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Reflecting on a fabulous May 2021 and #IDM2021

As we come to the end of May 2021, I wanted to reflect on a few of the things which have come to fruition.

Of course early on we celebrated International Day of the Midwife 2021. Invest in midwives…The best is yet to come! #IDM2021

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#IDM2021

On this #IDM2021 (May the 5th) I was thrilled to be able to announce some awesome things we have been working on for some time now. First, I was able to share our @IolantheMidwife ‘Midwives Award’ won on #InternationalDayoftheMidwife for our work on Substance use in Midwifery populations. You can still participate in this research until September 2021 – Details below. Please share this link with midwifery teams: https://bit.ly/UKMidwivesPSU

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I was also able to share my appointment as #NursingNowChallenge midwifery champion!

Read more here: https://bit.ly/3h0t8X6

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I hope that this will be enable us to raise the profile of midwives around the world.

Furthermore, on the 6th May 2021 I had the privilege of being the invited speaker at the 102nd Irish Nurses & Midwives Organisation@INMO_IRL (@INMO_IRL) Annual Delegates Conference. #INMOADC. I shared our work ‘Exploring Problematic Substance Use in Nursing and Midwifery Populations’ – A warm audience as ever!

Thank you for having me.

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#INMOADC

Then on the 18th of May 2021 I tuned in to watch the policy dialogue presenting the findings from #SoWMy2021 to Member States in an effort to encourage sustainable investment in the midwifery workforce. This was a really inspiring event where I was able to make some really valuable connections – thank you.

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Other than May being my birthday month, May 2021 has been absolutely awesome. Moreover, I have been able to settle in in my new role as an RCM Fellow! Read more here

Buckinghamshire midwife awarded national honour

“Excited by what we may achieve together as this fellowship brings forward new opportunities…the best is certainly yet to come” says @SallyPezaro from @covcampus receiving RCM Fellowship #rcmedconf21 #education

Now that some of the restrictions are easing it seems that some publications are able to move forward again in the process of peer review. As such, I will be sharing some new publications with you all soon. I also have lots of bid writing plans for next month alongside teaching. A summer of collaborations ahead.

First, I am grateful for the opportunity to continue and finish journey with @OxfordSBS … because midwifery #LeadershipMatters

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Until next time…Look after yourselves and each other 

Follow me via @SallyPezaroThe Academic MidwifeThis blog

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Calling Midwives for Research Exploring their Substance Use One Year After the first UK Lockdown

A year ago, we surveyed over 600 midwives in the United Kingdom (UK) with regard to their substance use among other things. Data collection was halted early in response to the first lockdown of 2020 to avoid a distortion of results. Our findings are currently under peer review for publication.

Now, one year on, we are again looking for as many UK midwives as possible to complete and share this new survey, so that we may investigate what, if anything has changed.

All UK midwives are invited to complete this survey whether or not they participated in our last survey. They are also encouraged to participate whether or not they use substances. Please share the survey link widely.

Survey Link: https://bit.ly/UKMidwivesPSU

Please note: We will not be able to track or identify you in any way. As such, there will be no repercussions arise from anything you disclose. We are only interested in understanding, so please help us by keeping your responses anonymous throughout.

The aim of this new research is:

·         To identify the rate of problematic substance use (PSU) among midwives registered in the UK

·         To explore the leaving intentions of midwives registered in the UK

·         To explore the help seeking behaviours of midwives registered in the UK

·         To identify health risks among midwives registered in the UK

·         To measure work engagement within UK registered midwifery populations

Thank You on wooden blocks

Survey Link: https://bit.ly/UKMidwivesPSU

Access the entire project page here.

Follow me via @SallyPezaroThe Academic MidwifeThis blog

Until next time…Look after yourselves and each other 🎓

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Tobacco, alcohol & cannabis use among midwifery populations

 

Syringe

Pill

Problematic substance use in midwifery populations is an uncomfortable topic to explore, yet:

    There are human and financial costs associated with problematic substance use (PSU) among the healthcare workforce, which also has a significant role in medical negligence.This systematic integrative review presents an international summary of the evidence in relation to PSU in midwifery populations.There is limited evidence available in relation to PSU in midwifery populations in comparison to that available for other healthcare populations.As midwives form a part of the general healthcare workforce and are exposed to similar workplace stressors, it is likely that they would be similarly affected by PSU in the healthcare workplace.Future research could usefully capture contemporary data in relation to PSU in distinct midwifery populations.wine

Our latest review on this topic is the first of it’s kind. We hope this work will act as a useful foundation for future work in this area.

