Prof Jenny Gamble
@ProfJennyGamble
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Professor of Midwifery, Centre for Care Excellence, UHCW and Coventry University. Director, Transforming Maternity Care Collaborative. Views are my own.
West Midlands, England
Joined September 2016
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Midwife starting salary UK. Degree qualified, registered with NMC. Band 5 - 1st paypoint £25,655 p.a. Monthly Gross pay £2,137.92. Monthly Net Pay after all deductions £1,620.89. Shocking
#investinmidwives
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@JaneCaro
I think you miss the point. Have you never needed to challenge inappropriate behaviour by stranger males in public spaces, sometimes entering sex segregated spaces? If that male says they are a woman, then ‘no help is coming’ and it will likely end badly for you and other women.
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@yasmin_poole
Asking a woman in front of her boss if the culture for women in parliament has improved is inappropriate.
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@drkerrynphelps
@JacquiLambie
@JacquiLambie
why didn’t you insist that selected cross bench members and Greens and Labor leaders were also told this special information. Surely these elected reps are just as trustworthy with national security matters.
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@LottieHistory
@BBCWomansHour
@Emmabarnett
We also make mention of this in the paper. We are not seeing “bodies with a prostate”.
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Midwives save lives, reduce morbidity and enhance health for mothers and babies.
#investinmidwives
Here’s an illustration of the impact of midwifery on outcomes for women, for babies, and for the system - just look at all the good that midwives do across the life course! ✨✨✨
#earlyyears
#midwives
#evidence
#quality
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Midwives save lives, reduce morbidity & enhance health, yet in every country globally we are poorly paid, undervalued, face hostility, struggle to access to education, have reduced autonomy, & exclusion from executive leadership. Join
#WomensRights
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@JoannneCrawford
@Humanisingbirth
@MaryNewburn1
@hallmum5
@MidwiferyForum
When I collected data for my PhD - with women who reported a traumatic childbirth - I asked them if having their own midwife would have made a difference - 100% said “Yes”.
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@WilkieMP
And
@AustralianLabor
should now say “we got it wrong and now call for urgent review of legislation”
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Our Editorial - A response to Ockenden review. “Rectifying the root causes of system failure is a fundamental”. And “all recommended actions and programmes of improvement” should be based on high quality evidence. Open access.
@maryrenfrew
+17
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@pushcampaignorg
We shouldn’t need more men in the midwifery profession to be treated with respect and paid relative to skills, expertise & contribution to saving lives, reducing morbidity and promoting health.
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@LaLecheLeagueUS
@USbreastfeeding
I hope you will read the full paper when published this week.
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Happy International Day of the Midwife. 40 years ago I started as a midwifery student in Scotland (May 1982). I looked after Marny when she gave birth to Ryan. Her first baby, & first birth for me. In April 2022 we met again for the first time.
#IDM2022
🇦🇺🇬🇧 ❤️ being a midwife
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New research - Midwifery continuity of midwifery care. Women report "involvement in care planning (95.1%), sufficient information for informed decisions (95.4%) and respect for decisions made (95.5%)" in Aotearoa NZ 🇳🇿 👏🙏
@NatMatVoicesorg
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@MaralynParker
And how dare he lobby ATAGI. I don’t want ATAGI to base its advice on anything Scott Morrison says. I want ATAGI to be scientific and independent.
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Just putting this out there. Should we ask WHO for ANOTHER
#YearoftheNurseandtheMidwife
in 2021
@world_midwives
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I am happy to be a bit shouty about this. Aust and NZ midwives finally achieved our own standard research classification category - separate from nursing. A joint effort I was proud be play a role in.
Agree. I do think Australian and New Zealand midwifery researchers should shout this louder! There was a robust consultation & many of us were able to provide proactive push to this much needed change
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Our latest paper - "central fetal monitoring systems may not promote safe intrapartum care. ... examining the safety of central fetal monitoring systems is required."
