RSS 1.0Women and Children
The Women and Children's Directorate contain a number of specialist departments as well as a number of associated services ( Colposcopy, New Born Hearing, Related Outpatients, and Screening) and wards (Delivery Suite and Drayton Ward). This Sub-Community represents the research of those working within these areas.
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Recent Submissions
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Safety and health care professionals satisfaction of the task based role of physician associates, supplementing doctors, in a paediatric unitPoster abstract G327(P) in the section British Society for the History of Paediatrics and Child Health from the Royal College of Paediatrics and Child Health Annual Conference, 24–26 May 2017, ICC, Birmingham.
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Validity of world health organisation-wellbeing index as a psychology screening tool in children with diabetesPoster abstract G162(P) in the section 'British Society for Paediatric Endocrinology and Diabetes and British Society of Paediatric Gastroenterology, Hepatology and Nutrition' from the Royal College of Paediatrics and Child Health Annual Conference, 24–26 May 2017, ICC, Birmingham, United Kingdom.
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The overuse of high vaginal swabs in the gynaecology outpatient departmentPoster presentation EP064 in Category E: Poster Presentations: General Gynaecology (including Menstrual Disorders/ Fibroids/ Endometriosis/ Psychosomatic) from the RCOG World Congress 2017, 20–22 March 2017, CTICC Cape Town, South Africa.
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The best practice tariff in paediatric diabetes – patient views and preferencesPoster abstract G161(P) from the Royal College of Paediatrics and Child Health Annual Conference, 24–26 May 2017, ICC, Birmingham, United Kingdom.
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A visual antiretroviral regimen based tool to support cost-effective prescribing in treatment-naive individuals : defining the baselinePoster abstract P146 from the 23rd Annual Conference of the British HIV Association (BHIVA), Liverpool, UK, 4–7 April 2017.
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A-EQUIP : pilot to practice through partnership powerThis article chronicles the journey of the Coventry and Warwickshire A-EQUIP partnership; from undertaking the pilot phase of the new A-EQUIP model, through to a region-wide implementation. Partnership benefits include a 'critical friend' approach as well as shared learning and a wider appreciation of the challenges and successes touching midwives in maternity service delivery across the local patch. This partnership team is optimistic about the future benefits A-EQUIP will bring to midwives, women and babies in their area.
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Acute shortness of breath and hypoxia in the early post-partum period : a case studyPoster abstract EP0236 from the XXII FIGO World Congress of Gynecology & Obstetrics, Rio de Janeiro Brazil, 14-19 October 2018.
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‘INVENT’ – a collaborative regional multicentre service evaluation and audit of multiple pregnancies : preliminary results from three centresPoster abstract 2600 from the 2019 World Congress of the Royal College of Obstretriscians and Gynaecologists, RCOG 2019. London, United Kingdom.
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Can introduction of a hypothermia bundle reduce hypothermia in the newborns?Quality Improvement abstract G9 from the Royal College of Paediatrics and Child Health Annual Conference, RCPCH 2019, Birmingham, United Kingdom.
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Audit: the rise of inductions of labour – are they all indicated?Abstract 1112 from the RCOG Virtual World Congress 2021.
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Ornithine transcarbamylase deficiency – a case well managed through proper planning and multidisciplinary approachFrom the virtual Annual Scientific Meeting of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) "A Vision for the Future", 15-18 February 2021.
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Mode of delivery following incomplete resection of large third ventricular colloid cystAbstract 917 of the Royal College of Obstetricians & Gynaecologists Virtual World Congress 2021.
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Ehlers-Danlos syndrome in pregnancy: a reviewEhlers-Danlos syndrome (EDS) is a group of connective tissue disorders that can result in a range of complications during pregnancy. Pregnant EDS patients generally have a favourable outcome, but those with vascular EDS are more likely to suffer from severe maternal complications. Early diagnosis of EDS and subtype characterization can aid in pre-pregnancy counselling, planning of antenatal care, risk assessment of obstetric and neonatal complications, and influence both obstetric and anaesthetic management of these patients. This piece aims to outline the obstetric implications of classical, hypermobile, and vascular EDS, and review the current literature regarding their optimal obstetric management.
