#WeMidwives - Tuesday 3rd February 2015 8pm (GMT Standard Time) Birthplace and the new NICE guidelines: what implications?

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Hosted by WeMidwives using #WeMidwives

This chat is guest hosted by @drtraceyc

NICE published an update of the guidelines for Intrapartum Care in December 2014 #EBP. I was a member of the guideline group who developed these. The guideline has many changes to practice within it.  I think the most exciting yet challenging part of the guideline are the recommendations for place of birth, and this is what I would like this chat to focus on. 

When I performed my research for my PhD on Women and Midwives Perceptions of a Midwife's Role it seemed clear that many women feel the safest place for them is in hospital because doctors are there and technology is available (Cooper 2011). 

The results from studies on place of birth blow this perception out of the water, clearly showing birth is safer at home for women who have already given birth to a baby and a freestanding birth centre is the safest place for women having their first baby. See tables below outcomes for women and their planned place of birth, the yellow shaded areas show the best outcomes for these women.

Women who have had a previous baby:


Babies have the same outcomes in all of the settings 2-3/1000.


Women having their first baby:



Babies have a slightly increased risk of an adverse outcome for women planning birth at home 9/1000, compared to 5/1000 in the other settings.

These tables are included in information about place of birth in the implementation tools for midwives and doctors to discuss with women, do you think this will happen?

I think that not only women but midwives and doctors perceptions relating to the safest place for birth are challenged by this evidence. In view of this how successful do you think this part of the guideline will be? Clinical Commissioning Groups have to ensure all 4 birth settings are available, including freestanding birth centres. Do you think this will happen?  For women to make a truly informed choice, are they directed to the guidance in your service, which clearly highlights disadvantages of birth in an obstetric unit for low risk women?

There has been criticism of the studies included, but one of these studies is the largest study performed on place of birth in the UK, therefore is based on current services within the UK, providing the most up to date information on almost 75,000 births (Birthplace 2012). Is this because many professionals do not feel comfortable about what the evidence suggests?

Reference:

Cooper T (2011) Perceptions of a midwife's role: a technoscience perspective. Unpublished Thesis. University of Central Lancashire http://clok.uclan.ac.uk/2404/ 







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 Chat Summary

 

Tonight we had a lively debate about the implications of the new NICE Intrapartum Guidelines and their dissemination into practice, particularly around place of birth....it seems the issues are complex! Some Trusts in UK don't provide all four options, and of those that do, sometimes the options aren't offered! Take a look at a selection of the tweets below, and add to the debate at the end! This is a great reference point: 




































































































Special thanks to Tracey for FAB chat topic, which, we think, we should repeat in a few months given the newness of the guidance! 


Until then, keep chatting here...remember this 



And be aware of these two resources to help you to help women make the right choices for them!


Birth Place Decisions by Kirstie Coxon 


NICE: choosing place of birth tool for midwives 


Thanks to all for joining in and contributing! 





