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Episode 5: Building continuity of care in COVID-19

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On this page you can access the live stream, links and resources for Series 2 of Midwifery Hour, streaming live on Wednesday’s from 7pm.

Episode 5 of Series 2 of the Maternity and Midwifery Hour:

Building continuity of care in COVID-19

How does COVID-19 affect how we think about continuity of care?
Continuity of Care (CoC) has been shown consistently as being a key part in providing quality care and increasing the physical and emotional safety of the childbearing woman and her baby. Recent maternity service strategies and developments have made this a priority and, even with the impact of COVID-19, midwives and those engaged in maternity services are working to set up strong and sustainable systems to ensure that CoC is provided. These systems are designed to impact on quality of care and to work with the midwives’ working needs also.
Increasingly, continuity models are being used within midwifery education programmes, so that students can learn the theory and practice of continuity for themselves as practitioners, and for women and their babies.

Presented by:

Sue Macdonald, Midwifery Educationalist; Co-editor, Mayes Midwifery

Contributors:

Mel Radford, Senior Midwife; Continuity of Carer Implementation Lead, Newcastle-upon-Tyne Hospitals NHS Trust
Dr Anna Byrom, Senior Lecturer, University of Central Lancashire

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RESOURCES from Series 2

Join us every Wednesday for Midwifery Hour from 7pm – 8pm 

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Resources from Episode 5 here.

Resources from Episode 4 here.

Resources from Episode 3 here.

Resources from Episode 2:

Elizabeth N Anionwu  2016   Mixed Blessings from a Cambridge Union Elizan Publishing

Sickle cell society : https://www.sicklecellsociety.org

Black history Month Resource pack 2020 https://www.blackhistorymonth.org.uk/article/section/news-views/black-history-month-resource-pack/

Knight M, Bunch K, Tuffnell D, Shakespeare J, Kotnis R, Kenyon S, Kurinczuk JJ (Eds.) on behalf of MBRRACE-UK. Saving Lives, Improving Mothers’ Care – Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2015-17. Oxford: National Perinatal Epidemiology Unit, University of Oxford 2019.

The Kings Fund August 2020  How Covid has magnified some of social care’s key problems   https://www.kingsfund.org.uk/publications/covid-19-magnified-social-care-problems?gclid=CjwKCAjw2dD7BRASEiwAWCtCbzig2g8LTNb_YAs0kh5u4DUZLJWCOsnWbnqOp5C9zUBWLGdD7TerRxoCNUkQAvD_BwE

 

RCM Information:

Coronovirus –(Covid-19 ) What you need to know https://www.rcm.org.uk/

RCM Clinical Advice during the crisis: including clinical briefings and rapid reviews   https://www.rcm.org.uk/clinical-advice-during-the-crisis/ (see Series 1 resources for specific links)

 

MIDIRS/RCM

MIDIRS Search Pack PN194 – Coronavirus (COVID-19) Postnatal Health and care [Last updated 25th Sept 2020]   https://www.rcm.org.uk/media/4350/pn194-coronavirus-covid-19-postnatal-health-and-care-updated-25-september-2020.pdf

MIDIRS Search Pack PN193 – Coronavirus (COVID-19) in the infant [Last updated 25th Sept 2020]   https://www.rcm.org.uk/media/4349/pn193-_-coronavirus-covid-19-in-the-infant-updated-25-september-2020.pdf https://www.midirs.org/wp-content/uploads/2020/07/PN193-Coronavirus-in-the-infant-Last-updated-6-July-2020.pdf

MIDIRS Search Pack P200 – Coronavirus (COVID-19) in pregnancy [Last updated 25th September  2020]  https://www.rcm.org.uk/media/4348/p200-coronavirus-covid-19-in-pregnancy-updated-25-september-2020.pdf

MIDIRS Search Pack M95  – Coronavirus (COVID-19) and the midwife  [Last updated 25th September  2020]  https://www.rcm.org.uk/media/4347/m95-coronavirus-covid-19-and-the-midwife-updated-25-september-2020.pdf

 

NHS England

NHS boosts support for pregnant black and ethnic minority women  June 27 2020  https://www.england.nhs.uk/2020/06/nhs-boosts-support-for-pregnant-black-and-ethnic-minority-women/ I

