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Very good example of advocacy and calm communication from birth partner/dad

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AIMS guide to your rights in pregnancy and birth

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AIMS guide to your rights in pregnancy and birth

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AIMS Guide to Your Rights in Pregnancy and Birth

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NHS Maternity Statistics, England 2016-17 - NHS Digital

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NHS Maternity Statistics, England 2016-17 - NHS Digital

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This is a report on deliveries in English NHS hospitals. This annual publication covers the financial year ending March 2017. For the first time the publication includes data from both the Hospital Episodes Statistics (HES) data warehouse and the Maternity Services Data Set (MSDS).

HES contains records of all admissions, appointments and attendances for patients admitted to NHS hospitals in England. The HES data used in this publication are called 'delivery episodes'. The MSDS collects records of each stage of the maternity service care pathway in NHS-funded maternity services, and includes information not recorded in HES. The MSDS is a maturing, national-level dataset which has been impacted in terms of non-response from providers as they work towards establishing their reporting flows. In 2016-17 MSDS reported 55.9 per cent of the number of deliveries reported in HES based on data submitted by 111 maternity providers. Therefore, caution should be taken when interpreting the data at geographies above reporting organisation level and figures derived from the MSDS data are presented in terms of 'all providers who submitted data to the MSDS' instead of England total figures for 2016-17

This publication shows the number of HES delivery episodes during the period, with a number of breakdowns including by method of onset of labour, delivery method and place of delivery. It also shows the number of MSDS deliveries recorded during the period, with breakdowns including the baby's first feed type and the smoking status of women in early pregnancy.

The purpose of this publication is to inform and support strategic and policy-led processes for the benefit of patient care. This document will also be of interest to researchers, journalists and members of the public interested in NHS hospital activity in England.

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NHS Maternity Statistics, England 2016-17 - NHS Digital

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This is a report on deliveries in English NHS hospitals. This annual publication covers the financial year ending March 2017. For the first time the publication includes data from both the Hospital Episodes Statistics (HES) data warehouse and the Maternity Services Data Set (MSDS).

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Tips for speaking up in pregnancy #AlwaysAsk - YouTube

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Tips for speaking up in pregnancy #AlwaysAsk - YouTube

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Tips for speaking up in pregnancy #AlwaysAsk

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Practical tips from other women on how to get listened to and be taken seriously when you have a concern in pregnancy. Find out more about speaking up in pregnancy: https://www.tommys.org/alwaysask Published on April 2017. Review date: April 2020.

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I've been quite shocked recently by some of the information and messages I've seen via social media relating to the risks associated with pregnancy and childbirth. For example, this piece written by Milli Hill states If you believe everything you read, then you probably think that childbirth is one of the riskiest activities any human...

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About Choosing Wisely UK - Choosing Wisely UK

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About Choosing Wisely UK - Choosing Wisely UK

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Choosing Wisely UK is part of a global initiative aimed at improving conversations between patients and their doctors and nurses.

By having discussions that are informed by the doctor, but take into account what's important to the patient too, both sides can be supported to make better decisions about care. Often, this will help to avoid tests, treatments or procedures that are unlikely to be of benefit.

Across the UK, there is a growing culture of overuse of medical intervention, with variation in the use of certain treatments across the country. For example, the prescribing of antibiotics can vary by as much as two and a half times between one part of the country and another.

Common examples of overused medicines are antibiotics for common colds or other non-bacterial infections or prescriptions given for mild depression when alternative options such as exercise could be explored first.

The problem for patients is that all tests, procedures and interventions have side-effects and some may even cause harm. A CT scan is 200,000 more powerful than an airport scanner; a blood test for one patient may have very few side effects but for an elderly patient it may be distressing and painful.

Choosing Wisely was created in part to challenge the idea that more is better or in the case of medical intervention: just because we can, doesn't always mean we should.

The Choosing Wisely principles encourage patients get the best from conversations with their doctors and nurses by asking four questions.

1. What are the benefits?

2. What are the risks ?

3. What are the alternatives?

4. What if I do nothing?

While it may have been true a generation or so ago, it is no longer always the case that the 'doctor knows best.' Medical advances have been so dramatic that there is now an armoury of tests, treatments and procedures available to patients. A doctor can only know which course of action is right for you after a discussion about your experiences of your illness; your social circumstances; your support needs; your preferences and attitudes to risk and what being well means to you.

This is what healthcare professionals refer to as 'shared decision making' which is also summed up by the phrased "no decision about me, without me."

Why the Academy is leading this campaign?

Choosing Wisely UK brings together a range of patient and health related organisations from across the country and is hosted at the Academy of Medical Royal Colleges, the coordinating body for the UK and Ireland's 24 medical royal colleges and faculties.

In 2016 the Academy asked all royal colleges and faculties to identify five treatments or procedures commonly used in their field, which are of questionable value and therefore the appropriateness of their use should be discussed carefully with patients before being carried out. Each was rigorously researched and cross-examined by some of the most eminent doctors in their specialty and then cross-referenced with National Institute for Health and Care Excellence, which provides doctors with guidance on treatments. NICE, as it is generally known, has been involved in the process every step of the way.

Choosing Wisely's key aim is to change the culture when it comes to prescribing. We know this takes time, but we know it can work. In Italy, for example, Choosing Wisely is known as 'slow medicine' The Academy will continue to work with doctors to further develop the list of tests, treatments and procedures to support patients to get the most out of their care. This change in practice will only happen through collaborative working. If you have any feedback or would like to get more involved, please contact the Choosing Wisely team

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About Choosing Wisely UK - Choosing Wisely UK

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Choosing Wisely UK is part of a global initiative aimed at improving conversations between patients and their doctors and nurses. By having discussions that are informed by the doctor, but take into account what's important to the patient too, both sides can be supported to make better decisions about care.