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 #WeMidwives transcript

 
@drtraceyc
03 February 2015 20:00
@SagefemmeSB @WeMidwives #wemidwives Lol x Evening everyone....hope we can warm up your cold evening!
@WeMidwives
03 February 2015 20:02
Good evening #WeMidwives ?? Great topic for tonight's chat courtesy of @drtraceyc - lets get stuck in! #birthplace
@sheena_byrom
03 February 2015 20:02
All set... #WeMidwives I'm here! Helping @JennytheM and @drtraceyc to chat tonight! Don't forget #WeMidwives...
@sheena_byrom
03 February 2015 20:02
@drtraceyc @WeMidwives don't forget #wemidwives Tracey!
@WeMidwives
03 February 2015 20:02
DONT FORGET the # - use #WeMidwives to keep track of the chat!
@sheena_byrom
03 February 2015 20:02
RT @drtraceyc: @SagefemmeSB @WeMidwives #wemidwives Lol x Evening everyone....hope we can warm up your cold evening!
@gbutcher17
03 February 2015 20:02
hi all #wemidwives
@drtraceyc
03 February 2015 20:03
@SagefemmeSB @WeMidwives #wemidwives how are we going to ensure we have 4 birth settings in all areas? midwives we need to be sure happens
@sheena_byrom
03 February 2015 20:03
RT @WeMidwives: Good evening #WeMidwives ?? Great topic for tonight's chat courtesy of @drtraceyc - lets get stuck in! #birthplace
@WeMidwives
03 February 2015 20:03
Have you found your workplace has taken findings of #birthplace on board? #WeMidwives
@WeMidwives
03 February 2015 20:04
RT @drtraceyc: @SagefemmeSB @WeMidwives #wemidwives how are we going to ensure we have 4 birth settings in all areas? midwives we need to b…
@WeMidwives
03 February 2015 20:04
@gbutcher17 Evening Geraldine! Lovely you're here! #WeMidwives
@sheena_byrom
03 February 2015 20:04
@WeMidwives @drtraceyc just been chatting to my niece Australian MW abt this...no 3 offers here of birthplace! @hannahdahlen #wemidwives
@sheena_byrom
03 February 2015 20:05
RT @drtraceyc: @SagefemmeSB @WeMidwives #wemidwives how are we going to ensure we have 4 birth settings in all areas? midwives we need to b…
@JonathanCliffe8
03 February 2015 20:05
RT @WeMidwives: Have you found your workplace has taken findings of #birthplace on board? #WeMidwives
@ThatMidwife
03 February 2015 20:05
Hi all #WeMidwives
@gbutcher17
03 February 2015 20:05
@WeMidwives @drtraceyc @SagefemmeSB @WeMidwives may depend on local need and womens wishes...urban, remote rural? #wemidwives
@drtraceyc
03 February 2015 20:06
@SagefemmeSB @WeMidwives #wemidwives Is there a reluctance to acknowledge that we r causing harm in obs unit?
@sheena_byrom
03 February 2015 20:06
@drtraceyc @WeMidwives @BirthChoiceUK @BirthplaceStudy have numbers of out of hospital settings-not always available! #wemidwives
@WeNurses
03 February 2015 20:06
chatting NOW are: #WeNurses > ebola #WeScNs > Prescribing #WeMidwives > NICE guidelines Don't miss your chat!
@WeDocs
03 February 2015 20:06
chatting NOW are: #WeNurses > ebola #WeScNs > Prescribing #WeMidwives > NICE guidelines Don't miss your chat!
@WeParamedics
03 February 2015 20:06
chatting NOW are: #WeNurses > ebola #WeScNs > Prescribing #WeMidwives > NICE guidelines Don't miss your chat!
@WeSchoolNurses
03 February 2015 20:06
chatting NOW are: #WeNurses > ebola #WeScNs > Prescribing #WeMidwives > NICE guidelines Don't miss your chat!
@WeMidwives
03 February 2015 20:06
chatting NOW are: #WeNurses > ebola #WeScNs > Prescribing #WeMidwives > NICE guidelines Don't miss your chat!
@WeLDnurses
03 February 2015 20:06
chatting NOW are: #WeNurses > ebola #WeScNs > Prescribing #WeMidwives > NICE guidelines Don't miss your chat!
@WePharmacists
03 February 2015 20:06
chatting NOW are: #WeNurses > ebola #WeScNs > Prescribing #WeMidwives > NICE guidelines Don't miss your chat!
@WeDistrictNurse
03 February 2015 20:06
chatting NOW are: #WeNurses > ebola #WeScNs > Prescribing #WeMidwives > NICE guidelines Don't miss your chat!
@WeCommissioners
03 February 2015 20:06
chatting NOW are: #WeNurses > ebola #WeScNs > Prescribing #WeMidwives > NICE guidelines Don't miss your chat!
@WeMHNurses
03 February 2015 20:06
chatting NOW are: #WeNurses > ebola #WeScNs > Prescribing #WeMidwives > NICE guidelines Don't miss your chat!
@drtraceyc
03 February 2015 20:06
RT @WeMidwives: Have you found your workplace has taken findings of #birthplace on board? #WeMidwives
@DawnT_89
03 February 2015 20:06
@SagefemmeSB @drtraceyc @hannahdahlen Unfortunately some Trusts here in UK only have 2 options too ?? #birthplace #WeMidwives
@sheena_byrom
03 February 2015 20:06
@gbutcher17 @WeMidwives @drtraceyc agree! But need to be available to offer? #wemidwives
@sheena_byrom
03 February 2015 20:06
RT @DawnT_MW: @SagefemmeSB @drtraceyc @hannahdahlen Unfortunately some Trusts here in UK only have 2 options too ?? #birthplace #WeMidwives
@MidwivesRCM
03 February 2015 20:07
RT @WeMidwives: Good evening #WeMidwives ?? Great topic for tonight's chat courtesy of @drtraceyc - lets get stuck in! #birthplace
@gbutcher17
03 February 2015 20:07
@drtraceyc @SagefemmeSB @WeMidwives so far havent actually been asked that question...not sure if results believed by all #wemidwives
@sheena_byrom
03 February 2015 20:07
@DawnT_MW @drtraceyc @hannahdahlen what do you think we should do about that #WeMidwives?
@WeMidwives
03 February 2015 20:07
@RMidwivesNNUH Good evening! Welcome to chat! #WeMidwives
@jodetteholly
03 February 2015 20:07
RT @drtraceyc: @SagefemmeSB @WeMidwives #wemidwives Is there a reluctance to acknowledge that we r causing harm in obs unit?
@WeMidwives
03 February 2015 20:07
RT @drtraceyc: @SagefemmeSB @WeMidwives #wemidwives Is there a reluctance to acknowledge that we r causing harm in obs unit?
@WeMidwives
03 February 2015 20:07
RT @MidwivesRCM: RT @WeMidwives: Good evening #WeMidwives ?? Great topic for tonight's chat courtesy of @drtraceyc - lets get stuck in! #bi…
@Bartontd
03 February 2015 20:07
RT @WeMHNurses: chatting NOW are: #WeNurses > ebola #WeScNs > Prescribing #WeMidwives > NICE guidelines Don't miss your chat!
@gbutcher17
03 February 2015 20:07
@drtraceyc @SagefemmeSB @WeMidwives ...and of course there must be something that is different...how we care, how women feel... #wemidwives
@drtraceyc
03 February 2015 20:08
@gbutcher17 @WeMidwives @SagefemmeSB #wemidwives but if evidence says better outcomes in these settings shouldn't they b provided all areas
@sheena_byrom
03 February 2015 20:08
@gbutcher17 @drtraceyc @WeMidwives hmmm interesting-believing the evidence is tricky for some-#wemidwives
@sheena_byrom
03 February 2015 20:08
RT @drtraceyc: @SagefemmeSB @WeMidwives #wemidwives Is there a reluctance to acknowledge that we r causing harm in obs unit?
@gbutcher17
03 February 2015 20:08
RT @drtraceyc RT @WeMidwives: Have you found your workplace has taken findings of #birthplace on board? #WeMidwives
@janet_t_55
03 February 2015 20:09
@WeMidwives #wemidwives our large health board has 2OU, 1AMU and 1FMU...but age old problem of proper staffing levels...
@husseawo
03 February 2015 20:10
@DawnT_MW @SagefemmeSB I'm v.lucky to be at Trust which offers all 4 options, but not always discussed/offered by MWs #WeMidwives
@DawnT_89
03 February 2015 20:10
@SagefemmeSB @drtraceyc @hannahdahlen Wish I had solution. HoM told me % women who cld use MLU meant wasn't financially feasible #wemidwives
@drtraceyc
03 February 2015 20:10
RT @DawnT_MW: @SagefemmeSB @drtraceyc @hannahdahlen Unfortunately some Trusts here in UK only have 2 options too ?? #birthplace #WeMidwives
@gbutcher17
03 February 2015 20:10
