In early December the Maternal & Child Health Journal accepted our latest research paper on maternity care based in Nepal . The first author, Amrit Banstola, is based in Nepal and this exciting paper is co-authored with several Nepal-based collaborators as well as BU Visiting Faculty Prof. Padam Simkhada. Prof. Simkhada recently moved from Liverpool John Moores University to the University of Huddersfield. The target journal Maternal & Child Health Journal has an Impact Factor of 1.736.
The Government of Nepal is trying to expand and improve the quality of maternal and neonatal health service delivery in more remote areas of the country. However, relatively little is known about the preparedness of maternity care facilities to providing Emergency Obstetric Care (EmOC) in remote and rural areas. In order to achieve improvement maternal health services in one remote district to help achieve the sustainable development goals (SDGs). Our study assesses what birthing centres exist and how ready these are to provide EmOC services in Taplejung District.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health
- Banstola, A., Simkhada, S., van Teijlingen, E., Bhatta, S., Lama, S., Adhikari, A, Banstola A., The availability of emergency obstetric care in birthing centres in rural Nepal: A cross-sectional survey, Maternal & Child Health Journal. (accepted).
On 26th September the branch of the RCM in Southampton held a study day dedicated to considering human rights concerns in maternity care. It was attended by over 50 practitioners from across the region. Topics covered included a workshop by the human rights in maternity charity, Birthrights, and speakers from Barnados and Stop the Traffik. These latter presenters provided thought provoking, and somewhat harrowing, evidence for the need for awareness of sexual exploitation in young people, and trafficking of humans in our areas of practice. In addition Dr Jenny Hall (pictured right) from CEL and Jillian Ireland, visiting researcher in CMMPH, discussed the human rights of women with disability, based on current research partially funded by Birthrights, undertaken with colleagues Professor Vanora Hundley and Dr Bethan Collins from Liverpool University.
It was an intense event that demonstrated the importance of discussing and researching these aspects of current midwifery care.
Birthrights, a national charity for the rights of women during pregnancy and childbirth has today launched the interim report of a study undertaken by staff from Bournemouth University and the University of Liverpool, about the experiences of disabled women during pregnancy, childbirth and early parenting.
The current work arises following their 2013 Dignity in Childbirth survey which highlighted less positive experiences of women who identified themselves as disabled (Birthrights 2013). In response, Birthrights commissioned research to explore the experiences of disabled women throughout pregnancy, childbirth and the first few post-natal weeks (the pregnancy continuum). A multidisciplinary team, comprising of Dr Jenny Hall, Jilly Ireland and Professor Vanora Hundley from CMMPH and Dr Bethan Collins from the University of Liverpool, have just completed the first phase of the study, which has been released by Birthrights as an interim report today. This first phase of the study used an online survey to identify experiences of women in the UK and Ireland with physical or sensory impairment or long term health conditions during the pregnancy continuum.
Although overall satisfaction with services in general was scored highly by most women, challenges were described in women’s experiences. These included lack of continuity of carer, meaning that women needed to repeat their information again and again; women feeling that they were not being listened to, which reduced their feeling of choice and control; feeling they were treated less favourably because of their disability. More than half of the women (56%) felt that maternity care providers did not have appropriate attitudes to disability. Accessibility of services was also highlighted as poor, in some situations.
These findings resonate with recommendations from the recent maternity services review (National Maternity review 2016), which highlights the importance of personalised care, that is woman-centred, with opportunity for choice and control, and continuity of carer for everyone. The current study highlights how imperative this approach is for disabled women.
A follow-up qualitative study is underway to establish in-depth views and experiences of human rights and dignity of disabled women during the pregnancy continuum to develop our understanding of how best to enable this group. This second phase is due to be completed in Spring 2017.
The Interim report outlining the results from phase 1 is released today by Birthrights and may be found on the CMMPH web site.