#WeMidwives - Tuesday 16th January 2018 8pm (GMT Standard Time) The latent phase of labour, home assessment

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This chat is guest hosted by @ParekhKim

NICE (2007) recommended definition of latent phase is “a period of time, not necessary continuous, when there are painful contractions and there is some cervical change, including cervical effacement and dilatation up to 4 cm and the onset of active labour when there are regular painful contractions and there is progressive cervical dilatation from 4 cm”. Antenatal education about latent phase of labour for women and their birth partners is important. Maimburg et al 2010 research showed that women were more likely to arrive at their planned, place of birth in established labour. Studies have shown that women admitted to their planned, place of birth in the latent phase have higher rates of obstetric intervention (Bailit et al 2005). Women value home assessment in the latent phase and this can reduce the number of visits to the hospital (Eri et al 2010). We know that latent phase home assessment is part of a service that caseloading midwives provide, however in the integrated model of care; this can prove to be difficult mainly due to staffing. We are going to implement the home assessment service for women in the latent phase of labour and would like to discuss what your thoughts and experiences are. I would like to discuss the following: 1. Does your maternity unit provide home assessment for women in the latent phase of labour?2. Is it the community midwives or midwives from the birth centre that attends?3. Are there any challenges?4. How did you overcome those challenges?5. Were women more likely to have a homebirth?





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 #WeMidwives transcript

 
@AlisonBrindle
16 January 2018 20:02
@WeMidwives @ParekhKim Im here ??#WeMidwives <<< trying my very best to remember to hashtag!
@midwife_cw
16 January 2018 20:03
@WeMidwives @ParekhKim #wemidwives is anyone here?
@WeMidwives
16 January 2018 20:04
@ParekhKim Hooray! Lovely to see you Kim! ?? #WeMidwives
@midwife_cw
16 January 2018 20:05
@WeMidwives @ParekhKim #wemidwives! A bid Hello Charlene! been awhile
@WeMidwives
16 January 2018 20:05
@ParekhKim Do you have your first question? #Wemidwives
@WeMidwives
16 January 2018 20:05
RT @midwife_cw: @WeMidwives @ParekhKim #wemidwives! A bid Hello Charlene! been awhile
@midwife_cw
16 January 2018 20:06
@WeMidwives @ParekhKim Hi Kim #wemidwives
@WeMidwives
16 January 2018 20:06
@midwife_cw @ParekhKim Hi Caitlin! How are you? I have my #Wemidwives hat on this evening
@WeMidwives
16 January 2018 20:06
RT @midwife_cw: @WeMidwives @ParekhKim Hi Kim #wemidwives
@midwife_cw
16 January 2018 20:06
@WeMidwives @ParekhKim Brilliant! Big hello Kim and Ali #wemidwives
@LauraTh71893745
16 January 2018 20:07
@ParekhKim @WeMidwives #WeMidwives Latent phase in labour needs more parent education. I would like to have more di… https://t.co/c2vtivcsoO
@WeMidwives
16 January 2018 20:07
RT @LauraTh71893745: @ParekhKim @WeMidwives #WeMidwives Latent phase in labour needs more parent education. I would like to have more discu…
@WeMidwives
16 January 2018 20:07
RT @midwife_cw: @WeMidwives @ParekhKim Brilliant! Big hello Kim and Ali #wemidwives
@midwife_cw
16 January 2018 20:07
@WeMidwives @ParekhKim #wemidwives interesting topic tonight. What are the thoughts out there on latent phase?
@WeMidwives
16 January 2018 20:08
RT @midwife_cw: @WeMidwives @ParekhKim #wemidwives interesting topic tonight. What are the thoughts out there on latent phase?
