Wild Card - Whose Shoes?

30. Alison Wright - personalised maternity care. Opportunities and challenges.


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Today I am talking to a ‘Fab Obs’. 

#FabObs is the hashtag  we use in our #MatExp social movement - an obstetrician who ‘gets it’. Listening to what matters to women.

 Finding ways to prioritise, obviously, the safety of mother and baby, but really listening to women – and indeed helping them tease out the choices and  birth options.

 And today that #FabObs is Alison Wright. Alison is the immediate past Vice-president of the RCOG  (Royal College of Obstetricians and Gynaecologists) – a big advocate for the RCOG women’s network, embedding women’s voices into every aspect of the college‘s work. Forward-thinking and exciting.

 Alison has led the development of ‘I decide’ - a tool enabling women  to think through choices and decisions in labour.

As well as being a  champion of maternity experience, Alison is also ‘just’ an everyday ‘Obs and gynae’ doctor.

Lemon lightbulbs 🍋💡🍋

  • LISTENING to women and families throughout their birth journeys and pregnancy
  • Providing personalised care in maternity services, in times of staffing pressures and recruitment difficulties
  • Personalised care means different things to different people
  • Teasing out what matters to you -  #WMTY
  • Being honest with women, sharing  information about difficult topics eg anal sphincter tears
  • Largely, women want to know what might happen. Don’t assume  they don’t
  • Information is key! It gives  controll
  • Creative methods useful for sharing information and breaking down barriers to engagement
  • Tim Draycott’s innovative work on the Odan device
  • ‘I decide’? -  a clever acronym - check it out! Nadine Montgomery ruling re informed consent
  • Shoutout for Florence Wilcock, champion of personalised care; co- founder of #MatExp 
  • Involving Maternity Voices Partnerships and NHS Resolution in teasing out the future
  • Should we be looking to solve problems in the short or  long term?
  • The RCOG Women’s Network is influential
  • Perceived tensions between what women want and what clinicians want. Actually, we all want the same thing!
  • Shadowing other healthcare professionals is really useful -  (mutual) shadowing an antenatal teacher
  • #NoHierarchyJustPeople is a key #MatExp mantra
  • Blue light - the Obs Pod Emergency!
  • Family Integrated Care - new #WhoseShoes work 😀
  • Let’s encourage all obstetricians to get involved! To have a seat at the table!
  • Ask the obstetrician 🍋💡🍋
  • Relationships matter. Form a relationship with your obstetrician
  • People don’t like the unexpected - easier to deal with if you know what might happen
  • “If you start being a patient advocate, you ’ll never have a career in medicine!“
  • ⏩ Huge shift in thinking! Bring together the patient experience and the clinician’s experience through coproduction
  • Important not to swing too far  ⏩ everyone has choice, do whatever you like! 😬
  • No dumping! Healthcare professionals need to accept responsibility, to steer choice sensibly
  • Informed choice. But make it realistic. What would you do in my position?
  • Clinicians have responsibility to give  evidence from their experience, their opinion.
  • We’re all on the same side! Let’s work together! Obstetricians are a key part in this!

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Connect with me - Gill Phillips - on LinkedIn, especially if you are interested in our brand new #CYPWhoseShoes resources or our well-established #MatExp (maternity experience) work.

I tweet (not so much these days!) as @WhoseShoes  and am on Instagram as @WhoseShoesUK and @WildCardWS.

Please recommend 'Wild Card - Whose Shoes' to others who enjoy hearing passionate people talk about their experiences of improving health care. 

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Wild Card - Whose Shoes?By Gill Phillips @WhoseShoes


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