Gráinne
1.6K posts
@Ggar82
Consultant anaesthetist- special interest obstetrics and education. Outside work- baking, gin, daschaunds, watching rugby, TED talks and space. Tweets my own.
@OAAinfo announces launch of the QRH for Obstetric Emergencies to assist all #OBAnes and colleagues providing best emergency obstetric EBM care. Visit oaa-anaes.ac.uk/qrh @RCoANews @Assoc_Anaes @BAPM_Official @M0MSuk @ResusCouncilUK @BMFMSNews @BICSoc @CollegeODP
🔓Disparities relating to postpartum recovery outcomes in different socio-economic and racial ethnic groups are underexplored. We conducted a planned analysis of a large prospective caesarean delivery cohort to explore the relationship between ethnicity, socio-economic status and postpartum recovery. Eligible patients were enrolled and baseline demographic, obstetric and medical history data were collected 18 h and 30 h following delivery. Patients completed postpartum quality of life and recovery measures in person on day 1 and by telephone between day 28 and day 32 postpartum. Socio-economic group was determined according to the Index of Multiple Deprivation quintile of each patient's usual place of residence. Data from 1000 patients who underwent caesarean delivery were included. There were more patients of Asian, Black and mixed ethnicity in the more deprived quintiles. Patients of White ethnicities had shorter postpartum duration of hospital stay compared with patients of Asian and Black ethnicities. In adjusted models at day 30, patients of Asian ethnicity had a significantly greater risk of moderate to severe pain (numerical rating scale ≥ 4) at rest and on movement (odds ratio (95%CI) 2.42 (1.24–4.74) and 2.32 (1.40–3.87)), respectively). There were no differences in readmission rates or incidence of complications between groups. Patients from White ethnic backgrounds experience shorter postpartum duration of stay compared with patients from Asian and Black ethnic groups. Ethnic background impacts pain scores and recovery at day 1 postpartum and following hospital discharge, even after adjusting for socio-economic group. Further work is required to understand the underlying factors driving differences in pain and recovery and to develop strategies to reduce disparities in obstetric patients. @Jamesocarroll @lianazucco @eleanor_warwick @rmoonesinghe @elboghdadly @CarvalB @PervezSultanMD @ObsQoR 🔗…-publications.onlinelibrary.wiley.com/doi/full/10.11…
A shocking read. A silent emergency: The rise in suicides among UK doctors "Faced with high-pressure workloads, bullying and poor support structures, medics are at least twice as likely to die by suicide than the general population." buff.ly/3DpKKFE
