Dr Penny Sheehan
speaker
716 appearances
5 recordings
1 series
first heard Jun 2026
last heard 20 Jul
Dr Penny Sheehan’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 5 in all, peaking in Jul 2026 with 3.
Appearances
I think when this message first came out, lots of women came in and said, oh my gosh, I woke up on my back.
Have I done something terrible?
So it's important that the message is don't fall asleep on your back.
But if you should wake up and find that you have rolled onto your back, just go back on your side again.
And finally, the last component, timing of birth.
And it's been interesting marrying timing of birth from the Safer Baby Bundle with that of the Pressure and Birth Collaborative.
They are, in fact, concordant messages.
The key point about the timing of birth component of Safer Baby is where there are risk factors, the timing of birth should be chosen to allow for those risk factors.
reassessing women late in pregnancy to look at what risk factors might have developed during the pregnancy and talking about an appropriate time of birth.
The bundle's got very strong high-level endorsement, but implementing it on the ground is complex and involves all sorts of different systems and staff members.
We do have some research from Dr. Christine Andrews, who is an implementation science researcher from Stillbirth CRE, and she looked at sites that did well.
the Safer Baby Bundle and sites that perhaps did not perform so well.
And her learnings were that the sites that did well trained through the national e-learning package, focused on collaboration rather than leaders just saying, you must do this.
It was important for staff to own the components of the bundle and get engagement of stakeholders and especially obstetricians, I'd have to say, was key about having the bundle really work.
Access to data is also critical.
So for most improvement science and for implementation of most improvement programs, it is key that staff can audit their outcomes easily, that they can get the process measures out of their systems, and then they can look as an iterative process about how well they're doing, giving that feedback to the teams.
Some of the barriers and the common challenges, insufficient resources.
And I'm sorry to say that quality improvement takes time and resources, all sorts of quality improvement programs.
Implementing big improvement programs without really considering the resources and the time that staff require is probably not ideal.
Safer Baby Bundle initially was introduced during COVID, as it turned out, and obviously that added some extra challenges.
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