@SagefemmeSB @drtraceyc @WeMidwives after 5 decades of being told homebirth not safe may be hard to take onboard #wemidwives
@hallmum5
03 February 2015 20:10
Hello. Sort of here @WeMidwives #WeMidwives
@sheena_byrom
03 February 2015 20:10
#WeMidwives have you seen this FAB resource to help women choose? http://t.co/iZQ9quG6nL @gbutcher17
@DawnT_89
03 February 2015 20:11
@awo_h SagefemmeSB Thats great to hear! Why aren't all options discussed do you think? #choice #birthplace #wemidwives
@Gibson7CL
03 February 2015 20:11
RT @WeMidwives: Have you found your workplace has taken findings of #birthplace on board? #WeMidwives
@WeMidwives
03 February 2015 20:11
RT @SagefemmeSB: @gbutcher17 @drtraceyc @WeMidwives hmmm interesting-believing the evidence is tricky for some-#wemidwives
@smithgillianbl
03 February 2015 20:12
RT @gbutcher17: RT @drtraceyc RT @WeMidwives: Have you found your workplace has taken findings of #birthplace on board? #WeMidwives
@karen_yatesRNRM
03 February 2015 20:12
@drtraceyc @SagefemmeSB @WeMidwives #WeMidwives Hello from a warm morning in Cairns Aus
@WeMidwives
03 February 2015 20:12
Don't forget # so we can track & keep all involved via #WeMidwives
@WeMidwives
03 February 2015 20:12
RT @SagefemmeSB: #WeMidwives have you seen this FAB resource to help women choose? http://t.co/iZQ9quG6nL @gbutcher17
@smithgillianbl
03 February 2015 20:12
RT @MidwivesRCM: RT @WeMidwives: Good evening #WeMidwives ?? Great topic for tonight's chat courtesy of @drtraceyc - lets get stuck in! #bi…
@gbutcher17
03 February 2015 20:12
we also need to ask why so many women not thought to be suitable for MLU....are we over estimating risk? #wemidwives
@WeMidwives
03 February 2015 20:13
@hallmum5 Hi Jenny! ?? #wemidwives
@drtraceyc
03 February 2015 20:13
@DawnT_MW @SagefemmeSB @hannahdahlen #wemidwives there is a costing paper on NICE website to help with this and economic analysis in IPC gui
@hallmum5
03 February 2015 20:13
@DawnT_MW @awo_h midwives have their own 'opinions' of what is best so influence through language #wemidwives
@gbutcher17
03 February 2015 20:13
what about informed choice re alongside MLUs....expanded criteria? #wemidwives
@WeMidwives
03 February 2015 20:13
RT @gbutcher17: we also need to ask why so many women not thought to be suitable for MLU....are we over estimating risk? #wemidwives
@gbutcher17
03 February 2015 20:14
RT @hallmum5 @DawnT_MW @awo_h midwives have their own 'opinions' of what is best so influence through language #wemidwives
@WeMidwives
03 February 2015 20:14
RT @karenyatesjcu: @drtraceyc @SagefemmeSB @WeMidwives #WeMidwives Hello from a warm morning in Cairns Aus
@WeMidwives
03 February 2015 20:14
RT @DawnT_MW: @awo_h SagefemmeSB Thats great to hear! Why aren't all options discussed do you think? #choice #birthplace #wemidwives
@WeMidwives
03 February 2015 20:14
RT @hallmum5: Hello. Sort of here @WeMidwives #WeMidwives
@drtraceyc
03 February 2015 20:14
@karenyatesjcu @SagefemmeSB @WeMidwives #wemidwives hello...great to see you x
@WeMidwives
03 February 2015 20:14
RT @janet_t_55: @WeMidwives #wemidwives our large health board has 2OU, 1AMU and 1FMU...but age old problem of proper staffing levels...
@WeMidwives
03 February 2015 20:14
RT @DawnT_MW: @SagefemmeSB @drtraceyc @hannahdahlen Unfortunately some Trusts here in UK only have 2 options too ?? #birthplace #WeMidwives
@Gibson7CL
03 February 2015 20:14
@WeMidwives challenges are complex and multifactorial when facilitating informed choice which differs to recommendation #WeMidwives
@julie_pearce1
03 February 2015 20:14
RT @WeLDnurses: chatting NOW are: #WeNurses > ebola #WeScNs > Prescribing #WeMidwives > NICE guidelines Don't miss your chat!
@drtraceyc
03 February 2015 20:14
@gbutcher17 #wemidwives agree Geraldine x
@hallmum5
03 February 2015 20:15
@WeMidwives hi??#wemidwives
@WeMidwives
03 February 2015 20:15
RT @hallmum5: @WeMidwives hi??#wemidwives
@sheena_byrom
03 February 2015 20:15
RT @MidwivesRCM: RT @WeMidwives: Good evening #WeMidwives ?? Great topic for tonight's chat courtesy of @drtraceyc - lets get stuck in! #bi…
@sheena_byrom
03 February 2015 20:15
I wonder how many midwives provide this information regarding choice #wemidwives in place of birth? @drtraceyc http://t.co/eUfVAuai1o
@WeMidwives
03 February 2015 20:15
RT @drtraceyc: @karenyatesjcu @SagefemmeSB @WeMidwives #wemidwives hello...great to see you x
@gbutcher17
03 February 2015 20:15
@hallmum5 @DawnT_MW @awo_h how you give information can sway women one way or other ..whether we are fully aware of that or not #wemidwives
@ediemoonbeam
03 February 2015 20:15
Hello all @WeMidwives and hello to @ohmadone - first chat - use #wemidwives
@maternalmatters
03 February 2015 20:15
@drtraceyc @WeMidwives @SagefemmeSB I say the same thing I always do-true 1:1 care is best way 2 promote mid led birth settings #wemidwives
@WeMidwives
03 February 2015 20:15
RT @ediemoonbeam: Hello all @WeMidwives and hello to @ohmadone - first chat - use #wemidwives
@JonathanCliffe8
03 February 2015 20:15
RT @SagefemmeSB: I wonder how many midwives provide this information regarding choice #wemidwives in place of birth? @drtraceyc http://t.…
@gbutcher17
03 February 2015 20:16
RT @CKuponiyi @WeMidwives challenges complex & multifactorial when facilitating informed choice which differs to recommendation #WeMidwives
@husseawo
03 February 2015 20:16
@DawnT_MW personal views against home/stand alone perhaps. low risk= hospital bcentre/high risk= labour ward. No informed choice #WeMidwives
@WeMidwives
03 February 2015 20:16
RT @SagefemmeSB: I wonder how many midwives provide this information regarding choice #wemidwives in place of birth? @drtraceyc http://t.…
@janet_t_55
03 February 2015 20:16
@gbutcher17 @WeMidwives #WeMidwives it's making sure the women are properly assessed at booking for MLC, perhaps some lack of confidence?
@husseawo
03 February 2015 20:16
RT @hallmum5: @DawnT_MW @awo_h midwives have their own 'opinions' of what is best so influence through language #wemidwives
@sheena_byrom
03 February 2015 20:16
RT @gbutcher17: we also need to ask why so many women not thought to be suitable for MLU....are we over estimating risk? #wemidwives
@maternalmatters
03 February 2015 20:16
@drtraceyc @WeMidwives @SagefemmeSB When there is relationship of trust b/w mw&mum mid led birth place is a real option 4 mums #wemidwives
@WeMidwives
03 February 2015 20:17
RT @janet_t_55: @gbutcher17 @WeMidwives #WeMidwives it's making sure the women are properly assessed at booking for MLC, perhaps some lack …
@drtraceyc
03 February 2015 20:17
RT @SagefemmeSB: I wonder how many midwives provide this information regarding choice #wemidwives in place of birth? @drtraceyc http://t.…
@Gibson7CL
03 February 2015 20:17
@SagefemmeSB @WeMidwives often there is a misconception that by facilitating women's choice we are recommending that choice #WeMidwives
@ediemoonbeam
03 February 2015 20:17
RT @hallmum5: @DawnT_MW @awo_h midwives have their own 'opinions' of what is best so influence through language #wemidwives
@gbutcher17
03 February 2015 20:17
RT @janet_t_55 @gbutcher17 @WeMidwives #WeMidwives it's making sure women properly assessed at booking for MLC, ? some lack of confidence?
@WeMidwives
03 February 2015 20:17
RT @gbutcher17: RT @janet_t_55 @gbutcher17 @WeMidwives #WeMidwives it's making sure women properly assessed at booking for MLC, ? some lack…
@Gibson7CL
03 February 2015 20:17
@SagefemmeSB @WeMidwives getting midwives and obstetricians to work out of their comfort zones #wemidwives
@gbutcher17
03 February 2015 20:18
