Favourite takeaway so far at Association of Anaesthetists Trainees #TC2024 so far, from Susanna Stanford 💙: be prepared with a coordinated strategy, not a single plan, and be prepared to fail (for the sake of the patient and the clinician)

“It has to become more normalised. Why would you do research without involving the people that the research is about?” How is the role of patients on research projects changing? bmj.com/content/386/bm…

‘Too often, patients raising concerns were passed off as “difficult women.”’ So true. Like many patients who have raised concerns to prevent harm to others, I found it exhausting trying to avoid being labelled ‘difficult’ (or ‘emotional’…) while working to get concerns heard.

Really shocking #LongCovid postpartum data. cidrap.umn.edu/covid-19/1-10-…

Great opportunity to help shape and guide THIS Institute maternity improvement programme, and working with a fantastic team too!

Re-exploration following caesarean birth in the UK study. 1 re-exploration per 1282 caesarean births. 187 women went back to theatre - 8.6% had a hysterectomy, 26% level needed level 3 ICU, 2.6% cardiac arrest and 1.6% died.Marian Knight MBE UKOSS doi.org/10.1111/anae.1…

Powerful words: ‘Unlike cynicism, hopefulness is hard earned, makes demands upon us and can often feel like the most indefensible and most lonely place on earth. Hopefulness is not a neutral position. It is adversarial. It is the warrior emotion that can lay waste to cynicism.’

If you have experienced a painful hysteroscopy, please consider completing this thorough survey to contribute to the Campaign Against Painful Hysteroscopy’s work to represent women and to raise awareness of the long term impact of painful procedures. Hysteroscopy Action

Three years ago, Sarah Seddon and I made a film about the need to humanise what happens after adverse events in healthcare for everyone’s sakes: patients and clinicians. The messages remain relevant. Our thanks to Honey de Gracia MCIM and Patient Safety Congress & Awards for their support of the film.

Great letter from Emily Sharpe, MD, FASA and Michael Hofkamp, MD, FASA in International Journal of Obstetric Anesthesia citing increasing evidence regarding the incidence of PDCD, ‘we believe that inquiry about PDCD should be a standardized process for every patient who undergoes cesarean delivery.’

EVEN IF only 2% of women having cesarean birth had intraoperative pain, that would still be too many. The real # is no doubt much higher as explained here. It's past time for us as an anesthesia community to figure out how to get this right. Rachel Somerstein Susanna Stanford 💙

Yes! I concur with Michael Hofkamp, MD, FASA Emily Sharpe, MD, FASA that here the methodology is potentially a problem. Anyone using a “clinical incident management system” / CSRS/ SIMS reporting system as a source is likely to grossly underestimate the occurrence, in part due to a reluctance to

This also happens time and time again when patients are denied the truth and are misrepresented in healthcare. The goal may be to downplay concerns. The effect is to rob patients of their voice. It does so much harm.

With 40% of all Maternal deaths attributed to death by suicide and a x3 increase in 2020 compared to 2017, this is a hugely important document of women with lived experience of suicidal ideation. Please read and share. We must and can do more.