Engaging parents in a carer intervention for Type 1 diabetes was a challenge, but parents who participated appeared to value the programme. Future interventions for carers need to take account of carers' wishes and expectations in order to maximize user uptake.
Summary
To better understand outcomes in postpartum patients who receive peripartum anaesthetic interventions, we aimed to assess quality of recovery metrics following childbirth in a UK‐based multicentre cohort study. This study was performed during a 2‐week period in October 2021 to assess in‐ and outpatient post‐delivery recovery at 1 and 30 days postpartum. The following outcomes were reported: obstetric quality of recovery 10‐item measure (ObsQoR‐10); EuroQoL (EQ‐5D‐5L) survey; global health visual analogue scale; postpartum pain scores at rest and movement; length of hospital stay; readmission rates; and self‐reported complications. In total, 1638 patients were recruited and responses analysed from 1631 (99.6%) and 1282 patients (80%) at one and 30 days postpartum, respectively. Median (IQR [range]) length of stay postpartum was 39.3 (28.5–61.0 [17.7–513.4]), 40.3 (28.5–59.1 [17.8–220.9]), and 35.9 (27.1–54.1 [17.9–188.4]) h following caesarean, instrumental and vaginal deliveries, respectively. Median (IQR [range]) ObsQoR‐10 score was 75 ([62–86] 4–100) on day 1, with the lowest ObsQoR‐10 scores (worst recovery) reported by patients undergoing caesarean delivery. Of the 1282 patients, complications within the first 30 days postpartum were reported by 252 (19.7%) of all patients. Readmission to hospital within 30 days of discharge occurred in 69 patients (5.4%), with 49 (3%) for maternal reasons. These data can be used to inform patients regarding expected recovery trajectories; facilitate optimal discharge planning; and identify populations that may benefit most from targeted interventions to improve postpartum recovery experience.
Gives an account of a project run by Optimum Health Services NHS Trust offering attendance at mock sexual health clinics to young people attending schools in Lewisham and Southwark in South London. The mock clinics were set up after the authors visited Sweden on a study tour and observed similar projects in operation there. The principal aim of the mock sexual health clinics was to increase the access of family planning clinics to young people. The pilot project involved about 300 pupils from four schools, ranging from year 10 to year 12. Feedback from pupils showed that they enjoyed attending a clinic away from the school environment, learning how the clinic operated and about the issue of confidentiality, including separate record keeping by the clinic and general practitioners’ surgeries. The main problem identified was that one hour in length sessions were too short. Suggests that it could be useful to offer attendance at mock sexual health clinics for both teachers, as part of INSET training, and parents, particularly parents of pupils with learning disabilities. Emphasizes that all staff involved needed to work within the framework of each school’s sex education policy and existing legislation. Concludes that education and health services need to work in collaboration to ensure that sex education and sexual health services for young people are developed in conjunction with each other, as either one on its own is not sufficient.
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