Ilana

No instructions to pump to maintain supply if having to use alternate milks...

Call for Evidence - National Maternity and Neonatal Investigation Baroness Amos is asking women and families across England to share their experiences of maternity and neonatal care through a public Call for Evidence.

If you/a family member has used maternity or neonatal services in England, share your experience with the NMNI team.

Tell them what worked, what didn’t, what must change.

Help make care safer & better. Please add your voice & share so others can too.

www.matneoinv.org.uk/call-for-evi...

Systematic review of herbal products for lactation after preterm birth - low certainty of effect from barley malt, lettuce syrup, Moringa oleifera (all inexpensive), silymarin phytosomes with phosphatidylserine and Galega (branded supplement, ££) #neosky #lactation www.nature.com/articles/s41...

I was a little worried about the difference between labinic and proprems - although not statistically different, the rate of NEC for proprems was very much clinically significantly higher if a true estimate...

Early life exposures and school readiness: an observational cohort study using the Born in Bradford longitudinal birth cohort data Objective To assess the associations of early life exposures with school readiness.Design, setting, main outcome measure and participants Using data from the Born in Bradford (BiB) birth cohort, we in...

Preterm birth was one of the largest influences on school readiness in this study (<32wk, with 32-36wk also having an impact), along with male sex & low maternal education: Observational cohort study using Born in Bradford birth cohort data bmjpaedsopen.bmj.com/content/10/1...

How much oxygen for the resuscitation of the preterm?

I like a good acronym, so my initial response to the new TORPIDO trial was very positive! TORPIDO 30/60 was a large multicentre RCT comparing initial FiO2 concentrations for resuscitation of the preterm infant (Oei JL, et al. Targeted Oxygen…

Have you seen the cut sequence where he does gymnastics? Not actually relevant to your point...

PATHWAYS TRIAL | King's College London PATHWAYS TRIAL focuses on the effects of puberty suppressing hormones on young people’s physical, social and emotional well-being.

The trial protocol is publicly available here: www.kcl.ac.uk/research/pat...

#perinatalequity #lgbtqia #lgbt #pregnancy #fertility #birth #infantfeeding #mentalhealth #bonding #workleave #inducedlactation #sharedlactation #spermdonors #inclusivelanguage #gender #obsky #neosky #midwifesky

Today we showed questions 19-24 - that's it! To see all the questions, go to bit.ly/PSPresults. To see what evidence is out there on these questions, go to: bit.ly/PSPevidence

Thanks so much to all the LGBTQIA+ people and their healthcare professionals, family, friends, gamete donors and surrogates who took part in the priority setting partnership process over the last 18 months, and to my wonderful steering group 3/3

Question 23: How often is written language (for example, letters, forms and policies) used by perinatal services inclusive or exclusive of LGBTQIA+ people? How can institutions keep up to date with inclusive language?

Question 24: How can the number and range of sperm donors available to LGBTQIA+ people be increased, including those from racialised ethnic backgrounds?

To see all 48 summary questions go to bit.ly/results. To read more about the process, bit.ly/about. And to look at accessible summaries of any existing evidence that we found on the topic of any of these questions, bit.ly/evidence 2/

Question 19: What are the similarities and differences for gestational and non-gestational LGBTQIA+ parents bonding with their baby, and how can bonding be maximised?

Question 20: What are LGBTQIA+ people’s experiences of taking leave from work when trying to conceive, during pregnancy or as new parents?

Question 21: How do transgender parents’ experiences of their gender in the perinatal period affect their relationship with their baby?

Question 22: What are non-gestational parents’ experiences of inducing lactation, and/or sharing lactation? What are the effects on the parents, and on the baby who is drinking induced milk?

Final day of sharing Top 24 research priorities for LGBTQIA+ Perinatal Care (@jameslindalliance.bsky.social PSP, supported by @ox.ac.uk & @britishacademy.bsky.social ).Qu 19-24 cover bonding, work leave, experiences of gender, induced & shared lactation, written language, & sperm donor diversity 1/

Question 17: How do the parental titles on birth certificates affect LGBTQIA+ parents?

Question 18: How confident and competent are perinatal staff in using up to date LGBTQIA+ inclusive language, and how can this be improved?

