🧵 on #COVID19 in Pregnancy / Breastfeeding

1/

Prof @thangaratinam:

Pregnant women at increased risk of severe COVID (ITU admission), thus earlier delivery

Risk factors: obesity, advancing maternal age, non-white ethnic origin #GlobalPregCov

🔗: bmj.com/content/372/bm…
2/

Animation here:

Read more about the research here: birmingham.ac.uk/research/who-c…

#GlobalPregCov
3/

Prof Paul Heath @StGeorgesUni

Efficacy in slide in general population:

Pfizer/Moderna/AstraZeneca/Gamaleya from clinical studies.

Novovax, Janssen, Sinovac, Bharat Biotech from press release.

#GlobalPregCov
4/

Most vaccines were not tested in pregnant women.

But there is no evidence of risk of vaccination in pregnant women especially in inactivated vaccines. For live vaccines, no evidence of direct foetal injury.

Previously adenovirus vaccines have been safe. #GlobalPregCov
5/

Some women who were not known to be pregnant at time of vaccination are being followed up.

#GlobalPregCov
6/

Prof Heath recommends that cannot recommend routine vaccination in pregnancy but

Where risk factors of contracting COVID19 such as high maternal age/occupational exposure are present, vaccination should be considered

#GlobalPregCov
7/

No known risk associated with giving non-live vaccines whilst breastfeeding

Breastfeeding women may be offered vaccination

#GlobalPregCov
8/

@Gloria_Rowland1 discusses tackling vaccine hesitancy: it's on a continuum

#GlobalPregCov
9/

Why might people refuse the #COVID19 vaccine?

Why might people from ethnic minorities refuse the vaccine?

#GlobalPregCov
10/

How might you tackle vaccine hesitancy as a healthcare professional?

#GlobalPregCov
11/

@RCObsGyn factsheet about vaccination in pregnancy: rcog.org.uk/globalassets/d…

#GlobalPregCov
12/

Watch a recording of the replay back here:

#GlobalPregCov

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More from @DipeshGopal

21 Mar
🧵 THREAD on BIAS in MEDICINE #MedTwitter #FOAMed

1a/

BIAS:

➡️ is integral to how we see people/make diagnoses: can't be removed

➡️ affects research questions that get asked, who gets funded, what gets published and in which journal

@FutureHealthJ: rcpjournals.org/content/future… Image
1b/

Bias training:

➡️ increases bias awareness

➡️ doesn't decrease biases (no evidence base)

➡️ bias training ignores communication, provides no debiasing interventions, doesn't measure motivation

➡️ doesn't address structural problems

Read: ncbi.nlm.nih.gov/pmc/articles/P…
2/

Shoutout to the amazing team:

@UlaChetty

@patrickod9

@returnofcam

@jodieblackadder

And Prof @damienridge who shaped the manuscript.

Hundreds of papers, hours of lectures/books, many drafts to get here.

Thank you 🙏🏽
Read 26 tweets
19 Mar
🧵 THREAD on "good men" #NotAllMen #MeToo

🗣️ What is the pass we give ourselves when we call ourselves "good men"?

Full video from @wayfarerstudios @justinbaldoni:

feat. @TonyPorterACTM @acalltomen @jameyjaz
🗣️ The language used to objectify women is problematic.

Full video from @wayfarerstudios @justinbaldoni:

featuring @TonyPorterACTM @acalltomen
🗣️ What should men do? (watch from 56 mins)

Listen
Believe women
Don't use assumptions
Interject in the locker/boardroom

Be intentional about educating boys/young men

Set an example

Look inwards

Full video from @wayfarerstudios @justinbaldoni:
Read 4 tweets
3 Mar
🧵

1/

THREAD on @BMJLeader study: bmjleader.bmj.com/content/early/…

➡️ Gender and racial CONFERENCE PANEL KEYNOTE SPEAKER representation at Royal College conferences 2015-2019

➡️ Publicly available data: 20 of the 70 conferences
2/

At 60% (n=12) of conferences in our sample, there
was a predominance of male speakers.

Median percentage of female speakers: 35 - 46%.

In 15% (n=3) of conferences, there were an equal number of male and female keynote speakers.

No #manels detected! 🤯 @medicalwomenuk
3/

At 20% (n=4) of conferences examined, none of the keynote speakers were from ethnic minorities.

Median % ethnic minority speakers 9 - 18%.
No increase from 2015 to 2019.

@crageshri @RammyaMathew @Dr2NisreenAlwan @DrRakN @DrJessPotter
Read 10 tweets
25 Feb
🧵THREAD about public/healthcare funding

1/

🗣️ "We must not resort to infighting...instead of placing the focus of our rage where it deserves to be placed – at the feet of those who have been managing the NHS in recent years."
2/

It's not only mismanagement. It's consistent underfunding.

When you look at the govt's own figures, it looks like public spending is increasing: gov.uk/government/sta…

Note the y-axis is £ billions but not accounting for inflation (nothing about real terms).
3/

When you look in detail it looks like health spending is increasing and social care is constant.

Note the y-axis is £ billions but now IS accounting for inflation.
Read 12 tweets
4 Jan
1/

🧵 THREAD about probably one of the BEST discussions about social value of work, economic wealth and fairness in a while.

40 mins with @amolrajan, @PJTheEconomist @elerianm @KGerlich777 Louise Casey

@davidgraeber 🗣️ "The more your job helps others, the less you get paid"
2/

Reminded me of @euan_lawson for @BJGPjournal quoting Michael Sandel on meritocracy: bjgp.org/content/70/701…

🗣️ "In an unequal society, those who land on top want to believe their success is morally justified. In a meritocratic society, this means the winners must believe...
3/

🗣️ "...they have earned their success through their own talent and hard work.… at a time when racism and sexism are out of favor (discredited though not eliminated), credentialism is the last acceptable prejudice."
Read 10 tweets
28 Nov 20
2/

Editors' note: Dr @HDambhaMiller (Editor in Chief), Dr Umar Chaudhry (@StGeorgesUni), Dr Peter Adams (@uwicave_hill)

They explain how they will be taking on diversity/inclusion by looking at:

outreach / mentoring students
diversity at submission

bjgpopen.org/content/early/…
3a/

Our group work looks at how race and racism affects the working life of a GP: bjgpopen.org/content/early/…

When it comes to issues of race / racism, is it comfortable to ignore them?

@v_silverwood @EbMulla @olamide_dada @salmanWaqar
Read 39 tweets

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