Tracey Christmas

Obstetric Anaesthetist and RCoA College Tutor

[Tracey Christmas @TrChristmas]

@harston_newton What super weather!

[Tim Cook @doctimcook]

Obstetric cardiac arrest
Let’s look at the big picture….

So among 355,000 obstetric anaesthetic interventions in a year in UK (delivered to approximately 50% of all births & at all times of day and night almost exclusively in the NHS)

Incidence of obstetric cardiac arrest
-Epidural for labour
1 in 56,500
- any anaesthesia for LSCS
1 in 8,500

-All epidurals & spinals
1 in 17,000
-all GAs
1 in 1,200

These fall into ‘big data’
They are no substitute for an RCT in assessing safety (except no such RCT exists or is likely to)
There will clearly be confounding by intention (the very highest risk cases more likely to have GA)

…..but they do provide welcome evidence of the absolute safety of obstetric epidurals& spinals (& possibly relative safety compared to GA…)

I think a credit to UK obstetric anaesthesia & wider surgical & midwifery teams.

https://t.co/bvoHwXGOuC

[Tracey Christmas @TrChristmas]

@Fionafionakel @Assoc_Anaes @MartinBromiley @doctimcook @JerryPNolan @chrisfrerk Congratulations Fiona!

[Dr Ally Jaffee @drallyjaffee]

#MedTwitter I am devastated to hear of yet another doctor, who’s life has ended prematurely to suicide. A total tragedy. Please know there is help out there.I’ve created this resource to support #doctorsmentalhealth.
“Take care of those who take care of others.” @amateuradam

[Professor Chris Whitty @CMO_England]

Smoking addicts people who then suffer multiple diseases including heart disease, cancers, dementia and stroke.

Vapes can help smokers quit, but should never be marketed to children.

The consultation on a smokefree generation is open. Please take part.
https://t.co/UiesCf1gcK

[Tracey Christmas @TrChristmas]

@NonFictioness Only half?

[Tracey Christmas @TrChristmas]

@GasNovice Fabulous news Chris, congratulations!

[Tracey Christmas @TrChristmas]

@LondonAllergy

[Tracey Christmas @TrChristmas]

@carolineplayle @BristolCity @DSActive @RobinsFound Godson❤️

[Tracey Christmas @TrChristmas]

@NonFictioness @QuartoKids Beautiful x

[Tracey Christmas @TrChristmas]

Excited to see Lore of the Wild by one of my favourite people @NonFictioness, in one of my favourite bookshops @shrewbooks, in one of my favourite places @FoweyInfo

[Tracey Christmas @TrChristmas]

@OAAinfo @OAATrainee @katemcglennan Excellent work from the @rosiehospital @CUH_NHS @CUH_PeriOps @katemcglennan @LauraKKessack @DrGDavenport. Proud of our Rosie obstetric anaesthetists and East of England trainees.

[Tracey Christmas @TrChristmas]

@OAAinfo @OAATrainee @katemcglennan

[Tracey Christmas @TrChristmas]

@KatieAndThePigs And my husband to nursery with the son from here apparently

[Tracey Christmas @TrChristmas]

@KatieAndThePigs Twitter is a small world. My SIL was at school with Susan Allan.

[Tracey Christmas @TrChristmas]

@harston_newton Thank you @harston_newton - they had such a great time.

[Tracey Christmas @TrChristmas]

@carolineplayle Please send him over to my house next 🥰

[Tracey Christmas @TrChristmas]

@harston_newton What a great find!

[Tracey Christmas @TrChristmas]

@NonFictioness I’m going to miss you too x

[Tracey Christmas @TrChristmas]

@JessicaBTIVA @CUH_Theatres Congratulations Jess and good luck for the future! Thanks for all your hard work and for getting our @rosiehospital sustainability project up and running.