What are the risks of birth to my baby?

We will discuss “The dangers of the day of birth” by Walker and co-workers from 30 April 2014. The paper will be made free-to-view for four weeks from mid-April. 

Start date: 30 April 2014 (the discussion will open for 7 days)

First hosted discussion session(s) starts at: 8pm UK time (GMT+1)

Host: @AndreaWoolner1 (Aberdeen)

Platforms: Twitter and via our Facebook page

The Blue Journal Club is an international journal club on women’s health research based on Twitter (as @BlueJCHost). We start our conversation on the last Wednesday of each month and use the hashtag #BlueJC for our tweets. Simply add this hashtag (“#BlueJC”) to each tweet and we will capture it. Each #BlueJC opens for 7 days with an advertised start time.

All BJOG #BlueJC papers also have complementary slide sets suitable for face-to-face journal clubs with your local colleagues. You can access the slide set of this paper here (data S1).

The discussion points are attached below (quoted from the published manuscript)

ScenarioA nulliparous woman in the third trimester of her pregnancy is deciding the place of her delivery. She has no significant medical history and her current pregnancy is uncomplicated. How would you counsel her?

 Description of research

Participants Babies being born
Intervention Childbirth (dangers encountered on the day of birth)
Comparison Other activities encountered during the course of these individuals’ lives
Outcomes Estimated daily risks of death (in micromorts, the number of 1 in a million chances of dying)
Study design Compare the estimated daily risks of death of an individual using data generated from a review of publicly available data
  • How would you currently counsel the woman in the scenario?
  • How did the authors generate the daily risk of death in this study?
  • Describe the methodology of this study. What are the potential biases of this methodology?
  • How might these potential biases influence the results of this study?
  • What are the possible explanations of the differences in the risks of death during birth between the UK and the USA?
  • Can you briefly summarise the results of this study? How would the results of this study influence your practice?

For those who want to understand hashtags, this may be a useful guide. For an introduction to #BlueJC, please refer to BJOG 2013;120:657–60. Follow @BlueJCHostthis blog and our Facebook page to receive news about #BlueJC.