Public Health England COVID-19: understanding the impact on BAME communities Published 16 June 2020   https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/892376/COVID_stakeholder_engagement_synthesis_beyond_the_data.pdf

 

Nursing and Midwifery Council: https://www.nmc.org.uk/news/coronavirus  

NHS Guidance for students – also keep in contact with your university https://www.hee.nhs.uk/sites/default/files/documents/Student%20support%20guide%20master%20.pdf  (March 2020)

RESOURCES from Series 1

Knight M, Bunch K, Tuffnell D, Shakespeare J, Kotnis R, Kenyon S, Kurinczuk JJ (Eds.) on behalf of MBRRACE-UK. Saving Lives, Improving Mothers’ Care – Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2015-17. Oxford: National Perinatal Epidemiology Unit, University of Oxford 2019.NHS boosts support for pregnant black and ethnic minority women  June 27 2020  https://www.england.nhs.uk/2020/06/nhs-boosts-support-for-pregnant-black-and-ethnic-minority-women/

COVID-19: understanding the impact on BAME communities
https://www.gov.uk/government/publications/covid-19-understanding-the-impact-on-bame-communities

COVID-19: review of disparities in risks and outcomes
https://www.gov.uk/government/publications/covid-19-review-of-disparities-in-risks-and-outcomes

BAME women make up 55% of UK pregnancy hospitalisations with Covid-19
https://www.theguardian.com/world/2020/may/16/bame-majority-pregnant-women-hospitalised-covid-19-troubling-midwives

Addressing increased risks during the COVID-19 pandemic for BAME women
Guidance from the Royal College of Midwives
https://www.rcm.org.uk/media/4063/rcm-addressing-increased-risks-during-the-covid-19-pandemic-for-bame-women-may-2020-1.pdf

NMC responds to the PHE report – Beyond the data: Understanding the impact of covid-19 on BAME groups
https://www.nmc.org.uk/news/news-and-updates/responding-impact-covid-19-bame/

Resources from previous episodes:

NEWS BITES:

NEW: The Independent Medicines and Medical Devices Safety Review, chaired by Baroness Julia Cumberlege, July 2020 .“First Do No Harm”. https://immdsreview.org.uk/report.html

NEW: RCM secures agreement for student midwives on work and education 30th June 2020 https://www.rcm.org.uk/media-releases/2020/june/rcm-secures-agreement-for-student-midwives-on-work-and-education/

Changing Times – Supporting womens choices

Hill, M 2019Give Birth Like a Feminist Downe, S., Byrom, S 2019 Squaring the Circle: Normal birth research, theory and practice in a technological age Pinter & Martin https://www.amazon.co.uk/Squaring-Circle-Researching-Normal-Technological/dp/1780664400/

Midwifery Unit Network https://www.midwiferyunitnetwork.org

The Practising Midwife aka All4Maternity https://www.all4maternity.com

Student Perspectives

Form to submit questions to HEE Webinars

Student Midwife Case Study (Sharepoint)

General COVID HEE guidance  https://www.hee.nhs.uk/coronavirus-covid-19/coronavirus-covid-19-information-midwives

FAQs complied from HEE webinars:   https://www.hee.nhs.uk/coronavirus-covid-19

COVID e-learning resource:  https://www.e-lfh.org.uk/programmes/coronavirus/

Training and services in Ireland

Becoming a midwife/nurse in Ireland   https://www.nmbi.ie/Careers-in-Nursing-Midwifery/Becoming-a-Nurse-Midwife

Maternity services in Ireland  https://www.hse.ie/eng/services/list/3/maternity/

Antenatal care https://www.citizensinformation.ie/en/birth_family_relationships/before_your_baby_is_born/choices_in_antenatal_care.html

Home birth  https://www.hse.ie/eng/services/list/3/maternity/homebirth-services.html

Community Midwives Association Ireland   http://communitymidwives.ie/

Cavan MLU

Midwives Association Petition https://my.uplift.ie/petitions/save-cavan-midwifery-led-unit-mlu

AngloCelt 5/6/2020 https://www.anglocelt.ie/2020/06/05/maternity-services-at-cgh-to-merge/

Irish Times 6/6/2020 https://www.irishtimes.com/news/health/call-for-the-protection-of-midwifery-led-maternity-units-1.4272836

