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Enrol your OpenAthens account on Imprivata

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Enrol your OpenAthens account on Imprivata

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What do I need to do?

On a Trust PC go to www.openathens.net - select Login - then select Login to MyAthens

Once you have done this your OpenAthens account will have been enrolled on Imprivata. This will make accessing the e-resources more streamlined for you as login should now be automatic.

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NEW guide on Management of Shoulder Dystocia (Feb 2023)

NEW guide on Active birth: Birthing Positions (Oct 2023)

Access Clinical Skills.net via the link on Adagio or click HERE and login using OpenAthens.

Select Dashboard at the top of the screen to view procedures, then select Midwifery.

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MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK

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MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK

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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 2019-21

MBRRACE-UK is pleased to announce the publication of the MBRRACE-UK Maternal Mortality Surveillance and Confidential Enquiry Report for 2023. The report, lay summary, infographics and State of the Nation reports can be downloaded on the reports page.

MBRRACE-UK Perinatal Mortality Surveillance: Report for births in 2021

MBRRACE-UK is pleased to announce the publication of the MBRRACE-UK Perinatal Mortality Surveillance Report for Births in 2021. This is the ninth perinatal surveillance report and the first to be presented as a concise "State of the Nation" report. The report is accompanied by a set of reference tables, a data viewer with interactive mapping, and a technical manual. The report can be accessed in the TIMMS website.

All the reports for earlier years can be downloaded from the Perinatal Mortality Surveillance page

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 2018-20

MBRRACE-UK is pleased to announce the publication of the MBRRACE-UK Maternal Mortality Surveillance and Confidential Enquiry Report for 2022. The report, lay summary and infographic can be downloaded on the reports page.

MBRRACE-UK Perinatal Mortality Surveillance Report UK Perinatal Deaths for Births from January to December 2020

MBRRACE-UK is pleased to announce the publication of the MBRRACE-UK- Perinatal Mortality Surveillance Report for Births in 2020. The full report, the tables and figures, the lay report and technical document can downloaded on the reports page. The link to the interactive maps and tables is also available on the reports page.

Get your printed copy of the 'MBRRACE-UK: Saving Lives, Improving Mothers' Care' Report!

We are pleased to be able to let you know that printed copies of the 'MBRRACE-UK: Saving Lives, Improving Mothers' Care reports are now available to purchase from our online store.
Buy my copies of the printed reports now
Reporting to MBRRACE-UK continues during the COVID-19 pandemic

These are very difficult times, and we appreciate that when services are stretched keeping up with MBRRACE-UK reporting may be challenging.

Furthermore, there has been some confusion regarding the continuation of reporting to MBRRACE-UK during the COVID-19 pandemic.

Reporting to MBRRACE-UK is continuing as it is essential to enable us to assess both the direct and indirect effects of COVID-19 on both maternal and perinatal mortality.

Perinatal deaths

All new notifications of perinatal deaths now include 2 additional questions in order to record a positive test for COVID-19 infection in either the mother or baby. Reporting of these deaths is time-critical.

The order of priorities for continuing to report perinatal deaths is therefore:

1. Ensuring that all deaths with a positive test for COVID-19 infection in the mother and/or baby are notified as soon as possible, and the surveillance form is completed as soon as possible thereafter;

2. Continuing to notify all other perinatal deaths.

In addition to the above, please continue with the following activities unless and until front-line clinical activities mean that there is no longer the capacity to do so:

1. Completion of the surveillance form for all perinatal deaths

2. Carrying out reviews using the Perinatal Mortality Review Tool

The Perinatal Team are unable to take telephone calls at present, but if but if have any queries please email mbrracele@npeu.ox.ac.uk with details of your query and your contact details and a member of the team will either call you back or deal with your query via email.

Maternal deaths

Notification of maternal deaths of women with a positive test for COVID-19 infection is a . Please ensure that you notify us of a COVID-19 related death by calling: 01865 289715. Please also ensure that the medical notes for these women are sent to us as a priority and that they are sent electronically to: orh-tr.mbrrace@nhs.net

Otherwise notification of all other maternal deaths should continue as normal. In order to notify a maternal death please call 01865 289715 and leave a voicemail with your contact details, or alternatively email your contact details to mbrrace-uk@npeu.ox.ac.uk and a member of the team will call you back as soon as possible.

