#bluejc transcript

Healthcare Social Media Transcript

From: Wed Mar 20 0:01:00 PDT 2013
To: Wed Mar 27 23:59:00 PDT 2013

What is #bluejc? Who were the influencers during this time period? #bluejc analytics


Healthcare Conference  - Healthcare Tweet Chats  -  Healthcare Analytics

vanorahundley
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#BlueJC BU research on misoprostol to feature in today's BJOG’s Twitter Journal Club: http://t.co/AUVyF8IQrZ
andrewjeharding
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RT @VanoraHundley: #BlueJC BU research on misoprostol to feature in today's BJOG’s Twitter Journal Club: http://t.co/AUVyF8IQrZ
sarahingham1984
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RT @kt_network: RT @AnitaFleming7: #BlueJC TODAY GMT1700 Discuss BJOG paper on oral misoprostol 2 prevent bleeding at home births http:/ ...
elaineleung
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RT @VanoraHundley: #BlueJC BU research on misoprostol to feature in today's BJOG’s Twitter Journal Club: http://t.co/AUVyF8IQrZ
claraejembi
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Julia, we are waiting for the commencement of the JClub #BlueJC
radl11
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Blue twitter Journal Club coming up in about 30 min! #BlueJC @elaineleung
radl11
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Are we going to see a @storify page after the Twitter session? #BlueJC @elaineleung
soapbox_collab
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RT @robertdeleeuw: Blue twitter Journal Club coming up in about 30 min! #BlueJC @elaineleung
soapbox_collab
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RT @MHTF: RT @JuliaHussein1: @MHTF Wed 20/3/2013 1700 GMT discussion on misoprostol at home paper by Immpact researchers #bluejc
mairomuazu
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I AM HAPPY WE ARE GOING TO TALK ABOUT MESOPROSTOL #bluejc mairo muazu
juliahussein1
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Ahmadu Bello University, Zaria, Nigeria and Immpact researchers in Aberdeen will be joining #BlueJC to discuss misoprostol at 1700GMT
elaineleung
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RT @Soapbox_Collab: RT @robertdeleeuw: Blue twitter Journal Club coming up in about 30 min! #BlueJC
elaineleung
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.@robertdeleeuw yep, there will be a @storify summary after the 7-day capture period. #bluejc
vagobestuur
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Online twitter Journal Club of the BJOG coming up soon! #BlueJC
kssabitu
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Looking forward to the start of the journal club #BlueJC
dsiassakos
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RT @kt_network: MT @JuliaHussein1: #BlueJC GMT 1700 GMT today! Discussion on misoprostol at home in low and middle income settings
bjogtweets
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#BlueJC in 15 minutes: Discussion points, http://t.co/DF57NXoi5s Paper, http://t.co/tkZpbzHN8B
krantivora
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IIPHG researchers will be joining #BlueJC to discuss misoprostol
elaineleung
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RT @BJOGTweets: #BlueJC in 15 minutes: Discussion points, http://t.co/7b3H58jOFq Paper, http://t.co/j3Dy6msu3x
elaineleung
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@janecurrie #BlueJC in 15 minutes: Discussion points, http://t.co/7b3H58jOFq Paper, http://t.co/j3Dy6msu3x
nalonya
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RT @BJOGTweets: #BlueJC in 15 minutes: Discussion points, http://t.co/DF57NXoi5s Paper, http://t.co/tkZpbzHN8B
dsiassakos
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RT @elaineleung: RT @BJOGTweets: #BlueJC in 15 minutes: Discussion points, http://t.co/7b3H58jOFq Paper, http://t.co/j3Dy6msu3x
dsiassakos
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RT @JuliaHussein1: Ahmadu Bello University, Zaria, Nigeria and Immpact researchers in Aberdeen will be joining #BlueJC to discuss misopr ...
