Jess Gomersall

My new year thought rather than resolution (as it’s out of my control), and reinforced in past week. Our health care staff are our angels, our genius and our solution. Support them, look after them and value them and we have a future. Lose them and we are in real trouble.

Out today: Effective and simple interventions to improve outcomes for preterm infants worldwide: The FIGO PremPrep‐5 initiative - Hall - 2024 - International Journal of Gynecology & Obstetrics - Wiley Online Library obgyn.onlinelibrary.wiley.com/doi/10.1002/ij…

A reminder - someone with sickle cell disease cannot be diagnosed with diabetes using glycated haemoglobin or HbA1c. 🧵 The ‘A’ in HbA1c denotes HbA and people with sickle cell disease don’t make HbA they only make HbS. Now if you send an HbA1c sample to the lab anyway you may or may not get a result back…

Great colleagues & friends #IDM2024

@OBSevidence @HelenGoodall8

doi.org/10.1002/146518… This out today. Updated evidence confirms benefits of midwife continuity models. Previous findings of reduced preterm birth/ baby loss no longer seen with new updated evidence. Women have a positive experience & fewer CS. Most other outcomes equivocal.

Merry Christmas to all those working in the NHS today Many staff in the NHS are grossly underpaid (even on Christmas day👇) but none more so than Junior Doctors who frequently graduate with >£100k debt RT to support them & ask government to pay them ALL fairly #PayRestoration

Society for Maternal-Fetal Medicine Special Statement: Emergency checklist, planning worksheet, and system preparedness bundle for placenta accreta spectrum ow.ly/rozx50QlPIr

Understanding & influencing courageous behaviour is an important part of leading change. If we don't feel courage, we won't try new things. @BillTreasurer helpfully describes "three buckets of courage": 1) TRY courage is the courage of first attempts, being wiling to experiment & try new things. 2) TRUST courage is about letting go of formulas that worked in the past, our preconceptions about how things should be & our need to control. 3) TELL courage is where people feel safe to express themselves authentically & fully. It's our role as leaders to actively nurture the three courage buckets to create an environment where confidence & psychological safety prevail over fear. Powerful blog & sketchnote by @tnvora: t.co/JZUVrlpMnJ, based on giantleapconsulting.com/courageous-lea…

Great read from ⁦@AnnaHerrey⁩ et al. here 🫀🤰 #maternalcardiology #obstetriccardiology #maternalmedicine Severe Aortic Stenosis in a Pregnant Patient Displaced by the Ukrainian-Russian War - ScienceDirect sciencedirect.com/science/articl…

Well done @creswelllyndsay

Including pregnancy considerations in Tetralogy of Fallot doi.org/10.1016/j.cjcp… #CardioObstetrics

Women in Northern Ireland can now visit participating community pharmacies for advice and treatment for uncomplicated Urinary Tract Infections (UTI), without having to wait for a GP appointment. ➡️health-ni.gov.uk/news/local-pha…

@Moodwife Done

If you have been pregnant, please take the time to complete this anonymous survey 👇

Emergency caesareans are associated with an increased risk of recurrent early preterm birth: a commentary - Glazewska‐Hallin - 2024 - BJOG: An Int J of Obstetrics & Gynaecology - Wiley Online Library obgyn.onlinelibrary.wiley.com/doi/10.1111/14… Published in issue this week. With 2min video.

Meta-analysis shows vaginal progesterone, started in the first trimester, reduces the risk of pre-eclampsia. obgyn.onlinelibrary.wiley.com/doi/full/10.11…

🇨🇦 85,650 babies born after #CovidVaccination in #pregnancy vs 56,336 babies from unvaccinated pregnancies 👉🏻 Risk of death and disease lower in newborns from vaccinated pregnancies 👉🏻 No difference in hospital admission up to six months old 1/ jamanetwork.com/journals/jamap…

1/I want to share a story that happened recently that explains why this sort of response makes me so angry. I was called about a patient who had gone round the houses trying to get a diagnosis, and eventually a physio called saying they thought they had a neurological condition.

Let’s make sure we all spread the message- vaccines are safe in pregnancy, Covid and flu are not. Covid-19: Confusion around vaccination during pregnancy likely to have contributed to deaths of 27 women in the UK | The BMJ bmj.com/content/383/bm…

33 women died directly due to COVID-19 during pregnancy or up to 6 weeks after the end of pregnancy. When these deaths directly due to COVID-19 are excluded, the maternal mortality rate in the UK in 2019-2021 was 10.1 women per 100,000 giving birth buff.ly/2HR30eT

@HelenGoodall8 @creswelllyndsay Now we have good evidence sludge is as relevant as we suspected we need evidence of best management.