@birthsmalltalk
@Mary_Sidebotham
@Prof_JFenwick
@GriffithNursing
@TransformingMCC
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New research: "...central fetal monitoring systems may not promote safe intrapartum care. ...research examining the safety of central fetal monitoring systems is required"
@birthsmalltalk
@Prof_JFenwick
@Mary_Sidebotham
@TransformingMCC
@ProfJennyGamble
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@millihill
Absolutely right
@millihill
periods are a part of female reproductive system. Peculiar how this needs clarifying. Not hurtful. Just fact.
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#QandA
Brian Cox says we need to fund scientists to do research. Ok Australia .. let’s do it
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30 years ago in 🇦🇺, Vicki Chan provided continuity of midwifery care to this woman & her family. The beautiful poster captures birth with a message to influence change. Prioritise women. Universal access to continuity of midwifery care is needed.
@pushcampaignorg
@mcareetrixie
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We need a Chief Midwife in Australia - still! It is way overdue.
@MidwivesACM
@clinexcelqld
@healthgovau
#ICM
Chief Executive, Sally Pairman on the essential role governments and Ministries of Health play in our conversation on
#Midwives
in leadership.
#DecadeOfTheMidwife
@ICM_CE
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Policy driving practice - not evidence. I am in CTG training today. Knowing the evidence and sitting through training that assumes CTGs improve outcomes is challenging.
Tuesday's abstract - Midwives must, obstetricians may: An ethnographic exploration of how policy documents organise intrapartum fetal monitoring practice
@birthsmalltalk
@Mary_Sidebotham
@Prof_JFenwick
@ProfJennyGamble
@TransformingMCC
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@Always
@Emmabarnett
can you not see the problem here and in many other places. It is inaccurate. Women and girls will suffer (more than now) unless there is clear line of sight to their needs.
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"If 95 per cent of women had a midwife, you would reduce maternal deaths by 85 per cent … you would reduce stillbirths by 85 per cent, you would reduce neonatal deaths by 85 per cent," said Professor Homer - 2023 Fenner Lecture. 🙏
@CarolineHomer
👏🏽🎉💃🏻
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Continuity of care works! Works in primary health with same GP and in maternity care with continuity of midwifery care (MCoC). Universal access to MCoC needed now. Stop faffing around.
This is really useful study and affirms why lack of trust and inequitable/poor access results in poorer health outcomes for some patients in marginalised communities!
@cahn_uk
@BolaOwolabi8
@sanghera70
@AHamiedNHS
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“Despite lack of evidence for CTG, the list of risk factors which require recommendation of CTG, appears to grow with each guideline revision”. When do we stop this low value care?
@MidwivesACM
@MidwivesRCM
@ranzcog
@RCObsGyn
Intrapartum fetal surveillance guidelines need to be revised to reflect that intermittent auscultation of the fetal heart rate during labour is a valid choice, consistent with the evidence.
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Calling all aspiring
#clinicalacademics
Check out this fantastic opportunity for a fully funded PhD studentship into the use & misuse of caesarean section
#qualitymaternalnewborncare
Plse contact me for more info.
@Liz8ailey
@SallyPezaro
@FindAPhD
:
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@suzannezeedyk
We need “kindness” before birth … not just “from birth” If women are treated badly during pregnancy and birth we can’t pretend it has no impact on the baby.
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This is the core problem, “I love being a midwife, but I hate the care I am giving.” [& the system I work in]. It is the same across the world & over time. MWs leave & this causes understaffing & ⬆️ problems. Proposed solutions are inadequate and misaligned.
‘A worrying catalogue of issues & discontent with an exhausted & fragile maternity workforce with rock bottom morale says RCM Scotland Director
@JakiLambert
on
@MidwivesRCM
survey of its Scotland members, see
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@AlisonLPG
It is about Women’s rights not trans exclusion. People should live without discrimination - including women. The idea that we give up language to describe ourselves as women and our cultural being as inclusive is misguided. It is about Women’s sex based rights.