krantivora
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#BlueJC IIPHG researchers will be joining #BlueJC to discuss misoprostol
radl11
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RT @elaineleung: .@robertdeleeuw yep, there will be a @storify summary after the 7-day capture period. #bluejc
soapbox_collab
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RT @BJOGTweets: #BlueJC in 15 minutes: Discussion points, http://t.co/DF57NXoi5s Paper, http://t.co/tkZpbzHN8B
juliahussein1
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Welcome to the BJOG JC discussion. Tweet #bluejc to give your opinion on whether we should use misoprostol to prevent PPH in home births
krantivora
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#BlueJC It seems that the issue is not about proving efficacy of misorpostol but about how to deliver the drug for home births!
bjogtweets
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@jamesjwalker52 you may be interested in joining the #BlueJC starting now, check our profile for details!
mairomuazu
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it is a great drug for treatimg post partum bleeding.it has been tried in some communities in zaria and the women were happy.#bluejc
elaineleung
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.@JuliaHussein1 I don't think I have any experience in using oral form of misoprostol- any particular risks? #bluejc
idrissuleman2
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A good review of the multi centre study review#bluejc
elaineleung
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.@idrissuleman2 how is it compared to previous metaanalyses by Seldon and co-workers? #bluejc
juliahussein1
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What are the risks of using oral misoprostol? Contributions please to #bluejc
elaineleung
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.@mairomuazu & @krantivora why it is so hard to implement? #bluejc
sambonasir
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I happy to join this conversation, I will begin to send my comment as we go along#bluejc
radl11
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@elaineleung perhaps the lack of effectivity? #BlueJC
elaineleung
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Interested to hear from those with experience> RT @JuliaHussein1: What are the risks of using oral misoprostol? #bluejc
elaineleung
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.@robertdeleeuw from wht I read, it's not as effective but easy 2 distribute in places w/o appropriate storage 4 other uterotonic #bluejc
debbimarais
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Seems systematic capturing of adverse effects is important for future studies#BlueJC
elaineleung
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.@mairomuazu what is your experience with side-effects of oral misoprostol when used in home birth? #bluejc
idrissuleman2
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People in the community are still skeptical about interventions brought to their homes rahter than the health facility#bluejc
juliahussein1
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@elaineleung @idrissuleman2 Sheldon et al justified the use of misoprostol but was not as specific as this study #bluejc
idrissuleman2
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Most of the studies done did not put emphasis on the side effects...common side effects include fever, nausea and vomitting#bluejc
elaineleung
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.@idrissuleman2 Sheldon et al included PO, sublingual & PR misoprostol & not only in home birth> heterogeneous> difficult 2 apply #bluejc
radl11
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#bluejc In the Netherlands we have 50% home births and great results with oxcytocin i.m.
mairomuazu
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it is always like that with a new drug.some people are still skeptical.#bluejc
elaineleung
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.@idrissuleman2 why r ppl in the community skeptical? Is the potential use of misoprostol in abortion an issue from yr experience? #bluejc
sambonasir
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Pls could you explain the methodollogy employed in this sudy? #bluejc
krantivora
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#BlueJC I think it has more to do with what is acceptable as said before it is easy 2 distribute but if managers are OK giving it to VHW
claraejembi
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Do we need RCT to determine appropriate distribution channels, as there is no question about the efficacy of misoprostol in PPH #BlueJC
idrissuleman2
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More evidence is required on home based used of misprostol#bluejc
juliahussein1
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Still waiting for someone to tell us what the risks of using misoprostol for PPH in home births are #bluejc
debbimarais
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@DebbiMarais: Seems systematic capturing of adverse effects is important for future studies#BlueJC
claraejembi
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@JuliaHussein1 Common side effects we found are shivering, fever, diarrhea. Risks include inappropriate use.#BlueJC
krantivora
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#BlueJC RCTs are not reqrd for service delivery options
elaineleung
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.@sambonasir this is a systematic review of available RCTs. Are you familiar with systematic r/w and RCT? #bluejc
profkkhan
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@ClaraEjembi why is there no question about the efficacy - seen comments from pollock #bluejc
radl11
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#bluejc @elaineleung Discussion points, http://t.co/EkaylL2x9p Paper, http://t.co/Yfkc9UNDuQ Join us!
