Tagged / centre for midwifery maternal and perinatal health

New CMMPH publication

Congratulations to Charlotte Clayton, PhD student in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on the publication of an article based on her PhD study.  The paper ‘The public health role of case-loading midwives in advancing health equity in childbearing women and babies living in socially deprived areas in England: The Mi-CARE Study protocol’ is co-authored with her supervisors Prof. Ann Hemingway, Dr. Mel Hughes and Dr. Stella Rawnson [1].

This paper in the European Journal of Midwifery is Open Access, and hence freely available to everybody with an internet access.  Charlotte is doing the Clinical Academic Doctoral (CAD) programme at Bournemouth University. The CAD programme provides midwives with bespoke research training, which includes conducting a piece of independent research whilst also remaining in clinical practice. The CAD programme is part of the NIHR Wessex Integrated Academic Clinical Training Pathway and in her PhD study supported by BU and University Hospital Southampton (UHS), where Charlotte works as a midwife). Charlotte use the Twitter handle: @femmidwife.

 

Well done!

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. Clayton S, Hemingway A, Hughes M, Rawnson S (2022) The public health role of caseloading midwives in advancing health equity in childbearing women and babies living in socially deprived areas in England: The Mi-CARE Study protocol, Eur J Midwifery 6(April):17

Another BU Impact Case Study

In 2018 BU researchers Dr. Jenny Hall and Prof. Vanora Hundley in the Centre for Midwifery, Maternal & Perinal Health (CMMPH) published a paper on disabled women and maternity care.  This scientific paper was co-authored with Ms. Jillian Ireland, Professional Midwifery Advocate in University Hospitals Dorset NHS Foundation Trust and BU Visiting Faculty, and Dr. Bethan Collins at the University of Liverpool (and former BU staff member).  Their paper ‘Dignity and respect during pregnancy and childbirth: a survey of the experience of disabled women’ appeared in the Open Access journal BMC Pregnancy & Childbirth and was commissioned by the charity Birthrights.   The study shows that disabled women are generally not receiving the individualised care and support they that they need to make choices about their maternity care.   At the time of publication this BU paper was picked up by various media, including in South Africa.

The study resulted in change in St Mary’s Maternity Hospital in Poole (as part of maternity care provision by University Hospitals Dorset NHS Foundation Trust).  One of the innovations at Poole Maternity Hospital was  supporting a woman to give birth in hospital with her assistance dog by her side to help ease her anxiety.

This story was picked up by several newspapers including the local Bournemouth Echo under the heading ‘Dog to accompany Poole dog handler as she gives birth‘, and by several national newspapers last week when the The Guardian published ‘UK woman has baby in hospital with ‘birth dog’ by her side‘, The Times printed Baby safely delivered, with a little help from woman’s best friend‘, whilst the online news website Big World Tale used the headline: ‘Woman, 24, gives birth in hospital with a DOG as ‘medical aid”.

 

Universities are always on the look out for impact generated by its research.  This seems a clear example of joint research between BU and University Hospitals Dorset NHS Foundation Trust staff resulting in innovations in practice.

 

Congratulations to all involved!

Prof. Edwin van Teijlingen

CMMPH

BU celebrates International Day of the Midwife 2021

Today, with midwives across the globe, the Centre of Midwifery, Maternal & Perinatal Health (CMMPH) celebrates the International Day of the Midwife 2021.  Since we are enable to celebrate in person in this challenging year, we planned and watch together online events around this year’s International Day of the Midwife theme: Follow the data: invest in midwives.  We also produced the poster on the picture with messages from BU students, staff and partners across the world.

 

Laura Iannuzzi, Juliet Wood, Debbee Houghton for the Midwifery Team.

 

Midwifery education publication published today

Congratulations to Prof. Sue Way, Dr. Luisa Cescutti-Butler and Dr. Michelle Irving on the publication today of their latest article ‘A study to evaluate the introduction of the Newborn Infant Physical Examination knowledge and skills into an undergraduate pre-registration midwifery education programme’ [1].  This paper published in  Nurse Education Today  uses the principles of FUSION, bring together Education (undergraduate midwifery education), Practice (examination of the newborn) and Research (evaluation study).  This paper adds to the growing list of publication on aspects of midwifery education by academics in the Centre for Midwifery, Maternal & Perintal Health (CMMPH).