Pezaro, S., Patterson, J., Moncrieff, G., & Ghai, I. (2020). A systematic integrative review of the literature on midwives and student midwives engaged in problematic substance use. Midwifery, 102785.

“Healthcare professionals who engage in PSU have indicated that they worry about their PSU, have trouble getting along with others, provide less than their best patient care, have limited their commitment to patient care and seriously consider suicide (Kenna and Wood, 2004). Whilst it has not been possible to identify midwifery populations within such larger data sets, we concur with Weenink et al. (2017), who suggest that it is unlikely midwives are immune from such similar effects.”

shallow focus photography of prescription bottle with capsules

“Being the first international systematic integrative review of PSU in midwifery populations, this article presents findings in relation to both midwives and student midwives working in three separate countries, identified from a total of three empirical studies (Deasy et al., 2014Schluter et al., 2012Watson et al., 2006). Substances used included tobacco, alcohol and cannabis. Problem substance use was broadly linked to longer working hours and coping with work-related stress via escape avoidance. Whilst the reasons for PSU remained unclear in the survey study by Watson et al. (2006), inferences are made by the authors that this coincided with local promotional ‘student nights’, where alcohol is discounted in price.”

person making cannabis joint

To follow on from this review, we have collected data on PSU from midwives practising in the United kingdom. We hope to publish our results from this soon. You can follow our work on substance use in midwifery populations via this project page.

Follow me via @SallyPezaroThe Academic MidwifeThis blog

Until next time…Look after yourselves and each other 💚💙💜❤

References

Deasy et al., 2014 – C. Deasy, B. Coughlan, J. Pironom, D. Jourdan, P. Mannix-McNamaraPsychological distress and coping amongst higher education students: a mixed method enquiry. PLoS ONE, 9 (2014), pp. 1-23

 

Kenna and Wood, 2004 – G.A. Kenna, M.D. WoodAlcohol use by healthcare professionals. Drug Alcohol Depend., 75 (2004), pp. 107-116

Schluter et al., 2012 – P.J. Schluter, C. Turner, C. BeneferLong working hours and alcohol risk among Australian and New Zealand nurses and midwives: a cross-sectional study. Int. J. Nurs. Stud., 49 (2012), pp. 701-709

Watson et al., 2006 – H. Watson, R. Whyte, E. Schartau, E. JamiesonSurvey of student nurses and midwives: smoking and alcohol use. Br. J. Nurs., 15 (2006), pp. 1212-1216

 

 

 

Weenink et al., 2017 – J.W. Weenink, R.B. Kool, R.H. Bartels, G.P. WestertGetting back on track: a systematic review of the outcomes of remediation and rehabilitation programmes for healthcare professionals with performance concerns. BMJ Qual. Saf., 26 (2017), pp. 1004-1014

 

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1 in 20 pregnancies affected by hypermobile #EhlersDanlosSyndrome & Hypermobility Spectrum Disorders

If you’re interested in childbearing with hypermobile #EhlersDanlos syndrome and Hypermobility Spectrum Disorders our new article is out now…

👉 Understanding hypermobile Ehlers-Danlos syndrome and Hypermobility Spectrum Disorders in the context of childbearing: An international qualitative study

Co-authors include Gemma Pearce & Emma Reinhold 🙌🏻

🎓💓

Hypermobile #EhlersDanlos Syndrome (hEDS) and Hypermobility Spectrum Disorders (HSD) have profound and life-threatening consequences in childbearing, and it is now estimated that hEDS/HSD affect 6 million (4.6%) pregnancies globally per year..rounded up, this equates to almost 1 in 20 pregnancies!

 

grayscale photo of woman wearing ring

What did participants describe?

  • A worsening of symptoms during pregnancy
  • Postnatal complications
  • Ineffective anaesthesia
  • Long latent phases of labour quickly developing into rapidly progressing active labours and births (precipitate labour/precipitate birth)
  • Maternity staff panicked by unexpected outcomes
  • Healthcare professionals  lacking  knowledge and understanding
  • Poor maternity care resulting in a disengagement from services
  • Birth Trauma
  • Stress
  • Anxiety
  • An avoidance of future childbearing
  • Difficulties in holding, caring for, bonding with and breastfeeding their babies

Image may contain: text that says "Understanding hypermobile Ehlers-Danlos syndrome and Hypermobility Spectrum Disorders in the context of childbearing: An international qualitative study"

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The blog page for this work can be accessed here

How can you help?

