Lucy Halliday

Anaesthetist/PhD student 🏃🏼‍♀️🛹⛷🏔🔥

[Lucy Halliday @LucyHalliday7]

Socioeconomically disadvantaged women are 16% less likely to utilise labour epidural analgesia…

Article published in anaesthesia today!
@rjharrison79 @profscottnelson

https://t.co/ar2TBNo8vw

[Claire-Marie Agius @ClaireAmc22]

Uptake of epidurals in deprived obstetric patients is reduced; which is concerning given that deprived obs patients tend to be more co-morbid (ex. In terms of BMI) @LucyHalliday7 @Assoc_Anaes @Anaes_Trainees

[Rachel Harrison (Kearns) @rjharrison79]

Could not be more delighted for @LucyHalliday7 and the successful defence of her PhD thesis today! Massive thanks to @Katrina29979886 @ArcBroom @YavorRM for running a fantastic viva
Absolute 🌟! @profscottnelson @UofGAnaesCrit

[LabourPains.org @labourpainsOAA]

Expert, unbiased, trustworthy information on pain relief choices during labour. We're passionate about supporting parents expecting a baby. If you are a healthcare professional please help us by sharing our website https://t.co/fy8pHVbUN0

[OAA @OAAinfo]

It’s not often #OBAnes gets a mention in @NatGeo . @OAAinfo welcomes the widespread interest in the research by @rjharrison79 @LucyHalliday7 Prof Lawlor Prof Nelson and colleagues.

https://t.co/LGlFGG3JUP

[Dr Damon Kamming BSc MBChB FRCA EMBA ECFMG @drdamonkamming]

If you read nothing else today read this 👇

Epidural analgesia during labour associated with 35% reduced rate of serious complications

Data from > 500,000 women

#obstetricanaesthesia #obanes @r@rjharrison79 @profscottnelson @LucyHalliday7 @dr_aizhan @RCoANews @Assoc_Anaes @RegionalAnaesUK

[Ash Paul @pash22]

@catherineroyuk @NICEComms Also we need 2 stop paying lip service 2 ⬇️ hlth inequalities.
"Women from more deprived backgrounds are ⬇️ to have an epidural, finds @LucyHalliday7 & @rjharrison79 et al study" https://t.co/7FouyZeU9e via @zosiamk @drruthannharpur @JamesTitcombe @andymoz78 @DrNickB_ObAnaes

[Rachel Harrison (Kearns) @rjharrison79]

🔑 Need to ensure access to epidurals, particularly for those who are most vulnerable – women facing higher medical risks or delivering prematurely
ℹ️ accurate patient information is vital!
Some fantastic resources at @labourpainsOAA

[Rachel Harrison (Kearns) @rjharrison79]

⬆️ effect seen in women giving birth prematurely, or with existing health issues that put them at higher risk

[Rachel Harrison (Kearns) @rjharrison79]

✅Epidural during labour associated with significant reduction in severe maternal morbidity

Data from >0.5 million women

Out in BMJ NOW!!!

https://t.co/huOFstGxY0

#obanes @profscottnelson @LucyHalliday7 @dr_aizhan

[Simon Ash @OBsleepmerchant]

Socioeconomic disadvantage similarly affects epidural analgesia uptake in Scotland (@LucyHalliday7 @profscottnelson @rjharrison79) - those in most deprived are less likely to receive medically indicated LEA. #OAA24ASM #OBAnes

[OAA @OAAinfo]

Brilliant curated selection and commentary on Pick of the Posters from new @OAAinfo Executive Committee member @rjharrison79 at #OAA24ASM highlighting thought provoking work much from @OAATrainee members. This is the bedrock of the @OAAinfo ASM. Can’t wait for #OAA25ASM!

[Anaesthesia Research @GJanaesresearch]

🚨We're hiring!! 🚨

Clinical Research Fellow in Anaesthesia, Perioperative Medicine and Critical Care https://t.co/qS4c7KitdF

⚖️50/50 clinical / research
📜Work towards a higher degree (optional)
🌍Wide variety of (funded) projects
💰Salary equivalent to clinical posts

[Grace Lim, MD MSc MBA @LimGrapes]

🆕Our paper is now available online 🙏 @BJAJournals

💥Moderate or severe in-hospital #pain after uncomplicated vaginal delivery is associated with significantly ⬆️ odds of postpartum #opioid use in the first year after delivery 🤰

https://t.co/2dGq7lVu9I

[Rachel Harrison (Kearns) @rjharrison79]

@bmj_latest commentary on our work led by @LucyHalliday7 on inequities in maternity care. "The scope of the problem in wider society is vast & requires strategies to tackle any systems & policies that might inadvertently perpetuate the economic divide".
https://t.co/3YtZetHllI

[Lucy Halliday @LucyHalliday7]

@AymanMustafa6 @OAAinfo @dundeegas Thank you Ayman! I hope you’re well!

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

🔓Disparities relating to postpartum recovery outcomes in different socio-economic and racial ethnic groups are underexplored.

We conducted a planned analysis of a large prospective caesarean delivery cohort to explore the relationship between ethnicity, socio-economic status and postpartum recovery.

Eligible patients were enrolled and baseline demographic, obstetric and medical history data were collected 18 h and 30 h following delivery.

Patients completed postpartum quality of life and recovery measures in person on day 1 and by telephone between day 28 and day 32 postpartum.

Socio-economic group was determined according to the Index of Multiple Deprivation quintile of each patient's usual place of residence.

Data from 1000 patients who underwent caesarean delivery were included.

There were more patients of Asian, Black and mixed ethnicity in the more deprived quintiles.

Patients of White ethnicities had shorter postpartum duration of hospital stay compared with patients of Asian and Black ethnicities.

In adjusted models at day 30, patients of Asian ethnicity had a significantly greater risk of moderate to severe pain (numerical rating scale ≥ 4) at rest and on movement (odds ratio (95%CI) 2.42 (1.24–4.74) and 2.32 (1.40–3.87)), respectively).

There were no differences in readmission rates or incidence of complications between groups.

Patients from White ethnic backgrounds experience shorter postpartum duration of stay compared with patients from Asian and Black ethnic groups.

Ethnic background impacts pain scores and recovery at day 1 postpartum and following hospital discharge, even after adjusting for socio-economic group.

Further work is required to understand the underlying factors driving differences in pain and recovery and to develop strategies to reduce disparities in obstetric patients.

@Jamesocarroll @lianazucco @eleanor_warwick @rmoonesinghe @elboghdadly @CarvalB @PervezSultanMD @ObsQoR

🔗https://t.co/Vs7zLRN4th

[Scott Nelson @profscottnelson]

@UofGlasgow PhD student @LucyHalliday7 work in the news today, and still more papers on deprivation and anaesthesia during pregnancy to come from our team @rjharrison79 https://t.co/9saRmFaLPV

[Rachel Harrison (Kearns) @rjharrison79]

Work from @LucyHalliday7 PhD finds that women from most socioeconomically disadvantaged areas are less likely to receive labour epidural analgesia. Inequities in care must be addressed if we are to improve maternal outcomes @OAAinfo @RegionalAnaesUK @UofGAnaesCrit @WoSOA #OBAnes

[OAA @OAAinfo]

@OAAinfo congratulates 2023 Felicity Reynolds Prize winner @LucyHalliday7 and colleagues on the publication of their important #OBAnes study.