@WeMidwives @janet_t_55 @gbutcher17 @WeMidwives I think thats true #wemidwives
@sheena_byrom
03 February 2015 20:18
@karenyatesjcu @drtraceyc @WeMidwives morning Karen from cooler Melbourne! Do U offer all 4 birthplace settings 2 low risk women?#wemidwives
@gbutcher17
03 February 2015 20:18
RT @CKuponiyi @SagefemmeSB @WeMidwives getting midwives and obstetricians to work out of their comfort zones #wemidwives
@karen_yatesRNRM
03 February 2015 20:18
@SagefemmeSB @WeMidwives @drtraceyc @hannahdahlen #WeMidwives Yes very limited in many places, especially rural Aus
@ediemoonbeam
03 February 2015 20:18
@gbutcher17 @hallmum5 @DawnT_MW @awo_h yes & can it also be about how safe & supported mws feel #wemidwives
@sheena_byrom
03 February 2015 20:18
RT @CKuponiyi: @SagefemmeSB @WeMidwives getting midwives and obstetricians to work out of their comfort zones #wemidwives
@WeMidwives
03 February 2015 20:19
@janet_t_55 @gbutcher17 and also reassessed at admission @Birtheastlancs have a proforma #weMidwives
@husseawo
03 February 2015 20:19
Got stuck in without saying #Hello ?? #WeMidwives my first chat!
@WeMidwives
03 February 2015 20:19
RT @CKuponiyi: @SagefemmeSB @WeMidwives getting midwives and obstetricians to work out of their comfort zones #wemidwives
@WeMidwives
03 February 2015 20:19
RT @gbutcher17: @WeMidwives @janet_t_55 @gbutcher17 @WeMidwives I think thats true #wemidwives
@WeMidwives
03 February 2015 20:19
@gbutcher17 @janet_t_55 Also important to acknowledge some women need & want obstetric led care/birth in an OU #WeMidwives
@janet_t_55
03 February 2015 20:19
@gbutcher17 @WeMidwives #wemidwives All MLC women in 1 area automatically go to AMU, only sent to OU if complications or rx epidural
@WeMidwives
03 February 2015 20:19
RT @gbutcher17: RT @CKuponiyi @SagefemmeSB @WeMidwives getting midwives and obstetricians to work out of their comfort zones #wemidwives
@WeMidwives
03 February 2015 20:19
RT @janet_t_55: @gbutcher17 @WeMidwives #wemidwives All MLC women in 1 area automatically go to AMU, only sent to OU if complications or rx…
@drtraceyc
03 February 2015 20:19
@maternalmatters @WeMidwives @SagefemmeSB #wemidwives there is a decision aid tool for midwives to use when discussing place of birth 1/2
@gbutcher17
03 February 2015 20:19
'same' woman with 2 different midwife / obstetrician pairs-different views of informed choice & can facilitate or act as barrier #wemidwives
@sheena_byrom
03 February 2015 20:19
RT @ediemoonbeam: @gbutcher17 @hallmum5 @DawnT_MW @awo_h yes & can it also be about how safe & supported mws feel #wemidwives
@WeMidwives
03 February 2015 20:19
RT @drtraceyc: @maternalmatters @WeMidwives @SagefemmeSB #wemidwives there is a decision aid tool for midwives to use when discussing place…
@karen_yatesRNRM
03 February 2015 20:20
@SagefemmeSB @drtraceyc @WeMidwives #wemidwives currently only hospital option in CNS tho can be MW led. Birth centre in development
@sheena_byrom
03 February 2015 20:20
RT @hallmum5: @DawnT_MW @awo_h midwives have their own 'opinions' of what is best so influence through language #wemidwives
@WeMidwives
03 February 2015 20:20
RT @awo_h: Got stuck in without saying #Hello ?? #WeMidwives my first chat!
@sheena_byrom
03 February 2015 20:20
RT @WeMidwives: Have you found your workplace has taken findings of #birthplace on board? #WeMidwives
@ediemoonbeam
03 February 2015 20:20
@WeMidwives excited to see @ohmadone joining in from Scotland - there aren't very many of us #tweetingscottishmidwives #wemidwives
@drtraceyc
03 February 2015 20:20
@maternalmatters @WeMidwives @SagefemmeSB #wemidwives with women on the NICE IPC webpage under implementation tools 2/2
@sheena_byrom
03 February 2015 20:20
RT @karenyatesjcu: @SagefemmeSB @drtraceyc @WeMidwives #wemidwives currently only hospital option in CNS tho can be MW led. Birth centre in…
@WeMidwives
03 February 2015 20:20
RT @drtraceyc: @maternalmatters @WeMidwives @SagefemmeSB #wemidwives with women on the NICE IPC webpage under implementation tools 2/2
@hallmum5
03 February 2015 20:20
4interest in 10 years between my 5 homebirths midwife 'chat' about choice went from 5mins to 40mins +a signed disclaimer #risk #WeMidwives
@gbutcher17
03 February 2015 20:21
@ediemoonbeam @WeMidwives @ohmadone yes big drive needed for tweeting and hopefully new guidance will help encourage #wemidwives
@DawnT_89
03 February 2015 20:21
RT @ediemoonbeam: @gbutcher17 @hallmum5 @DawnT_MW @awo_h yes & can it also be about how safe & supported mws feel #wemidwives
@janet_t_55
03 February 2015 20:21
@WeMidwives @gbutcher17 @Birtheastlancs #wemidwives we use AllWalesPathway :)
@hallmum5
03 February 2015 20:21
It will take time to change risk and tick box culture again #WeMidwives @WeMidwives
@drtraceyc
03 February 2015 20:21
@ediemoonbeam @WeMidwives @ohmadone #wemidwives u r a valuable comodity we can't do without! x
@WeMidwives
03 February 2015 20:21
RT @karenyatesjcu: @SagefemmeSB @drtraceyc @WeMidwives #wemidwives currently only hospital option in CNS tho can be MW led. Birth centre in…
@WeMidwives
03 February 2015 20:21
RT @ediemoonbeam: @gbutcher17 @hallmum5 @DawnT_MW @awo_h yes & can it also be about how safe & supported mws feel #wemidwives
@WeMidwives
03 February 2015 20:21
RT @karenyatesjcu: @SagefemmeSB @WeMidwives @drtraceyc @hannahdahlen #WeMidwives Yes very limited in many places, especially rural Aus
@ediemoonbeam
03 February 2015 20:21
RT @drtraceyc: @ediemoonbeam @WeMidwives @ohmadone #wemidwives u r a valuable comodity we can't do without! x
@gbutcher17
03 February 2015 20:21
RT @hallmum5 It will take time to change risk and tick box culture again #WeMidwives @WeMidwives
@MidwivesRCM
03 February 2015 20:22
@drtraceyc @maternalmatters @WeMidwives @SagefemmeSB Decisions are also being made in discussion with friends & families. #WeMidwives
@WeMidwives
03 February 2015 20:22
RT @drtraceyc: @gbutcher17 #wemidwives agree Geraldine x
@DawnT_89
03 February 2015 20:22
RT @drtraceyc: @ediemoonbeam @WeMidwives @ohmadone #wemidwives u r a valuable comodity we can't do without! x
@DawnT_89
03 February 2015 20:22
RT @hallmum5: It will take time to change risk and tick box culture again #WeMidwives @WeMidwives
@WeMidwives
03 February 2015 20:22
RT @gbutcher17: what about informed choice re alongside MLUs....expanded criteria? #wemidwives
@WeMidwives
03 February 2015 20:22
RT @hallmum5: @DawnT_MW @awo_h midwives have their own 'opinions' of what is best so influence through language #wemidwives
@WeMidwives
03 February 2015 20:22
RT @drtraceyc: @DawnT_MW @SagefemmeSB @hannahdahlen #wemidwives there is a costing paper on NICE website to help with this and economic ana…
@hallmum5
03 February 2015 20:22
RT @WeMidwives: @janet_t_55 @gbutcher17 and also reassessed at admission @Birtheastlancs have a proforma #weMidwives
@SarahCurtis2000
03 February 2015 20:22
RT @SagefemmeSB: I wonder how many midwives provide this information regarding choice #wemidwives in place of birth? @drtraceyc http://t.…
@WeMidwives
03 February 2015 20:22
RT @hallmum5: It will take time to change risk and tick box culture again #WeMidwives @WeMidwives
@WeMidwives
03 February 2015 20:23
RT @gbutcher17: RT @hallmum5 It will take time to change risk and tick box culture again #WeMidwives @WeMidwives
@drtraceyc
03 February 2015 20:23
@ediemoonbeam @gbutcher17 @hallmum5 @DawnT_MW @awo_h #wemidwives yes, need support from a consultant midwife or managers as well as each oth
@WeMidwives
03 February 2015 20:23