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We need to continue the reform of maternity services because “We’re seeing very rapidly increasing rates of caesarean section birth and induction of labour, but we’re not necessarily seeing that translate into declining rates of adverse outcomes.”
@EmilyCallander
🇦🇺
#Midwives
-experts in high-value primary maternity care. Great piece urging maternity system reform featuring commentary from Prof
@CarolineHomer
🙌
@MidwivesACM
@liv_willis
@kt_calderwood
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@godfrey_isaacs
@hannahdahlen
@ShaunLintern
@thesundaytimes
@GillWaltonRCM
I am curious about the claim the MWs are prompting normal birth regardless of risk or complications. The Caesarean section rate is 33%. If they are doing this they are failing.
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“midwives have been misrepresented as a group over the last decade mostly by the media but also by public figures. This has silenced many midwives and their voices are lost in any debate.” Yes.
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Koalas in Whites Hill Reserve. 7km from Brisbane city centre. 500m from my home. So fortunate.
@brisbanecityqld
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@heawood
I think the issue is to ask women. I wanted to be in maternity after giving birth to my daughter. I wanted to be seen as a mother even though she was stillborn. I was not distressed by the cries of other women’s babies.
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Midwives have so much evidence to show we can improve health and save lives. Eg midwife care reduces maternal morbidity by 2/3. Fight for women’s right to access midwives.
@FrankaCadee
#NJFC2019
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Woman-centred care is fundamental to midwifery practice. Now we can measure it 💃🏻💃🏻👏🏽🙏
World first - a reliable and valid tool for midwives to measure woman-centred care. Exceptional work
@DebDavis100
@d_creedy
@BradfieldZoe
@LizNewnham
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@pushcampaignorg
@BJMidwifery
Pregnant women. The article is about women. Most midwives are women. It is time to centre women.
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A lack of respectful maternity care globally says a lot about our regard for women. Our paper reports on the development of a tool to assess students’ perceptions of respectful maternity care (free access to 11 Feb).
@PrativaDhakal5
@TransformingMCC
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@JulikaJH
@CA18211
@DrSusanAyers
@DrAntjeHorsch
4% is huge when you realise the impact on women, babies, other children, partner/other family members, community, workplaces. Every mother matters. Women as mothers make such a huge contribution to the wellbeing of communities.
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Woo hoo. Amazing. So honoured to be inaugural winners of this prestigious International award. Congrats to shortlisted nominees and thanks to organisers.
@Mary_Sidebotham
@Griffith_Uni
@Griffith_Health
@GriffithMidwife
@TransformingMCC
And the winner of the International Education Award of the year category is
@Mary_Sidebotham
and
@ProfJennyGamble
of
@GriffithNursing
congratulations!
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Yes. Leadership for midwives in Australia is needed. Separate from nursing and in its own right. We have distinct needs. Midwives need to be able to work to their full potential for the benefit of women, babies and families.
@world_midwives
@MidwivesACM
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@JaneCaro
Exactly. Not about trans. It is about male violence and predatory behaviour that uses any means of access.
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Public Midwifery caseload care costs 22% less than other models, (after accounting for differences in baseline characteristics). Public MIdwifery caseload care produced comparable health outcomes…some outcomes… better for ⬇️ $ per woman.
@EmilyCallander
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Calling for a national, whole-system root & branch examination of maternity care provision, to establish the content, design, extent and limits for a publically funded maternity service that optimise equitable short & long term outcomes and wellbeing.
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Presenting about iDecide and catching up with colleagues at
#BMFMS2022
@mcareetrixie
and Prof Ali Wright
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Midwifery students make a difference to clinical outcomes. This paper is the first.
@GriffithMidwife
students complete 20 continuity of care experiences. They are engaged in all aspects of care.
@TransformingMCC
Women who participated in continuity of care experiences with midwifery students had clinical outcomes equal to, or better than Qld birthing women across 12 key indicators. Free full-text link to our latest paper until 8/6/21.