The Maternal Team are continuing to request and collect medical records, but we understand that the current situation will inevitably slow things down. Where possible we ask that that medical records are sent electronically via nhs.net to orh-tr.mbrrace@nhs.net. If this is not possible, please contact the maternal team for instructions for sending via post.

Thank you for your continuing dedication and hard work.

The MBRRACE-UK Team

Signs of Life

UK clinical guidance

Determination of signs of life following spontaneous births before 24+0 weeks of gestation where, following discussion with parents, active survival-focused care is not appropriate

This guidance is to support health care professionals in the assessment and documentation of signs of life in extremely preterm births. It aims to increase the consistency of the registration of births and deaths and reduce the confusion and distress experienced by parents.

Guidance and support videos available at: https://timms.le.ac.uk/signs-of-life

November 2020
THIS IS NOT THE MBRRACE-UK ONLINE REPORTING SYSTEM. IF YOU WISH TO REPORT A CASE PLEASE GO TO: www.mbrrace.ox.ac.uk
'MBRRACE-UK' is the collaboration appointed by the Healthcare Quality Improvement Partnership ( HQIP) to run the national Maternal, Newborn and Infant clinical Outcome Review Programme (MNI-CORP) which continues the national programme of work conducting surveillance and investigating the causes of maternal deaths, stillbirths and infant deaths.

The aim of the MNI-CORP MBRRACE-UK programme is to provide robust national information to support the delivery of safe, equitable, high quality, patient-centred maternal, newborn and infant health services.
MBRRACE-UK achieves this by:
The scope MNI-CORP is a national programme which encompasses England, Wales, Scotland, Northern Ireland, Jersey, Guernsey and the Isle of Man

Duration of the programme: MBRRACE-UK were commissioned to run the programme from May 2012 to March 2017; following a further competitive re-commissioning round the programme has been extended to run until 30th September 2021.

Funding: The MNI-CORP programme is commissioned by HQIP on behalf of NHS England, NHS Wales, the Health and Social Care Division of the Scottish government, the Department of Health, Social Services and Public Safety, Northern Ireland (DHSSPS), the States of Jersey, Guernsey, and the Isle of Man.

Notifications of maternal deaths should be made by ringing the Oxford MBRRACE-UK office on 01865 289715.

Reporting of stillbirths, perinatal deaths and infant deaths is via the MBRRACE-UK online reporting system available here: www.mbrrace.ox.ac.uk. Guidelines for using the system can be downloaded here: MBRRACE online data entry guidebook (release March 2023 v1-6).

Units are asked to review their access to the internet to ensure that the web browser they are using meets the specifications required to enter data via the MBRRACE-UK system; older versions of software are not suitable as they do not meet NHS data security requirements. Please view the IT specification page to check this for your Unit.

Please also view the MBRRACE-UK IT deployment page which outlines more information about the deployment of the MBRRACE-UK data collection system and may be helpful for IT staff in Units.

Information about why we are collecting non-anonymised information and details about the approvals we have to collect this information is provided on the ' Why we need identifiers' page.

The topics selected for future confidential enquiries are available on the Topics page.

Please also see our Frequently Asked Questions page.

Assessors for the Confidential Enquiries into Maternal and Infant Deaths

An exciting opportunity has arisen to join our panel of expert assessors for the Confidential Enquiry into Maternal Deaths and Severe Morbidities.
'A confidential enquiry is a systematic process of multi-disciplinary, anonymous review of all or a sample of defined cases occurring in a defined geographical area during a defined period of time. Where the numbers of a specific type of condition are few, for example maternal deaths, it is possible and generally necessary to review all the cases. Where numbers are large it is usual to take a sample of cases for review. The review can take place either by individual or paired reviewers or during a panel process. Comparisons of care are made against guidelines or best practice where guidelines have not been developed. The review aim is to assess the quality of care provided in each case so as to inform future practice and improvements in care which may make a difference to future outcomes'.
If you are interested in being a part of this vital work, please follow the relevant link below for more information on the roles and how to apply:

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MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK

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MBRRACE-UK is national collaborative programme of work involving the surveillance and investigation of maternal deaths, stillbirths and infant deaths, including the Confidential Enquiry in Maternal Deaths (CEMD). It was previously known as CEMACH then CMACE.