RT @drtraceyc: @ediemoonbeam @WeMidwives @ohmadone #wemidwives u r a valuable comodity we can't do without! x
@smithgillianbl
03 February 2015 20:23
RT @gbutcher17: RT @hallmum5 It will take time to change risk and tick box culture again #WeMidwives @WeMidwives
@hallmum5
03 February 2015 20:23
@WeMidwives @janet_t_55 @gbutcher17 @Birtheastlancs doesn't all this 'assessing' give impression we don't believe in process? #WeMidwives
@gbutcher17
03 February 2015 20:23
@hallmum5 dont like disclaimers..and after birthplace maybe its for hospital birth not home for some women #wemidwives
@Gibson7CL
03 February 2015 20:23
@SagefemmeSB @WeMidwives conflict between duty of care not to do harm, facilitating informed choice and advocacy #WeMidwives
@sheena_byrom
03 February 2015 20:23
@hallmum5 @DawnT_MW @awo_h this should help? #WeMidwives @Kirstie_Coxon http://t.co/BAslCmNGwt
@Gibson7CL
03 February 2015 20:23
RT @drtraceyc: @maternalmatters @WeMidwives @SagefemmeSB #wemidwives there is a decision aid tool for midwives to use when discussing place…
@drtraceyc
03 February 2015 20:23
@gbutcher17 @hallmum5 @DawnT_MW @awo_h #wemidwives NICE IPC rec says should not use own views to influence women
@WeMidwives
03 February 2015 20:24
Are all staff from all areas embracing new birth centres and referring appropriately ? #wemidwives
@gbutcher17
03 February 2015 20:24
RT @CKuponiyi @SagefemmeSB @WeMidwives conflict between duty of care not to do harm, facilitating informed choice and advocacy #WeMidwives
@karen_yatesRNRM
03 February 2015 20:24
RT @drtraceyc: @maternalmatters @WeMidwives @SagefemmeSB #wemidwives there is a decision aid tool for midwives to use when discussing place…
@drtraceyc
03 February 2015 20:24
@hallmum5 @DawnT_MW @awo_h #wemidwives agree- cohersion going on!
@drtraceyc
03 February 2015 20:24
RT @hallmum5: @DawnT_MW @awo_h midwives have their own 'opinions' of what is best so influence through language #wemidwives
@hallmum5
03 February 2015 20:24
RT @gbutcher17: @hallmum5 dont like disclaimers..and after birthplace maybe its for hospital birth not home for some women #wemidwives
@WeMidwives
03 February 2015 20:24
Do some normal births take place on labour ward that could have taken place on birth centre ? #weMidwives
@smithgillianbl
03 February 2015 20:24
RT @drtraceyc: @gbutcher17 @hallmum5 @DawnT_MW @awo_h #wemidwives NICE IPC rec says should not use own views to influence women
@hallmum5
03 February 2015 20:24
@gbutcher17 great idea #wemidwives
@JonathanCliffe8
03 February 2015 20:24
RT @WeMidwives: @gbutcher17 @janet_t_55 Also important to acknowledge some women need & want obstetric led care/birth in an OU #WeMidwives
@smithgillianbl
03 February 2015 20:25
RT @WeMidwives: Are all staff from all areas embracing new birth centres and referring appropriately ? #wemidwives
@hallmum5
03 February 2015 20:25
RT @SagefemmeSB: @hallmum5 @DawnT_MW @awo_h this should help? #WeMidwives @Kirstie_Coxon http://t.co/BAslCmNGwt
@WeMidwives
03 February 2015 20:25
RT @hallmum5: @gbutcher17 great idea #wemidwives
@drtraceyc
03 February 2015 20:25
@DawnT_MW @awo_h #wemidwives health care professionals unaware of the evidence
@WeMidwives
03 February 2015 20:25
RT @drtraceyc: @hallmum5 @DawnT_MW @awo_h #wemidwives agree- cohersion going on!
@hallmum5
03 February 2015 20:25
@SagefemmeSB @DawnT_MW @awo_h @Kirstie_Coxon yes impressive Kirstie! #wemidwives
@WeMidwives
03 February 2015 20:25
RT @drtraceyc: @gbutcher17 @hallmum5 @DawnT_MW @awo_h #wemidwives NICE IPC rec says should not use own views to influence women
@gbutcher17
03 February 2015 20:25
@drtraceyc @hallmum5 @DawnT_MW @awo_h & afraid of what happens if something goes wrong...& peer pressure to conform to norms #wemidwives
@WeMidwives
03 February 2015 20:25
RT @SagefemmeSB: @hallmum5 @DawnT_MW @awo_h this should help? #WeMidwives @Kirstie_Coxon http://t.co/BAslCmNGwt
@WeMidwives
03 February 2015 20:25
RT @CKuponiyi: @SagefemmeSB @WeMidwives conflict between duty of care not to do harm, facilitating informed choice and advocacy #WeMidwives
@WeMidwives
03 February 2015 20:25
RT @gbutcher17: @hallmum5 dont like disclaimers..and after birthplace maybe its for hospital birth not home for some women #wemidwives
@drtraceyc
03 February 2015 20:25
RT @DawnT_MW: @awo_h SagefemmeSB Thats great to hear! Why aren't all options discussed do you think? #choice #birthplace #wemidwives
@WeMidwives
03 February 2015 20:25
RT @drtraceyc: @ediemoonbeam @gbutcher17 @hallmum5 @DawnT_MW @awo_h #wemidwives yes, need support from a consultant midwife or managers as …
@WeMidwives
03 February 2015 20:25
RT @janet_t_55: @WeMidwives @gbutcher17 @Birtheastlancs #wemidwives we use AllWalesPathway :)
@hallmum5
03 February 2015 20:25
RT @drtraceyc: @hallmum5 @DawnT_MW @awo_h #wemidwives agree- cohersion going on!
@Gibson7CL
03 February 2015 20:26
@drtraceyc @maternalmatters @WeMidwives @SagefemmeSB we are developing a decision making tool for women & midwives #WeMidwives
@WeMidwives
03 February 2015 20:26
@smithgillianbl join in Gillian - that's fab #weMidwives
@drtraceyc
03 February 2015 20:26
@awo_h @DawnT_MW @SagefemmeSB #wemidwives Ive copied the tables from IPC guideline, highlighted best outcomes, laminated. Com mids now have
@drtraceyc
03 February 2015 20:27
RT @awo_h: @DawnT_MW @SagefemmeSB I'm v.lucky to be at Trust which offers all 4 options, but not always discussed/offered by MWs #WeMidwives
@JadeRachel17
03 February 2015 20:28
Bigger need to inform women of evidence of birth centres #WeMidwives
@gbutcher17
03 February 2015 20:28
RT @drtraceyc RT @awo_h: @DawnT_MW @SagefemmeSB v.lucky to be at Trust offering all 4 options, but not always discussed by MWs #WeMidwives
@drtraceyc
03 February 2015 20:28
@MidwivesRCM @maternalmatters @WeMidwives @SagefemmeSB #wemidwives need media support so all know evidence
@janet_t_55
03 February 2015 20:28
@hallmum5 @WeMidwives @gbutcher17 @Birtheastlancs #wemidwives but p'haps gives some structure 2 those less confident in identifying 'normal'
@drtraceyc
03 February 2015 20:29
@hallmum5 @WeMidwives #wemidwives have to work to change. About choice & making decision herself with evidence
@drtraceyc
03 February 2015 20:29
RT @hallmum5: It will take time to change risk and tick box culture again #WeMidwives @WeMidwives
@AimeeJennings
03 February 2015 20:29
RT @SagefemmeSB: I wonder how many midwives provide this information regarding choice #wemidwives in place of birth? @drtraceyc http://t.…
@karen_yatesRNRM
03 February 2015 20:29
#WeMidwives Darn chat just warming up & have to get ready for work! Will checkout transcripts later. Bye ??
@Gibson7CL
03 February 2015 20:29
“@drtraceyc: @MidwivesRCM @maternalmatters @WeMidwives @SagefemmeSB #wemidwives need media support so all know evidence” completely agree!
@AlisonBaum
03 February 2015 20:29
RT @drtraceyc: @maternalmatters @WeMidwives @SagefemmeSB #wemidwives with women on the NICE IPC webpage under implementation tools 2/2
@drtraceyc
03 February 2015 20:30
@gbutcher17 @ediemoonbeam @WeMidwives @ohmadone #wemidwives Midwives have a fantastic opportunity here, they need to maximise it!
@sheena_byrom
03 February 2015 20:30
RT @drtraceyc: @ediemoonbeam @WeMidwives @ohmadone #wemidwives u r a valuable comodity we can't do without! x
@gbutcher17
03 February 2015 20:31
@drtraceyc @hallmum5 @WeMidwives ...and dont keep badgering to see if she will change her mind if the choice doesnt 'suit ' #wemidwives
@janet_t_55
03 February 2015 20:31
@maternalmatters @WeMidwives @gbutcher17 #wemidwives sadly lost our 2 caseloading teams :(