@ProfJennyGamble
@d_creedy
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Wonderful midwifery students going through their paces in bespoke simulation facility.
@Griffith_Uni
@GriffithMidwife
.
@miaglover_9
has been given access inside
@Griffith_Uni
’s midwifery classrooms, a Queensland first set up to mirror a real birthing suite.
#9News
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Massive interest in
@Griffith_Uni
Bachelor of Midwifery program at TSXPO 2019. Who doesn’t want to be a midwife? Best job in the world.
@GriffithMidwife
@GriffithNursing
no. 1 in Australia.
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Time to move away from the language of “obstetric emergencies” ... focus on women .. “maternal emergencies” instead?
#TransformingMid18
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Learn how to apply the Lancet series Framework for Quality Maternal and Newborn Care with our free cnline course - "Maternity Care: Building Relationships Really Does Save Lives". Now open - runs for 3 weeks
@Griffith_Health
@maryrenfrew
@TheLancet
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4 ways to create sustainable and satisfying midwifery continuity of care
@mcareetrixie
@NatMatVoicesorg
@TransformingMCC
#BetterBirths
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@catherineroyuk
@NICEComms
Have you critiqued the evidence
@catherineroyuk
? Eg check out this RCT .
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@millihill
“The patriarchy” or - if Australian consider adding an expletive between “the” and “patriarchy”
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NEW STUDY: Trauma and fear in Australian midwives
"trauma related to witnessing and experiencing disrespectful care and subsequently feeling complicit in the provision of poor care. Feeling unsupported in the workplace intensified trauma
@GriffithSchool
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Wonderful to see
@Mary_Sidebotham
receive our award form
@SagefemmeSB
@Humanisingbirth
@GriffithMidwife
@Griffith_Uni
@TransformingMCC
And the winner of the International Education Award of the year category is
@Mary_Sidebotham
and
@ProfJennyGamble
of
@GriffithNursing
congratulations!
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Universities are hit hard economically. Less students. We still need educated people now and in the future. What if university education was free? No HECS debt. No barrier to study. Study allowance as well as job seeker payments?
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And access to continuity of midwifery care improves normal birth rates, reduces still birth, reduces preterm birth even further.
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@JaneCaro
@ChangeAus
Signed and shared. And can we stop funding them using taxpayer $$ through job keeper too?
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🙏I was delighted to be invited. UK midwives continue to impress me - but I want to know, “Where are the midwives fighting for Better Births and midwifery continuity of carer, please”. Congrats
@charlMidwife
for organising.
@GibbleJo
@MaryNewburn1
@CfCExcellence
@covuni_chr
The brilliant
@ProfJennyGamble
presenting on Maternity care: what’s working? What’s not working? What next?
#maternity
#patientsafety
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“Many women want a different kind of pregnancy and birth the next time .. Many want the same 1 or 2 midwives throughout, & to choose where they give birth. And … they want a vaginal birth, with less intervention.” Time for action. This message has been the same for 20 years.
What do ‘women want’ if they were to have another baby. Well done
@HazelKeedle
and team
More than 6,000 women told us what they wanted for their next pregnancy and birth. Here's what they said via
@ConversationEDU
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Nursing and Midwifery
@GriffithNursing
@MidwiferyGU
achieved an Excellence in Research Australia (ERA) ranking of 5 (Well Above World Standard). So proud. We have great depth and breadth of research. Saving lives and promoting health.
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#ICMCongress2021
"The importance of
#continuityofcare
experiences in midwifery education" Women love it, they experience clinical benefits, students learn woman-centred, holistic care. It is doable and valuable.
@ProfLindaSweet
@DebDavis100
@Mary_Sidebotham
@TransformingMCC
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Delighted to see NZ midwives acknowledged with $2500 payment steadfast care for women and families during the pandemic.
Covid 19 coronavirus: Midwives reimbursed as part of Government's $100 million health package.
