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I am a Health Visitor

Amy and Jenny

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Welcome! We are Health Visitors in the UK and this podcast is for other Health Visitors, parents or anyone who works with families from antenatal to 5yrs. In each episode we chat about professional issues, common practice questions and cutting edge research to keep your knowledge current. We've done the reading and we'll discuss it together over a cup of tea, giving you the concise headlines you need to know to feel confident and prepared. PLEASE SEND REQUESTS / TOPIC SUGGESTIONS TO: iamahea ...
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show series
 
This episode links really well with our previous episodes about combination feeding and giving top ups (linked in resources section below). In this episode Jen shares all her IBCLC wisdom with us on expressing breastmilk. How much do you know about flanges?! We talk about:- when to express- the emotional and physical load of pumping- how to pump- '…
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Jen and Amy delve into the murky world of infant poo in the first six months! What to expect, what is a worry and what isn't. How is poo different between formula and breast or chestfed babies? Or mixed fed babies? What does that green poo mean? What about giving a bit of fruit juice or water for constipation? We answer all your questions and as us…
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Amy and Jen take a dive into a recent research paper suggesting there may be a newly identified biomarker for infants at high risk of SIDS. We look at the recent paper in detail, review the statistics and the methodology and consider what we are able to say and what we are not, as well as possible harms that might come from misinterpretation of the…
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Amy and Jen chat to the inspiring Alison Spiro who has a PhD in anthropology as well as practicing as a health visitor. Listing all her achievements is a podcast summary in itself, but across her career she has worked as a breastfeeding counsellor herself, established an incredibly successful peer support service, taken both a hospital and communit…
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This week Jen talks to Maria Renshaw who runs a local sling library in Colchester about her experience of slings and all things baby-wearing from a very practical perspective. She goes through different types of baby wearing from soft wrap slings to buckle carriers with some tips on the differences, fitting, safety tips including the TICKs acronym,…
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Amy and Jenny chat to the lovely Alice from the Baby and Infant Sleep Information Source (BASIS) about sleep pods and nests. We cover the evidence base - what can we and can't we say about these products. Are they safe or not? In what circumstances? How do we actually know one way or the other? We talk about what manufacturing standards these produ…
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Jen and Amy go through the world of contraceptive advice. Although not directly our work, it's definitely connected and very relevant to health visitors. Often a bit of a neglected topic, it can be something we feel uncomfortable or poorly prepared to discuss with families. We hope our discussion solves some of those problems as we go through the c…
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Jen and Amy gently guide you through the main headlines of the huge, massive, overwhelming and generally awe inspiring 'CHILD Cohort Study' all about the human microbiome. We will discuss how all the things you might expect, and some very unexpected factors, can all impact the infant microbiome and the important long term impacts this can have on t…
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We discuss postnatal anxiety, specifically the measurement of anxiety after birth. In practice we are often using generic anxiety measures which are simply just not appropriate for use in this specific period of a parent's life. Listen in to learn more about the scale, how it can be used and how you might be able to incorporate it in your clinical …
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Amy and Jen discuss a government guidance document published in the past year which reviews the Hepatitis B selective immunisation pathway for pregnant people and newborns. We look at this guidance from the perspective of health visitors in practice - what do you need to know? What should be happening, what actually IS happening and what do you nee…
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Extra bonus episode! In this special extra episode, Jen and Amy talk to the lovely Kitty Lamb of the CPHVA Education Development Trust Macqueen Bursary team. Kitty walks us through the types of projects the Macqueen bursary funds and how to apply. Hopefully it will give you lots of ideas for your own career development projects. Good luck and get a…
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Happy new year everyone! For our first podcast of 2022 we are lucky to be joined by Hannah Poulton, who is an experienced physiotherapist with a specialism in women's health, scar therapy and c-section recovery. We talk all things pelvic floor! We learned heaps from this episode and could have talked all day, so hopefully this episode will really h…
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Merry Christmas! Get your IamaHV Bingo card at the ready (downloadable from our twitter and instagram feeds @IamaHV), mince pies and cup of tea lined up and get ready to laugh. A lot. Have your tissues at the ready for the last section, which got unexpectedly emotional! Thank-you everyone for all your amazing funny stories. You are all hilarious! T…
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Amy and Jen talk about something we see and manage all the time, but as we always find there is more to it than meets the eye! We discuss definitions and different forms of jaundice in terms of the underlying mechanism, red flags and risk factors, assessment including how to spot jaundice in darker skin tones (and some promising new tech to help wi…