@midwife_cw
16 January 2018 20:08
@ParekhKim @WeMidwives #wemidwives I am quite experienced with home assessment in a variety of models
@CharleneSTMW
16 January 2018 20:09
Good idea, needs to be facilitated by the trust too, anyone have experience of how this can operate ? #wemidwives https://twitter.com/LauraTh71893745/status/953357960041975809
@AlisonBrindle
16 January 2018 20:10
RT @LauraTh71893745: @ParekhKim @WeMidwives #WeMidwives Latent phase in labour needs more parent education. I would like to have more discu…
@withwoman
16 January 2018 20:11
@midwife_cw @ParekhKim @WeMidwives #wemidwives which model have you found has worked best? And has it helped increa… https://twitter.com/i/web/status/953359143171166211
@NewnhamAnna
16 January 2018 20:11
#wemidwives I would love to do this. Keep the labour hormones following!
@CharleneSTMW
16 January 2018 20:11
@withwoman @ParekhKim @midwife_cw @WeMidwives How will it be staffed? with community midwives ? #wemidwives
@midwife_cw
16 January 2018 20:11
@withwoman @ParekhKim @WeMidwives #wemidwives there is some evidence that HB goes up and that reduced admissions and intervention
@WeMidwives
16 January 2018 20:12
@ParekhKim @LauraTh71893745 Have you personal experience of it Kim? Where has your passion come from? #wemidwives
@WeMidwives
16 January 2018 20:13
RT @withwoman: @midwife_cw @ParekhKim @WeMidwives #wemidwives which model have you found has worked best? And has it helped increase home b…
@WeMidwives
16 January 2018 20:13
RT @CharleneSTMW: @withwoman @ParekhKim @midwife_cw @WeMidwives How will it be staffed? with community midwives ? #wemidwives
@WeMidwives
16 January 2018 20:13
RT @midwife_cw: @withwoman @ParekhKim @WeMidwives #wemidwives there is some evidence that HB goes up and that reduced admissions and interv…
@withwoman
16 January 2018 20:13
@CharleneSTMW @ParekhKim @midwife_cw @WeMidwives Yes from community but working closely with triage. #wemidwives
@midwife_cw
16 January 2018 20:13
@withwoman @ParekhKim @WeMidwives #wemidwives HB did go up. Caseloading mostly, but have seen a dedicated team that… https://twitter.com/i/web/status/953359570889527296
@WeMidwives
16 January 2018 20:13
@midwife_cw @withwoman @ParekhKim Do you have the ref for that? Would like to add it to the tweet chat info #wemidwives
@MidwifeBec
16 January 2018 20:13
RT @LauraTh71893745: @ParekhKim @WeMidwives #WeMidwives Latent phase in labour needs more parent education. I would like to have more discu…
@midwife_cw
16 January 2018 20:14
@withwoman @CharleneSTMW @ParekhKim @WeMidwives #wemidwives have seen this model too. Community is the obvious. BC… https://twitter.com/i/web/status/953359774825025538
@withwoman
16 January 2018 20:14
@midwife_cw @ParekhKim @WeMidwives Interesting. So do you think it's important that the woman has met the midwife before? #wemidwives
@CharleneSTMW
16 January 2018 20:15
RT @midwife_cw: @withwoman @ParekhKim @WeMidwives #wemidwives HB did go up. Caseloading mostly, but have seen a dedicated team that respond…
@ParekhKim
16 January 2018 20:15
@midwife_cw @withwoman @CharleneSTMW @WeMidwives Did the cmws went out to see the ladies in their own areas? #wemidwives
@midwife_cw
16 January 2018 20:16
@withwoman @ParekhKim @WeMidwives #wemidwives I think it is important that she is listened to, spoken with, support… https://twitter.com/i/web/status/953360355765473280
@CharleneSTMW
16 January 2018 20:16
RT @ParekhKim: @midwife_cw @withwoman @CharleneSTMW @WeMidwives Did the cmws went out to see the ladies in their own areas? #wemidwives
@ParekhKim
16 January 2018 20:16
@withwoman @midwife_cw @WeMidwives Yes I do, it keeps the oxytocin at a continuum #wemidwives
@CharleneSTMW
16 January 2018 20:17
@AlisonBrindle @WeMidwives @midwife_cw @withwoman @ParekhKim It sounds like the perfect scenario #wemidwives
@DeeDavies12
16 January 2018 20:18
@WeMidwives @withwoman @ParekhKim @midwife_cw #weMidwives When we are challenged with staffing to provide this serv… https://twitter.com/i/web/status/953360820133560321
@midwife_cw
16 January 2018 20:18
@ParekhKim @withwoman @CharleneSTMW @WeMidwives #wemidwives depends on the size of the area.