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New study: Midwives emotional and professional wellbeing better when providing caseload midwifery
@Prof_JFenwick
@Mary_Sidebotham
#midwifery
@MidwiferyGU
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Autonomy for midwives is a women’s rights issue. Thank you
@NZMidwifery
for your leadership
@world_midwives
30 years ago the Nurses Amendment Act was passed into law and this Act restored professional autonomy for midwives
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Sterile H2O injections for back pain in labour - there is still a lot of heat in this issue. Here is our response to the NICE guidance update on use of on sterile water injections as a pain relief option for women experiencing backpain in labour 1/1
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“Simply increasing the caesarean section rate and abandoning continuity of care initiatives will not improve maternal and newborn care in the United Kingdom.” Good analysis. Great comparison with countries that do better
#investinmidwives
The Ockenden report - what can we learn and where does it go wrong?
@agoodbirth
@De_KNOV
@FrankaCadee
@MidwivesRCM
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I’ve joined this dynamic team to establish the Centre for Care Excellence. It is end of Week 3 and I am excited.
@covcampus
@nhsuhcw
Fantastic to see the centre for care excellence professorial team. Can’t wait to see the vision turn into reality.
@nhsuhcw
@UHCW_RandD
@ninamorganUHCW
@CoadProfessor
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VBAC is safe for most women. Women should not have to 'navigate obstacles' to access VBAC. Health services should increase access to models of care where a genuine and trusting relationship can develop between midwife and woman.
@soniasodha
@Humanisingbirth
@FlorenceDarlin1
Almost any strategy that has been tested to increase VBAC rates has been effective. So why are VBAC rates in Australia stagnant? Highlights from a systematic review and new research by
@CarolineHomer
@DebDavis100
@FoureurMaralyn
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@millihill
@hannahdahlen
@lornamidwife
@NZMidwifery
@SusanCrowtherMW
@CouperJudith
if this had not happened to
@millihill
in NZ - by midwives - the “it’s complex” might wash. But in light of this, it is hard to believe. I wonder how much Māori culture, ways of knowing, being and doing is the curtain to hide behind making it even more disgraceful.
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Empowered midwifery leadership is key to transforming maternity services in Australia and globally.
@world_midwives
@FrankaCadee
Midwifery leaders need bravery, confidence, resilience and personal commitment to midwifery continuity as 'the answer' to maternity care - in order to drive the change. Highlights new research from Joy Adcock
@Mary_Sidebotham
@ProfJennyGamble
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Terrific article. Newly qualified midwives thrive in CoC models in England and Australia.
#whelm
@TransformingMCC
Thanks
@midwife_cw
🌈POSITIVE MIDWIFERY NEWS ALERT🌈
I LOVE your article in
@TPM_Journal
this month
@midwife_cw
@MidwivesOpal
@RubyMidwives
NEWLY QUALIFIED MIDWIVES Daisy, Sharon & Julia share their experiences working in a CoC model in England.
@thelovelymaeve
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Midwifery students’ experiences of working within a midwifery caseload... The study reinforced the value of the caseload model for women, midwives and students.
@Mary_Sidebotham
@MidwiferyGU
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@geebeeWA
@yodaberg
@MidwivesACM
I hope you read the paper. It is about the use of sexed language. Sex (a reproductive category), gender (a societal role), and gender identity (an inner sense of self) are not synonymous.
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NEW PAPER: Acknowledging the primacy of continuity of care experiences in midwifery education.
@GriffithMidwife
@Mary_Sidebotham
@DebDavis100
@AndreaGilkison
@ProfLindaSweet
@Griffith_Health
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Look who has landed in Canberra? Australian College of Midwives national conference. Excited to be here.