  • maternity tool has been co-create to support both professionals and pregnant people in decision making. It is freely available for download and wider use

download maternity tool

hEDSTogether.com is also available to keep everyone up to date with this work via @hEDStogether

If you are using this tool to create an impact in the world, please tell us about it via the contact pages hosted at hEDSTogether.com.

Thanks to everyone who participated in and supported this research!…Let’s keep putting our #hEDSTogether via research!

Follow me via @SallyPezaroThe Academic MidwifeThis blog

Until next time…Look after yourselves and each other 💚💙💜❤

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Exploring the narratives and experiences of Healthcare staff working through the COVID-19 Pandemic – Could you contribute?

“Don’t clap for me” “The health service is not staffed by heroes” and “’We are fragile, tearful, afraid, and we are human” are recent accounts voiced by healthcare workers, working through the COVID-19 pandemic (Anonymous 2020; Watson 2020).

clapping

In contrast to the common portrayal as invincible “heroes” or “saints”, it is increasingly recognised that healthcare workers (HCWs) working through the COVID-19 pandemic may be experiencing negative emotions and moral distress related to certain situations (Williamson et al. 2020). These situations may include: Being redeployed, witnessing the suffering of patients or colleagues, ethical decisions related to care, delivering bad news or making the decision to distance oneself from family or children. The wellbeing of HCWs, as well as having an impact on individuals and families, is intrinsically linked to the quality and safety of healthcare services so there is a pressing need to understand more, including how we can help (Pezaro et al. 2015; The Royal College of Physicians, 2015).

compassion-857748_1280

We know that even the smallest demonstrations of compassion can make a difference to individual HCWs: Small acts of kindness, caring language or the opportunity to be listened to for example (Clyne et al. 2018).  Williamson et al. (2020) state the importance of informal support and opportunities for discussion of events that may have caused moral distress to allow HCWs to process and make sense of events.

We are commencing a research study to explore the real narratives and experiences of HCWs working through the COVID-19 Pandemic, as well as where HCWs have experienced self and workplace compassion, using an arts-based research approach which includes creative writing, storytelling & theatre. Participants will contribute to the script for a piece of audio art-work that will creatively depict the emotions and experiences of healthcare professionals contrasted against the social celebration of them as ‘heroes’ during this Covid-19 pandemic. The recording aims to both give a truthful account of the HCW narrative during this crisis, whilst also being relatable, hopeful and human. It is hoped that it will be a point of stimuli for discussion for the general public and inform the development of additional resources to help HCWs debrief and recover.

Aspects of the arts-based research process itself, such as the opportunity to make sense of experiences through creativity, reflection and commonality with other participants, have been noted as “transformative” (Beltran and Begun 2014). Lennette et al. (2019) describe this type of research as an ongoing reflective process, in which the researcher and participants collaborate to expand the meaning of each individuals’ story and find links and common themes with those of other participants.

We are recruiting a small group of 4-6 healthcare workers to explore their experiences and narratives of COVID-19, within a 1-hour online workshop, taking place at the end of June. The group of HCWs will discuss their experiences and work with a writer, Nick Walker and theatre professionals from China Plate Theatre Company to create a piece of creative writing and a script for the audio artwork, which will be exhibited at a digital exhibition for Coventry City of Culture 2021. If you wish to take part, your information will be kept anonymous & confidential. You are under no obligation to take part.

China Plate are independent contemporary theatre producers of adventurous and imaginative new work with popular appeal and a social purpose. Their mission is to challenge the way performance is made, who it’s made by and who gets to experience it. Lead artist, Nick Walker is a Coventry-based writer, producer, and director. He was co-founder of theatre company, Talking Birds whose work has been presented across the UK, Europe, and the USA. He has worked with some of the country’s leading new work theatre companies including Stan’s Cafe, Insomniac, Action Hero and Theatre Absolute. His plays and short stories are regularly featured on BBC Radio 4, including 3 series of The First King of Mars (starring Peter Capaldi), and 6 series of Annika Stranded with Nicola Walker. He has a great deal of experience in writing plays and stories that are based on conversations/workshops with people around their real-life experiences, for example, exploring stories of male suicide with Coventry Men’s Shed. His writing has successfully fictionalised these experiences and made them relevant to a wider audience without losing their essence and truthfulness.

Date/time for workshop confirmed as: Wednesday 17th June 19:30

To request a Participant Information Sheet please email Kerry Wykes: ad3078@coventry.ac.uk.