elaineleung
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I can understand why this review not include IM misoprostol (need of needles)> why excluded sublingual misoprostol? #bluejc
krantivora
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.@ClaraEjembi @JuliaHussein1 are the side effects significant?#BlueJC
juliahussein1
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The systematic review method included RCTs as well as other studies reporting effectivness #bluejc
dsiassakos
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These are all important issues: efficacy - is it really guaranteed? side-effects. PV was excluded from SR - discuss #bluejc
debbimarais
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Seems systematic capturing of adverse effects is important for future studies #BlueJC
bjogtweets
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#BlueJC The paper has 2 commentaries attached which raise some interesting points-available below the refs http://t.co/tkZpbzHN8B
juliahussein1
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#bluejc paper suggests that side effects were shivering and pyrexia but only shivering was significantly increased
elaineleung
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.@DSiassakos efficacy- Pollock seemed 2 have suggested the quality of the study may not be as good as it was stated in the review #bluejc
claraejembi
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@Profkkhan Studies have already been conducted to establish efficacy. #BlueJC
elaineleung
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.@ClaraEjembi @Profkkhan @DSiassakos I did find using GRADE to judge quality of evidence rather subjective at times! #bluejc
idrissuleman2
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The 2 commentaries on the paper appear to be discordant in the submissions regarging home delivery #bluejc
elaineleung
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.@idrissuleman2 highlighted that how we view the same study could be very different indeed. #bluejc
claraejembi
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@DebbiMarais I agree completely as most of the studies, including ours in Zaria collect subjective information from the mothers #BlueJC
elaineleung
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RT @DebbiMarais: systematic capturing of adverse effects is important for future studies (PO misoprostol) #BlueJC
elaineleung
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It would be nice if the authors could tell us why PV and sublingual misoprostol trials were not included in this review #bluejc @DSiassakos
dsiassakos
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#bluejc the problem with quality/bias grading schemes is that they are often prone to subjective assessment themselves.
dsiassakos
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#bluejc the two commentaries attached to the paper are excellent in discussing the issue of adverse events and efficacy.
juliahussein1
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Someone asked earlier about the fear that misoprostol will be used by women for abortion. Is there any evidence of this happening? #bluejc
claraejembi
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@robertdeleeuw Where most deliveries take place at home, without access to SBA to parenteral oxytocin, miso only only answer #BlueJC
profkkhan
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@AllysonPollock check out #BlueJC re misoprostol
elaineleung
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RT @JuliaHussein1: the fear that misoprostol will B used by women 4 abortion. Is thr any evidence of ths happening? #bluejc
elaineleung
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#bluejc the fear that misoprostol will B used by women 4 abortion> has anyone have any personal experience?
elaineleung
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.@JuliaHussein1 spoke 2 a dr wrkn 4 a charity- fear 4 women stealing misoprostol from safe birth pak 4 abortion is a concern. True? #bluejc
elaineleung
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.@ClaraEjembi any preferred preparation of misoprostol? PV, PR or sublingual? Does it matter? #BlueJC
vanorahundley
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@elaineleung Limited to oral because focus home use & not necessarily SBA - sublingual more training in administration #blueJC
profkkhan
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@ClaraEjembi @allysonpollock in mini commentary asserts that the 2 RCTs are of poor quality - this casts doubt on efficacy #BlueJC
claraejembi
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@elaineleung @JuliaHussein1 In our Zaria study, even though there were such fears, we did not generate any such evidence #BlueJC
bjogtweets
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Policy relevance is being discussed during #bluejc - great to see so many contributors to the discussion. Follow #BlueJC and join in!
gynaeresearcher
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#bluejc Anyone looked at full pub of Sheldon review on same subject? Did they miss studies? Conclusions v strong - "solid body of evidence"
radl11
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@elaineleung Is misoprostol for abortion effective without mifegine? #BlueJC
elaineleung
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.@ClaraEjembi m' not familiar w/ the topic- cn U tell me more abt the Zaria study? How did u detect if misoprostol was misused? #bluejc
dsiassakos
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#bluejc Is self-administration PV/PR completely out of the question?
elaineleung
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.@robertdeleeuw high dose remains possible. Can't find solid evidence but seemed to a concern from lobbying groups #bluejc
radl11
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@bwmol Do we have any experience in The Netherlands with oral misoprostol and side effects? #BlueJC
elaineleung
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.@VanoraHundley RT @DSiassakos: #bluejc Is self-administration PV/PR completely out of the question?