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Ahead of road safety week, Amy and Jen talk to two experts in car seat safety to get the key messages for you to pass onto parents. I know I often talk with parents at the antenatal contact about what kit they have bought for baby, often they are keen to share with me their ideas or thoughts and often quite receptive to suggestions regarding safety…
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Have you ever considered a career in academia? Or perhaps a blended career with a mixture of clinical and research across your week? If so then listen in as Amy chats about the process of finding and applying for a PhD. You might be more well qualified than you realise! Health visitors make excellent candidates because of our passion for evidence b…
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Jen is leading the way this week sharing her IBCLC knowledge with us on the topic of mastitis. We discuss a new school of thought on the treatment of blocked ducts as inflammation - moving away from vigorous massage and towards cold compresses and Ibuprofen. What's the deal with cabbage leaves - an old wives tale or does it work? What about antibio…
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Our 'bread and butter' (no pun intended!) but as with everything our perspective and advice changes over time so time for an update! What are the current important messages we should be conveying to parents as they begin to introduce solids to their babies. Why should we not be calling it 'weaning' and what about giving milk alongside solids? What …
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Amy and Jen discuss the importance of using the right language and being kind and respectful when working with parents. We go through the use of pronouns, preferred names and discuss LGBTQIA+ communities and how they relate to our role. We go back to basics with definitions for those people who don't yet understand the difference between sex and ge…
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In the last of our summer #Replay series, we look back at a simple intervention health visitors can recommend in practice to resolve a common clinical issue.Health Visitors are well placed to identify these granulomas and advice parents on how to treat these, preventing unnecessary and potentially harmful treatment with silver nitrate.Jenny and Amy…
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Third in our summer #Replay series, we have selected this review of the BATHE study of eczema. After a recent conversation with researchers at the University of Southampton, where this study was conducted; it appears that their research has not yet filtered down to the primary care settings. We hope this #Replay helps some of you to manage eczema m…
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As part of our summer #Replay series we are curating for you some of our best episodes from several years ago which you may not have come across yet in our archives. This one was recorded in the December of 2017 and discusses what is normally a Christmas theme - bronchiolitis.Thanks to the strange circumstances this year, we are seeing an emergence…
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#Replay! This summer we are taking the opportunity to put a spotlight on some of our favourite older episodes which we feel are still incredibly useful for HVs today. If you are a relatively new listener, we hope you will enjoy this curated list of some of our best ones! To kick it off, this #Replay was first released in January 2018 and was our ve…
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Following our previous episode with Harry’s Hat, Amy and Jen review the guidance on measuring head circumference.We discuss when (and how frequently) as well as how to measure.Many of us may be doing it incorrectly - using lasso/plastic tapes (which can stretch and lead to inaccurate measurements), instead of paper.We also discuss the potential con…
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Jen and Amy chat to the wonderful Lucy Ruddle IBCLC about her new book 'Mixed Up: Combination Feeding By Choice or Necessity', which is an absolute must read for any health visitor wanting to give evidence based information to families about combining formula and breastmilk. Combination feeding is massively under-rated and misunderstood; despite be…
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Following our last episode talking about combi-feeding with Lucy Ruddle, we discuss top-ups; how they're used, how they should be used, and alternative strategies that can be used to limit or reduce their use.The NICE faltering growth guideline is the starting point, while it does detail everything that needs to be done, it remains open to interpre…
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Jen and Amy chat to the wonderful Terri and Caroline from the charity Harry's HAT (Hydrocephalus Awareness Trust). We talk about the pitfalls and common things to look out for as a health visitor, as well as some lesser known warning signs that should be ringing alarm bells for us all. Do you know what the most accurate tape measure is we should be…
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Small seizures with big consequences. Infantile spasms or 'west syndrome' is a devastating diagnosis for any family and can so easily be missed. Listen to Jen and Amy discuss the health visitors role in supporting the family with identification of this tricky and subtle disorder as well as being alongside them through diagnosis, treatment and suppo…
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Jen and Amy go through the new Public Health England Tool 'Early Language Identification Measure'. We discuss what the tool is aiming for, the pilot research results, how it differs from the ASQ and some reservations that we have about the application of this tool to health visiting practice. We would absolutely LOVE to hear from you especially if …
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Jen and Amy chat to the lovely Rosy Whitwell who is a health visitor and nurse, who now specialises in infant and child sleep and has a private practice to support families with this important area. We talk about her journey to specialism as well as the controversies in the field of infant sleep and how health visitors are stuck in the middle often…