@MidwivesACM
@kbaird20
@Mary_Sidebotham
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Queensland Health Minister commits to expand continuity of midwifery care to 8 rural and regional areas.Victory for mums after bush birthing boost
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@Humanisingbirth
@GillMoncrieff
@ElizMMB
@SagefemmeSB
@nmcnews
@SarahCoiffait
@FrankaCadee
@maryrenfrew
@drtraceyc
@hannahdahlen
@lornamidwife
All words become loaded and misrepresented by the doninant paradigm and we Midwives keep trying to bend ourselves out of shape to accomodate. Keep
#normalbirth
. It makes common sense. Fight back against co-opting and corruption of the language we use.
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Congrats on the study and paper. We know how to reduce
#FOC
. We tested a midwife-led counselling intervention
#BELIEF
. It worked. We know how to improve women’s birth experience
#continuitymidwiferycare
quality maternity care is needed for the next generation.
@mcareetrixie
My first 1st author paper was published today! 🥳 Data from the
#DREAMstudy
suggest that the association between
#FOC
and
#MotherChildBonding
is mediated by
#BirthExperience
, pointing to the importance of a woman’s positive subjective experience.
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Why is midwifery continuity of carer important?
#maternitycares
podcast interview with Jo Dagustun from
@AIMS_online
@GibbleJo
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@Rosemary_Murphy
@Marytcurtin
I coauthored this paper with 9 other international experts. It may help.
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Midwifery education standards should preference continuity of care experience as the optimal clinical education model. Education needs to help drive maternity reform. Trans-Tasman Midwifery Education Consortium.
Our members
@ProfJennyGamble
@Mary_Sidebotham
@AndreaGilkison
@DebDavis100
and
@ProfLindaSweet
make it clear that midwifery education reform is part of the change needed to improve access to midwifery led continuity of care.
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@susan_bewley
@pash22
@drruthannharpur
@chungopailot
@NICEComms
@BlottMaggie
@jimgthornton
@catherineroyuk
@OAAinfo
This rapid response published in the BMJ today by the UK Profs group of which I am a member. Here is the link.
Sterile water has been used for over a decade. Data on women's experience of use is also available.
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@FlorenceDarlin1
What is the evidence base for the purported ideology about “normal birth at all costs”? Homebirth rates are low, few women can access birth centres, and normal birth rates continue to drop in most countries. Plenty of evidence for the long-standing problem of medicalisation.
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“Women with lower socioeconomic status are more exposed to negative experiences during labour and birth”…. still. Thank you for keeping inequality on the agenda.
Vedeler, et al. Women’s negative childbirth experiences and socioeconomic factors: Results from the Babies Born Better survey, Sexual & Reprod Healthcare, Vol 36, 2023, 100850,
ISSN 1877-5756,
.
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CTG and the social organisation of decision making. Our latest research paper.
@birthsmalltalk
@Mary_Sidebotham
@Prof_JFenwick
@TransformingMCC
@GriffithNursing
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Fantastic day. Terrific to be face to face and immersed in the science to guide quality maternity care. Thank you all esp the organisers. Can we do it again please?
@CMidOEngland
At the National Maternity Research Programme Conference - met some long time contacts and made some new ones
@FiMccarron
@turnel
@ClaireHooks
@JudeField
@nandi_simpson
@Stringer4Kate
@DrAngelaK
@ProfJennyGamble
Wendy Olayiwola
@SandallJane
thank you for your kindness ☺️💕
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New novel research. Feedback from women on impact midwifery student learning with:
⬆️confidence in their clinical practice
⬆️understanding of their midwifery philosophy
⬆️intention to advocate for, and work in cont. of midwifery care
@nikki_tickle
et al.
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@HadiWaheed
@AnnaTheMidwife
🙏 in the UK there seems to be scant attention paid to the impact of gestation on fetal brain development and the potential problems created by induction of labour or C/S. The ‘every week counts’ initiative does not seem to have much profile here.
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Lecturer in Midwifery
@GriffithMidwife
is recruiting - . Come and join our awesome team of educators and researchers. Closing date 27 Jan 2020. Application link here
@TransformingMCC
@Griffith_Health
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