elaineleung
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.@GynaeResearcher I couldn't log on earlier. Not open-access and unavailable using my institutional login!! #bluejc
vanorahundley
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@elaineleung @DSiassakos no, but requires training so not a simple add-on to clean birth kit #bluejc
elaineleung
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.@robertdeleeuw @bwmol also m' curious why Netherlands still uses IM misoprostol. Isn't it IM oxytocin more effective? #bluejc
claraejembi
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We have worked with women in the community, in, had 6500 take it and there is general excitement in communities on it effect #BlueJC
elaineleung
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.@ClaraEjembi in your opinion then, what are the arguments for and against more widespread use? #bluejc @vanorahundley
juliahussein1
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Zaria study from Nigeria is Prata, Ejembi Fraser et al Soc Sc Med 2012 #bluejc
bjogtweets
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We welcome the first author @VanoraHundley of the #BlueJC paper being discussed now. Thank you for joining! More info http://t.co/B3t04TgOon
elaineleung
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RT @GynaeResearcher: queries exc of hi-risk women but risks=referral 4 facility birth. Temporal trends shld balance in blinded RCT #bluejc
claraejembi
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@elaineleung @VanoraHundley Fear of abuse -- use for abortion, incorrect administration and politics!! #BlueJC
elaineleung
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.@ClaraEjembi have you tried explaining to women the misoprostol tablets could also be taken PR/PV? Did they understand it? #bluejc
elaineleung
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.@ClaraEjembi I can understand the abortion part- any other political issues? @VanoraHundley #bluejc
elaineleung
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Sorry> I misread your tweet! RT @robertdeleeuw: @bwmol we don't we use. IM oxytocin #bluejc
vanorahundley
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@elaineleung For - potential to save lives; Against - need research on adverse effects & potential for inappropriate use. #bluejc
radl11
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@LVR131 Do we have any experience with the side effects of oral misoprostol? #BlueJC
claraejembi
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@elaineleung We are only used oral routes for the prevention. 4 treatment, we trained the TBAs to administer it PR successfully #BlueJC
claraejembi
https://abs.twimg.com/sticky/default_profile_images/default_profile_6_normal.png
@elaineleung @VanoraHundley Health care professionals resistance to empowering individuals and communities to master technology #BlueJC
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
.@JuliaHussein @VanoraHundley what would be the best way to evaluate inappropriate use? #bluejc
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
.@ClaraEjembi any personal experience of health care professionals reluctance to empower individuals? Examples would be interesting. #bluejc
juliahussein1
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@elaineleung @JuliaHussein @VanoraHundley I'd start with some qualitative studies, but it would be difficult to capture some things #bluejc
vanorahundley
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@elaineleung Number of programmes of community-based misoprostol administration currently being evaluated - findings eagerly awaited #bluejc
bjogtweets
https://pbs.twimg.com/profile_images/1268715644/cover_normal.JPG
MT @elaineleung: @JuliaHussein1 @VanoraHundley what would be the best way to evaluate inappropriate use? #bluejc
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
.@VanoraHundley @ClaraEjembi wld B interesting 2 see some references. Use #bluejc if U could post it on twttr in the nxt few days?
juliahussein1
https://abs.twimg.com/sticky/default_profile_images/default_profile_4_normal.png
If people are starting to drift home, we'll still be on #bluejc for the next 7 days, so give you comments in later!