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Knowledge & Library Services for Nurses and Midwives

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Knowledge & Library Services for Nurses and Midwives

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Email dgn-tr.library@nhs.net with your request, come & see us or fill in our online search request form.

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Updated 19 June 2023          Recurrent Miscarriage (Green-top Guideline No. 17)

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Updated 19 June 2023          Recurrent Miscarriage (Green-top Guideline No. 17)

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The guideline provides comprehensive information on risk factors, recommended investigations and treatments for recurrent first trimester and one or more second trimester miscarriages.

It also discusses provisions for the management of any subsequent miscarriages, in terms of women and people receiving appropriate supportive care via informed and empathetic communication with healthcare professionals, ultrasound examinations and prompt access to services.

This guideline defines recurrent miscarriage as three or more first trimester miscarriages, in keeping with previous versions. However, clinicians are encouraged to use their clinical discretion to recommend extensive evaluation after two first trimester miscarriages, if there is a suspicion that the miscarriages are of pathological and not of sporadic nature. Furthermore, as the incidence of certain diagnoses does not appear to differ between women with consecutive versus non-consecutive losses, the definition in this guideline has not been restricted to women and people suffering with consecutive miscarriages only nor miscarriages suffered with the same partner, as certain maternal pathologies would be unaffected by the partner.

To conclude, areas of uncertainty are highlighted along with recommendations for future research in this field.

COVID disclaimer

This guideline was developed as part of the regular programme of Green-top Guidelines, as outlined in our document Developing a Green-top Guideline: Guidance for developers, and initiated prior to the emergence of COVID-19.

Version history

This is the fourth edition of this guideline.

Please note that the information provided in this update will be considered for update by the RCOG Guidelines Committee 3 years after publication, with an intermediate assessment of the need to update 2 years after publication.

Developers' declarations of interest

Available on request.

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Recurrent Miscarriage (Green-top Guideline No. 17) | RCOG

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This guideline provides guidance on the investigation and treatment of couples with three or more first-trimester miscarriages, or one or more second-trimester miscarriages.

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Medical terminology is language that is used to describe anatomical structures, processes, conditions, medical procedures, and treatments. At first glance, medical terms may appear intimidating, but once you understand the standard structure of medical words and the definitions of some common word elements, the meaning of thousands of medical terms is easily unlocked.

Most medical terms adhere to a fixed structure of a prefix, a root, and a suffix. These word components are assembled like building blocks to create a vast vocabulary.

The physicians of Greece are considered the founders of rational medicine, and medical terms are primarily derived from Greek and Latin. Over the centuries, the language of medicine has evolved into multiple national medical languages. Today, medical English is the primary language for international communication. It is used in most influential medical journals and has become the language of choice at international conferences.

Basic Term Structure

Medical terms are composed of the following standard word parts:

Prefix: When included, the prefix appears at the beginning of a medical term and usually indicates a location, direction, type, quality, or quantity.

Root: The root gives a term its essential meaning. Nearly all medical terms contain at least one root. When a prefix is absent, the term begins with a root.

Suffix: The suffix appears at the end of a term and may indicate a specialty, test, procedure, function, disorder, or status. Otherwise, the suffix may simply define whether the word is a noun, verb, or adjective.

Combining vowel: A combining vowel (usually the letter "o") may be added between word parts to aid in pronunciation.

Breaking a word down into its component parts should help readers ascertain the meaning of an unfamiliar term. For example, hypothermia has the prefix hypo- (meaning below normal), the root therm (heat or warmth), and the suffix -ia (condition).

