The full #mbrrace report is available to read here. Thank you for reading/sharing today, AIMS Ireland #AIMSI

Report: https://www.npeu.ox.ac.uk/mbrrace-uk/reports

MBRRACE : Roshini Patel is discussing Early Pregnancy Care:
- EP is 8 th most common cause of maternal death
- 109 women died in total in early pregnancy

- 9 direct deaths
8 ectopic
1 incomplete miscarriage
No deaths due to termination #mbrrace

MBRRACE: Cardiac related deaths cont. - Depravation significant factor in this.

New recommendation. Wheeze that doesn't respond to asthma treatment is a red flag for cardiac condition #mbrrace #Cardiac

MBRRACE: Majority are NOT congenital heart disease but ACQUURED disease. Most common myocardial disease
⬆️ 25% #mbrrace

MBRRACE: There has been a reduction in cardiac deaths, however, it is still joint first in incidents along with psychiatric disorders - 61 women died of cardiac condition , half died in first 6 weeks. #mbrrace

MBRRACE: Joanna Girling discussing high blood pressure / preclampsia and recommendations for approprite care. The majority who died of a cardiac condition had no cardiac diagnosis before pregnancy. #mbrrace

MBRRACE: Prolonged induction of labor is not, but should be recognized as a change in risk status. Examples given of babies born with hypoxia as a result. Nice guideline recommendations discussion of options with mother after several unsuccessful prosto attempts #mbrrace #InductionOfLabour

MBRRACE: Afternoon session has started. We are told there has been a 4 fold increase in hypertensive related deaths.

Women/Pregnant people need to have access to their electronic records as do all their carers. Non native English speakers may not appreciate how at risk they might be in following through from GP advice to go to hospital. #mbrrace #MMR #RiskFactors

MBRRACE: There has been a doubling of domestic abuse rates in suicide & substance misue rates from last report.
- U20’s 18% up from 11% in last report - statistically significant.
- 32% domestic abuse.
Highest period for suicide is 6-8 months pp #mbrrace

Andrew Cairns - There are new recommendations to try to combat this trend. #mbrrace #mmr

MBRRACE: Charlotte Frise is discussing themes:
- Care givers feeling out of depth

- Gaps in services

- Lack of holistic care

- Geography impacts delivery of care . . Different in different places

- Some women/pregnant people are difficult to engage with

- Teams can feel overwhelmed #mbrrace

MBRRACE: Talking about severe /multiple disadvantage eg a person with substance abuse whom also has prexisting conditions eg depression and diabetes. Complex existing comorbidities and multi disadvantage will contribute to increased risk for MM.
#mbrrace

MBRRACE IRELAND: Specific to statistics in Ireland.

Ireland: MMR 6.3/100000

Not a statistically significant decrease. No deaths attributed to COVID-19 in Ireland in this report. #MMR #Ireland #mbrrace #AIMSIreland #Covid19

MBRRACE Deaths this report 24% higher. 9 related to COVID-19. Excluding then 19% higher than last report. Concerning.

MBRRACE: 13.8 per 100, 000 died later than 6 wks post partum

MBRRACE: Mental health and cardiac disease are equal in top causes of maternal death, then Covid-19. There are sadly more deaths by suicides in this report than ever before. #mbrrace #MMR #aimsireland

MBRRACE Conference:

Four types of maternal deaths
1. Direct
2. Indirect
3. Incidental
4. Late

There is a new chapter in this year's report on psychiatric causes for MMR #mbrrace #aimsireland

Sandra Igwe: Many mother's do not have their basic human rights met in maternity care

1) We need to dismantle statistics surrounding black and brown women

2) New early warning score would include reflecting ethnicity #mbrrace #AIMSI #updates

Sandra Igwe:
What are wider societal elements. If a woman's culture and identity are not valued in a maternity setting how can we improve outcomes? We need to value all people and learn from each other to change the statistics. #mbrrace #birthrights #aimsireland

Susanna Stanford: Patient concerns are often missed if there is no room for patients pov

We need systems designed with space for women's input.
Women CANNOT continue to have views dismissed.

More attention needs to be given to communication to build trust and create psychological safety for maternity care safety.

We need to counteract clinical hierarchy in maternity care.
#mbrrace #aimsireland #updates

Sandra Igwe: Many mother's do not have their basic human rights met in maternity care

1) We need to dismantle statistics surrounding black and brown women

2) New early warning score would include reflecting ethnicity #mbrrace #AIMSI #updates

Sandra Igwe Says from Birth Rights perspective these are huge issues:
Women feel:
Not safe
Being ignored
Being not taken seriously
Not having consent
Not having choice
Not having full autonomy
Felt race had lot to do with care they received

Sandra Igwe, Birthrights “Every mother should have dignity autonomy be treated equally and choice”

#mbrrace #@sandeeigwe #AIMSI #updates

Repeated general recommendations:
** Listen to women/people and their families** #mbrrace #AIMSI #updates