirth and also related to HIE and serious health issues in later life like diabetes. It is of vital importance for the health of the entire population that the NHS use the best type of growth charts.
One-size-fits-all fetal growth charts used in the NHS to monitor babies' growth before birth often misclassify babies as being either too small or too large, which can lead to missed cases at risk of stillbirth or unnecessary interventions, finds study bmj.com/content/394/bm…
@Florence0803 @catherineroyuk @jamesmurray_ldn @PutneyFleur Hi Jacqui, as far as I'm aware, they're not being promoted - it's an evidence-based choice for women.
@catherineroyuk @jamesmurray_ldn @PutneyFleur Thanks Catherine. See my first post above on the most recent national evidence. BW
@alice_toppingx @catherineroyuk @jamesmurray_ldn @PutneyFleur Yes, Alice, I absolutely agree with you on this. Informed choice every time.
@catherineroyuk @jamesmurray_ldn @PutneyFleur Not in most places.
@catherineroyuk @jamesmurray_ldn @PutneyFleur Hi Catherine, there's no evidence of that.
@catherineroyuk @jamesmurray_ldn @PutneyFleur Yes, because we're listening to women and it's safer than freebirthing.
@catherineroyuk @jamesmurray_ldn @PutneyFleur Hi Catherine, some women want to have midwife-led care at home or in a birth centre.
@PhilipSteart @emilyltownsend @CommonsHealth @jamesmurray_ldn Hi Phil, the independence of the review team has heen questioned.
@JamesTitcombe @world_midwives Agree, not a great phrase. Sounds like something on the Disney Channel.
@catherineroyuk @TheSkepticMag Most do not - not in most guidelines. Some women want it. NICE Intrapartum Care guidelines support water injections. Have you contacted the stakeholder team?
@JamesTitcombe @ExNHSorthopod @MidwivesRCM I understand your point. Some won't see this as harmful, including women. Some will see this as an opportunity to discuss those issues and not promote them. There will always be differences of opinion in healthcare, is multifactorial.
@Florence0803 @Black2Jo That is a v good question and a Master's topic.
@JamesTitcombe @ExNHSorthopod @MidwivesRCM Yes. We absolutely cannot have that. The answer is in education, individualised care and safe staffing. The problem becomes worse when there are claims of a 'national ideology' - because most maternity teams are working exceptionally hard every day to provide safe care.
@ExNHSorthopod @JamesTitcombe @MidwivesRCM Not most midwives, Mark. This campaign also supported by the RCOG. The RCM apologised.
@thewheythetruth @valhumphreys51 @Black2Jo @DrAnnieHickox How can we evidence their understanding?
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