AngloCelt 12/6/2020 https://www.anglocelt.ie/2020/06/12/midwifery-unit-in-cavan-hospital-will-remain-open-minister-humphreys/

COVID restrictions

Maternity (as of 30/3/2020 via AIMS Ire) http://aimsireland.ie/aims-ireland-guide-to-visiting-restrictions-in-irish-maternity-hospitals/

HSE https://www2.hse.ie/services/hospital-service-disruptions/hospital-service-disruptions-covid19.html

Letterkenny Entonox https://www.donegallive.ie/news/news/549625/142-women-denied-choice-of-gas-and-air-due-to-covid-19-fears-at-letterkenny-maternity-department.html

Mullingar birth partners 

  1. https://www.bbc.com/news/world-europe-52071033
  2. https://www.breakingnews.ie/ireland/mullingar-hospital-lifts-restrictions-on-partners-attending-birth-of-children-993216.html
  3. http://aimsireland.ie/birthing-women-in-mulingar-regional-hospital-only-allowed-partner-support-for-the-last-30-minutes-of-labour/

Neonatal units   http://www.inha.ie/wp-content/uploads/INHA-PumpPal-Covid19-Joint-Statement.pdf

INMO press release IDM2020     https://inmo.ie/Home/Index/217/13585

RCM / Dr Bernie Divall June 2020 https://www.rcm.org.uk/news-views/rcm-opinion/2020/midwives-having-courage-eing-kind/#.XtkFEOrWqxI.twitter

Resources from previous episodes:

Baby Loss

Bereavement care during COVID-19 https://sands.org.uk/professionals/bereavement-care-and-covid-19

NBCP website (includes sign up details)   www.nbcpathway.org.uk

NBCP Scotland website  www.nbcpscotland.org.uk 

NBCP Online Learning Modules – www.e-lfh.org.uk/programmes/national-bereavement-care-pathway/

Follow SANDS on Twitter:

@sandsinsights @sandsuk @clare_worgan @marcharder

#nbcpathway #nbcpscotland #SandsHereToSupport #findingthewords

https://sandswebinar.eventbrite.co.uk

https://www.sands.org.uk/professionals/training-and-consultancy/sands-training

Human Rights in Maternity

Birthrights   –  https://www.birthrights.org.uk/

www.birthrights.org.uk – position statement and Q&A

RCM Rapid review on optimising maternity services and maternal and newborn outcomes in a pandemic:

https://www.rcm.org.uk/media/3869/rapid-review-optimising-maternity-services-for-rcm-v4-8-april.pdf

Human Rights Violations in Pregnancy, Birth and Postpartum during the COVID-19 Pandemic:  https://bit.ly/2UaaVKy

Renfrew, M. J., Cheyne, H,  Craig, J.,  Duff, E., Dykes, F.,  Hunter, B.,  Lavender, T. Page, Lesley.,  Ross-Davie, M.,  Spiby, H.  Downe, Soo (2020). “Sustaining quality midwifery care in a pandemic and beyond.”     Midwifery 88:   102759.   https://doi.org/10.1016/j.midw.2020.102759

A.N. Wilson, et al., Caring for the carers: Ensuring the provision of quality maternity care during a global pandemic, Women Birth (2020), https://doi.org/10.1016/j.wombi.2020.03.011

Current Issues

Jane Elliott – “take a walk in my shoes”… https://www.youtube.com/watch?v=1qFl9isxTiQ   Based on brown & blue eyes

Pre-Eclampsia resources

Action on pre-eclampsia  (APEC)   https://action-on-pre-eclampsia.org.uk/news/

Action on pre-eclampsia virtual Learning Environment:  (APEC)   https://action-on-pre-eclampsia.org.uk/learning/

Infant Feeding

Brown, A  2019   Informed is best: How to spot fake news about your pregnancy, birth and baby    Pinter and Martin (also Kindle)

Brown, A Breastfeeding Uncovered: Who Really Decides How We Feed Our Babies?  2016 Pinter and Martin

Regan, S., Brown, A 2019   Experiences of online breastfeeding support: Support and reassurance versus judgement and misinformation Maternal & Child Nutrition  10.1111/mcn.12874

