🚨 INVESTIGATION: Britain's mental health system is broken. Patients & innocent members of the public are paying the price.

Today we reveal how dangerous mentally ill people are being routinely left in the community. Some will kill themselves or others: thetimes.co.uk/article/e0ff41…

This is such an important report and very relevant to maternity care. 30 Inquiries in 30 years examined. Have recommendations been implemented in order to explore whether they have made a difference.

A nice walk on Walney beech… ☀️

Costa del Furness…

We need change

Antibiotic exposure during pregnancy or early infancy was not associated with an increased risk of autism spectrum disorder, intellectual disorder, or language disorder in children, finds large cohort study
bmj.com/content/385/bm…

Finished Clarkson’s Farm series 3 last night - Jeremy Clarkson’s innovation to reduce neonatal mortality for his piglets is a great example of QI science in practice! Highly recommended viewing if you’ve not watched it.

We have seen in incident reviews that there is often a requirement for recommendations to be SMART.

It drives a focus to what is measurable and what is within the immediate control of those writing the reports.

It usually leaves wider system issues invisible and unaddressed.

James Titcombe More to it than corelation-causation mantra
jamanetwork.com/journals/jaman…

One of many studies linking epidurals to decrease in SMM through

...decrease in PPH, sustained monitoring, fluid resuscitation, better preparedness, continuous analgesia....

Oh, the horrors of medicalisation.

Caesarnotsalad James Titcombe I’ve lost count of the number of women I’ve cared for desperate for more analgesia but terrified of the NCT shunning. Imagine being paid to frighten women away from individual choices!

James Titcombe A wonderful anaesthetist challenged me as a green preceptee saying “she’s having the epidural for pain relief, but she’s here in labour ward because of her other risk factors. Correlation is not causation”. Humbled and enlightened!

Sirin Kale Hey Sirin, I did Lamaze. I was 24. I made no friends and it made me FAR lonelier than I would have been without one.

'A father who was left without the right to parental leave after his wife died in childbirth has won a change to the law in England, Wales & Scotland.'
Aaron Horsey
theguardian.com/money/article/…

justgiving.com/page/maria-din…
1:2 This is me training for Coniston and Ullswater . Trying to raise £ for QEHB charity specifically for home from home accommodation- Liver Transplant University Hospitals Birmingham Charity

Excellent, thought provoking free resource for anyone in healthcare who thinks safety is simple

I would really like to hear people's experience of private antenatal groups. Do you feel that one type of birth was favoured over another? Did it prepare you for birth / parenthood or give you unrealistic expectations? Please email [email protected] or comment below🙏

Subtext: you’re safer if you meet an anaesthetist in labour. theguardian.com/lifeandstyle/a…

From the Times report on the epidurals research. Who would have thought that closer monitoring of women in labour would lead to better outcomes?

Human Factors in Healthcare eLearning modules are now available for individuals and small departments to purchase online.

To sign up go to chfgtraining.learnworlds.com or for a license enquiry contact [email protected]

Both learning modules are based on a true story recreated in a

This will not bode well with the ‘normal birth’ lobby and their ‘cascade of interventions’ mantra… Hugely important research with implications for training, informed consent and practice.