CoMMA - Cotswold & Mendip Maternity Anaesthetists

A regional network to support Obstetric Anaesthetists. We promote collaboration, training and best practice

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

CoMMA is back with an obstetric anaesthesia updates day…!

17th June, GRH. We have a range of great internal and external speakers, a trainee prize for oral/ poster presentation which is great for the CV (please send abstracts by 1st June!)

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

And thanks to our resident-led presentations showcasing some high quality work from the region.
Keep an eye on our website for more meeting details including future obstetric anaesthesia updates from the region and events https://t.co/iyzuCIB7ii

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

A highly enjoyable day at #COMMA2025 yesterday. We were lucky to be joined by some incredible speakers and some high quality talks.

Thank you to Katie Donovan-Adekanmbi, Lisa Kirk, Helen Brar, @godfrey_esther and Phil Riddell for their time and contributions.

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

Offering her patient experience of inadequate anaesthesia is @SusannaStanford

“Start with the assumption that the block ISN’T working and prove to yourself that it IS”

Test the block AND believe the patient.

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

Technical and non-technical skills are equally important and we, as anaesthetists, can have an impact through:
- ergonomics
- tocolysis
- PPH management
- maintaining communication with a mother and her birth partner

A super interesting and enlightening presentation!

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

There’s no post-lunchtime dip in energy here, as @krcornthwaite speaks to us about the MDT approach to managing impacted fetal head at Caesarean section.

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

Many thanks to Annie, Sethina @morefluids, Sam and Jene for 4 great talks and to our delegates for such interesting discussion!

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

Our 2nd session of the day has been FULL of trainee presentations, with QI projects, case reports and service assessments being discussed…!

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

Original and relevant topics including:
* The effect and management of anaphylaxis in pregnancy
* Ethnic differences in maternity healthcare across Bristol
* Major haemorrhage in uterine leiomyeoma
* RA bracelets to monitor recovery from neuraxial procedures

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

But also good to know that there are things we do well here in the UK…! 🤰

Vasopressor use, patient experiences and teamwork…

Thank you @DGPLuther for such a balanced insight into both systems ⚖️

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

1st up is Dr David Luther, talking to us about living and working in Singapore, during his advanced obstetric anaesthesia OOPE!

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

Specifically…

1. 18G Tuohy needles create fewer dural punctures and fewer PDPHs than 16G - a no brainer?!

2. CSE as standard for labour analgesia vs epidural alone… probably better, but would need a change in culture within many NHS departments

3. CI-PCEA… the dream?!

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

CoMMA is back!!

We’re delighted to welcome so many of you from around the region to the Redwood Education Centre at Gloucester! We’re excited to learn about all things obstetric anaesthesia!

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

Link to book: https://t.co/gvwRU0zlph

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

CoMMA is back with an obstetric anaesthesia updates day…!

17th June, GRH. We have a range of great internal and external speakers, a trainee prize for oral/ poster presentation which is great for the CV (please send abstracts by 1st June!)

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

Last week for abstract submissions to the OAA!

What projects have you been involved with this year?!!

#obstetricanaesthesia #facetoface

[OAA @OAAinfo]

Submit your abstract for Obstetric Anaesthesia 2022!

We are excited that you will have the chance to present your abstracts in-person this year - share your findings using the latest e-poster technology in a fabulous new venue!

Submissions close 4 Feb!
https://t.co/heDEAXjGlZ

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

Repeated points that we heard earlier in the Obstetrics session…

- Thiopental use in emergency GA LSCS still high despite NAP5 data and the risk of AAGA

- Hugely increased risk to pregnant women of black, Asian and mixed ethnic origins

@mbrrace @OAAinfo @NAPs_RCoA

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

Fab Keynote presentation by @noolslucas with so many learning points in obstetric anaesthesia!

[CoMMA - Cotswold & Mendip Maternity Anaesthetists @CoMMAMaternity]

Are we a Cinderella subspecialty?

Should we be making the same marginal gains as other anaesthesia specialties to improve our practice?
For example, more routine use of videolaryngoscopy? @noolslucas says yes!