BU Research Blog

Tagged / the Netherlands

November 25, 2020

University lockdown: An internationalisation opportunity?

BU research, conferences, COVID-19, Events, Featured academics, Global engagement, innovation, international, Publishing, Research news, Uncategorized Edwin van Teijlingen

The general effects of lockdown on healthy individuals range from a general annoyance to a major limiting factor in life, especially in lockdown affects someone livelihood and/or mental health. These effects have been well documented in the media. At a societal level these effects are more mixed, first and foremost, there is positive outcome in terms of a reduced spread of the infectious disease COVID-19. Further positive effects include a reduction in air pollution, water pollution levels (in Venice), traffic jams, but also fewer break-ins (as more people are at home for more of the time). Whilst negative effects include not only economic decline, but also a lack of opportunity to travel for work or leisure, children missing education and people avoiding health care professionals for screening and treatment of diseases other then COVID-19. We have also learnt that lockdown affects different groups in society differently, some quite unexpectedly. For example, AbilityNet highlighted that “For students living with physical impairments and long-term health conditions, the benefits of studying from home and avoiding the exhausting experience of accessing face-to-face learning has left them with more energy to apply to their studies” [1]. Even before the first lockdown universities in the UK had been pro-active in their response to the pandemic [2]. One of the practical responses was to move to webinars, online teaching, marking and meetings. Before March most university academics don’t much about Zoom, Teams, Jitsi Meet or Google Meet, and today most academics will have used most of these platforms (and several others) for research meetings, webinars and conferences.

With lockdown this all has changed, like my BU colleagues I teach every week using Zoom, meet colleagues online through a range of platforms, meet students for individual tutorials through Skype or Teams. Although having the occasional limitation, there is a great opportunity as it removed the need for staff and students to be in the same room. One example of a BU education innovation was last week’s International Student Midwives’ Networking Day held on November 18^th. With the restrictions of lockdown on midwifery students the BU Midwifery Team led by Dr. Laura Iannuzzi and Dr. Juliet Wood used the opportunities provided by Zoom to bring together midwifery students from across the globe. Using their long-established research links [3-16], BU academics manage to bring together student midwives from Italy, Nepal and the Netherlands to discuss midwifery and maternity issues with fellow midwifery students at BU. The day was nicely broken into two with a lunchtime event called ‘Zoom the midwife’, which as the third of its kind. In this ‘Zoom the midwife’ webinar BU’s Dr Rachel Arnold and BU Visiting Faculty Margaret Walsh shared their experience of working in different cultures for projects in Afghanistan and Nepal respectively.

Our second example is a project to support midwifery education in Nepal. The Centre for Midwifery, Maternal & Perinatal Health (CMMPH) in collaboration with Dalarna University in Sweden and University Hospitals Dorset NHS Foundation Trust produced a draft Bridging Course for nursing lecturers in Nepal who are currently teaching midwifery and maternity care. This project is funded by GIZ (Gesellschaft für Internationale Zusammenarbeit). As part of this project BU offers academics at NAMS (National Academy of Medical Sciences) in Kathmandu support in their professional and pedagogic development.

Following the lockdown and seeing the success of online teaching of BU’s students earlier in 2020 we decided to try out online teaching with midwifery lecturers at NAMS. Since many people in Nepal only have a one-day weekend (Saturday) Sunday is usually a working day and due to time difference early Sunday morning are ideal times for webinars. To date online sessions in Kathmandu have been delivered by Juliet Wood, Michelle Irving, Edwin van Teijlingen and CMMPH Visiting Faculty Jillian Ireland (Professional Midwifery Advocate in Poole). The sessions proved very popular with 30 to 40 people regularly attending online from Nepal.

With challenges to delivering face-to-face lectures and tutorials at universities, online teaching and webinars have opened a whole set of new opportunities to internationalise our education.