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

Reference:

  1. Way, S., Cescutti-Butler, L., Irving, M. (2020) A study to evaluate the introduction of the Newborn Infant Physical Examination knowledge and skills into an undergraduate pre-registration midwifery education programme, Nurse Education Today, https://doi.org/10.1016/j.nedt.2020.104656.

 

New CMMPH midwifery paper

Today the European Journal of Midwifery published our paper ‘Midwives’ views towards women using mHealth and eHealth to self-monitor their pregnancy: A systematic review of the literature’.  There are many apps to help women to monitor aspects of their own pregnancy and maternal health. This literature review aims to understand midwives’ perspectives on women self-monitoring their pregnancy using eHealth and mHealth, and establish gaps in research. mHealth (mobile health) is the use of mobile devices, digital technologies for health, health analytics, or tele-health, whilst eHealth (electronic health) is the health care supported by electronic processes.

It established that midwives generally hold ambivalent views towards the use of eHealth and mHealth technologies in antenatal care. Often, midwives acknowledged the potential benefits of such technologies, such as their ability to modernise antenatal care and to help women make more informed decisions about their pregnancy. However, midwives were quick to point out the risks and limitations of these, such as the accuracy of conveyed information, and negative impacts on the patient-professional relationship.  The authors conclude that with COVID-19 making face-to-face maternity service provision more complicated and with technology is continuously developing, there is a compelling need for studies that investigate the role of eHealth and mHealth in self-monitoring pregnancy, and the consequences this has for pregnant women, health professionals and organisations, as well as midwifery curricula.

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

Reference:

  1. Vickery, M., Way, S., Hundley, V., Smith, G., van Teijlingen, E., Westwood G. (2020) Midwives’ views women’s use of mHealth and eHealth to self-monitor their pregnancy: A systematic review of the literature, European Journal of Midwifery 4: 36 DOI: https://doi.org/10.18332/ejm/126625

New midwifery paper CMMPH

Congratulations to Dr. Luisa Cescutti-Butler and Prof. Sue Way in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on the publication of their latest research article.  This new paper called ‘The experience of student midwives being taught newborn infant physical examination (NIPE) as an extracurricular activity at a university in the UK: A descriptive survey study’ has been accepted by Nurse Education in Practice [1].  The paper went online pre-publication earlier this week.

Congratulations

Prof. Edwin van Teijlingen

CMMPH

Powerless Responsibility: A feminist study exploring women’s experiences of caring for their late preterm babies

A new publication by Dr. Luisa Cescutti-Butler (FHSS) and her co-authors (Professor A Hemingway & Dr. J. Hewitt-Taylor) which explores women’s experiences of caring for a late preterm baby using feminism as a research methodology has just been published in the Australian Women and Birth Journal (October 2019). Her research found that women who become mothers’ of late preterm babies have a complex journey. It begins with separation, with babies being cared for in unfamiliar and highly technical environments where the perceived experts are healthcare professionals. Women’s needs are side-lined, and they are required to care for their babies within parameters determined by others. Institutional and professional barriers to mothering/caring are numerous. For example: some of the women who were separated from their babies immediately after birth had difficulties conceiving themselves as mothers, and others faced restrictions when trying to access their babies. Women described care that was centred on their babies. They were allowed and expected to care for their babies, but only with ‘powerless responsibility’. Many women appeared to be excluded from decisions and were not always provided with full information about their babies. The research concludes by recommending that women whose babies are born late preterm would benefit from greater consideration in relation to their needs, rather than the focus being almost exclusively on their babies.

