‘Never waste a crisis’: a commentary on the COVID‐19 pandemic as a driver for innovation in maternity care

Abstract unavailable

‘Never waste a crisis’: a commentary on the COVID‐19 pandemic as a driver for innovation in maternity care

Abstract unavailable

The United Kingdom and the Netherlands maternity care responses to COVID-19: A comparative study

BackgroundThe national health care response to coronavirus (COVID-19) has varied between countries. The United Kingdom (UK) and the Netherlands (NL) have comparable maternity and neonatal care systems, and experienced similar numbers of COVID-19 infections, but had different organisational responses to the pandemic. Understanding why and how similarities and differences occurred in these two contexts could inform optimal care in normal circumstances, and during future crises.AimTo compare the UK and Dutch COVID-19 maternity and neonatal care responses in three key domains: choice of birthplace, companionship, and families in vulnerable situations.MethodA multi-method study, including documentary analysis of national organisation policy and guidance on COVID-19, and interviews with national and regional stakeholders.FindingsBoth countries had an infection control focus, with less emphasis on the impact of restrictions, especially for families in vulnerable situations. Differences included care providers’ fear of contracting COVID-19; the extent to which community- and personalised care was embedded in the care system before the pandemic; and how far multidisciplinary collaboration and service-user involvement were prioritised.ConclusionWe recommend that countries should 1) make a systematic plan for crisis decision-making before a serious event occurs, and that this must include authentic service-user involvement, multidisciplinary collaboration, and protection of staff wellbeing 2) integrate women’s and families’ values into the maternity and neonatal care system, ensuring equitable inclusion of the most vulnerable and 3) strengthen community provision to ensure system wide resilience to future shocks from pandemics, or other unexpected large-scale events

ANTAGONISTIC POTENTIALS OF TALINUM\ud TRIANGULARE EXTRACTS AGAINST IRON II –\ud INDUCED OXIDATIVE STRESS IN TISSUE\ud HOMOGENATES OF WISTAR ALBINO RAT -IN\ud VITRO

This studies show the inhibitory effects of an aqueous and ethanolic\ud extracts of Talinum triangulare (Tt) on tissue homogenates of matured\ud male albino rat (Rattus norvegicus) incubated with iron II (60 µM\ud FeSO4) to induced oxidative stress by thiobarbituric acid reactive\ud species (TBARS). The aqueous extract caused significant (p < 0.05)\ud increase in the inhibition against malondialdehyde (MDA) produced in\ud the brain (with IC50 value = 2.45 ± 0.04 µg/ml) and testes homogenates\ud (with IC50 = 0.75 ± 0.02 µg/ml) but significant (p > 0.05) decreased\ud was observed in the treated liver homogenate in dose-dependent\ud manner (0.33-3.33 µg/ml). However, the level of MDA produced was\ud significantly (p < 0.05) increased in the Talinum triangulare ethanolic\ud extract treated rat’s brain (with IC50 value = 1.63 ± 0.01 µg/ml) but\ud significant (p > 0.05) difference was observed in both the liver and the\ud testes homogenates when incubated with Iron II in the in vitro assay. Therefore, it could be\ud concluded that the plant is potentially active against iron II - induced oxidative stress in the\ud brain and testes as it has been implicated in the assay