Pregnancy care typically assumes patients are heterosexual married women whose gender matches their assigned sex (i.e., cisgender), stigmatizing patients and creating limitations, blocking affirming care. Consequently, lesbian, gay, bisexual, queer, intersex, asexual, and/or transgender (LGBTQIA+) parents face minority stress as discrimination in antenatal care. This mixed-methods study assesses stressors and resilience factors on pregnancy and birth outcomes. LGBTQIA+ pregnant parents (n=200) are case-matched with cisheterosexual peers (n=600). Primary data comes from two panel surveys, one antenatally and one postpartum, combined with medical records. A sub-sample (n=30) will complete a journal between surveys. Findings will inform care guidelines and provider training.

开始日期2022-05-17

申办/合作机构

University College London

[+13]

100 项与 University Hospitals Sussex NHS Foundation Trust 相关的临床结果

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0 项与 University Hospitals Sussex NHS Foundation Trust 相关的专利（医药）

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494

项与 University Hospitals Sussex NHS Foundation Trust 相关的文献（医药）

2025-06-01·Journal of Cancer Policy

Integrating ePROMs: A key opportunity for England’s National Cancer Plan

Letter

作者: Yorke, Janelle ; Faivre-Finn, Corinne ; Gilbert, Duncan ; Price, James ; Absolom, Kate ; Wheelwright, Sally ; Fallowfield, Lesley ; Williams, Tim ; Large, Alison ; Gilbert, Alexandra ; Minton, Ollie ; Nuamek, Thitikorn ; Shilling, Valerie

2025-06-01·JPRAS Open

Extended reality for mapping perforator-based flaps in breast reconstruction: a systematic review and meta-analysis

Review

作者: Dheansa, Baljit ; Lacey, Hester ; Khan, Anas

IntroductionExtended reality technologies including augmented reality (AR) and virtual reality (VR) can be used in surgical settings for surgical planning, perioperative visualisation of patient anatomy and simulation of operative steps. This study aimed to ascertain the role of extended reality in perforator-based breast reconstruction.MethodsA systematic search of the literature was performed. Screening was conducted independently by two reviewers, with conflicts resolved through consensus.ResultsIn total, 4957 articles were identified of which 10 were included, comprising 229 flaps. Overall, localisation of perforator emergence with AR and VR were 4 mm (95% confidence interval [CI] 3.2-4.9) and 14 mm (95% CI 5.5-22.5), respectively, from the correct intraoperatively identified location. Two studies reported a significant reduction in harvesting time (88 min for VR and 19 min for AR). The pooled mean image processing time from four studies was 39±47 min. Preoperative VR was associated with shorter operative times than conventional Doppler ultrasound (478±56.94 vs 606.29 ± 81.94 min, P<0.05). Use of a simulated environment for mapping perforators appeared to reduce complications (wound breakdown, flap revision, flap loss, infection); however, this failed to reach statistical significance (odds ratio 0.6; 95% CI 0.3-1.3; P=0.20).ConclusionsThis study suggests that AR and VR offer limited benefit in improving accuracy of perforator identification; however, they may reduce flap harvesting and total operative time. Key limitations include heterogeneity and quality of the included studies. With larger sample sizes and higher quality evidence, definitive benefits and longitudinal outcomes relating to use of extended reality in perforator-based breast reconstruction may be established.

2025-06-01·BJA Open

Strategies to reduce the risk of unrecognised oesophageal intubation: a survey of Difficult Airway Society members

Article

作者: McGuire, Barry ; Silvey, Natalie ; Majumdar, Moon-Moon ; O'Sullivan, Ellen ; Chakladar, Abhijoy ; McNarry, Alistair F

BackgroundDespite multiple initiatives and consensus guidelines, preventable deaths from unrecognised oesophageal intubation continue worldwide. We aimed to establish what different organisations are doing to reduce the risk of unrecognised oesophageal intubation.MethodsThis was a cross-sectional survey of Difficult Airway Society (DAS) members using an internet-based survey platform. Members were invited to participate via e-mail over a period of 10 weeks (28 March to 07 June 2023). Results were reported according to the CROSS checklist.ResultsThe response rate was 39% (819/2125). About 50% (402/799) of respondents were providing training to reduce the risk of unrecognised oesophageal intubation and 9% (69/799) were planning to. Most of the training (69%; 310/449) is multidisciplinary. However, almost one-third of respondents (31%; 246/799) were from departments that were not planning any training. Non-training-related strategies (including but not limited to increased use of videolaryngoscopy, increased use or improving the interpretability of waveform capnography) were implemented in 39% (297/765) of respondents' departments and planned in 8% (60/765). Nearly one-third (31%; 237/765) were not planning any non-training interventions to reduce risk. Of those who responded, 17% (130/765) were from departments not planning any strategies to reduce the risk of unrecognised oesophageal intubation. Two-person verbal confirmation of capnography was considered 'extremely' or 'very' helpful by 59% (411/702) of respondents.ConclusionsOur study suggests that uptake of preventative strategies to reduce the risk of unrecognised oesophageal intubation remains inadequate. The authors suggest it is now time for the Royal College of Anaesthetists, DAS, and the General Medical Council to mandate strategies to reduce the risk of unrecognised oesophageal intubation.

100 项与 University Hospitals Sussex NHS Foundation Trust 相关的药物交易

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100 项与 University Hospitals Sussex NHS Foundation Trust 相关的转化医学

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