elaineleung
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. @JuliaHussein1 Qualitative studies seem a good start- from the pregnant women and their birth attendants? Any1 else? #bluejc
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
@VanoraHundley It would be great if you could help put some links and resources regarding to ongoing studies- interesting topic! #bluejc
elaineleung
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.@JuliaHussein1 So the clinical bottom line- should PO misoprostol be used in home birth settings in low-income countries? #bluejc
juliahussein1
https://abs.twimg.com/sticky/default_profile_images/default_profile_4_normal.png
To consider tonite: If the minister of health asked for your recommendation on misoprostol use at home - what would you say? #bluejc
profkkhan
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RT @AllysonPollock: @Profkkhan We have written to WHO EML to ask for deletion of misoprostol prventn of PPH. Lack of good Evidence. #BlueJC
elaineleung
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RT @Profkkhan: @AllysonPollock: We have written 2 WHO EML 2 ask 4 deletion of misoprostol prventn of PPH. Lack of gd Evidence. #BlueJC
bjogtweets
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Don't forget thoughts on remaining discussion points (http://t.co/JA8arir93L ) can be posted over next 7days. Remember to include #BlueJC
bjogtweets
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Author of commentary @AllysonPollock joins #BlueJC - welcome!
elaineleung
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Not the most up-to-date but a WHO Bulletin in 2009 http://t.co/xaLVvE9CFL #BlueJC
elaineleung
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Questions raised at #bluejc. Is PO misoprostol effective? If yes, wht happens when its use become widespread? @VanoraHundley @AllysonPollock
easton_karen
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#bluejc have used this treatment at home for women miscarrying with no issue. Cohort of 256. 3 with bleed/ pain issues admitted
profkkhan
https://pbs.twimg.com/profile_images/3418430054/40f16a0a7caad0ba17e67e0d620f4cf7_normal.jpeg
RT @elaineleung: #bluejc. Is PO misoprostol effective? If yes, wht happens when its use become widespread? @VanoraHundley @AllysonPollock
allysonpollock
https://pbs.twimg.com/profile_images/231520563/Little_Allyson_normal.bmp
"@BJOGTweets: Author of commentary @AllysonPollock joins #BlueJC concerned about social networks pushing misoprostol in absence of evidence
vanorahundley
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@elaineleung data from MamaMiso Study (large RCT) currently being analysed - should answer questions about safety and effectiveness. #bluejc
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
RT @VanoraHundley: data from MamaMiso Study (large RCT) should answer questions about safety and effectiveness. #bluejc
elaineleung
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At #bluejc just now. Social media has potential 2 skewed evidence> balanced view from both sides welcomed! @AllysonPollock @VanoraHundley
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
At #bluejc just now. Social media has potential 2 skewed evidence> balanced views frm both sides welcomed! @AllysonPollock @VanoraHundley
radl11
https://pbs.twimg.com/profile_images/437280902285365250/-NCJWaBU_normal.jpeg
RT @elaineleung: At #bluejc just now. Social media has potential 2 skewed evidence> balanced views frm both sides welcomed! @AllysonP ...
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
shld we advocate 4 women in LICs 2 get misoprostol (less effective) or work towards universial access of TBAs & other uterotonics? #bluejc
radl11
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@LVR131: @robertdeleeuw gastro-intestinal (vomiting, diarrhea) fever, but no serious side effects that I know of” #BlueJC
radl11
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@bwmol: @robertdeleeuw @AllysonPollock @BJOGTweets I think oxytocin is the Dutch guideline. Misoprostol associated with fever.” #BlueJC
Vrouwenpoli
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RT @BJOGTweets: #BlueJC in 15 minutes: Discussion points, http://t.co/DF57NXoi5s Paper, http://t.co/tkZpbzHN8B
dsiassakos
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RT @elaineleung: At #bluejc just now. Social media has potential 2 skewed evidence> balanced views frm both sides welcomed! @AllysonP ...
livmarije
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@robertdeleeuw: @LVR131 Do we have any experience with the side effects of oral misoprostol? #BlueJC@gvanstralen?