HumansNotHeroes Flyer

References

Anonymous (2020) I’m an NHS Doctor and I’ve had enough of people clapping for me. The Guardian. [Online] https://www.theguardian.com/society/2020/may/21/nhs-doctor-enough-people-clapping

Beltran, R., & Begun, S. (2014). “It is medicine”: Narratives of healing from the Aotearoa Digital Storytelling as Indigenous Media Project (ADSIMP). Psychology and Developing Societies, 26, 155-179.

Clyne, W., Pezaro, S., Deeny, K., & Kneafsey, R. (2018). Using social media to generate and collect primary data: The #ShowsWorkplaceCompassion twitter research campaign. JMIR Public Health and Surveillance, 4(2), e41.

Pezaro, S., Clyne, W., Turner, A., Fulton, E. A., & Gerada, C. (2015). ‘Midwives overboard!’ inside their hearts are breaking, their makeup may be flaking but their smile still stays on. Women and Birth: Journal of the Australian College of Midwives, 29(3), 59-66

The Royal College of Physicians. (2015). Work and wellbeing in the NHS: Why staff health matters to patient care.

Lenette C, Brough M, Schweitzer R et al. (2019) ‘Better than a pill’: digital storytelling as a narrative process for refugee women, Media Practice and Education, 20:1, 67-86, DOI: 10.1080/25741136.2018.1464740

Williamson, V., Murphy, D., Greenberg, N (2020) COVID-19 and experiences of moral injury in front-line key workers, Occupational Medicine,  kqaa052, https://doi.org/10.1093/occmed/kqaa052

Further reading…

Watson, C (2020) Nurses are no heroes – they’re just finally beginning to be recognised as they should. The Telegraph.

https://www.telegraph.co.uk/health-fitness/body/nurses-no-heroes-just-finally-beginning-recognised-should/

http://talkingbirds.co.uk/pages/sitespecific.asp

http://saveourstories.co.uk/

 

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New Educational Tools Launched to Support Childbearing with Hypermobile Ehlers Danlos Syndrome and Hypermobility Spectrum Disorders

Lactation Conference

On the 5th of May (International Day of the Midwife – #IDM2020) 2020 – The year of the nurse and the midwife, the @hEDStogether team launched new educational tools to support childbearing with hypermobile Ehlers Danlos Syndrome (hEDS) and Hypermobility Spectrum Disorders (HSD). Co-incidentally, May is also Ehlers Danlos Syndromes and Hypermobility Spectrum Disorders awareness month. You can view the online launch of these tools along with our other @GOLDMidwifery presentations here at the GOLD Online Education Midwifery Conference 2019/2020.

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Citation: Pezaro, S., Pearce, G., & Magee, P. (2020). New Educational Tools to Support Childbearing With hypermobile Ehlers-Danlos syndrome and Hypermobility Spectrum Disorders. GOLD Online Midwifery Conference. May 5th.https://www.goldlearning.com/ce-library/all-lectures/new-educational-tools-detail

The final tools comprised:

  • An i-learn module launched by the Royal College of Midwives to their members (search under the letter ‘H’ for hypermobility in the online library)
  • maternity tool freely available for download and wider use
  • An infomercial to raise awareness and mobilise knowledge in relation childbearing with hEDS/HSD

download maternity tool

We were also able to launch our own website – hEDSTogether.com and keep everyone up to date with the project via @hEDStogether

We have made these tools freely available where possible. You can visit the project page to learn moreIf you are using them to create an impact in the world, please tell us about it via the contact pages hosted at hEDSTogether.com.

Useful hashtags to follow on this topic include:

#EDSmaternity

 #hEDStogether 

#EhlersDanlosSyndrome

#myEDSchallenge

#myHSDchallenge

#EDSAwarenessMonth

#raisingawarenesstogether

Thanks to everyone who joined us for the launch and co-created these tools in partnership with us!…Let’s keep putting our #hEDSTogether via research!

Follow me via @SallyPezaroThe Academic MidwifeThis blog

Until next time…Look after yourselves and each other 💚💙💜❤

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EXPLORING PROBLEMATIC SUBSTANCE USE AMONG REGISTERED MIDWIVES – SURVEY

Due to #Coronavirus #COVID19 and this additional pressures this has placed on NHS staff, we have now closed this survey (earlier than planned). Thank you to all of those who responded. We hope to publish results as soon as we can.

recruitment poster PSU survey

There is a united level of concern for the health and wellbeing of midwives in the United Kingdom (UK), where recent research has shown that many experience work-related stress and burnout. Such experiences may lead to midwives being at particular risk of substance use/misuse. In fact, in a recent review of fitness to practise (FtP) cases, a number of those put before the Nursing and Midwifery Council (NMC) related to alcohol (n=208) and drug misuse (n=131).