Prof. Edwin van Teijlingen

CMMPH

References

Universities UK (2020) Universities rise to Covid-19 challenges, online news item 7 April https://www.universitiesuk.ac.uk/news/Pages/Universities-rise-to-Covid-19-challenges-.aspx
Low, A. (2020) Covid-19 silver linings: how the pandemic has increased opportunities for disabled university students. https://www.universitiesuk.ac.uk/blog/Pages/covid-19-disabled-students-increased-opportunities.aspx
Dani, C., Papini, S., Iannuzzi, L. and Pratesi, S., 2020. Midwife-to-newborn ratio and neonatal outcome in healthy term infants. Acta Paediatrica, International Journal of Paediatrics, 109 (9), 1787-1790.
Daly, D., Iannuzzi, L. et al., 2020. How much synthetic oxytocin is infused during labour? A review and analysis of regimens used in 12 countries. PLoS ONE, 15 (7 July).
Setola, N., Naldi, E., Cocina, G.G., Eide, L.B., Iannuzzi, L. and Daly, D., 2019. The Impact of the Physical Environment on Intrapartum Maternity Care: Identification of Eight Crucial Building Spaces. Health Environments Research and Design Journal, 12 (4), 67-98.
Skoko, E., Iannuzzi, L. et al., 2018. Findings from the Italian babies born better survey. Minerva Ginecologica, 70 (6), 663-675.
Nieuwenhuijze, M., van Teijlingen, E., Mackenzie-Bryers, H. (2019) In risiko’s denken is niet zonder risiko (In Dutch: Thinking in terms of risk, it not with its risk). Tijdschrift voor Verloskundigen (in Dutch: Journal for Midwives), 43 (4): 6-9.
Bogren M, van Teijlingen E., Berg M. (2013) Where midwives are not yet recognized: A feasibility study of professional midwives in Nepal, Midwifery 29(10): 1103-09.
Bogren, M.U., Berg, M., Edgren, L., van Teijlingen, E., Wigert, H. (2016) Shaping the midwifery profession in Nepal – Uncovering actors’ connections using a Complex Adaptive Systems framework, Sexual & Reproductive Healthcare 10: 48-55.
Dhakal Rai, S., Poobalan, A., Jan, R., Bogren, M., Wood, J., Dangal, G., Regmi, P., van Teijlingen, E., Dhakal, K.B., Badar, S.J., Shahid, F. (2019) Caesarean Section rates in South Asian cities: Can midwifery help stem the rise? Journal of Asian Midwives, 6(2):4–22.
Bogren, M.U., Bajracharya, K., Berg, M., Erlandsson, K., Ireland, J., Simkhada, P., van Teijlingen, E. (2013) Nepal needs midwifery, Journal of Manmohan Memorial Institute of Health Sciences (JMMIHS) 1(2): 41-44. www.nepjol.info/index.php/JMMIHS/article/view/9907/8082.
Milne, L., Ireland, J., van Teijlingen, E., Hundley, V., Simkhada, P. (2018) Gender inequalities and childbearing: Qualitative study two maternity units in Nepal, Journal of Asian Midwives 5 (1):13-30.
Ekström, A., Tamang, L., Pedersen, C., Byrskog, U., van Teijlingen, E., Erlandsson, K. (2020) Health care provider’s perspectives on the content and structure of a culturally tailored antenatal care programme to expectant parents and family in Nepal. Journal of Asian Midwives 7(1):23–44.
Wrede, S., Benoit, C., Bourgeault, I., van Teijlingen E., Sandall, J., De Vries, R. (2006) Decentered Comparative Research: Context Sensitive Analysis of Health Care, Social Science & Medicine, 63: 2986-97.
De Vries, R., Wiegers, T., Smulders, B, van Teijlingen E (2009) The Dutch Obstetrical System: Vanguard of Future in Maternity Care. In: Davis-Floyd, R., Barclay, L., Tritten, L, Daviss B.-A. (eds.) Birth Models that Work. Berkeley: University of California Press, 31-54.
van Teijlingen E, Sandall, J., Wrede, S., Benoit, C., DeVries, R., Bourgeault, I. (2003) Comparative studies in maternity care RCM Midwives Journal 6: 338-40.

October 7, 2019

Midwifery models in the Netherlands

BU research, Featured academics, Global engagement, international, Publishing, Research Centres, Research news, Uncategorized, writing Edwin van Teijlingen

This autumn the Dutch journal for midwives Tijdschrift voor Verloskundigen published a paper on the risk associated with thinking in terms of risks [1]. Dr. Marianne J Nieuwenhuijze is the lead author of this paper written in Dutch. Marianne is associated with the Research Centre Midwifery Science at the Academie Verloskunde Maastricht (the Netherlands). Her co-authors are BU Professor Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and Dr. Helen Bryers who is Honorary Public Health Specialist (Midwife) at NHS Highland. The paper builds on earlier work around the concept of the social/medical model in pregnancy and childbirth [2-7].

References:

Nieuwenhuijze, M., van Teijlingen, E., Mackenzie-Bryers, H. (2019) In risiko’s denken is niety zonder risiko (In Dutch: Thinking in terms of risk, it not with its risk). Tijdschrift voor Verloskundigen (in Dutch: Journal for Midwives), 43 (4): 6-9.
Brailey, S., Luyben, A., Firth, L., van Teijlingen, E. (2017) Women, midwives and a medical model of maternity care in Switzerland, Int J Childbirth 7(3): 117-125.
van Teijlingen, E. (2017) The medical and social model of childbirth, Kontakt 19 (2): e73-e74
MacKenzie Bryers H., van Teijlingen, E. (2010) Risk, Theory, Social & Medical Models: critical analysis of the concept of risk in maternity care, Midwifery 26(5): 488-496.
Ireland, J., van Teijlingen, E. (2013) Normal birth: social-medical model, Practising Midwife 16 (11): 17-20.
van Teijlingen E. (2005) A critical analysis of the medical model as used in the study of pregnancy and childbirth, Sociol Res Online, 10 (2) Web address: http://www.socresonline.org.uk/10/2/teijlingen.html
Luce, A., Cash, M., Hundley, V., Cheyne, H., van Teijlingen, E., Angell, C. (2016) “Is it realistic?” the portrayal of pregnancy and childbirth in the media BMC Pregnancy & Childbirth 16: 40 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0827-x