@WeMidwives
03 February 2015 20:31
Do we think factors other than statistics affect women's dex #WeMidwivesii
@gbutcher17
03 February 2015 20:31
RT @drtraceyc @gbutcher17 @ediemoonbeam @WeMidwives @ohmadone #wemidwives MWs have a fantastic opportunity here, they need to maximise it!
@Gibson7CL
03 February 2015 20:31
@drtraceyc @MidwivesRCM @maternalmatters @WeMidwives @SagefemmeSB need to start a #positiveBirthMediaMovement #WeMidwives
@WeMidwives
03 February 2015 20:32
What factors other than statistics affect women's decisions re: #placeofbirth #WeMidwives
@MidwivesRCM
03 February 2015 20:32
RT @drtraceyc: @gbutcher17 @ediemoonbeam @WeMidwives @ohmadone #wemidwives Midwives have a fantastic opportunity here, they need to maximis…
@JennaTheExpat
03 February 2015 20:32
RT @SagefemmeSB: I wonder how many midwives provide this information regarding choice #wemidwives in place of birth? @drtraceyc http://t.…
@gbutcher17
03 February 2015 20:32
@WeMidwives staff attitude....continuity...feelings of friends and family...worry for what staff will say.... #wemidwives
@drtraceyc
03 February 2015 20:33
@CKuponiyi @MidwivesRCM @maternalmatters @WeMidwives @SagefemmeSB #wemidwives great idea x
@AlisonBaum
03 February 2015 20:33
RT @SagefemmeSB: @hallmum5 @DawnT_MW @awo_h this should help? #WeMidwives @Kirstie_Coxon http://t.co/BAslCmNGwt
@drtraceyc
03 February 2015 20:33
RT @CKuponiyi: @drtraceyc @MidwivesRCM @maternalmatters @WeMidwives @SagefemmeSB need to start a #positiveBirthMediaMovement #WeMidwives
@Gibson7CL
03 February 2015 20:33
RT @drtraceyc: @CKuponiyi @MidwivesRCM @maternalmatters @WeMidwives @SagefemmeSB #wemidwives great idea x
@AimeeJennings
03 February 2015 20:33
@WeMidwives other people's experiences - usually friends or family! #wemidwives
@JonathanCliffe8
03 February 2015 20:33
@WeMidwives #wemidwives The MEDIA - a big influence! TV shows, News and magazines! The media have a huge influence!
@JadeRachel17
03 February 2015 20:33
Staff... There approach & attitude #WeMidwives
@sheena_byrom
03 February 2015 20:33
@drtraceyc @maternalmatters @WeMidwives have you seen this by @Kirstie_Coxon http://t.co/BAslCmNGwt #WeMidwives http://t.co/vslPd1QyF9
@drtraceyc
03 February 2015 20:34
@gbutcher17 @hallmum5 @WeMidwives #wemidwives yes, also talking about woman as a 'troublemaker' if doesn't 'comply'
@ediemoonbeam
03 February 2015 20:34
@gbutcher17 @WeMidwives previous experience #wemidwives
@WeMidwives
03 February 2015 20:34
RT @SagefemmeSB: @drtraceyc @maternalmatters @WeMidwives have you seen this by @Kirstie_Coxon http://t.co/BAslCmNGwt #WeMidwives http://t.c…
@WeMidwives
03 February 2015 20:34
RT @JonathanCliffe8: @WeMidwives #wemidwives The MEDIA - a big influence! TV shows, News and magazines! The media have a huge influence!
@WeMidwives
03 February 2015 20:34
RT @JadeRachel17: Staff... There approach & attitude #WeMidwives
@JadeRachel17
03 February 2015 20:34
Past birth experiences #WeMidwives
@WeMidwives
03 February 2015 20:34
RT @AimeeJennings: @WeMidwives other people's experiences - usually friends or family! #wemidwives
@Gibson7CL
03 February 2015 20:34
@drtraceyc @MidwivesRCM @maternalmatters @WeMidwives @SagefemmeSB Count me in! Who else is with us #positiveBirthMediaMovement #wemidwives
@WeMidwives
03 February 2015 20:34
@JonathanCliffe8 and social media too! We can influence that! #wemidwives
@AimeeJennings
03 February 2015 20:35
@WeMidwives fear - not being well informed. Many actually believe they are safer in consultant led unit #wemidwives
@smithgillianbl
03 February 2015 20:35
RT @WeMidwives: @JonathanCliffe8 and social media too! We can influence that! #wemidwives
@JonathanCliffe8
03 February 2015 20:35
@ediemoonbeam @gbutcher17 @WeMidwives #wemidwives agree with this one! Thoughts on #integratedmidwives they see both MLU and OU?
@AimeeJennings
03 February 2015 20:35
RT @JonathanCliffe8: @WeMidwives #wemidwives The MEDIA - a big influence! TV shows, News and magazines! The media have a huge influence!
@WeMidwives
03 February 2015 20:35
RT @gbutcher17: @WeMidwives staff attitude....continuity...feelings of friends and family...worry for what staff will say.... #wemidwives
@WeMidwives
03 February 2015 20:35
RT @ediemoonbeam: @gbutcher17 @WeMidwives previous experience #wemidwives
@WeMidwives
03 February 2015 20:35
RT @JadeRachel17: Past birth experiences #WeMidwives
@WeMidwives
03 February 2015 20:35
RT @CKuponiyi: @drtraceyc @MidwivesRCM @maternalmatters @WeMidwives @SagefemmeSB need to start a #positiveBirthMediaMovement #WeMidwives
@smithgillianbl
03 February 2015 20:35
RT @JonathanCliffe8: @WeMidwives #wemidwives The MEDIA - a big influence! TV shows, News and magazines! The media have a huge influence!
@JadeRachel17
03 February 2015 20:35
RT @CKuponiyi: @drtraceyc @MidwivesRCM @maternalmatters @WeMidwives @SagefemmeSB need to start a #positiveBirthMediaMovement #WeMidwives
@AimeeJennings
03 February 2015 20:35
@JonathanCliffe8 @WeMidwives definitely! This is a huge one! #wemidwives
@WeMidwives
03 February 2015 20:35
RT @AimeeJennings: @WeMidwives fear - not being well informed. Many actually believe they are safer in consultant led unit #wemidwives
@JonathanCliffe8
03 February 2015 20:35
RT @WeMidwives: @JonathanCliffe8 and social media too! We can influence that! #wemidwives
@smithgillianbl
03 February 2015 20:35
RT @gbutcher17: @WeMidwives staff attitude....continuity...feelings of friends and family...worry for what staff will say.... #wemidwives
@WeMidwives
03 February 2015 20:36
RT @JonathanCliffe8: @ediemoonbeam @gbutcher17 @WeMidwives #wemidwives agree with this one! Thoughts on #integratedmidwives they see both M…
@gbutcher17
03 February 2015 20:36
RT @AimeeJennings @WeMidwives fear - not being well informed. Many actually believe they are safer in consultant led unit #wemidwives
@WeMidwives
03 February 2015 20:36
@CKuponiyi @drtraceyc @MidwivesRCM @maternalmatters @SagefemmeSB there is @birthpositive and @corden1326 others! #wemidwives ??
@drtraceyc
03 February 2015 20:36
@maternalmatters @WeMidwives @SagefemmeSB #wemidwives I don't know how to do link thing! @SagefemmeSB can you help with this?
@cameostudio
03 February 2015 20:37
RT @AimeeJennings: @WeMidwives fear - not being well informed. Many actually believe they are safer in consultant led unit #wemidwives
@JonathanCliffe8
03 February 2015 20:37
@AimeeJennings @WeMidwives shows like one born every minute etc.. Can often be more hindrance then help! #preconceptions #wemidwives
@AimeeJennings
03 February 2015 20:37
@WeMidwives not knowing they have choice - the feeling that they are not allowed #wemidwives
@smithgillianbl
03 February 2015 20:37
RT @AimeeJennings: @WeMidwives fear - not being well informed. Many actually believe they are safer in consultant led unit #wemidwives
@gbutcher17
03 February 2015 20:38
RT @JonathanCliffe8 @AimeeJennings @WeMidwives shows like one born every minute ..often more hindrance thn help! #preconceptions #wemidwives
@WeMidwives
03 February 2015 20:38
RT @AimeeJennings: @WeMidwives not knowing they have choice - the feeling that they are not allowed #wemidwives
@ediemoonbeam
03 February 2015 20:39
@drtraceyc @gbutcher17 @hallmum5 @WeMidwives don't you think these women are the best! I feel I learn so much #wemidwives 1/2
@gbutcher17
03 February 2015 20:39
@AimeeJennings @WeMidwives yes sometimes I hear womansay she was told she wasnt 'allowed' as red pathway (higher risk) #wemidwives
@MidwivesRCM
03 February 2015 20:39
