The results are in and no surprise communication is the most valued qualities in Obstetricians and Midwives. The results are below.
Good Communication! Effective Listening and a demonstration of personal commitment. 70.45%
The Health Professionals gender 9.09%
Ease of access and location of consulting rooms. 6.82%
Cost, and admitting rights to specific hospital and other reasons scored each 4.55%
There were in total 88 votes cast.
The findings reinforce the importance of effective communication. Please identify whether I should run any more polls. 88 suggests some interest but not sure it is enough interest to entertain the idea to do them regularly. Let me know what you think.
A poll on the qualities of your chosen professional.
Decided to conduct a week long poll open to anyone! What are the most important considerations when choosing an individual Doctor or midwife. Please share and get others to vote. I'll publish the result in a weeks time on the 27th February. I am interested at viewing aspects important to anyone who cares to share. You are able to chose two of the selection and if choosing other it would help if you comment below the poll. Have fun and if successful will do other such polls. Have fun
Our first birthday celebration.
We can't wait to show you around, to enjoy some cake and a fun time for all. There will be plenty of room for everyone, sausage sizzles all day long and a jumping castle for your bouncy little people.
All welcome - Sunday 18th Feb 10am-3pm at 124 Wellington Rd East Brisbane.
Dr. Petrina Duncan and Kindred M.O.G wish to advise the above GIF is NOT a recommendation and that all pregnant woman should discuss with there health professionals before undertaking in Break Dancing and partying on! Coming to the Birthday Party no consultation is required!
If you ask me, or have ever asked me the most important skill of an obstetrician or a midwife (my husband Nigel agrees wholeheartedly with me on this),is the art of communication which underpins your knowledge and skills. I read with great delight the opinion piece in the BMJ and salute the RCOG response below. As always I am intently listening
"An opinion piece published in The BMJ discusses the importance of language as a way of respecting women's views and ensuring that they are empowered to make decisions around their pregnancy and birth.
Commenting in response, Mr Edward Morris, Vice President for the Royal College of Obstetricians and Gynaecologists (RCOG), said:
“This opinion piece highlights the importance of creating a culture of respect and privacy for women during pregnancy, labour and after birth. It is essential that healthcare professionals ensure women feel like they are in control of and involved in what is happening to them, and supported in their choices around birth.
“The RCOG welcomes this recognition and seeks to follow these principals in our own guidance to ensure that women are at the centre of their own care. Through our work with the Women’s Network, the College actively engages with women around the creation of guidelines and information to better understand how to effectively and respectively communicate with women. It is important that all healthcare professionals are aware of this change in dialogue as good maternity communication can significantly improve a woman’s birthing experience and postnatal health.”
The RCOG champions the best in women’s health care and supports doctors so that they’re equipped to do the best job possible for women. The RCOG Women’s Network aims to make sure that women are at the heart of everything the College does. For more information, visit the Women's Network"
I have left the links to the BMJ and Womens Networks as points of interest.
Adequate levels of Vitamin D may have a big impact on Pregnancy. It may be appropriate to consider Vitamin D as an essential point of focus in pregnancy.
A recent Study: Trajectory of vitamin D status during pregnancy in relation to neonatal birth size and fetal survival: a prospective cohort study. Concludes that:
They "found that higher vitamin D status among women in late, but not early, pregnancy was associated with lower probability of SGA and LBW." They further conclude that "lower early pregnancy 25OHD was associated with pregnancy loss. High vitamin D status in late, but not early, pregnancy was associated with lower odds of SGA and LBW. Change in 25OHD during pregnancy was associated with SGA, LBW and preterm delivery, with the lowest odds for women with an increment in 25OHD ≥ 30 nmol/L. Both higher late pregnancy vitamin D status and gestational vitamin D status trajectory can be suspected to play a role in healthy pregnancy."
Another Study Bärebring L, Bullarbo M, Glantz A, Leu Agelii M, Jagner A, Ellis J, et al. Preeclampsia and blood pressure trajectory during pregnancy in relation to vitamin D status. PLoS One. 2016;11(3):e0152198. Concentrated on the effects on pre-eclampsia and concluded, that "an increase in 25(OH)D concentration during pregnancy of at least 30 nmol/L, regardless of vitamin D status at T1, was associated with a lower odds ratio for PE. Vitamin D status was positively associated with T1 BP and gestational SBP trajectory, but not with pregnancy-induced hypertension."
Vitamin D watch this space!
Cervical dilatation threshold of 1 cm/hour throughout labour is unrealistic for most women, regardless of parity.
We already know this but a timely reminder that ALL woman are different and progress should be evaluated contextually and individually. Cervical dilatation patterns for low-risk women are not linear.
The overall labour progression pattern deviates considerably from the classic Friedman's curve that has been central to labour practice for several decades. An important finding across included studies is the wide variability in the distribution of cervical dilatation profiles. Please read the full study here.
A study, from researchers at Imperial College London, attempts to quantify the force of kicks exerted whilst in the womb. MRI scans were used and algorithms to determine exerted force.
Credit: Stefaan W. Verbruggen, et al./Journal of the Royal Society
This forces exerted went from about 2.95kgs (29 Newtons) of force at 20 weeks to 4.76Kgs (47 Newtons) at 30 weeks. But by 35 weeks, the strength of the fetal kicks had decreased to 1.7 Kgs
Petrina Duncan, Obstetrician, Gynaecologist, and mother. Writes about events, news issues and health issues.