February 13, 2016

A series of co-incidents

BU research, international, Publishing, Uncategorized Edwin van Teijlingen

Over 25 years ago during my PhD research comparing the organisation of midwifery and maternity care in the Netherlands and the Northeast of Scotland I wrote a chapter comparing the history of maternity care in the two countries. I needed to write this not, as I thought at the time, to improve my thesis, but for myself to help me as a sociologist to help understand these historical developments.

In the process of researching the history of midwifery in the Netherlands I found a commemorative book by Drenth (1998) celebrating the centenary of the Dutch midwifery organisation. In this book is a footnote stating that the first chair of the KNOV (Royal Dutch Organisation of Midwives), Ms Francijntje de Kadt, lived and worked in the town of Vlaardingen in the late 19^th to early 20^th century (Drenth 1998). This note caught my eyes as I am born and bred in Vlaardingen.

Francijntje de Kadtlaan in Vlaardingen, the Netherlands

After a bit more searching and a visit to the archives of the town of Vlaardingen I managed to dig up a little more about Francijntje de Kadt, but not an awful lot. During a family visit to the Netherlands I visited the archives of Vlaardingen to see what information they had about her. The archivist immediately recognised the name of Francijntje de Kadt, since genealogists keep finding her name as the midwife listed on their ancestors’ birth certificates. However, the archivist did not know that Francijntje de Kadt had been the first chair of the Dutch Mmidwifery organisation from its establishment in 1898 till 1926. At that point I decided to apply for a small travel grant in the History of Medicine from the Wellcome Trust. That application was successful, awarding a travel grant of £ 1,050 in 2001. My research in various archives in the Netherlands resulted in two papers (in Dutch) about Francijntje de Kadt, one in a local history journal (van Teijlingen 2003a) and one in the Dutch midwifery journal (2003b) and one about the collapse in 1921 of the midwives’ first pension fund (van Teijlingen 2002). This was for a while the end of my career as an amateur historian due to my busy day job as a health researcher and MSc coordinator at the University of Aberdeen.

Many years later (2010) I ended up talking to the burgomaster of Vlaardingen at the reception organised by the town to celebrate the fact that my father had been awarded the Dutch equivalent of an OBE. Over a drink I asked the burgomaster what the process was for suggesting a new street name in Vlaardingen. He suggested I write to the Street Name Committee with a justification why Francijntje de Kadt deserved a street name. With my recommendation I sent this committee my two Dutch publications. A few months later the secretary to the Street Name Committee wrote to say that my proposal had been accepted and that her name would be given to a street in a new development of the former local hospital grounds.

Then in mid-2015 a Dutch historian Eva Moraal came to Vlaardingen with her partner on a day trip and they ended up walking through the Francijntje de Kadtlaan. She read the subscript on the street sign (see photo) and thought ‘This woman need to have an encyclopaedia entry!’ A few days later she emailed me at Bournemouth University for further information on the live, work and achievements of Francijntje de Kadt to help her write a piece for the encyclopaedia. Two months ago Eva Moraal (2015) published her very nice contribution on Francijntje de Kadt.

So what started as a small historical study as an introduction chapter of a PhD thesis in Medical Sociology ended up with a ‘forgotten’ national midwifery leader having a street named after her in the town she spent most of her working live and her own entry in the encyclopaedia, Digitaal Vrouwenlexicon van Nederland (in Dutch: Online Women’s Lexicon of the Netherlands). What is even more interesting that this otherwise chronologically logical story is based on three major co-incidents: first, spotting a footnote in commemorative book about Vlaardingen. If Francijntje de Kadt had lived and worked anywhere else in the Netherlands other than my birthplace I would not have paid much attention. Secondly, speaking to the burgomaster of Vlaardingen and having a conversation in which street names cropped up, and thirdly, Eva Moraal who just happened to walk through the Francijntje de Kadtlaan, reading the street sign, and thinking this is an historical figure who needs better recognition.

Prof. Edwin van Teijlingen

CMMPH

References:

Drenth, P. (1998) 1898-1998. Honderd jaar vroedvrouwen verenigd, Bilthoven: KNOV.