@gbutcher17 @AimeeJennings @WeMidwives Thought/stories of transfers can also a concern for some women #wemidwives
@drtraceyc
03 February 2015 20:39
@WeMidwives @CKuponiyi @MidwivesRCM @maternalmatters @SagefemmeSB #wemidwives find one for us Sheena! x
@ediemoonbeam
03 February 2015 20:39
@drtraceyc @gbutcher17 @hallmum5 @WeMidwives they take me on a journey with them & I grow so much as a midwife #wemidwives 2/2
@AimeeJennings
03 February 2015 20:39
@JonathanCliffe8 @WeMidwives I agree. Heavily edited and far from reality. Dramatised for good viewing! #wemidwives
@WeMidwives
03 February 2015 20:39
RT @ediemoonbeam: @drtraceyc @gbutcher17 @hallmum5 @WeMidwives don't you think these women are the best! I feel I learn so much #wemidwives…
@WeMidwives
03 February 2015 20:39
@ediemoonbeam @drtraceyc @gbutcher17 @hallmum5 Absolutely! #WeMidwives
@drtraceyc
03 February 2015 20:40
RT @ediemoonbeam: @drtraceyc @gbutcher17 @hallmum5 @WeMidwives don't you think these women are the best! I feel I learn so much #wemidwives…
@gbutcher17
03 February 2015 20:40
@MidwivesRCM @AimeeJennings @WeMidwives transfer rate/ relatively poorer baby outcomes for 1st baby needs more exploration #wemidwives
@drtraceyc
03 February 2015 20:41
@ediemoonbeam @gbutcher17 @hallmum5 @WeMidwives #wemidwives all learning from each other x
@ediemoonbeam
03 February 2015 20:41
@JonathanCliffe8 @gbutcher17 @WeMidwives home births too? #integratedmidwives #wemidwives
@AimeeJennings
03 February 2015 20:41
@MidwivesRCM @gbutcher17 @WeMidwives yep! If homebirth is 1st choice house location & transfer time can change desicion! #wemidwives
@gbutcher17
03 February 2015 20:42
women coming forward now who were traumatised by birth dvds at school...aimed to reduce teen pregnancy but big problem later #wemidwives
@sheena_byrom
03 February 2015 20:42
@drtraceyc @maternalmatters @WeMidwives Hard to find Tracey! I looked many times @NICEcomms can you help? #WeMidwives
@gbutcher17
03 February 2015 20:43
@AimeeJennings @MidwivesRCM @WeMidwives transfer times in our rural areas can be >90 mins and in remote area over 4 hrs #wemidwives
@WeMidwives
03 February 2015 20:43
@maternalmatters @janet_t_55 @gbutcher17 don't forget #wemidwives Esther!
@WeMidwives
03 February 2015 20:43
RT @drtraceyc: @ediemoonbeam @gbutcher17 @hallmum5 @WeMidwives #wemidwives all learning from each other x
@WeMidwives
03 February 2015 20:44
@gbutcher17 @MidwivesRCM @AimeeJennings and transfer rates vary? #wemidwives
@gbutcher17
03 February 2015 20:45
@WeMidwives @MidwivesRCM @AimeeJennings yes see Helen Cheyne's study on decision making in free standing and alongside MLU #wemidwives
@drtraceyc
03 February 2015 20:46
@drtraceyc #wemidwives @SagefemmeSB here it ishttp://ln.is/www.nice.org.uk/guid/z5zoG …
@WeMidwives
03 February 2015 20:46
So everyone...has the new guidance been discussed/considered at your workplace? #wemidwives http://t.co/o63D5Hkd5u
@drtraceyc
03 February 2015 20:46
@ohmadone @SagefemmeSB @WeMidwives @CKuponiyi @maternalmatters #wemidwives go for 2! Freestanding & alongside!
@hallmum5
03 February 2015 20:47
RT @drtraceyc: @gbutcher17 @hallmum5 @WeMidwives #wemidwives yes, also talking about woman as a 'troublemaker' if doesn't 'comply'
@hallmum5
03 February 2015 20:47
RT @drtraceyc: @hallmum5 @WeMidwives #wemidwives have to work to change. About choice & making decision herself with evidence
@Gibson7CL
03 February 2015 20:47
RT @WeMidwives: So everyone...has the new guidance been discussed/considered at your workplace? #wemidwives http://t.co/o63D5Hkd5u
@WeMidwives
03 February 2015 20:47
Do U know any units offering all 4 options? @AnitaFleming7 @drtraceyc @Sanctummid could we learn from them? #PositiveInfluence? #wemidwives
@EmmaJaneCushnan
03 February 2015 20:48
@gbutcher17 many moms finding don't meet the criteria even if do are being transferred at slightest thing. Few birthing in mlu #wemidwives
@clarawithwoman
03 February 2015 20:48
RT @SagefemmeSB: I wonder how many midwives provide this information regarding choice #wemidwives in place of birth? @drtraceyc http://t.…
@WeMidwives
03 February 2015 20:48
@ediemoonbeam @CKuponiyi @drtraceyc @MidwivesRCM @maternalmatters @SagefemmeSB great could imply just pics? Loving this! #wemidwives
@hallmum5
03 February 2015 20:48
@janet_t_55 @WeMidwives @gbutcher17 @Birtheastlancs probably but it has gone too far I feel #wemidwives
@Gibson7CL
03 February 2015 20:49
@ediemoonbeam @WeMidwives @drtraceyc @maternal-matters @SagefemmeSB We can start locally by sharing positive birth stories #wemidwives
@gbutcher17
03 February 2015 20:49
RT @ESasaruNHS @gbutcher17 many moms don't meet the criteria even if do are being transferred at slightest thing. Few births mlu #wemidwives
@WeMidwives
03 February 2015 20:49
@sljvalk so true Simone don't forget #wemidwives and welcome!
@EmmaJaneCushnan
03 February 2015 20:49
RT @WeMidwives: @gbutcher17 @janet_t_55 Also important to acknowledge some women need & want obstetric led care/birth in an OU #WeMidwives
@drtraceyc
03 February 2015 20:49
@WeMidwives @AnitaFleming7 @Sanctummid #wemidwives we av 4- alongside open 2 mths. Births in Mid Led settings Jan= 26.1%, pre 10%! Hurrah!
@WeMidwives
03 February 2015 20:49
Need to respect that women choose #birthplace based on perception of care they'll get & emotional safety too. #WeMidwives
@AlisonBaum
03 February 2015 20:49
RT @drtraceyc: @ediemoonbeam @gbutcher17 @hallmum5 @WeMidwives #wemidwives all learning from each other x
@gbutcher17
03 February 2015 20:49
RT @WeMidwives Need to respect that women choose #birthplace based on perception of care they'll get & emotional safety too. #WeMidwives
@WeMidwives
03 February 2015 20:49
RT @drtraceyc: @ohmadone @SagefemmeSB @WeMidwives @CKuponiyi @maternalmatters #wemidwives go for 2! Freestanding & alongside!
@clarawithwoman
03 February 2015 20:49
RT @WeMidwives: Need to respect that women choose #birthplace based on perception of care they'll get & emotional safety too. #WeMidwives
@clarawithwoman
03 February 2015 20:50
RT @drtraceyc: @WeMidwives @AnitaFleming7 @Sanctummid #wemidwives we av 4- alongside open 2 mths. Births in Mid Led settings Jan= 26.1%, pr…
@EmmaJaneCushnan
03 February 2015 20:50
RT @WeMidwives: Are all staff from all areas embracing new birth centres and referring appropriately ? #wemidwives
@Humanisingbirth
03 February 2015 20:50
Birthplace and the new NICE guidelines: what implications? with @drtraceyc via #WeMidwives 03/02/2015 http://t.co/MzhbmHS5Mw
@gbutcher17
03 February 2015 20:50
@WeMidwives so true...especially if previous poor experience, sexual abuse, high anxiety/depression #wemidwives
@WeMidwives
03 February 2015 20:50
@gbutcher17 and confidence in staff! Should be same for all environments? #positivebirth #wemidwives
@EmmaJaneCushnan
03 February 2015 20:50
RT @gbutcher17: @WeMidwives staff attitude....continuity...feelings of friends and family...worry for what staff will say.... #wemidwives
@EmmaJaneCushnan
03 February 2015 20:51
RT @AimeeJennings: @WeMidwives other people's experiences - usually friends or family! #wemidwives
@hallmum5
03 February 2015 20:51
@WeMidwives @AnitaFleming7 @drtraceyc @Sanctummid yes http://t.co/7q2UtLXXbH #wemidwives
@JonathanCliffe8
03 February 2015 20:51
RT @WeMidwives: Need to respect that women choose #birthplace based on perception of care they'll get & emotional safety too. #WeMidwives
@sheena_byrom
03 February 2015 20:51
RT @CKuponiyi: @drtraceyc @MidwivesRCM @maternalmatters @WeMidwives @SagefemmeSB need to start a #positiveBirthMediaMovement #WeMidwives