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Amy and Jen discuss the recent guardian headlines stating that 'bottle fed babies swallow millions of micro plastics every day'. We discuss what micro plastics are, where they can be found and whether or not they are in babies' milk as this headline reports. We give answers to the questions that might be springing to your mind according to the most…
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We talk to School Nurse and EU national Dina Mendez about the coming deadline for application for Settled Status on the 31st June 2021. Is this deadline a hidden crisis? "Windrush number 2?" A buried scandal that we have somehow not been aware of up until now? Do you know what challenges your colleagues and families are facing in their application …
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Jenny and Amy chat to the lovely Stella Parkin from the Lullaby Trust. In a really broad and interesting interview Stella shares with us lots of information and guidance for health visitors on having informed, non judgemental and helpful conversations with parents and caregivers about SIDs and safe sleep and how to support a family in reducing the …
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Amy and Jen take a deep, deep dive into the muddy murky world of "Cry It Out" or "Extinction" sleep techniques. Put on your wellies and join us!We talk about the research groups and individual studies which have looked at these techniques with our usual critical eye. Attempting to keep our personal feelings out of the objective assessment of the re…
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Jen and Amy do a 'small but mighty' overview of Infantile Sebhorric Dermatitis, otherwise known as Cradle Cap! Something we all see in clinic and at 6-8week checks, but do we actually know what the evidence base is for the advice we give? What actually causes the sebaceous glands to excrete excessive oils causing the scaley rash which can be so dis…
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Jen and Amy respond to your questions following the first vaccines episode and cover the myth around infertility, conception and the vaccine, allergies and anaphylaxis as well as natural and vaccine-induced immunity - do you still need the vaccine if you've had COVID before?THIS EPISODE DOES NOT STAND ALONE - Please also listen to our COVID-19 Vacc…
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We chat to Rachael about her wonderful book "Handle with Care: Confessions of an NHS Health Visitor". It was so easy and wonderful to talk about her journey to writing the book, as well as all the daily challenges of health visiting in the current climate, chronic underfunding, poor understanding and valuing of the health visiting role and increase…
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Amy and Jen discuss the efficacy (and what that percentage ACTUALLY means, in terms of the stats), safety and mechanisms of the three vaccines currently approved for use in the UK at the time of recording - The Oxford-AstraZenaca, Moderna-NIAID and the BioNtech-Pfizer. We also talk about some worries that either you might be having about these vacc…
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We're BACK! We are so excited to be back in your ears!Thank-you so much to all you wonderful health visitors who have been so kind and so complimentary about our podcasts. We absolutely love hearing from you and we have been so touched by people telling us they were missing the episodes and wanted more! Between a new small human on the block (for A…
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Jen and Amy interview the wonderful Kathryn Stagg IBCLC of the charity Breastfeeding Twins and Triplets (@BFTwinsUK). Kathryn talks us through the common myths and concerns with breastfeeding multiples with some really useful tips and hints for health visitors who come across parents planning to breastfeed multiples, things to watch out for and how…
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We're back! Launching back into podcasting after a few months gap while Amy looks after a tiny human. Thank-you for your patience!To celebrate being back in the HV world, Amy will be travelling to Harrogate next week for the CPHVA conference and bringing you all the news and learning from the two days. To whet your appetite for next week, here is l…
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The lovely Alina joins us from ERIC - the children's wee and poo charity to talk all things bladder and bowel. In this episode we focus on toilet training, constipation and nighttime dryness. Alina gives us loads of really fabulous information based on her extensive experience as well as the latest research. For me to be honest, chatting with Alina…
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Just in time for cleft lip and palate awareness week 2019 Jenny interviews mum Jenny (of @mamaboost) and her lovely little one Will. Both Jen and Will were born with bilateral cleft lip and palate and Jen was kind enough to explore with us their journey from diagnosis antenatally to his recent surgery. We talk about feeding challenges and different…
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Health visitors often get thrown into running groups - whether they are antenatal groups, weaning, minor illness or first aid; even team meetings or group supervision sessions. Sometimes we can go out for home visits and end up running an impromptu health promotion group! For anyone who has felt overwhelmed by the prospect of running a group with l…
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This week it’s all “Apples and Pears”.... nope we’re not going cockney, we’re reviewing the recent reports from First Steps Nutrition regarding dried fruit snacks and vegetable/fruit pouches.Resources: Paper on free sugars: Swan GE, Powell NA, Knowles BL, Bush MT (2018). A definition of free sugars for the UK. Public Health Nutrition; 21: 1636-38.H…
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