Word Roots

A word root is the foundational element of any medical term. Roots often indicate a body part or system.

Common word roots:

Compound Words

A medical word may include multiple roots. This frequently occurs when referencing more than one body part or system. For example, cardio-pulmo-nary means pertaining to the heart and lungs; gastro-entero-logy means the study of the stomach and intestines.

Combining Forms

A combining vowel is used when a root is followed by another word part that begins with a consonant. A combining vowel (usually the letter "o") is added after the root (e.g., neur- o-logy) to aid pronunciation. The root and vowel together (e.g., neur-o) are called the combining form. For simplicity, the word part tables do not include combining vowel options.

Prefixes

A prefix modifies the meaning of the word root. It may indicate a location, type, quality, body category, or quantity. Prefixes are optional and do not appear in all medical terms.

Common prefixes:

Suffixes

Medical terms always end with a suffix. The suffix usually indicates a specialty, test, procedure, function, condition/disorder, or status. For example, "-itis" means inflammation and "-ectomy" means removal.

Alternatively, the suffix may simply make the word a noun or adjective. For example, the endings -a, -e, -um, and -us are commonly used to create a singular noun (e.g., crani-um).

Although the suffix appears at the end of the term, it often comes first in the definition. For example, appendicitis means inflammation (-itis) of the appendix. Accordingly, it is sometimes helpful to read unfamiliar medical terms from right to left.

Occasionally, medical terms are composed of only a prefix and a suffix. For example, apnea includes the prefix a- (without) and suffix -pnea (breathing).

Common suffixes (letters in parentheses are not always present):

Plural Forms

Adding an "s" or "es" to the end of a word is often the straightforward method to make a word plural in English and many modern Romance languages. In medical terminology, however, things are a little more complicated. The plural form of each word is based on the last two letters of the singular suffix.

There are several exceptions. For example, "virus" is a Latin term without a plural form. "Viruses" is the accepted plural form. Elsewhere, the suffix "s" or "es" occasionally prevails in common usage. For example, the plural form of "hematoma" is "hematomas" rather than "hematomata."

Common singular endings and corresponding plural endings:
Additional resources:
Related Guides:

References

1. Banay GL. An Introduction to Medical Terminology I. Greek and Latin Derivations. Bulletin of the Medical Library Association. 1948;36(1):1-27.

2. Wulff HR. The Language of Medicine. J R Soc Med. 2004;97(4):187-8.

3. Ehrlich A, Schroeder CL. Introduction to Medical Terminology. 3rd ed. Delmar, Cengage Learning; 2014:5.

4. Nath, JL, Lindsley KP. A Short Course in Medical Terminology. 4th ed. Philadelphia: Wolters Kluwer Health; 2018:38.

5. Cohen BJ. Medical Terminology: An Illustrated Guide. 6th ed. Baltimore: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2011. Tables 2-4.

Published: January 9, 2020

Last updated: March 22, 2023

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Medical terminology is language that is used to describe anatomical structures, processes, conditions, medical procedures, and treatments. At first glance, medical terms may appear intimidating, but once you understand basic medical word structure and the definitions of some common word elements, th…

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Our Clinical Librarian can support you with literature searches, training in searching the databases and critical appraisal - see our web page for more info.

Contact via email - dg-tr.library@nhs.net or Ext. 8548.

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Clinical librarians provide evidence from research to support best practice, providing a mobile library service in the clinical setting and attending a variety of clinical meetings, ward rounds and clinics. Clinical Librarians support departmental journal clubs, provid information skills and critical appraisal training on the wards, and work closely with clinicians and their departments to provide a library service tailored to that department and their needs.

The service supports all clinical staff at all levels by:

Providing the best evidence to support patient care

Providing evidence for research, audit and guideline production

Delivering formal and informal information skills training

Supporting journal clubs

Advantages:

Clinician time saved on searches

Professional librarian expertise

Promoting evidence-based practice

Supporting a learning culture

If you would like to find out more information, or arrange a visit to you or your team, please contact Genny Franklin or Christine Williams in the library on x 8548 or library.dvh@nhs.net

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Clinical librarians provide evidence from research to support best practice, providing a mobile library service in the clinical setting and attending a variety of clinical meetings, ward rounds and clinics. Clinical Librarians support departmental journal clubs, provid information skills and critical appraisal training on the wards, and work closely with clinicians and their departments to provide a library service tailored to that department and their needs.

