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Programme

All of our CPD-certified sessions will be made available on-demand

Time Information
8:30 AM - 9:00 AM
Virtual waiting room opens


9:00 AM - 9:15 AM
Welcome and introduction by Chair


9:20 AM - 9:55 AM
Exploring the educational needs of staff in caring for those birthing in the trans community


Individuals who do not identify as women may be challenged in a variety of ways throughout their childbearing journeys. For some trans individuals, childbearing can be very difficult, with the associated risk of worsening gender dysphoria and a profound sense of isolation. There is a lack of evidence of the quality of perinatal care for trans people. However, this presentation will explore the attitudes, knowledge, confidence, and experiences of maternity staff in relation to the birthing trans community and share their concerns and training needs in this context.
10:00 AM - 10:35 AM
How to better support mothers with post-traumatic stress disorder


In the UK, about 30,000 women a year experience postnatal PTSD, but the condition is under-diagnosed, or sometimes misdiagnosed as PND. There are others who feel traumatised by birth, but don’t meet the criteria for a formal PTSD diagnosis.

Women with debilitating symptoms such as flashbacks and hyper-vigilance are often told by friends and family, and sometimes by health professionals, that they need to put the birth behind them or to be grateful for a healthy baby. Yet untreated, PTSD can last for many years.

Fortunately, good postnatal care, the use of a formal screening tool, peer support and trauma-based therapeutic treatments can all play a part in helping women recover.
For many women, having their trauma recognised and acknowledged is also important to the recovery process.

Drawing on women’s own words and experiences, the talk will focus on the most effective methods of supporting mothers with postnatal PTSD.
10:40 AM - 11:15 AM
First trimester screening for Preeclampsia


Preeclampsia (PE) is a medical disorder that occurs in approximately 2-8% of all pregnancies. It characterised by high blood pressure and proteinuria after 20 weeks gestation. PE has a wide spectrum of severity and can have serious consequences for both the mother and the fetus, especially in severe early onset cases. Early identification of women who are at risk of developing this condition is important as there is now evidence showing that the prevalence of PE can be halved by commencing pregnant women on low-dose Aspirin prior 16 weeks’ gestation.

Using Bayes theorem, a mathematical model that combines prior information from maternal characteristics, obstetric and medical history, uterine artery PI, mean arterial pressure (MAP) and maternal serum PAPP-A and PlGF, at 11-13 weeks’ gestation, can correctly identify a significant proportion of women who are at high-risk for preterm PE during pregnancy.

By identifying these patients at high risk for PE, appropriately tailored antenatal surveillance can be instigated and prophylactic pharmacological interventions can be prescribed to improve placentation and ultimately, the outcome for both the mother and fetus.
11:20 AM - 12:05 PM
Midwifery-Led Research into Infant Skin Integrity from Birth to 8 Weeks: Can baby-wipe formulation affect incidence of nappy rash?


In 2018-2019 a midwifery-led research team from the University of Salford undertook a major research project into neonatal skin integrity, recruiting from three NHS Trusts in the Greater Manchester area. Over 700 pregnant women signed up to the study to test whether using different brands of baby wipe, all of which were specifically advertised as sensitive enough for newborns, can make a difference in incidence of nappy rash.

698 mother and baby pairs completed the ‘real world’ research study. Using the ‘mother-as-co-researcher’ model, mothers recorded daily observations of their infants’ skin integrity for 55 consecutive days. Data collection employed a custom designed smartphone application.

Analysis of daily survey data indicated that the brand of wipe containing the fewest ingredients was associated with the fewest days of nappy rash.

A final qualitative phase of the study explored women’s perceptions of participation and of accessing and using infant skincare advice.
12:10 PM - 1:10 PM
A Dietitian’s Overview of Infant Formula Milks for Use From Birth Onwards


Breast milk provides the optimal nutrition for infants. However, when infant formula is used, either in conjunction or in place of breast milk, it is important that families are supported in feeding their baby. The current market has an ever increasing range of available infant formulas. This presentation offers an overview of the types of formula milks that parents can buy and which are marketed as suitable from birth. The range of formula milks will be examined rather than individual brands, with the aim of increasing understanding so that parental questions can be answered and practical support offered effectively. This includes: hungry baby, organic, plant-based, goats’ milk, A2 and first formulas. There will also be an overview of formula used for special medical purposes such as comfort, anti-reflux and lactose free formulas.
1:10 PM - 1:50 PM
Lunch


1:50 PM - 2:25 PM
Can augmentation with Oxytocin be ‘too much, too soon’?


This session will discuss the key findings from the above mentioned paper. With a focus on labour augmentation with oxytocin, it will consider why the Sustainable Development Goal aiming to achieve gender equality is not incorporated into UK maternity care. This session will give an overview of the associated risks of labour augmentation with oxytocin, and contemplate how women’s rights are potentially violated through lack of informed consent, with influence from the risk discourse, changing epidemiology and sociocultural norms.
2:30 PM - 3:10 PM
The importance of healthy eating and activity in pregnancy


The session aims to help midwives advise women on the importance of healthy eating during pregnancy. How a nutritious diet is especially important in pregnancy as the baby depends on mum to provide the right balance of nutrients to help grow and develop safely.