Moraal, E. (2015) Kadt, Francijntje de, in: Digitaal Vrouwenlexicon van Nederland. URL: http://resources.huygens.knaw.nl/vrouwenlexicon/lemmata/data/Kadt

van Teijlingen, E. (2002) Ondergang eerste pensioenfonds voor vroedvrouwen (in Dutch: Decline of the first pension fund for midwives), Tijdschrift voor Verloskundigen (in Dutch: Journal for Midwives), 27(12): 684.

van Teijlingen, E.R. (2003a) Berichten – Francijntje de Kadt (1858-1929), Tijdschrift voor Verloskundigen (in Dutch: Journal for Midwives), 28(12): 630-633.

van Teijlingen, E.R. (2003b) Francijntje de Kadt (1858-1929). Vroedvrouw te Vlaardingen en eerste voorzitter van de Nederlandsche vroedvrouwenvereeniging, Tijd-schrift (in Dutch: Time-Magazine) 88: 14-23.

January 24, 2016

Sociology presentation at Dutch Annual Midwifery Conference (22 Jan. 2016)

BU research, Global engagement, international, Knowledge Transfer, Public engagement, Publishing, Research news, Uncategorized Edwin van Teijlingen

On Friday January 22nd 2016 FHSS Prof. Edwin van Teijlingen delivered a keynote address at the Annual Research Conference of the Dutch Midwifery Schools. The Dutch name for the event is ‘conferentie kennispoort’, in English ‘conference knowledge portal’ OR in a slightly different translation ‘conference knowledge gate’. The presentation aimed to get midwives, maternity care researchers and midwifery students and others in the audience to think differently about the world in which they work / practise. Prof. Edwin van Teijlingen used notions of a social versus a medical model in his talk. These are based on a number of sociology and midwifery publications of this concept over the past decade.[1-4]

Sociologists recognise two different approaches or philosophies as first a social model and, secondly, a medical model of childbirth. The social model stresses that childbirth is a physiological event that takes place in most women’s lives. The medical model highlights that childbirth is potentially pathological (or risky). In the latter view every pregnant woman is potentially at risk, hence she should deliver her baby in an obstetric hospital with its high-technology screening equipment supervised by obstetricians, the experts when something goes seriously wrong in childbirth. In other words, pregnancy and childbirth are only safe in retrospect.

References:

Bryers, HM, van Teijlingen E (2010) Risk, Theory, Social & Medical Models: a critical analysis of the concept of risk in maternity care, Midwifery 26: 488-96.
Ireland, J., van Teijlingen, E. (2013) Normal birth: social-medical model, The Practising Midwife 16 (11): 17-20.
van Teijlingen E (2005) Models of pregnancy and childbirth: A sociological analysis of the medical model, Sociol Res Online 10 (2) www.socresonline.org.uk/10/2/teijlingen.html
van Teijlingen E (2015) Sociology of Midwifery. In: Sociology for Midwives Deery R, et al. (eds.) Cambridge: Polity Press, 22-37.

October 13, 2015

BU professor invited to give key note at 2016 Dutch Midwifery Conference

BU research, Featured academics, Knowledge Exchange, Public engagement, Research communication, Uncategorized Edwin van Teijlingen

Professor Edwin van Teijlingen (CMMPH) has been invited to present a key note speech at the Kennispoort Verloskunde conference in Utrecht, the Netherlands in January 2016. He will be speaking about ‘Dealing with risk in maternity care: the social versus medical model’. The presentation is based on a number of publications around the sociological topic of the medical/social model of childbirth. [1-3]

One of the ways sociologists analyse health and health care is in terms of a ‘medical’ versus a ‘social’ model, or in this field, a midwifery model. As pregnancy and birth are biological and physiological events which are very much embedded in a social and cultural setting, these are good examples to highlight the use and misuse of the medical and social model. Modern Western society has a slightly paradoxical view of pregnancy. On the one hand, the average woman in childbirth is not ill because pregnancy is not an illness. On the other hand, pregnant women are deemed to need a lot of health care throughout pregnancy and childbirth. Making the distinction between a medical and a social model of a social phenomenon is not exclusive to midwifery. Over the past decades researchers have pointed to the existence of a medical and social model in alcohol misuse, obesity, sex, eating disorders, infertility treatment, to name but a few phenomena.

References:

van Teijlingen, E. (2005) A critical analysis of the medical model as used in the study of pregnancy and childbirth, Sociological Research Online, 10 (2) Web address: http://www.socresonline.org.uk/10/2/teijlingen.html.
MacKenzie Bryers H., van Teijlingen, E. (2010) Risk, Theory, Social & Medical Models: critical analysis of the concept of risk in maternity care, Midwifery 26(5): 488-496.
van Teijlingen, E. (2015) Sociology of Midwifery. In: Sociology for Midwives Deery, R., Denny, E. & Letherby, G. (eds.) Cambridge: Polity Press, 22-37.

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