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Support for your education, learning, study and CPD at DGT

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Support for your education, learning, study and CPD at DGT

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Do you have something you would like to ask?
Fill in the form with your query and a member of the library team will come back to you.

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Library Forms :: Dartford and Gravesham NHS Trust

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The Knowledge and Library Hub gives access to many resources all in one place.

Access HERE - Click on the yellow bar at the top of the screen then login using your OpenAthens account.

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Print copies of this journal can be found in the Library.

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For a selection of some of the books held in the library click on the following links - can't see what you are looking for just ask!

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For a selection of some of the books held in the library click on the following links - can't see what you are looking for just ask!

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Midwifery

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Fetal Monitoring

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We're the independent regulator for nurses, midwives and nursing associates. We hold a register of nurses and midwives who can practice in the UK, and nursing associates who can practice in England.

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E-Book - Postnatal and neonatal skills: survival guide

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E-Book - Postnatal and neonatal skills: survival guide

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To access this e-book login HERE using OpenAthens

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E-Book - A concise guide to continuity of care in midwifery

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E-Book - A concise guide to continuity of care in midwifery

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To access this e-book login HERE using OpenAthens

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NHS Knowledge and Library Hub on your desktop

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NHS Knowledge and Library Hub on your desktop

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You'll find this icon on the desktop of all DGT Trust computers, giving you quick and easy access to the Hub and the information you need.

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A blue and white icon representing the Knowledge and Library Hub. The upper part resembles the symbol for WiFi or signal strength. The lower part is formed of diagonal lines which resemble an open book.

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Accessibility to the Library space & resources - How can we help you?

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Accessibility to the Library space & resources - How can we help you?

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If there is anything else that you think we should be doing to help make library services & resources more accessible to ALL staff please let us know.
Email library.dvh@nhs.net or come & have a chat with one of the team.

Electric height adjustable desk with PC - for wheelchair users or if you have a bad back & need to stand to work - please book 24hrs in advance to be sure it is available when needed.

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E-Book - Supporting women for labour and birth: a thoughtful guide

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E-Book - Supporting women for labour and birth: a thoughtful guide

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To access this e-book login HERE using OpenAthens

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MAH Complete Collection of Nursing Journals - including The British Journal of Midwifery

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MAH Complete Collection of Nursing Journals - including The British Journal of Midwifery

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MAH Complete includes full current issue and back file coverage of leading titles including The British Journal of Midwifery. Click HERE for the full list of titles.
Login using OpenAthens

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Resuscitation Council UK - Special Circumstances Guidelines - including Pregnancy

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Resuscitation Council UK - Special Circumstances Guidelines - including Pregnancy

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A new section for Guidelines 2021, this section covers important situations where modifications or additions to existing guidelines may be of benefit to the patient.

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E-Book - Labour midwifery skills: survival guide

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E-Book - Labour midwifery skills: survival guide

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To access this e-book login HERE using OpenAthens

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E-Book - Antenatal midwifery skills: survival guide

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E-Book - Antenatal midwifery skills: survival guide

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To access this e-book Login HERE using OpenAthens

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Access using OpenAthens - access up to December 2023

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Read the latest articles of Midwifery at ScienceDirect.com, Elsevier's leading platform of peer-reviewed scholarly literature

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We're here to support you and your unique experience of pregnancy, birth, and early parenthood.

Our vision is that everyone who becomes a parent feels confident, connected, and safe.

We share evidence-based information you can trust

We create opportunities to connect with other parents

We listen to your experiences, amplify all parents' voices and campaign for change

We are strong advocates for improving experiences of pregnancy, birth, infant feeding, and early parenthood, equitably, for all parents.