@EmmaJaneCushnan
03 February 2015 20:51
RT @AimeeJennings: @WeMidwives not knowing they have choice - the feeling that they are not allowed #wemidwives
@flowepower66
03 February 2015 20:51
RT @SagefemmeSB: I wonder how many midwives provide this information regarding choice #wemidwives in place of birth? @drtraceyc http://t.…
@janet_t_55
03 February 2015 20:51
@WeMidwives @AnitaFleming7 @drtraceyc @Sanctummid #WeMidwives um we also have a home from home unit at a local hospital (so have 5 choices!)
@drtraceyc
03 February 2015 20:51
RT @hallmum5: @WeMidwives @AnitaFleming7 @drtraceyc @Sanctummid yes http://t.co/7q2UtLXXbH #wemidwives
@sheena_byrom
03 February 2015 20:52
@CKuponiyi @ediemoonbeam @WeMidwives @drtraceyc @Maternal using @birthpositive links and @goodbirthstory #wemidwives INVALUABLE!
@MidwivesRCM
03 February 2015 20:52
@gbutcher17 #WeMidwives http://t.co/D3LmQceRID ".. we’ve got at least five or six hours in labour, so a two hour journey is fine.."
@sheena_byrom
03 February 2015 20:52
RT @drtraceyc: @drtraceyc #wemidwives @SagefemmeSB here it ishttp://ln.is/www.nice.org.uk/guid/z5zoG …
@Gibson7CL
03 February 2015 20:53
RT @SagefemmeSB: #WeMidwives have you seen this FAB resource to help women choose? http://t.co/iZQ9quG6nL @gbutcher17
@Gibson7CL
03 February 2015 20:53
RT @SagefemmeSB: @CKuponiyi @ediemoonbeam @WeMidwives @drtraceyc @Maternal using @birthpositive links and @goodbirthstory #wemidwives INVAL…
@JonathanCliffe8
03 February 2015 20:53
Fundamentally, we offer women all the choices available based on current #EBP in order for them to make an #informedchoice #WeMidwives
@EmmaJaneCushnan
03 February 2015 20:53
@WeMidwives support some worry about no doctors on site.Also support post birth with bf etc may feel better in hospital #Wemidwives dwives
@drtraceyc
03 February 2015 20:53
RT @SagefemmeSB: @CKuponiyi @ediemoonbeam @WeMidwives @drtraceyc @Maternal using @birthpositive links and @goodbirthstory #wemidwives INVAL…
@EmmaJaneCushnan
03 February 2015 20:53
RT @JadeRachel17: Past birth experiences #WeMidwives
@WeMidwives
03 February 2015 20:53
RT @hallmum5: @WeMidwives @AnitaFleming7 @drtraceyc @Sanctummid yes http://t.co/7q2UtLXXbH #wemidwives
@WeMidwives
03 February 2015 20:53
RT @gbutcher17: @WeMidwives so true...especially if previous poor experience, sexual abuse, high anxiety/depression #wemidwives
@hallmum5
03 February 2015 20:53
@WeMidwives @AnitaFleming7 @drtraceyc @Sanctummid and portsmouth http://t.co/DrF32HHp94 #wemidwives
@ediemoonbeam
03 February 2015 20:54
@CKuponiyi @WeMidwives @drtraceyc @Maternal @SagefemmeSB yes & I work with health assets in area such as http://t.co/nOKPSLokfL #WeMidwives
@WeMidwives
03 February 2015 20:54
RT @SagefemmeSB: @CKuponiyi @ediemoonbeam @WeMidwives @drtraceyc @Maternal using @birthpositive links and @goodbirthstory #wemidwives INVAL…
@janet_t_55
03 February 2015 20:54
@hallmum5 @WeMidwives @gbutcher17 @Birtheastlancs if women tick all boxes can't deny low risk, even to non believers ;) #wemidwives
@WeMidwives
03 February 2015 20:54
RT @janet_t_55: @WeMidwives @AnitaFleming7 @drtraceyc @Sanctummid #WeMidwives um we also have a home from home unit at a local hospital (so…
@JonathanCliffe8
03 February 2015 20:54
@WeMidwives Respecting women's choice - fundamental aspect of the code of conduct! We Should never loose sight of that! #wemidwives
@EmmaJaneCushnan
03 February 2015 20:54
@JadeRachel17 yes I had trauma on first birth would not of considered home birth or mlu #wemidwives
@gbutcher17
03 February 2015 20:54
@MidwivesRCM depends on reason doesnt it...and comfort of woman difficult even if non urgent...lots of things in decision #wemidwives
@gbutcher17
03 February 2015 20:55
RT @MidwivesRCM @gbutcher17 #WeMidwives http://t.co/ClNprJ6RTs ".. Helen Cheyne decision making in transfer
@janet_t_55
03 February 2015 20:55
@hallmum5 @WeMidwives @gbutcher17 @Birtheastlancs ...and as long as progressive MWs in actual birthing place, no probs :) #WeMidwives
@EmmaJaneCushnan
03 February 2015 20:55
RT @WeMidwives: Need to respect that women choose #birthplace based on perception of care they'll get & emotional safety too. #WeMidwives
@EmmaJaneCushnan
03 February 2015 20:55
RT @gbutcher17: @WeMidwives so true...especially if previous poor experience, sexual abuse, high anxiety/depression #wemidwives
@WeMidwives
03 February 2015 20:55
@ESasaruNHS so good to direct women to best evidence which is contrary to this? @BirthplaceStudy @birthrightsorg? #wemidwives
@hallmum5
03 February 2015 20:55
RT @gbutcher17: RT @MidwivesRCM @gbutcher17 #WeMidwives http://t.co/ClNprJ6RTs ".. Helen Cheyne decision making in transfer
@gbutcher17
03 February 2015 20:56
RT @JonathanCliffe8 @WeMidwives Respecting women's choice - fundamental aspect of code of conduct! Should never lose sight of it #wemidwives
@janet_t_55
03 February 2015 20:56
@sljvalk @WeMidwives #wemidwives therefore ideal for AMU then :)
@REButterworth
03 February 2015 20:57
RT @WeMidwives: Need to respect that women choose #birthplace based on perception of care they'll get & emotional safety too. #WeMidwives
@hallmum5
03 February 2015 20:57
@janet_t_55 @WeMidwives @gbutcher17 @Birtheastlancs tick boxes don't always cover intuition :-) #wemidwives
@sheena_byrom
03 February 2015 20:57
@gbutcher17 @JonathanCliffe8 @WeMidwives always, and information sharing part of code too! #WeMidwives
@gbutcher17
03 February 2015 20:57
RT @SagefemmeSB @gbutcher17 @JonathanCliffe8 @WeMidwives always, and information sharing part of code too! #WeMidwives
@sheena_byrom
03 February 2015 20:58
RT @gbutcher17: @WeMidwives so true...especially if previous poor experience, sexual abuse, high anxiety/depression #wemidwives
@ediemoonbeam
03 February 2015 20:58
@SagefemmeSB @CKuponiyi @WeMidwives @drtraceyc @Maternal @birthpositive just love @goodbirthstory concept ?? #wemidwives
@EmmaJaneCushnan
03 February 2015 20:58
@JadeRachel17 not in my case had Ptsd. But definitely case of others need discuss past births and see if able to support choices #wemidwives
@janet_t_55
03 February 2015 20:58
@gbutcher17 @WeMidwives #Wemidwives surely more likely to opt for perceived more caring atmosphere of MLU
@JonathanCliffe8
03 February 2015 20:58
RT @SagefemmeSB: @gbutcher17 @JonathanCliffe8 @WeMidwives always, and information sharing part of code too! #WeMidwives
@drtraceyc
03 February 2015 20:58
@SagefemmeSB #wemidwives guidelines | NICE http://t.co/yLrrJbEm0T … Here it is!
@WeMidwives
03 February 2015 20:59
RT @hallmum5: @janet_t_55 @WeMidwives @gbutcher17 @Birtheastlancs tick boxes don't always cover intuition :-) #wemidwives
@WeMidwives
03 February 2015 20:59
RT @hallmum5: @janet_t_55 @WeMidwives @gbutcher17 @Birtheastlancs probably but it has gone too far I feel #wemidwives
@drtraceyc
03 February 2015 20:59
RT @hallmum5: @WeMidwives @AnitaFleming7 @drtraceyc @Sanctummid and portsmouth http://t.co/DrF32HHp94 #wemidwives
@EmmaJaneCushnan
03 February 2015 21:00
If we build trust in women to trust their bodies to birth babies and give info and support possible for more hb and mlu births #wemidwives
@drtraceyc
03 February 2015 21:00
RT @ediemoonbeam: @SagefemmeSB @CKuponiyi @WeMidwives @drtraceyc @Maternal @birthpositive just love @goodbirthstory concept ?? #wemidwives
@WeMidwives
03 February 2015 21:00
So sorry we have to close the chat now! Please give round applause for lovely @drtraceyc for fab topic! #wemidwives ?? THANK YOU TRACEY




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