Today we showed questions 13 to 18. More to follow... To see all the questions, go to: bit.ly/PSPresults. To see what evidence is out there on these questions, go to: bit.ly/PSPevidence

As usual, see bit.ly/PSPresults to see all the questions and bit.ly/PSPevidence for any evidence that we found that starts to address them #perinatalequity #LGBTQIA #twomums #twodads #allkindsoffamilies 2/2

@bfn-uk.bsky.social @neonatalnursesuk.bsky.social @bapmofficial.bsky.social @lllgb.bsky.social @lllcollective.org.uk

Question 13: Where do LGBTQIA+ people and healthcare professionals look for information about reproductive choices (including success rates, health, legal, financial and employment implications)? Is the information they get accurate, and how can access to information be improved, including from NHS sources?

Question 14: What are the most successful methods for inducing lactation in a non-gestational parent? What are the barriers to healthcare professionals providing lactation support to a non-gestational parent and how can these be overcome?

Question 15: When planning a pregnancy, what are the right timings to pause and restart gender affirming hormones?

Question 16: What increases good experiences of care and good perinatal outcomes for surrogates and LGBTQIA+ people becoming parents through surrogacy?

Day 3 of 4: results of the LGBTQIA+ Perinatal Care Priority Setting Partnership. Qu 13-18 cover finding information, induced lactation, timing of gender affirming hormones, surrogacy, parental titles on birth certificates and inclusive language 1/

Today we showed questions 7 to 12. More to follow... To see all the questions, go to: bit.ly/PSPresults. To see what evidence is out there on these questions, go to: bit.ly/PSPevidence

These research priorities are the result of an 18 mth collaborative process of gathering questions, summarising, looking for evidence & then prioritising. All 48 summary questions are on the launch website, including one which we felt has already been answered by research 3/3

Question 9: How does perinatal and reproductive loss affect LGBTQIA+ people’s mental health and decisions about trying to conceive again? What are their experiences of support during perinatal loss, and how can this be improved? By perinatal loss we mean being unable to try to conceive (can’t find a surrogate or donor, can’t afford fertility treatment); not getting pregnant; miscarriage; stillbirth; death of a baby

Question 10: How does where LGBTQIA+ families are in the UK affect their access to reproductive options, and how are their decisions and experiences affected by this?

Question 11: How does the way LGBTQIA+ people got pregnant (home insemination, IUI, IVF with own egg, IVF with someone else’s egg) affect healthcare recommendations (for example, obstetric-led care and induction of labour)? How do these recommendations affect parents and babies?

Question 12: What are LGBTQIA+ people’s experiences of abortion and abortion support in the UK?

Questions 7-12 cover emotional labour, inclusive language, loss, geographical inequalities, risk stratification for pregnancy and labour care, and abortion. To see the limited evidence that is already out there on some of these questions, see bit.ly/PSPevidence #perinatal #lgbtqia #obsky #neosky 2/

LGBTQIA+ perinatal research: results

Hundreds of LGBTQIA+ people and health professionals shared questions about fertility, pregnancy, birth and the time afterwards. Together we decided which ones need to be answered first. Read on for our results...

Question 7: How much emotional labour are LGBTQIA+ people doing when accessing (or thinking about accessing) perinatal healthcare? How can this situation be improved? By emotional labour we mean the mental work people do in order to access services or meet someone else’s needs. It might include giving explanations of how LGBTQ+ people conceive, answering homophobic comments, dealing with your own emotions when forms or systems don’t fit your family, or thinking about any of these issues before making or going to an appointment.

Question 8: How does using inclusive language throughout any treatment, pregnancy and birth, healthcare encounters, and within the first year of a baby’s life affect LGBTQIA+ families?