@CharleneSTMW
16 January 2018 20:19
RT @midwife_cw: @ParekhKim @withwoman @CharleneSTMW @WeMidwives #wemidwives depends on the size of the area.
@midwife_cw
16 January 2018 20:19
@DeeDavies12 @WeMidwives @withwoman @ParekhKim #wemidwives Hi Dee! (wave) I would agree completely
@CharleneSTMW
16 January 2018 20:19
RT @midwife_cw: @withwoman @CharleneSTMW @ParekhKim @WeMidwives #wemidwives have seen this model too. Community is the obvious. BC staff mo…
@ParekhKim
16 January 2018 20:20
@midwife_cw @withwoman @WeMidwives So once the woman is in labour is hb offered? #wemidwives
@CharleneSTMW
16 January 2018 20:20
RT @DeeDavies12: @WeMidwives @withwoman @ParekhKim @midwife_cw #weMidwives When we are challenged with staffing to provide this service - t…
@CharleneSTMW
16 January 2018 20:21
RT @midwife_cw: @WeMidwives @ParekhKim Brilliant! Big hello Kim and Ali #wemidwives
@midwife_cw
16 January 2018 20:21
@ParekhKim @withwoman @WeMidwives #wemidwives at anytime. But discussion again in latent phase
@WeMidwives
16 January 2018 20:22
RT @withwoman: @CharleneSTMW @ParekhKim @midwife_cw @WeMidwives Yes from community but working closely with triage. #wemidwives
@WeMidwives
16 January 2018 20:22
RT @midwife_cw: @withwoman @ParekhKim @WeMidwives #wemidwives HB did go up. Caseloading mostly, but have seen a dedicated team that respond…
@WeMidwives
16 January 2018 20:22
RT @midwife_cw: @withwoman @CharleneSTMW @ParekhKim @WeMidwives #wemidwives have seen this model too. Community is the obvious. BC staff mo…
@midwife_cw
16 January 2018 20:22
@withwoman @AlisonBrindle @WeMidwives @ParekhKim #wemidwives Yes indeed. Have seen it work in NHS too. But there was continuity as well.
@WeMidwives
16 January 2018 20:22
RT @ParekhKim: @midwife_cw @withwoman @CharleneSTMW @WeMidwives Did the cmws went out to see the ladies in their own areas? #wemidwives
@WeMidwives
16 January 2018 20:22
RT @midwife_cw: @withwoman @ParekhKim @WeMidwives #wemidwives I think it is important that she is listened to, spoken with, supported and p…
@WeMidwives
16 January 2018 20:22
RT @ParekhKim: @withwoman @midwife_cw @WeMidwives Yes I do, it keeps the oxytocin at a continuum #wemidwives
@WeMidwives
16 January 2018 20:22
RT @CharleneSTMW: @AlisonBrindle @WeMidwives @midwife_cw @withwoman @ParekhKim It sounds like the perfect scenario #wemidwives
@midwife_cw
16 January 2018 20:22
@Catherinemidwif @CharleneSTMW @AlisonBrindle @WeMidwives @withwoman @ParekhKim #wemidwives exactly!
@AlisonBrindle
16 January 2018 20:23
@midwife_cw @withwoman @WeMidwives @ParekhKim I do love that model of care #Continuity #WomanCentred #WeMidwives http://www.midwiferyjournal.com/article/S0266-6138(17)30151-1/pdf
@WeMidwives
16 January 2018 20:23
RT @midwife_cw: @WeMidwives @ParekhKim #wemidwives is anyone here?