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First-time mothers' understanding and use of a pregnancy and parenting mobile app (the Baby Buddy app): qualitative study using appreciative inquiryBackground: Internationally, there is increasing emphasis on early support for pregnant women to optimize the health and development of mothers and newborns. To increase intervention reach, digital and app-based interventions have been advocated. There are growing numbers of pregnancy health care apps with great variation in style, function, and objectives, but evidence about impact on pregnancy well-being and behavior change following app interaction is lacking. This paper reports on the qualitative arm of the independent multicomponent study exploring the use and outcomes of first-time mothers using the Baby Buddy app, a pregnancy and parenting support app, available in the National Health Service App Library and developed by a UK child health and well-being charity, Best Beginnings. Objective: This study aims to understand when, why, and how first-time mothers use the Baby Buddy app and the perceived benefits and challenges. Methods: This paper reports on the qualitative arm of an independent, longitudinal, mixed methods study. An Appreciative Inquiry qualitative approach was used with semistructured interviews (17/60, 28%) conducted with new mothers, either by telephone or in a focus group setting. First-time mothers were recruited from 3 study sites from across the United Kingdom. Consistent with the Appreciative Inquiry approach, mothers were prompted to discuss what worked well and what could have been better regarding their interactions with the app during pregnancy. Thematic analysis was used, and findings are presented as themes with perceived benefits and challenges. Results: The main benefit, or what worked well, for first-time mothers when using the app was being able to access new information, which they felt was reliable and easy to find. This led to a feeling of increased confidence in the information they accessed, thus supporting family and professional communication. The main challenge was the preference for face-to-face information with a health care professional, particularly around specific issues that they wished to discuss in depth. What could have been improved included that there were some topics that some mothers would have preferred in more detail, but in other areas, they felt well-informed and thus did not feel a need to seek additional information via an app. Conclusions: Although this study included a small sample, it elicited rich data and insights into first-time mothers' app interactions. The findings suggest that easily accessible pregnancy information, which is perceived as reliable, can support first-time mothers in communicating with health care professionals. Face-to-face contact with professionals was preferred, particularly to discuss specific and personalized needs. Further studies on maternal and professional digital support preferences after the COVID-19 global pandemic and how they facilitate antenatal education and informed decision-making are recommended, particularly because digital solutions remain as a key element in pregnancy and early parenting care. International registered report identifier (irrid): RR2-10.1017/S1463423618000294.
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Every contact is an opportunity to promote healthy lifestylesNo abstract available
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SUSAC Syndrome- An under reported and misdiagnosed condition that needs greater awareness for adequate managementBackground: SUSAC Syndrome is an autoimmune mediated vasculopathy that affects the very small blood vessels in the brain, retina and cochlea. Case report: We report a case of 32 year old para 2 who was a known case of SUSAC syndrome diagnosed in her second pregnancy at 28 weeks of gestation after an episode of coma and fainting. She was transferred to tertiary care with abnormal cognitive function and MRI scan that showed evidence of active vasculopathy. Her symptoms were severe headaches with flashing of lights, tinnitus and joint pains. She had multidisciplinary care with neuroinflammatory team. An emergency ceasarian section was performed at term due to fetal compromise. She had uneventful postnatal course . Discussion: Susac Syndrome affects women more than men usually between 20-40 years. It is difficult to diagnose the condition because of other overlapping symptoms therefore the true prevalence is unknown Headache is an important but often under-appreciated symptom which frequently has a migraines character and may precede other symptoms. Conclusion: A high degree of suspicion is needed to diagnose and treat women presenting in pregnancy. Women will need careful monitoring and neuro inflammatory input for better outcome.
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Facial palsy as a presenting feature of coarctation of aortaWe report the unusual presentation of coarctation of the aorta with facial nerve palsy in an infant and a child. The facial nerve palsy and hypertension resolved spontaneously after relief of the aortic coarctation. Our two cases are the first reports of unidentified coarctation of the aorta presenting as facial nerve palsy, with the infant being the youngest to be reported.
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Plasma cell vulvitis and response to topical steroids: a case reportPlasma cell vulvitis is a condition which, due to its rarity, can be difficult to diagnose and challenging to treat. This report describes a case of plasma cell vulvitis, its response to topical steroids and summarizes what is known about the condition.
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Audit of an aromatherapy service in a maternity unitThis paper reports the results of the audit of a maternity aromatherapy service at a small Midlands maternity unit. The service was introduced in May 2000 and the principal aims of the audit, conducted in October 2002 were to investigate clinical effectiveness, maternal satisfaction and staff training needs. The service has been shown to be effective in normalising childbirth and increasing satisfaction of mothers in respect of their labour experiences. A concurrent audit of staff demonstrated interest and enthusiasm of the service and identified areas for further development. The service was short listed for the Prince of Wales Foundation for Integrated Health Awards for Good Practice in 2003 and awarded a certificate of achievement.