Day two of sharing the
@LindAlliance
LGBTQIA+ Priority Setting Partnership results: questions 7 - 12 coming up... see yesterday's post for questions 1-6 and more description of the project, or read here: bit.ly/PSPabout and bit.ly/PSPresults 1/

#lgbt #lgbtq #lgbtqia #perinatal #research #prioritisation #inequalities #perinatalequity #equity #TopTen

Today we showed the Top 6 questions. More to follow... To see all the questions, go to: bit.ly/PSPresults. To see what evidence is out there on these questions, go to: bit.ly/PSPevidence

To learn more about the project, go to: bit.ly/PSPabout 5/5 @npeu-ctu.bsky.social @jameslindalliance.bsky.social @rcm.org.uk @bapmofficial.bsky.social @neonatalnursesuk.bsky.social @gladduk.bsky.social. We were funded by @oxpop.bsky.social @ox.ac.uk KE seed fund and @britishacademy.bsky.social

Question 5: what does good perinatal mental health support look like for LGBTQIA+ people, and is this different for gestational and non-gestational parents, or for people with different genders or gender identities?

Question 6: are perinatal outcomes different for LGBTQIA+ people, and are they affected by how someone attempted pregnancy or became pregnant? By perinatal outcomes we mean live birth rates, stillbirths and miscarriages; pregnancy, labour and birth complications; interventions to start labour or during labour; mode of birth; gestational parent/surrogate mortality rates; birth trauma; mental health; infant feeding, health, developmental and mortality outcomes

Each day I will share six of the Top 24 questions. To see the full Top 24, and all 48 summary questions, go to: bit.ly/PSPresults. To see our summary of the evidence that is currently out there for each of these summary questions, go to: bit.ly/PSPevidence 4/

Question 3: what training do healthcare professionals and their educators need about how LGBTQIA+ people become parents (including family creation, perinatal care and infant feeding)?

Question 4: how do puberty blockers and gender affirming hormones (both regulated and unregulated) affect fertility, pregnancies, the foetus, birth and postnatal healing?

The aim of the project is to help target future research to the most important questions. We also want to share the qus with the LGBTQIA+ community, as well as the evidence we found that is already out there on some of the questions 3/

Question 1: how do healthcare responses to LGBTQIA+ people's intersectional identities affect whether they can become parents and have good perinatal care? For example, those who may be subjected to disable-ism, fatphobia, racism or faith-based discrimination. What are the barriers to improving this?

Question 2: What does LGBTQIA+ inclusive care look like? What models of perinatal care (for example, specialist midwives, LGBTQIA+ 'out' healthcare professionals, continuity of carer) work for LGBTQIA+ people?

In our 2nd survey, 214 LGBTQIA+ people & their HCPs chose their Top 10 summary qus. This helped us choose 20 qus to take to a final prioritisation workshop. 4 more qus also stood out as being really important from the survey, so we are presenting the Top 24 questions 2/

LGBTQIA+ perinatal research: results

Hundreds of LGBTQIA+ people and health professionals shared questions about fertility, pregnancy, birth and the time afterwards. Together we decided which ones need to be answered first. Read on for our results...

Excited to launch the results of the LGBTQIA+ Perinatal Care Priority Setting Partnership. In our 1st survey, 366 LGBTQIA+ people & their HCPs submitted 1166 qus. We combined qus on the same topic to make 48 summary qus. We checked the evidence to see if any had been answered 1/

Interested in LGBTQIA+ perinatal health, particularly collaborative research with LGBTQIA+ families? This family focused research network hosted by York University looks fantastic, we will be presenting our priority setting work there on Dec 3rd www.eventbrite.co.uk/e/research-p... #lgbtq #perinatal

fun.chicagotribune.com/game/la-time... for the crossword lovers, hope this is as much fun to solve as it was to create 🙂

Plus at least this design can protect disabled people, in contrast to LTN bollards

N3 poster about giving buccal vitamin D to premature babies - it seems to work! #neosky #vitamind #mbd

Does neonatal care delivery in England and Wales vary by deprivation and ethnicity: a retrospective cohort study Objective To investigate whether perinatal care delivery in England and Wales varies by ethnicity and socio-economic deprivation, using National Neonatal Audit Programme (NNAP) measures.Design Retrosp...

bmjpaedsopen.bmj.com/content/9/1/... UK wide paper reporting perinatal optimisation and a few other variables through the lens of ethnicity and deprivation. Timing of cord clamping, admission temperature, mothers milk provision and communication with/involvement of parents showed inequities

There were about 5 RCTs in the 50s/60s. Most showed some increase in milk volume or infant weight gain, some didn't. One neonatal unit RCT from Holland appeared to show dramatic increase in milk yield but larger RCT in UK did not replicate. Yes, potential for more research