radl11
https://pbs.twimg.com/profile_images/437280902285365250/-NCJWaBU_normal.jpeg
@chamwamba @gvanstralen @livmarije The discussies was about misoprostol to prevent post partum hemorrhage in home delivery #BlueJC
radl11
https://pbs.twimg.com/profile_images/437280902285365250/-NCJWaBU_normal.jpeg
@gvanstralen @chamwamba @livmarije 400 to 600 mcg was used in this study http://t.co/Yfkc9UNDuQ #BlueJC
radl11
https://pbs.twimg.com/profile_images/437280902285365250/-NCJWaBU_normal.jpeg
@gvanstralen @chamwamba @livmarije Het begon als een deel van de twitter journal club van de BJOG. Blue Journal Club hence #BlueJC
allysonpollock
https://pbs.twimg.com/profile_images/231520563/Little_Allyson_normal.bmp
"@VanoraHundley:Community-based misoprostol administration no strong evidence. WHO shd not have put it on EML bad science #bluejc"
allysonpollock
https://pbs.twimg.com/profile_images/231520563/Little_Allyson_normal.bmp
@elaineleung @VanoraHundley see my website http://t.co/QLIgwH5Sh8 under research for JRSM paper and BJOG paper also WHO EML deletn. #BlueJC
allysonpollock
https://pbs.twimg.com/profile_images/231520563/Little_Allyson_normal.bmp
"@BJOGTweets: Author of commentary @AllysonPollock joins #BlueJC - welcome!"
legalaware
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RT @AllysonPollock: "@BJOGTweets: Author of commentary @AllysonPollock joins #BlueJC - welcome!"
sarahstewart
https://pbs.twimg.com/profile_images/2305908951/4jyzaed8gik1gl5kmjxa_normal.jpeg
BJOG’s international Twitter Journal Club http://t.co/2QTpaRVR1o #BlueJC
profkkhan
https://pbs.twimg.com/profile_images/3418430054/40f16a0a7caad0ba17e67e0d620f4cf7_normal.jpeg
RT @SarahStewart: BJOG’s international Twitter Journal Club http://t.co/2QTpaRVR1o #BlueJC
vanorahundley
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@AllysonPollock We stand by our work, which went through rigorous peer review by BJOG. #bluejc
vanorahundley
https://pbs.twimg.com/profile_images/2266040496/3am4grvpdx3y4cgun609_normal.jpeg
@AllysonPollock #bluejc readers can see our discussion of both strengths & weaknesses of all available evidence http://t.co/wJTrSpcdxa
andrewjeharding
https://pbs.twimg.com/profile_images/2108816346/twitterpro_normal.jpg
RT @VanoraHundley: @AllysonPollock We stand by our work, which went through rigorous peer review by BJOG. #bluejc
vanorahundley
https://pbs.twimg.com/profile_images/2266040496/3am4grvpdx3y4cgun609_normal.jpeg
@AllysonPollock readers (#bluejc) can see our discussion of both strengths & weaknesses of all available evidence http://t.co/wJTrSpcdxa
andrewjeharding
https://pbs.twimg.com/profile_images/2108816346/twitterpro_normal.jpg
RT @VanoraHundley: @AllysonPollock readers (#bluejc) can see our discussion of both strengths & weaknesses of all available evidenc ...
vanorahundley
https://pbs.twimg.com/profile_images/2266040496/3am4grvpdx3y4cgun609_normal.jpeg
#Bluejc readers can see our discussion of both strengths & weaknesses of all available evidence http://t.co/wJTrSpcdxa
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
Interesting debate on PO misoprostol use in LMICs via @VanoraHundley & @AllysonPollock. Any other views on the topic? #bluejc #peerreview
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
RT @AllysonPollock: "Community-based misoprostol administration no strong evidence. WHO shd not have put it on EML bad science #bluejc"
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
RT @VanoraHundley: @AllysonPollock We stand by our work, which went through rigorous peer review by BJOG. #bluejc
vanorahundley
https://pbs.twimg.com/profile_images/2266040496/3am4grvpdx3y4cgun609_normal.jpeg
@elaineleung - readers can see our discussion of both strengths & weaknesses of all available evidence #bluejc http://t.co/wJTrSpcdxa
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
RT @BJOGTweets: Author of commentary @AllysonPollock joins #BlueJC concerned abt social networks pushing misoprostol in absence of evidence
claraejembi
https://abs.twimg.com/sticky/default_profile_images/default_profile_6_normal.png
@elaineleung @AllysonPollock What's your recommendation for PPH prev. for home deliveries without access to SBA, inj. uterotonic?.#BlueJC
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
RT @ClaraEjembi: What's your recommendation for PPH 4 home deliveries without access to SBA, inj. uterotonic? #BlueJC @AllysonPollock
claraejembi
https://abs.twimg.com/sticky/default_profile_images/default_profile_6_normal.png
@Profkkhan @AllysonPollock Would you rather do nothing for PPPH for millions delivering at home, with no other hope except miso? #BlueJC
claraejembi
https://abs.twimg.com/sticky/default_profile_images/default_profile_6_normal.png
@elaineleung @AllysonPollock MIsoprostol of course: 4 tabs PR for PPH and 3 tabs for preention #BlueJC
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
.@ClaraEjembi @Profkkhan @AllysonPollock Shud misoprostol should be deemed essential by the WHO? 1/2 #bluejc
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
.@ClaraEjembi @Profkkhan @AllysonPollock Or shud we endeavour 2 make other uterotonics & trained birth attendants essential? 2/2 #bluejc
alisdair_
https://pbs.twimg.com/profile_images/1117522119/image_normal.jpg
RT @VanoraHundley: @AllysonPollock We stand by our work, which went through rigorous peer review by BJOG. #bluejc
alisdair_
https://pbs.twimg.com/profile_images/1117522119/image_normal.jpg
RT @VanoraHundley: @elaineleung - readers can see our discussion of both strengths & weaknesses of all available evidence #bluejc ht ...