Luisa is Senior Lecturer in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and Lead for Examination of the Newborn in the Faculty of Health & Social Sciences. If you would like any further information please email Luisa on lcbutler@bournemouth.ac.uk

References: 

Cescutti-Butler, L.D. Hewitt-Taylor, J. and Hemingway, A., 2019. Powerless responsibility: A feminist study of women’s experiences of caring for their late preterm babies. Women and Birth, DOI: https://doi.org/10.1016/j.wombi.2019.08.006

Cescutti-Butler, L.D., Hemingway, A., and Hewitt-Taylor, J., 2018. “His tummy’s only tiny” – Scientific feeding advice versus women’s knowledge. Women’s experiences of feeding their late preterm babies. Midwifery, DOI:  https://doi.org/10.1016/j.midw.2018.11.001

Dr. Rachel Arnold’s first paper as BU staff

Congratulations to Dr. Rachel Arnold in the Centre for Midwifery, Maternal & Perinatal Health who had her first paper accepted since she started working at BU two months ago. Her paper ‘Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care’ is co-authored with her former PhD supervisors Professor Kath Ryan (BU Visiting Faculy), Professor Emerita Immy Holloway and CMMPH’s Professor Edwin van Teijlingen [1].  The paper is Open Access funded by Bournemouth University’s Open Access Fund which will help promote the visibility of the paper before REF 2021.

I was tempted to head this blog ‘Dr. Arnold only two months at BU and first paper published’, but I decide this would perhaps send the wrong message to other new BU staff.  Rachel completed her PhD in CMMPH and this is paper is the third publication from her thesis.  The other academic publications by Dr. Arnold on Afghanistan have been in BJOG and Social Science & Medicine [2-3].

 

References:

  1. Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2019) Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care ,     BMC Pregnancy and Childbirth (accepted).
  2. Arnold R., van Teijlingen E, Ryan K., Holloway I. (2015) Understanding Afghan health care providers: Qualitative study of culture of care in Kabul maternity hospital, BJOG 122: 260-267.
  3. Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2018) Parallel worlds: an ethnography of care in an Afghan maternity hospital, Social Science & Medicine 126:33-40.

New collaborative paper BU-NHS colleagues

The month saw the publication of the latest collaborative paper between FHSS academics, BU Visiting Faculty and NHS clinicians.  Our paper ‘Design errors in vital sign charts used in consultant-led maternity units in the United Kingdom’ [1] is available for a free download from Elsevier until August 28, 2019. Till then no sign up, registration or fees are required, click here.

The authors, as part of the Modified Obstetric Warning Score (MObs) Research Group, lead by BU Visiting Faculty Richard Isaac, argue that obstetric observation charts in the UK contain poor design features. These charts have common errors such as an inappropriate use of colour, poor alignment and axes labelling.  Consequently, these design errors render charts difficult to use and could compromise patient safety. The article calls for an evidence-based, standardised obstetric observation chart, which should integrate ‘human factors’ and user experience.

This research team, earlier published ‘Vital signs and other observations used to detect deterioration in pregnant women: Analysis of vital sign charts in consultant-led maternity units’. [2]

References:

  1. Isaacs, R., Smith, G., Gale-Andrews, L., Wee, M., van Teijlingen, E., Bick, D.E., Hundley, V. on behalf of the Modified Obstetric Warning Score (MObs) Research Group. (2019) Design errors in vital sign charts used in consultant-led maternity units in the United Kingdom, International Journal of Obstetric Anesthesia 39:60-67.
  2. Smith, G., Isaacs, R., Gale-Andrews, L., Wee, M., van Teijlingen, E., Bick, D., Hundley, V. (2017) Vital signs and other observations used to detect deterioration in pregnant women: Analysis of vital sign charts in consultant-led maternity units. International Journal of Obstetric Anesthesia 30: 44-51.

 

Excellent scientific paper by Dr. Alison Taylor

Congratulations to Dr. Alison Taylor and her Ph.D. supervisors on the acceptance of the paper ‘’Scrutinised, judged and sabotaged’: A qualitative video diary study of first-time breastfeeding mothers’ by Midwifery (published by Elsevier) [1].  This is the second paper from Alison’s extremely interesting Ph.D. research, the first one was accepted late last year.  The first article ‘The therapeutic role of video diaries: A qualitative study involving breastfeeding mothers’ was accepted by the international journal Women & Birth  [2].  Alison is Senior Lecturer in Midwifery in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and Infant Feeding Lead in the Faculty of Health & Social Sciences.  Her co-authors are Professor Emerita Jo Alexander, Prof. Edwin van Teijlingen (in CMMPH) and Prof. Kath Ryan based at the University of Reading.