@WeMidwives
16 January 2018 20:23
RT @AlisonBrindle: @midwife_cw @withwoman @WeMidwives @ParekhKim I do love that model of care #Continuity #WomanCentred #WeMidwives https:/…
@DeeDavies12
16 January 2018 20:24
@CharleneSTMW @WeMidwives @withwoman @ParekhKim @midwife_cw This approach is much more personalised than a telephone call #WeMidwives
@WeMidwives
16 January 2018 20:25
You’re doing a fab job Kim! #WeMidwives https://twitter.com/parekhkim/status/953362475843506176
@DrDavidFoster
16 January 2018 20:26
RT @AlisonBrindle: @midwife_cw @withwoman @WeMidwives @ParekhKim I do love that model of care #Continuity #WomanCentred #WeMidwives https:/…
@midwife_cw
16 January 2018 20:26
@WeMidwives @DeeDavies12 @CharleneSTMW @withwoman @ParekhKim #wemidwives this service is around. ?Portsmouth (will find references!)
@AlisonBrindle
16 January 2018 20:26
@ParekhKim @midwife_cw @withwoman @WeMidwives yes, the crux to everything ??#WeMidwives
@ParekhKim
16 January 2018 20:26
@WeMidwives Has anyone faced these challenges? #wemidwives
@midwife_cw
16 January 2018 20:27
@ParekhKim @AlisonBrindle @withwoman @WeMidwives #wemidwives complex issue!
@midwife_cw
16 January 2018 20:29
@Catherinemidwif @smaaaa @CharleneSTMW @AlisonBrindle @WeMidwives @withwoman @ParekhKim https://www.ncbi.nlm.nih.gov/pubmed/28426160 #wemidwives
@AlisonBrindle
16 January 2018 20:29
RT @midwife_cw: @Catherinemidwif @smaaaa @CharleneSTMW @AlisonBrindle @WeMidwives @withwoman @ParekhKim https://www.ncbi.nlm.nih.gov/pubmed/28426160 #wemidwives
@CharleneSTMW
16 January 2018 20:29
RT @midwife_cw: @Catherinemidwif @smaaaa @CharleneSTMW @AlisonBrindle @WeMidwives @withwoman @ParekhKim https://www.ncbi.nlm.nih.gov/pubmed/28426160 #wemidwives
@CharleneSTMW
16 January 2018 20:30
@midwife_cw @Catherinemidwif @smaaaa @AlisonBrindle @WeMidwives @withwoman @ParekhKim thanks Caitlin #wemidwives
@DrDavidFoster
16 January 2018 20:30
@MRadford_DONi @WeNurses A very interesting thought. And would the same apply to midwives? We don't have many midwives contributing, do we? #WeNurses #Wemidwives
@midwife_cw
16 January 2018 20:30
@AlisonBrindle @ParekhKim @WeMidwives @withwoman #wemidwives https://www.ncbi.nlm.nih.gov/pubmed/12970808
@ParekhKim
16 January 2018 20:32
@LauraTh71893745 @WeMidwives Latent phase of care is so important. We need to get it right from the start #wemidwives
@WeMidwives
16 January 2018 20:32
RT @ParekhKim: @LauraTh71893745 @WeMidwives Latent phase of care is so important. We need to get it right from the start #wemidwives
@WeMidwives
16 January 2018 20:32
RT @midwife_cw: @AlisonBrindle @ParekhKim @WeMidwives @withwoman #wemidwives https://www.ncbi.nlm.nih.gov/pubmed/12970808
@midwife_cw
16 January 2018 20:32
@CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @WeMidwives @withwoman @ParekhKim #wemidwives… https://twitter.com/i/web/status/953364389704491008
@WeMidwives
16 January 2018 20:33
@ParekhKim @LauraTh71893745 Do you think Skype conversations would be beneficial as well? #wemidwives
@WeMidwives
16 January 2018 20:33
RT @midwife_cw: @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @WeMidwives @withwoman @ParekhKim #wemidwives http://www.porthosp.nhs.uk/PHTNEWS/Portsmouth-Women-Can-Call-the-Midwife.htm…
@WeMidwives
16 January 2018 20:33
@midwife_cw @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @withwoman @ParekhKim Fab thank you #wemidwives
@Catherinemidwif
16 January 2018 20:34
@ParekhKim @AlisonBrindle @WeMidwives @midwife_cw @withwoman Definitely can’t have on without the other #WeMidwives