claraejembi
https://abs.twimg.com/sticky/default_profile_images/default_profile_6_normal.png
@elaineleung @Profkkhan @AllysonPollock Ideal; in short term what do you do with the 90% women delivering without SBA in my place? #BlueJC
allysonpollock
https://pbs.twimg.com/profile_images/231520563/Little_Allyson_normal.bmp
@ClaraEjembi @elaineleung @Profkkhan #BlueJC First do no harm Stop giving snake oil when neither good evidence nor magic for misoprostol
allysonpollock
https://pbs.twimg.com/profile_images/231520563/Little_Allyson_normal.bmp
@ClaraEjembi @Profkkhan #BlueJC. Hope not the same as an effective medicine and health care system. Poor don't need magic remedies.
allysonpollock
https://pbs.twimg.com/profile_images/231520563/Little_Allyson_normal.bmp
@elaineleung @ClaraEjembi #BlueJC Don't waste money on magic pills: Alma Ata and public health. Wrong medicines make for Bad Medicine.
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
For those who want to read all available data with the #bluejc paper. Supplementary tables: http://t.co/AUGtHQjqs3. #GRADE @VanoraHundley
claraejembi
https://abs.twimg.com/sticky/default_profile_images/default_profile_6_normal.png
@AllysonPollock @Profkkhan We should capture voices of comm. people with access to miso; their joy at rarity of MM in their .comm. #BlueJC
claraejembi
https://abs.twimg.com/sticky/default_profile_images/default_profile_6_normal.png
@elaineleung @Profkkhan @AllysonPollock Absolutely!!! #BlueJC
bjogtweets
https://pbs.twimg.com/profile_images/1268715644/cover_normal.JPG
@kt_network @VanoraHundley Great to authors actively disseminate their work http://t.co/2Djk5LXldZ The #BlueJC is still open!
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
RT @BJOGTweets: @kt_network @VanoraHundley gr8 2 authors actively disseminate their work http://t.co/V5aAIdt3VL The #BlueJC is still open!
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
BU research blog featured the recent #bluejc! http://t.co/I9kYP1jxo9 @BJOGTweets @vanorahundley v http://t.co/LNFYDRG2zB #bluejc
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
elaineleung BU research blog featured the recent #bluejc! http://t.co/I9kYP1jxo9 @BJOGTweets @vanorahundley v TweetChat #bluejc
elaineleung
https://pbs.twimg.com/profile_images/378800000817164734/16e8deb5ce64517e83a57fb64c3a58f1_normal.jpeg
@ProfMcCourt also gr8 tweets at the latest #bluejc. Oral misoprostol 2 prevent bleeding in home births. http://t.co/ypcTU6y0vq
vanorahundley
https://pbs.twimg.com/profile_images/2266040496/3am4grvpdx3y4cgun609_normal.jpeg
@adweeks Author of second commentary – #BlueJC capture period over but would still welcome your thoughts on oral misoprostol.

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