The presenter touches on Vitamin D advice in pregnancy and alcohol in pregnancy.

The advice for pregnant women on Physical Activity in pregnancy was launched in 2017 and updated in 2019 yet many midwives and doctors are unaware of the guidance.

During the session, the presenter hopes to enable midwives to better understand the UK Chief Medical Officer’s guidance on Physical Activity for pregnancy and post birth and highlight the advantages of physical activity in the pregnant population. In addition, she will discuss the types of moderate activity midwives can advise women to have.
3:10 PM - 3:20 PM
Closing remarks by Chair


Time Information
9:00 AM - 9:15 AM
Opening by chair


Time Information
8:30 AM - 9:00 AM
Virtual waiting room opens


9:00 AM - 9:15 AM
Welcome and introduction by Chair


9:20 AM - 9:55 AM
Teaching Compassionate Mind Training (CMT) to help midwives cope with traumatic clinical incidents


This talk and accompanying paper considers use of Compassionate Mind Training (CMT) to help midwives cope with traumatic clinical incidents. In this context, CMT is taught to cultivate compassion. The need to build midwives’ resilience is recognized by the UK Nursing and Midwifery Council (NMC), who advocate that mental health coping strategies be embedded into midwifery curriculum. In this respect, CMT can be used as a resilience building method designed to help the midwife respond to self-criticism and threat-based emotions with compassion. The underpinnings of CMT involves understanding that people can develop cognitive biases or unhelpful thinking patterns co-driven by an interplay between genetics and the environment. Within this paper, the underpinning theory of CMT is outlined and how it can be used to balance the psychological threat, drive, and soothing systems. Overall, teaching CMT has potential to improve professional quality of life, reduce midwives’ sickness rates, and potential attrition from the profession.
10:00 AM - 10:35 AM
Change on the frontline: Are we learning from harm?


Is the frontline in maternity learning from harm? Findings will be presented from Baby Lifeline’s ‘Mind the Gap’ research, which surveyed training provision, attendance, assessment, and prioritisation across the UK. It will focus on themes in avoidable harm.
10:40 AM - 11:15 AM
Supporting families as a Midwife through baby loss


This session will explore how Student Midwives and Midwives can provide impactful care that supports families throughout the continuum of their baby loss experience.
11:20 AM - 12:00 PM
Post-caesarean wound infection: Prevention and management


Wound complications can lead to a poor birthing experience but can be preventable.  This session focuses on the principles and prevention of surgical site infection.   A personal patient experience will be presented which inspired the development of a post-caesarean wound care pathway; an example of collaborative working, resulting in positive patient outcomes.
12:10 PM - 12:40 PM
Obesity Matters - The Elephant in the Room


This session will discuss the above mentioned study and provide background to its origins. It will summarise some of the risks that the obese pregnant woman and their unborn babies face.  A brief outline of the research methodology will be given.  The three key themes that emerged will then be introduced: ‘situational context of practice’, ‘constructing partnerships with women’, ‘midwife as a public health agent’. However, the focus of the presentation will be concerned with discussing midwives’ communication skills, how they develop and how they are learned, discussing the institutional facilitators and barriers that professionals make use of in their everyday work. 

The session will conclude with ideas for future research in this area aimed at strengthening midwifery practice and facilitating professionals to raise ‘sensitive’ topics in a structured, confident but non-threatening manner.
12:45 PM - 1:45 PM
Lunch


1:50 PM - 2:25 PM
A parent's experience of Trisomy 18


Trisomy 18 (Edwards’ syndrome) - where babies have an extra copy of chromosome 18 - is the second most common type of trisomy syndrome, and typically comes with a bleak prognosis.

Many parents may choose not to proceed with a pregnancy after a trisomy 18 diagnosis, but an increasing number want to meet their baby. In addition, some babies are not diagnosed until the neonatal period. These parents may therefore require a very special kind of support from midwives and other healthcare professionals.

This presentation will share my experiences as the mum of a child with Trisomy 18, and some of the lessons learned through both our journey and my role as a trustee of SOFT UK supporting other parents with a Trisomy 18 or 13 diagnosis. It is hoped that these insights can both raise awareness of these syndromes and help to identify how midwives can support parents in this situation.
2:30 PM - 3:05 PM
Obtaining Informed Consent for Trisomy Screening and Testing.


The session will be presented in two parts. The first part will explore the legal cases of Montgomery and Mordel in the context of obtaining informed consent for trisomy screening and testing.

The second part will provide an explanation of the practical considerations midwives and sonographers must address in the process of securing informed consent from expectant parents for trisomy screening and testing. Coverage of the practical considerations for midwives and sonographers includes discussion on information, understanding, choice, the inquiring patient, communication and the HCP-patient relationship, therapeutic privilege, and disclosure of risk/chance.
3:10 PM - 3:45 PM
Supporting parents through prenatal diagnosis


This session will draw on ARC’s 30 years’ experience of working with women and families and their health care professionals to explore the impact of prenatal diagnosis and how we might optimise high quality individualised care.
3:45 PM - 3:55 PM
Closing remarks by Chair