@ParekhKim
16 January 2018 20:34
@midwife_cw @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @WeMidwives @withwoman That would be great thank you #weMidwives
@midwife_cw
16 January 2018 20:35
@withwoman @Catherinemidwif @CharleneSTMW @AlisonBrindle @WeMidwives @ParekhKim #wemidwives prepared for HB at all… https://twitter.com/i/web/status/953365058893025280
@WeMidwives
16 January 2018 20:36
RT @midwife_cw: @withwoman @Catherinemidwif @CharleneSTMW @AlisonBrindle @WeMidwives @ParekhKim #wemidwives prepared for HB at all assessme…
@midwife_cw
16 January 2018 20:36
@WeMidwives @ParekhKim @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @withwoman #wemidwives I did many over… https://twitter.com/i/web/status/953365426842537985
@DeeDavies12
16 January 2018 20:37
@ParekhKim @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @WeMidwives @midwife_cw @withwoman #weMidwives I a… https://twitter.com/i/web/status/953365684918063105
@CharleneSTMW
16 January 2018 20:38
RT @midwife_cw: @WeMidwives @ParekhKim @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @withwoman #wemidwives I did many over the yea…
@CharleneSTMW
16 January 2018 20:39
RT @DeeDavies12: @ParekhKim @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @WeMidwives @midwife_cw @withwoman #weMidwives I agree wi…
@CharleneSTMW
16 January 2018 20:39
RT @midwife_cw: @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @WeMidwives @withwoman @ParekhKim #wemidwives http://www.porthosp.nhs.uk/PHTNEWS/Portsmouth-Women-Can-Call-the-Midwife.htm…
@midwife_cw
16 January 2018 20:40
@ParekhKim @WeMidwives @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @withwoman #wemidwives not at all sill… https://twitter.com/i/web/status/953366439737675776
@CharleneSTMW
16 January 2018 20:42
RT @midwife_cw: @ParekhKim @WeMidwives @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @withwoman #wemidwives not at all silly. It wa…
@AlisonBrindle
16 January 2018 20:42
@CharleneSTMW @midwife_cw @withwoman @Catherinemidwif @WeMidwives @ParekhKim Think the Windsor Midwives did home assessments too #WeMidwives
@midwife_cw
16 January 2018 20:42
@CharleneSTMW @WeMidwives @ParekhKim @Catherinemidwif @smaaaa @AlisonBrindle @withwoman #wemidwives no. not usually… https://twitter.com/i/web/status/953366886040920064
@CharleneSTMW
16 January 2018 20:42
RT @midwife_cw: @CharleneSTMW @WeMidwives @ParekhKim @Catherinemidwif @smaaaa @AlisonBrindle @withwoman #wemidwives no. not usually. Would…
@midwife_cw
16 January 2018 20:43
@WeMidwives @withwoman @ParekhKim #wemidwives will find it and PM over.
@CharleneSTMW
16 January 2018 20:44
RT @midwife_cw: @WeMidwives @withwoman @ParekhKim #wemidwives will find it and PM over.
@WeMidwives
16 January 2018 20:44
RT @midwife_cw: @WeMidwives @ParekhKim @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @withwoman #wemidwives I did many over the yea…
@WeMidwives
16 January 2018 20:44
RT @DeeDavies12: @ParekhKim @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @WeMidwives @midwife_cw @withwoman #weMidwives I agree wi…
@WeMidwives
16 January 2018 20:45
RT @midwife_cw: @ParekhKim @WeMidwives @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @withwoman #wemidwives not at all silly. It wa…
@WeMidwives
16 January 2018 20:45
RT @midwife_cw: @CharleneSTMW @WeMidwives @ParekhKim @Catherinemidwif @smaaaa @AlisonBrindle @withwoman #wemidwives no. not usually. Would…
@WeMidwives
16 January 2018 20:45
RT @midwife_cw: @WeMidwives @withwoman @ParekhKim #wemidwives will find it and PM over.
