Rachel Morris

A brand new bundle of joy is certainly cause for celebration. But pregnancy, and becoming a parent, can be a fraught journey to navigate for women in the workplace.

Support for Welsh independence is growing, especially among younger people. But what is the view of this platform? It matters that you know

Loneliness at Christmas is a real issue. But if people want to be alone at Christmas, and don’t find it lonely, can we please just let them?

A personal tribute to Scottish actor and writer, John Cairney, who had a genius for words to be taken from the eye and placed in the ear

Unknown entities abroad can vote in the Conservative Party leadership contest and install our PMs, influencing every that happens afterwards

Lee Anderson MP was rightly suspended by the Conservative Party for his hate speech about Sadiq Khan. But why wasn't he arrested?

Sinister Thatcherite Brexiter nanny Penelope Mary Mordaunt scares me. I think she thinks she could be PM, and I think she could be, too

At the Bylines Network, we're into our fifth year of redefining what powerful citizen journalism could be. And it does need redefinition

Objective To determine the efficacy of refrigerated gel packs in achieving and maintaining target temperature in neonates receiving therapeutic hypothermia (TH) for hypoxic ischaemic encephalopathy during neonatal retrieval.Design Retrospective cohort study.Setting Paediatric Infant Perinatal Emergency Retrieval, Victoria, Australia.Patients 200 neonates treated with TH during retrieval between 1 January 2015 and 31 December 2020.Interventions Active cooling with refrigerated gel packs or passive cooling.Main outcome measures The primary outcomes were the proportion of neonates who achieved therapeutic cooling rectal temperature (33–34°C) within 6 hours of birth and maintained target temperature range once TH was achieved. Secondary outcomes included need for respiratory support, inotropes, anticonvulsant therapy, sedation and survival at 7 days of life.Results 200 neonates received TH. Median gestational age was 39 weeks and median birth weight 3300 g. 120 (60%) were actively cooled with refrigerated gel packs and the remainder passively cooled. 121 neonates (61%) reached target temperature within 6 hours and 14 (7%) after 6 hours of birth. Of those who achieved target temperature, 38% were maintained in therapeutic cooling range for the remainder of the retrieval.Conclusions Achieving and maintaining TH during neonatal retrieval with gel packs is challenging. Target temperature was not maintained in most neonates in this study. These findings support existing evidence favouring the use of servo-controlled cooling devices to optimise TH in the retrieval setting.Data are available upon reasonable request.

Rachel Morris explains how coaching can help ease the transition for staff coming back to work after taking time out to have a baby