 

 

 

Reference:

  1. Taylor, A.M., van Teijlingen, E., Ryan, K., Alexander, J.,  2019, Scrutinised, judged and sabotaged’: A qualitative video diary study of first-time breastfeeding mothers. Midwifery, 75: 16-23.
  2. Taylor, A.M., van Teijlingen, E., Alexander, J., Ryan, K., 2018, The therapeutic role of video diaries: A qualitative study involving breastfeeding mothers, Women and Birth, (online first) DOI. 10.1016/j.wombi.2018.08.160

 

Midwifery education article by Prof. Hundley

Congratulations to Prof. Vanora Hundley of FHSS on the publication of her ‘Editorial midwifery special issue on education: A call to all the world’s midwife educators!’ in Midwifery (Elsevier).  This editorial is co-authored by midwives Franka Cadée of the International Confederation of Midwives (ICM) and Mervi Jokinen of European Midwives Association (EMA).  The editorial was written to accompany a Special Issue of the journal  focussing on midwifery education.  The Midwifery Special Issue addresses a wide range of topics from across the globe.  Whilst the editorial explores the challenges for midwifery educators from three different midwifery perspectives: (1) political; (2) academic ; and (3) professional association.

Congratulations to all three authors!
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
Reference:
  1. Hundley, V., Cadée, F., Jokinen, M. (2018) Editorial midwifery special issue on education: A call to all the world’s midwife educators!, Midwifery 64: 122-123  

New health editorial on Sustainable Development Goals & Nepal

Regmi SDG 2016SDG 17Since late 2015 the world strives to achieve towards the Sustainable Development Goals (SDG). The SDGs bring together the social, economic and environmental aspects of development. There are 17 SDGs sub-divided into 169 targets. One of these 17 goals focuses specifically on health, namely to “ensure healthy lives and promote wellbeing for all at all age”. SDG devotes 13 health-related targets to diverse population health and wellbeing issues including maternal and child health, communicable disease including HIV, non-communicable diseases, substance use, traffic accidents, universal access to sexual and reproductive health, and sanitation.

Nepal is one of the many countries that have signed up to the SDGs. This week BU researchers Dr. Pramod Regmi, Prof. Vanora Hundley,  Prof. Edwin van Teijlingen, FHSS, PhD students Sheetal Sharma and Preeti Mahato, and BU Visiting Faculty Prof. Padam Simkhada (Liverpool John Moores University) published an editorial under the title ‘Sustainable Development Goals: relevance to maternal & child health in Nepal’ [1]. This editorial written by health researchers working in Nepal highlights some of the weaknesses in the country’s health care system.   These key problems include the persistence of inequalities in health and the limited access to health services and the low uptake of care in many poorer populations especially in the more remote rural regions. For instance, only about one in nine of the poorest women deliver their babies with the aid of a skilled birth attendant (SBA), whilst 81.5% for the richest women benefit form a SBA. Therefore, this editorial stresses the need for a continuum of health care services to be available across the country and for all sections of the society. Moreover, we can only assess whether a country has reached all or any of the SDGs if there is systematic monitoring and regular review of interventions at all levels. Hence, Nepal should develop measureable and time-bond indicators to track its progress towards the SDGs. The country will need support from development partners in both its attempts to achieve the SDGs as well when it tries to collect and analysis data to assess its progress.

 

Prof. Edwin van Teijlingn

CMMPH

 

Reference:

  1. Regmi, P., van Teijlingen, E., Hundley, V., Simkhada, P., Sharma, S., Mahato, P. (2016) Sustainable Development Goals: relevance to maternal & child health in Nepal. Health Prospect 15(1):9-10. healthprospect.org/archives/15/1/3.pdf