@midwife_cw
16 January 2018 20:50
@ParekhKim @WeMidwives @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @withwoman #wemidwives Yes. But I woul… https://twitter.com/i/web/status/953368906445524992
@CharleneSTMW
16 January 2018 20:51
RT @midwife_cw: @ParekhKim @WeMidwives @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @withwoman #wemidwives Yes. But I would call a…
@ParekhKim
16 January 2018 20:51
RT @midwife_cw: @ParekhKim @WeMidwives @CharleneSTMW @Catherinemidwif @smaaaa @AlisonBrindle @withwoman #wemidwives Yes. But I would call a…
@withwoman
16 January 2018 20:51
@AlisonBrindle @CharleneSTMW @midwife_cw @Catherinemidwif @WeMidwives @ParekhKim Yes they did - with great success #wemidwives
@midwife_cw
16 January 2018 20:51
@CharleneSTMW @BerksMaternity @withwoman @Catherinemidwif @AlisonBrindle @WeMidwives @ParekhKim #wemidwives great question.
@ParekhKim
16 January 2018 20:52
RT @midwife_cw: @CharleneSTMW @BerksMaternity @withwoman @Catherinemidwif @AlisonBrindle @WeMidwives @ParekhKim #wemidwives great question.
@CharleneSTMW
16 January 2018 20:52
RT @midwife_cw: @CharleneSTMW @BerksMaternity @withwoman @Catherinemidwif @AlisonBrindle @WeMidwives @ParekhKim #wemidwives great question.
@midwife_cw
16 January 2018 20:53
@CharleneSTMW @BerksMaternity @withwoman @Catherinemidwif @AlisonBrindle @WeMidwives @ParekhKim #wemidwives I will… https://twitter.com/i/web/status/953369732949991425
@WeMidwives
16 January 2018 20:53
@NBO092012 @ParekhKim Absolutely and surely it would make long-term financial sense if more women stayed at home for longer #wemidwives
@ParekhKim
16 January 2018 20:54
@withwoman @midwife_cw @WeMidwives Was home assessment provided to women with complicated pregnancy #weMidwives
@WeMidwives
16 January 2018 20:54
RT @midwife_cw: @CharleneSTMW @BerksMaternity @withwoman @Catherinemidwif @AlisonBrindle @WeMidwives @ParekhKim #wemidwives I will PM you a…
@WeMidwives
16 January 2018 20:54
RT @ParekhKim: @withwoman @midwife_cw @WeMidwives Was home assessment provided to women with complicated pregnancy #weMidwives
@midwife_cw
16 January 2018 20:55
@CharleneSTMW @BerksMaternity @withwoman @Catherinemidwif @AlisonBrindle @WeMidwives @ParekhKim #wemidwives… https://twitter.com/i/web/status/953370042795806721
@midwife_cw
16 January 2018 20:56
@ParekhKim @withwoman @WeMidwives #wemidwives yes, all risks but some women who were higher risk did not want home… https://t.co/JymB1CYIId
@WeMidwives
16 January 2018 20:57
RT @midwife_cw: @CharleneSTMW @BerksMaternity @withwoman @Catherinemidwif @AlisonBrindle @WeMidwives @ParekhKim #wemidwives @CharleneSTMW w…
@WeMidwives
16 January 2018 20:57
RT @midwife_cw: @ParekhKim @withwoman @WeMidwives #wemidwives yes, all risks but some women who were higher risk did not want home assessme…
@WeMidwives
16 January 2018 20:57
@midwife_cw @ParekhKim @withwoman And that’s the wondeful thing - woman executing real #choice #wemidwives




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 Total tweets: 117
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