Such episodes of addiction, alcohol and drug use are classed as individual health concerns. Yet, whilst they can leave a variety of healthcare professionals depleted, and both workplace safety and the safety of care compromised, relevant literature has thus far been largely dominated by the experiences and care of physicians. Consequently, researchers from Coventry University are now conducting the first nationwide study of registered midwives in relation to this issue.

Project Team:

The aims of this study are:

  • To investigate substance use among midwives registered in the UK
  • To explore the perceptions of midwives registered in the UK in relation to midwifery impairment
  • To explore perceptions of midwives registered in the UK in relation to organisational support
  • To identify incidents of midwifery impairment
  • To explore the help seeking behaviours of midwives registered in the UK with problematic substance use (PSU)
  • To identify health risks among midwives registered in the UK with PSU

We are very grateful to the Royal College of Midwives for supporting recruitment to this study.

 

For further information, or if you have any queries, please contact me, the lead researcher, Dr Sally Pezaro (sally.pezaro@coventry.ac.uk).

Twitter handle: @SallyPezaro

We are also very grateful to UNISON for sharing this survey with their members

@unisontweets

If you would like to follow the progress of work going forward..

Follow me via @SallyPezaroThe Academic MidwifeThis blog

Until next time…Look after yourselves and each other 💚💙💜❤

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Have your say in designing future research on childbearing with hypermobile Ehlers-Danlos syndrome: VOTE NOW!

THESE POLLS ARE NOW CLOSED

YOU CAN SEE THE RESULTS OF THEM HERE..

THANK YOU TO EVERYONE WHO TOOK PART! BELOW IS THE ORIGINAL POST:

As you may or may not know, we (@GemmaSPearce @DrEReinhold  and I, @SallyPezaro) have recently won funding to do further research and professional & public engagement on the topic of  & childbearing.

This will allow us to:

  1. Conduct two international surveys (one with women with hypermobile Ehlers-Danlos syndrome (hEDS) or Hypermobile Spectrum Disorder (HSD) about childbearing, and the other with maternity staff)
  2. Spend some time with relevant people/organisations to develop ideas and co-produce great things together
  3. Host a public engagement event

But first we need your help!

We are currently designing how the two international surveys will look and what they will ask our participants about. Whilst we have largely relied on the current evidence base to develop the surveys so far, we would also like to involve YOU (the public) in telling us what topics we should prioritise.

Please indicate which topics matter most to you via the following short polls;

(bear in mind that the more answers you select, the longer our final survey will take to complete…)

Which tools would be most useful in helping maternity staff support childbearing women with hEDS/HSD?

What should we ask maternity staff about hEDS/HSD in the context of childbearing?

What complications should we ask childbearing women with hEDS/HSD about?

Thank You on wooden blocks

Many thanks for your responses and suggestions. Please share this blog post far and wide so that we can include as many voices as possible in the design of this work!

We will be using all responses submitted before the end of the 24th of February 2019.

🎓😁🙌❤

If you would like to follow the progress of work going forward..

Follow me via @SallyPezaroThe Academic MidwifeThis blog

Until next time…Look after yourselves and each other 💚💙💜❤

 

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19 Things That Show Workplace Compassion for Healthcare Staff

We are all well aware of how the wellbeing of healthcare staff can affect the quality and safety of care. I have also talked at length about the wellbeing of health care staff and the theories surrounding work-related psychological distress. But do we really have any concrete idea of what shows workplace compassion for healthcare staff?

My research published in collaboration with Dr. Wendy Clyne, Dr. Karen Deeny and Dr. Rosie Kneafsey asked Twitter users to contribute their views about what activities, actions, policies, philosophies or approaches demonstrate workplace compassion in healthcare using the hashtag #ShowsWorkplaceCompassion. It can be cited as follows:

Clyne W, Pezaro S, Deeny K, Kneafsey R. Using Social Media to Generate and Collect Primary Data: The #ShowsWorkplaceCompassion Twitter Research Campaign. JMIR Public Health Surveill 2018;4(2):e41. DOI: 10.2196/publichealth.7686. PMID: 29685866