Access networks of support and build friendships through our courses and community events.

Use our resources to make informed decisions that feel right for you.

Information for parents

If you're pregnant or a new parent, we know that you will have a number of questions and concerns about coronavirus. In our sections below, we've created a range of articles about how coronavirus might affect your pregnancy, birth and early days as a parent.

Pregnancy

When it comes to your pregnancy, we've got it covered. You'll find everything you need to help you feel confident and reassured over the next nine months right here.
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Labour & birth

Thinking about how, what happens and where to give birth? We're here to help you feel more confident. We've got information and tips on everything you need to know.
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Your baby's arrived and you've probably got 101 things on your mind. Don't worry, you're not on your own. We're here with information and support as your baby develops.
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Life as a parent

You've just had a baby and everyone is focused on your little one. But how about you? We're with you on your journey with support and tips from other mums and dads.
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Courses and workshops

Interactive, engaging and social, our antenatal course is a fun and exciting way to grow your knowledge of birth and early parenthood, and make life-long friends.
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Join NCT and there's great member benefits for you - exclusive live talks, money-saving offers & competitions, digital magazine & quick-read newsletters, plus early entry to every NCT Nearly New Sale - whilst you help fund free support for others.

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The UK's leading charity for parents | NCT

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We are the charity that supports people as they become parents. We're here for you through pregnancy, birth, and early parenthood.

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RCM | A professional organisation and trade union dedicated to serving the whole midwifery team

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The Royal College of Midwives is the voice of midwifery. We are the UK's only trade union and professional organisation led by midwives for midwives, student midwives and the maternity teams who support them. The vast majority of the midwifery profession are our members. The RCM promotes midwifery, quality maternity services and professional standards.

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Follow the Library on X (formerly Twitter) for updates to services and resources @DvhLibrary

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Follow the Library on X (formerly Twitter) for updates to services and resources @DvhLibrary

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With a large and dedicated global readership and a section focusing on research in low and middle income countries, BMC Pregnancy and Childbirth is a ...

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CINAHL is the authoritative resource for nursing and allied health professionals, students, educators and researchers. This database provides indexing for 2,928 journals from the fields of nursing and allied health. The database contains more than 1,000,000 records dating back to 1981. Login using OpenAthens.

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To register with the library just fill out our membership form HERE

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Browse all the journals available to you - click on the link above and make sure you are logged in with OpenAthens. Journals are sorted by subject including Nursing.

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The Cochrane Library is a collection of databases that contain different types of high-quality, independent evidence to inform healthcare decision-making.

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Learn how to search the databases effectively to find the evidence you need, how to reference and how to critically appraise the research. Click HERE for more information.

Bespoke sessions can also be delivered for individuals or groups.

Book onto one of our sessions via engage or email dgt-tr.library@nhs.net

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Led by the Director of Clinical Education (DCE), the Clinical Education Department works towards improving and assuring the quality of both medical and non-medical training provided at Darent Valley Hospital.

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Can't find what you need?

Email, phone or come and see us and we will be able to help you.

The Library is located on Level 1 opposite Willow Ward.

Email: dgn-tr.library@nhs.net
Phone: 01322 42 8548

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The National Institute for Health and Care Research (NIHR) funds the Research Design Service to provide research design and methodological support to health and social care researchers across England to develop grant applications to the NIHR and other national peer-reviewed funding programmes. Advice is confidential and free of charge.

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Search the catalogue HERE to find books & journals.

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Access via Adagio, login using OpenAthens or access via the App

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Is there a specific book or journal article you would like to find? Fill out our request form with the details and we will locate if for you.

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Access engage to complete your mandatory training.

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Access via Adagio, login using OpenAthens or access via the App

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UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases, Nephrology and Hypertension, Neurology, Obstetrics, Gynecology, and Women's Health, Oncology, Pediatrics, Pulmonary, Critical Care, Sleep Medicine, Rheumatology, Surgery, and more.

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If you need to use a PC for your mandatory training, work or study these can be booked 24 hours in advance by contacting the library. Headsets can also be borrowed.