Brown, A 2018  Giving your baby solid food early won’t help them sleep better

https://theconversation.com/giving-your-baby-solid-food-early-wont-help-them-sleep-better-99645

Brown, A. 2018 Breastfeeding is good for mothers’ mental health – but those who struggle need support     https://theconversation.com/breastfeeding-is-good-for-mothers-mental-health-but-those-who-struggle-need-support-103788

Harries, V., Brown, A., Brown, A. 2019 The association between baby care books that promote strict care routines and infant feeding, night time care, and maternal-infant interactions Maternal & Child Nutrition e12858

Entwistle, F  2017 Chapter 44  Infant Feeding and relationship Building in Macdonald SE and Johnson G 2017 Mayes Midwifery Elsevier 

Unicef UK Baby Friendly Initiative website https://www.unicef.org.uk/babyfriendly/COVID-19/ 

NEW UNICEF campaign launched today https://www.unicef.org.uk/donate/coronavirus/

UNICEF Baby Friendly Initiative Statement on Infant \feeding during the Coronovirus (Covid 19) outbreak Updated 02 April 2020https://www.unicef.org.uk/babyfriendly/wp-content/uploads/sites/2/2020/04/Unicef-UK-Baby-Friendly-Initiative-statement-on-infant-feeding-during-the-Covid-19-outbreak.pdf

UINCEF Statement: Infant feeding on neonatal units during the Covid-19 outbreak (updated 02 April 2020)  https://www.unicef.org.uk/babyfriendly/wp-content/uploads/sites/2/2020/04/Unicef-UK-Baby-Friendly-Initiative-statement-on-infant-feeding-on-neonatal-units-during-the-Covid-19-outbreak.pdf

Contact UNICEF Baby Friendly Initiative: [email protected]

Maternity and Midwifery Forum 

Nursing and Midwifery Council: https://www.nmc.org.uk/news/coronavirus  

Guidance for students – also keep in contact with your university https://www.hee.nhs.uk/sites/default/files/documents/Student%20support%20guide%20master%20.pdf

RCM/RCOG  Information:

Royal College of Midwives

 (RCM): RCM Position statement: Birth Partners’  16.4.20 https://www.rcm.org.uk/media/3887/birth-partners.pdf

Other clinical briefings:

Midwifery Unit Network MUNet European Position Statement – Midwifery Units & CoVid-19  published  April 7th 2020  https://www.midwiferyunitnetwork.org/download/munet-eu-position-statement-midwifery-units-covid-19/

Public Health England – Covid-19 Personal protective Equipment (PPE ) 2.4.2020 https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control

Also UK  Covid Symptom Tracker https://covid.joinzoe.com/  – download and check in daily John Hopkins Coronovirus Resource Center https://coronavirus.jhu.edu/map.html

All4Maternity – Nurturezone  (www.all4Maternity.com)

The Practising Midwife site: http://www.practisingmidwife.co.uk/

The COVID-19 blog: https://www.all4maternity.com/the-covid-19-cohorts-real-life-accounts-of-being-a-student-midwife-during-the-covid-19-pandemic/

NHS information  about wellbeing apps for NHS staff:   https://www.nhsemployers.org/news/2020/03/free-access-to-wellbeing-apps-for-all-nhs-staff

NHS in Mind – Free platform with 8 easy access inventions for staff: https://www.nhsinmind.co.uk/

PPE Donning    https://www.youtube.com/watch?v=kKz_vNGsNhc     

 and Doffing:  https://www.youtube.com/watch?v=oUo5O1JmLH0

Wobble Rooms and other FAB stuff… https://fabnhsstuff.net/fab-stuff/have-your-staff-got-a-wobble-room

The Midwife Patchwork 2020 project: .. See on Twitter: @ThemidwifePatc1   or www.midwifepatchwork2020.wordpress.com

WHO advice on breastfeeding 2020  https://www.who.int/docs/default-source/maternal-health/faqs-breastfeeding-and-covid-19.pdf?sfvrsn=d839e6c0_1

ObsCOVID  a new online  registry  designed for healthcare workers in maternity https://covid.knack.com/obscovid#encounters/

Keep your eyes peeled for instant updates from Maternity & Midwifery Hour: Series 1 by following @MidwiferyForum on Facebook, Twitter, Instagram and LinkedIn – choose which suits your best.