Image result for compassion

The results of this study outlined 19 things or ‘Themes’ in relation to what shows workplace compassion for healthcare staff as follows…

  Leadership and Management
1 Embedded organizational culture of caring for one another
2 Speaking openly to learn from mistakes
3 No blame/no bullying management
4 Inspiring leaders and collective leadership
5 Financial investment in staff
6 Recognize humanity and diversity
  Values and Culture
7 Common purpose in a team
8 Feeling valued
9 Being heard
10 Enjoying work
11 Being Engaged at work
12 Use of caring language
  Personalized Policies and Procedures
13 Recognition of the emotional and physical impact of healthcare work
14 Recognition of non-work personal context
15 Work/life balance is respected
16 Respecting the right to breaks
17 Being treated well when unwell
  Activities and Actions
18 Small gestures of kindness
19 Provision of emotional support

How will you implement these things within your healthcare workplace? I would love to hear your thoughts on this…

If you would like to follow the progress of my work going forward..

Follow me via @SallyPezaroThe Academic MidwifeThis blog

Until next time…Look after yourselves and each other 💚💙💜❤

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10 Top tips for caring for women with Hypermobile Ehlers-Danlos Syndrome in pregnancy for International Day of the Midwife #IDM2018 & #EDS awareness month

 or ‘International Day of the Midwife’ falls on May the 5th of every year. The theme for 2018 in three languages is…

  • Midwives leading the way with quality care
  • Sages-femmes, ouvrons la voie avec la qualité des soins
  • Matronas liderando el camino con un cuidado de calidad 

Also… Every May is Ehlers-Danlos Syndrome (EDS) awareness month around the world.

As such….for , and EDS awareness month… I shared 10 top tips for caring for women with hypermobile Ehlers Danlos Syndrome (hEDS) during pregnancy birth and beyond. These tips come from my latest paper, authored in partnership with Dr. Gemma Pearce (@GemmaSPearce) and Dr. Emma Reinhold (@DrEReinhold ), entitled …

Hypermobile Ehlers-Danlos Syndrome during pregnancy, birth and beyond

Here, we present care considerations for midwives and the multidisciplinary team caring for this unique subgroup of childbearing women. However, we hope that women with hEDS will also benefit from this paper, as they make decisions in partnership with their professional health care teams. You can read the press release from this paper here.

I would personally like to thank the board members of the British Journal of Midwifery for making this article FREE for all to read. I would also like to thank the Royal college of Midwives for sharing news of the article here…and the Nursing Times for sharing further news here.

So what can midwives do to maximize the quality of care given to women with hEDS throughout pregnancy birth and beyond?…First of all….Know the facts…

  • There have been no prevalence studies since EDS received a major reclassification in 2017
  • Earlier estimates from 2006 suggest a prevalence rate of 0.75-2% for hyper mobile EDS
  • hEDS is the most common form of EDS
  • Up to 78% of women with hEDS could also have a diagnosis of Postural Orthostatic Tachycardia Syndrome (POTS)
  • POTS predominantly occurs in women of childbearing age
  • EDS is considered to remain largely under diagnosed.

Tips for midwives

  1. Discuss individual needs with women, as no two cases will be the same. Do this early, and always in partnership with the woman and the wider multidisciplinary healthcare team.
  2. Consider early referral to obstetric, physiotherapy and anaesthetic teams in partnership with the woman.
  3. Consider the need for alternate maternal positioning during pregnancy, birth and beyond. To minimise the risk of injury, positioning should be led by the mother.
  4. As wound healing can be problematic, the use of non-tension, non-dissolvable, deep double sutures, left in for at least 14 days is advisable.
  5. Wait longer for local anaesthetics to take effect and consider giving maximum dosage. Always be led by the mother on whether pain relief is sufficient
  6. Always consider the significance of a routine observation in light of existing POTS and/or EDS symptoms
  7. Promote spontaneous pushing rather than directed pushing during birth
  8. Promote effective pain management and the use of therapeutic birthing environments to promote reductions in stress
  9. Consider additional joint support for newborns suspected of having hEDS
  10. Document all joint dislocations and bruising marks on the newborn from birth to avoid misdiagnosis and/or wrongful accusations of mistreatment.

Research into EDS and childbearing is in it’s very early stages. We hope to build on this work to make a difference for all women with hEDS during pregnancy, birth and beyond.

pregnant belly

If you would like to follow the progress of this work going forward..

Follow me via @SallyPezaroThe Academic MidwifeThis blog

Until next time…Look after yourselves and each other 💚💙💜❤