RE: Fw: Post Natal Guideline Scope Consultation

[Guest guest]

Dear Cheryll,

It may be worth considering that from a HV perspective, within our own trust (Ipswich PCT NHS Trust) the postnatal care (particularly Primip's and 'known' vulnerable) of families may commence at least 4 weeks prior to the birth through the Early Intervention Strategy visit we make. This is aimed at being a family health assessment and tries to build relationship with the client whilst identifying strengths and risk factors which may have an impact upon the arrival of the expected child. There has recently been an audit of the use of this tool within the trust.

I don't know if this is likely to be of any help but please contact me for further information if it is,

Yours,

Judy

-----Original Message-----From: CHERYLLAMICUS [mailto:adamsc.cphva@...]Sent: 14 December 2003 22:43 Subject: Fw: Post Natal Guideline Scope Consultation

Dear Senate Members

Some of you may be interested in contributing to the CPHVA response to this important guideline on postnatal care being prepared by NICE. Comments must be made via registered Stakeholder organisations and the CPHVA is registered. At this stage all that is required is comments on the contents of the scope. For example do you believe the guideline should cover the first 6 weeks postnatally or a shorter or longer period. Are there additions you think should go into the scope etc.

Please email me any comments, marking the section they relate to, by Thursday 18th at 5.00 pm. A table of comments will be registered on the NICE website once the final scope has been agreed.

I should add that once the scope is agreed then we shall be preparing a submission of 'grey' evidence. If anyone would like to contribute relevant material it would also be very helpful. There is a wide brief for this guideline but a very poor evidence base in many areas so its important that we contribute as much material as possible to try to fill some of the gaps. Even lower grade evidence is considered to support professional consensus in the absence of anything else

Many thanks to those who contribute comments or evidence

With best wishes

Cheryll

Professional Officer, CPHVA

[Guest guest]

Cheryll,

Having mentioned that there is little in the guidelines about fathers involvement I would like to see some mention about supporting new fathers and encouraging them to be involved in child care as well as supporting the mother. Also - there is nothing in the guidelines referring to the increased domestic abuse risk that we know from research arises postnatally. Family public health should be proactice at this time seeking debt, relationship and domestic problems; particularly as I am aware that in some Trusts these few home visits are all HVs make. Ruth

Fw: Post Natal Guideline Scope Consultation

Dear Senate Members

Some of you may be interested in contributing to the CPHVA response to this important guideline on postnatal care being prepared by NICE. Comments must be made via registered Stakeholder organisations and the CPHVA is registered. At this stage all that is required is comments on the contents of the scope. For example do you believe the guideline should cover the first 6 weeks postnatally or a shorter or longer period. Are there additions you think should go into the scope etc.

Please email me any comments, marking the section they relate to, by Thursday 18th at 5.00 pm. A table of comments will be registered on the NICE website once the final scope has been agreed.

I should add that once the scope is agreed then we shall be preparing a submission of 'grey' evidence. If anyone would like to contribute relevant material it would also be very helpful. There is a wide brief for this guideline but a very poor evidence base in many areas so its important that we contribute as much material as possible to try to fill some of the gaps. Even lower grade evidence is considered to support professional consensus in the absence of anything else

Many thanks to those who contribute comments or evidence

With best wishes

Cheryll

Professional Officer, CPHVA

[Guest guest]

Dear Cheryl

re NICE SCOPE on postnatal care. I suggest the following additions:

section 4.3 4.3.2 iii 'appropritae physical and psychological care of baby at

each subsequent postnatal contact' to include assessment of parenting capacity

in relation to the prevention of child abuse

avoidance of risk of suden infant death syndrome

I would add 'avoidance of risk of shaken baby syndrome' (this is almost as

common as cot death, occurs primarily in babies under 6 months including some as

young as a few days. A third of shaken babies die, many of the remaining are

severly brain damaged)

4.3.3 parenting skills - safety issues To include safe head care, avoidance of

head and neck injury and shaking.

access to postnatal support groups To include awareness of availability of local

groups such as for domestic violence and relationship issues. 30% of domestic

violence commences in pregnancy

Hope that helps

.

Dr Coles PhD BA RHV RGN

Research Fellow

University of Wales College of Medicine

Department of Child Health

Community Section

First Floor, Academic Centre

Llandough Hospital

Cardiff CF64 2XX

Telaphone 02920 716933

Fax 02920 350140

>>> adamsc.cphva@... 14/12/03 10:43 PM >>>

Post Natal Guideline Scope ConsultationDear Senate Members

Some of you may be interested in contributing to the CPHVA response to this

important guideline on postnatal care being prepared by NICE. Comments must be

made via registered Stakeholder organisations and the CPHVA is registered. At

this stage all that is required is comments on the contents of the scope. For

example do you believe the guideline should cover the first 6 weeks postnatally

or a shorter or longer period. Are there additions you think should go into the

scope etc.

Please email me any comments, marking the section they relate to, by Thursday

18th at 5.00 pm. A table of comments will be registered on the NICE website

once the final scope has been agreed.

I should add that once the scope is agreed then we shall be preparing a

submission of 'grey' evidence. If anyone would like to contribute relevant

material it would also be very helpful. There is a wide brief for this

guideline but a very poor evidence base in many areas so its important that we

contribute as much material as possible to try to fill some of the gaps. Even

lower grade evidence is considered to support professional consensus in the

absence of anything else

Many thanks to those who contribute comments or evidence

With best wishes

Cheryll

Professional Officer, CPHVA

[Guest guest]

Dear Cheryl

re NICE SCOPE on postnatal care. I suggest the following additions:

section 4.3 4.3.2 iii 'appropritae physical and psychological care of baby at

each subsequent postnatal contact' to include assessment of parenting capacity

in relation to the prevention of child abuse

avoidance of risk of suden infant death syndrome

I would add 'avoidance of risk of shaken baby syndrome' (this is almost as

common as cot death, occurs primarily in babies under 6 months including some as

young as a few days. A third of shaken babies die, many of the remaining are

severly brain damaged)

4.3.3 parenting skills - safety issues To include safe head care, avoidance of

head and neck injury and shaking.

access to postnatal support groups To include awareness of availability of local

groups such as for domestic violence and relationship issues. 30% of domestic

violence commences in pregnancy

Hope that helps

.

Dr Coles PhD BA RHV RGN

Research Fellow

University of Wales College of Medicine

Department of Child Health

Community Section

First Floor, Academic Centre

Llandough Hospital

Cardiff CF64 2XX

Telaphone 02920 716933

Fax 02920 350140

>>> adamsc.cphva@... 14/12/03 10:43 PM >>>

Post Natal Guideline Scope ConsultationDear Senate Members

Some of you may be interested in contributing to the CPHVA response to this

important guideline on postnatal care being prepared by NICE. Comments must be

made via registered Stakeholder organisations and the CPHVA is registered. At

this stage all that is required is comments on the contents of the scope. For

example do you believe the guideline should cover the first 6 weeks postnatally

or a shorter or longer period. Are there additions you think should go into the

scope etc.

Please email me any comments, marking the section they relate to, by Thursday

18th at 5.00 pm. A table of comments will be registered on the NICE website

once the final scope has been agreed.

I should add that once the scope is agreed then we shall be preparing a

submission of 'grey' evidence. If anyone would like to contribute relevant

material it would also be very helpful. There is a wide brief for this

guideline but a very poor evidence base in many areas so its important that we

contribute as much material as possible to try to fill some of the gaps. Even

lower grade evidence is considered to support professional consensus in the

absence of anything else

Many thanks to those who contribute comments or evidence

With best wishes

Cheryll

Professional Officer, CPHVA