@midwifedrshawn
Clinical Academic Midwife. Consultant, Teacher & Researcher. Breech Specialist ❤️🍑. Available for short-term clinical research visits (up to 3mos) to support your team to build newer, safer breech birth skills. https://makingbirthsafer.optibreech.uk/courses
Please support newly qualified midwife Rebecca Taylor to develop her research proposal by participating in this short survey about professional awareness of paternal postnatal depression. form.jotform.com/260114782786...
The attack at a Hanukkah celebration in Sydney today was a vile act of antisemitic terror. I mourn those who were murdered and will be keeping their families, the Jewish community, and the Chabad movement in my prayers. May the memories of all those killed be a blessing. While we are still waiting for all the facts to emerge, what we already know is devastating. At least 11 dead, including Rabbi Eli Schlanger, who held deep ties to Crown Heights. At least 29 injured. Another Jewish community plunged into mourning and loss, a holiday of light so painfully reduced to a day of darkness. This attack is merely the latest, most horrifying iteration in a growing pattern of violence targeted at Jewish people across the world. Too many no longer feel safe to be themselves, to express their faith publicly, to worship in their synagogues without armed security stationed outside. What happened at Bondi is what many Jewish people fear will happen in their communities too. On Bondi Beach today, as men with long guns targeted innocents, another man ran towards the gunfire and disarmed a shooter. Tonight, as Jewish New Yorkers light menorahs and usher in a first night of Hanukkah clouded by grief, let us look to his example and confront hatred with the urgency and action it demands. When I am Mayor, I will work every day to keep Jewish New Yorkers safe—on our streets, our subways, at shul, in every moment of every day. Let this be a purpose shared by every New Yorker, and let us banish this horrific violence to the past.
Slide depicting a midwife explaining the increased risk of stillbirth or neonatal death after 39 weeks of pregnancy.
Today I added a new section about how length of pregnancy affects risks when planning a vaginal breech birth. FREE collection of informational resources for women considering their options with a breech presenting baby. Please do share. makingbirthsafer.optibreech.uk/course/breec...
Next physiological breech birth study day at Kingston Hospital on 19 December! Learn advanced breech skills with Emma Spillane. www.eventbrite.com/cc/physiolog...
Bronze plaque saying "A Letter to the Future. Ok is the first Icelandic glacier to lose its status as a glacier. In the next 200 years all our glaciers are expected to follow the same path. This monument is to acknowledge that we know what is happening and what needs to be done. Only you know if we did it. August 2019. 415ppm CO2"
TIL about a memorial ceremony in Iceland in 2019 to mark the end of a glacier, changing the place name from Okjökull to Ok (jökull = glacier). Uncompromising wording on the bronze plaque:
"This is to acknowledge that we know what is happening and what needs to be done. Only you know if we did it".
Neonatal mortality rates were 0.4% (n=67) for vaginal births and 0.1% (n=102) for cesarean births (RD 0.3; 95% CI, 0.2-0.4). Risk of the composite adverse maternal outcome (excluding perineal lacerations) was 0.3% for vaginal births and 0.5% for cesarean breech births (RD -0.4, 95% CI, -0.5 to -0.3)
The primary contributor to neonatal morbidity within the vaginal breech cohort was 5-minute Apgar score less than 4 (RD 1.6; 95% CI, 1.4-1.9). Other neonatal outcomes were not different.
The risks of the composite adverse neonatal outcome were 7.2% in the vaginal delivery group, compared with 6.3% in the cesarean delivery group (risk difference [RD] 1.0; 95% CI, 0.9-1.2; doubly robust odds ratio 1.14; 95% CI, 1.06-1.22).
Of 23,118,953 singleton births, 375,500 term, nonanomalous, breech live births were identified. 5.1% (95% CI, 5.0-5.2; n=19,256) were vaginal deliveries. After propensity score matching, the final cohort comprised 96,095 patients, including 17,558 vaginal deliveries and 78,537 cesarean deliveries.
Short-term maternal outcomes were better for individuals who underwent vaginal delivery compared with cesarean delivery, after exclusion of perineal lacerations.
Optimal Mode of Delivery for Individuals With Low-Risk Term Breech Presentation
pubmed.ncbi.nlm.nih.gov/40609093/
Although term vaginal breech delivery was associated with slightly higher odds of the composite adverse neonatal outcome compared with cesarean delivery, the absolute risk remains low.
Jeffrey Epstein survivors released a new video urging Congress to vote to release the Epstein files
NEW: Epstein survivors release the most powerful PSA I have ever seen.
Make this go viral so every member of the House of Representatives sees it.
Final data from the OptiBreech cohort now available: openresearch.nihr.ac.uk//articles/3-...
From Cornwall to Oldham, 199 planned vaginal breech births supported across two studies, with one serious adverse neonatal outcome (0.5%), one tenth the adverse outcome rate in the Term Breech Trial (5.0%).
Half-day physiological breech birth study day, Friday 21/11, 13:30 - 17:00. Reviews of recent cases, clinical decision-making, hands-on simulations, research update and plans for future research. www.eventbrite.com/e/physiologi...
Authoritarians call resistance “insurrection.” It’s the warped logic of an abuser calling healthy boundaries as “hateful” or “harmful.” They see others as extensions of themselves, and tools for their own agenda.
We are justified in our autonomy and agency. Its the American way. Stand Strong 💪 🇺🇸
🚨🚨🚨WA Governor Bob Ferguson responds to a letter he received from AG Pam Bondi in which she threatened to place him in jail. 🧯He is on fire! 1/2
The Royal London are advertising for a Saving Babies Lives midwife. www.bartshealth.nhs.uk/jobs?ref=Lin...
Image of an large cat walking on top of a long snake, with caption OH LAWD HE TREADIN'
My favorite #Wisconsin #NoKings sign/flag from today.
#wipolitics
So proud to be a part of this amazing morning. Location ocean beach San Francisco
#nokings
CATO Institute Director of Immigration Studies
ICE is a much greater threat to this country than illegal immigrants. The current administration ia by far the greatest threat this country faces. The problem is not st our borders. It is in the White House.
The federal government is taking over the California National Guard and deploying 2,000 soldiers in Los Angeles — not because there is a shortage of law enforcement, but because they want a spectacle.
Don't give them one.
Never use violence. Speak out peacefully.
I don't care if these monstrous ICE raids are a "federal operation". This is authoritarian violence, plain and simple.
Just because Stephen Miller has kidnapping quotas for brown people he doesn't want to see on the street doesn't mean we have to think it's okay.
Still LA, ICE is gathered again to start another operation after tear gassing civilians for hours at Paramount. A massive ICE presence stands across the street from civilians. This is live right now.
Current mood.
A tricky thing about modern society is that no one has any idea when they don’t die.
Like, the number of lives saved by controlling air pollution in America is probably over 200,000 per year, but the number of people who think their life was saved by controlling air pollution is zero.
After getting some rest, I am in awe of everyone who continues to lift their voice and speak out. This is a moment for our country, and we must make a choice about the America we want to be.
