Tagged / CMMPH

COVID-19 in Qatar

Peer reviewing is the backbone of academic publishing. It is this peer review process to ensure that papers/publications have been vetted scientifically prior to publication by experts in the field, i.e. one’s peers. However, the process is not without its problems. One such problems is the delay in academic publishing. For example, a few days ago we published a substantive editorial on COVID-19 in Qater [1].  When we submitted this in July 2020 the information in our editorial was very up to date, and it still was when the Qatar Medical Journal accepted it on 26th July 2020.  Unfortunately, with all the incredibly rapid developments in vaccine development, approval and roll out some of the paper now reads like ‘historial data’.

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

Reference:

  1. van Teijlingen, E.R., Sathian, B., Simkhada, P., Banerjee, I. (2021) COVID-19 in Qatar: Ways forward in public health & treatment, Qatar Medical Journal 2020(38): 1-8 https://doi.org/10.5339/qmj.2020.38

First BU paper accepted for 2021

Congratulations to Prof. Vanora Hundley whose article ‘Escalation triggers and expected responses in obstetric early warning systems used in UK consultant-led maternity units’ is now available Open Access online. The paper has been accepted in Resuscitation Plus. Co-authors include FHSS Visiting Faculty Prof. Gary Smith and Dr. Richard Isaacs.

The paper reports on a review of OEWS [Obstetric Early Warning Systems] charts and escalation policies across consultant-led maternity units in the UK (n = 147). OEWS charts were analysed for variation in the values of physiological parameters triggering different levels of clinical escalation. The observed variations in the trigger thresholds used in OEWS charts and the quality of information included within the accompanying escalation protocols is likely to lead to suboptimal detection and response to clinical deterioration during pregnancy and the post-partum period. The paper concludes the development of a national OEWS and escalation protocol would help to standardise care across obstetric units.

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

Midwifery and the Media

Today we received an end-of-year good-news message from ResearchGate telling us that 700 people had ‘read’ our book Midwifery, Childbirth and the Media [1]Lee Wright, Senior Lecturer in the School of Nursing and Midwifery at Birmingham City University wrote in his review of our edited volume: “…our media image and digital foot print are rapidly becoming the most important window into our profession. In a rapidly changing environment this book provides an up to date and informative insight into how our profession is affected by the media and how our profession can inform and influence the image of midwifery. This area is going to become even more important in the future universities and trusts increasingly use broadcast and social media to manage information and inform our clients of the services we provide.  This book will be the important first text in a new growth area. It brings together an internationally recognised group of authors who are experts in this field. I wholeheartedly recommend it to you.”

This edited collection was published by Palgrave Macmillan in 2017 and it is part of a larger body of Bournemouth University research on the topic [2-6].

 

Professor Edwin van Teijlingen, Professor Vanora Hundley and Associate Professor Ann Luce

 

References:

  1. Luce, A., Hundley, V., van Teijlingen, E. (Eds.) (2017) Midwifery, Childbirth and the Media, London: Palgrave Macmillan [ISBN: 978-3-319-63512-5].
  2. 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
  3. Angell, C. (2017) An Everyday Trauma: How the Media Portrays Infant Feeding, In: Luce, A. et al. (Eds.) Midwifery, Childbirth and the Media, London: Palgrave Macmillan pp: 45-59.
  4. Hundley, V., Luce, A., van Teijlingen, E., Edlund, S. (2019) Changing the narrative around childbirth: whose responsibility is it? Evidence-based Midwifery 17(2): 47-52.
  5. Hundley, V., Duff, E., Dewberry, J., Luce, A., van Teijlingen, E. (2014) Fear in childbirth: are the media responsible? MIDIRS Midwifery Digest 24(4): 444-447.
  6. Hundley, V., Luce, A., van Teijlingen, E. (2015) Do midwives need to be more media savvy? MIDIRS Midwifery Digest 25(1):5-10.

Sixteen Days of Activism: end violence against women

The start of 16 days of activism against Gender-based Violence commenced on 25th November 2020 on the day known as the International Day for the Elimination of Violence against Women. A report: UK Femicides 2009-2018 published on the 25/11/20 has revealed that the number of women killed each year by men has stayed the same at between 124 and 168. From 2009 to 2018 at least 1,425 women were killed by men in the UK. What do these figures mean? Sadly it translates as :

  • a man killed a woman every three days and
  • a woman was killed by a male partner or ex-partner every four days.

In addition, the methods used, the contexts in which women are killed and their relationship with the men who kill them have changed little over the ten-year period. Women are killed by their husbands, partners and ex-partners; by sons, grandsons and other male relatives; by acquaintances, colleagues, neighbours and strangers. The rate at which men kill women shows no sign of reducing. The report is dedicated to all those women with each one named. Every single woman and girl in this report mattered. The Femicide Census is a call to action for change. femicidecensus.org     

During these 16 days of activism what can we do? What is in no doubt is that ending violence against women is mine and your business, it’s everybody’s business. UN Women have ten suggestions in which we can make a difference:

  • Listen to and believe survivors
  • Teach the next generation and learn from them                                           
  • Call for responses and services fit for purpose
  • Understand consent
  • Learn the signs of abuse and how you can help
  • Start a conversation
  • Stand against rape culture
  • Fund women’s organizations
  • Know the data and demand more of it

https://www.unwomen.org/en/news/stories/2020/11/compilation-take-action-to-help-end-violence-against-women

Maternity Action Report

I attended a zoom meeting on the 25/11/20 hosted by Maternity Action (MA), which is the UK’s leading charity committed to ending inequality and improving the health and wellbeing of pregnant women, partners and young children – from conception through to the child’s early years. Part of their remit is the delivery of free, specialist advice through their telephone helplines, on employment rights, maternity pay and benefits. Maternity Action responds to 2,000 calls to their Maternity Rights Advice Line each year from women facing pregnancy discrimination at work or needing help understanding their employment rights. Shockingly, pregnant women or new mums experience high levels of discrimination and harassment, with circa 54,000 women losing their jobs each year as a direct result of pregnancy discrimination. One in 20 new mothers are made redundant during pregnancy, maternity leave or on their return to work.

The purpose of zoom meeting was to launch their latest report: Insecure Labour: the realities of insecure work for pregnant women and new mothers. The charity worked closely with University and College Union (UCU) and UNISON in the production of the report. For both these unions the recent growth in insecure work has been a major issue for their members. They and MA have defined insecure work to include zero hours contracts, short term/fixed term contracts, short hours contracts, agency, casual and seasonal workers and low paid ‘self-employed contracts. From a higher education sector perspective, the use of fixed term contracts has increased in recent years and described by them as ‘endemic’.

Insecure contracts are prevalent in many female dominated sectors such as social care work, education and retail. Men are not exempt from insecure work, however, overwhelmingly, women workers are hugely impacted, due to the effect that pregnancy and maternity leave have on women’s job security and incomes and the unequal sharing of care and domestic labour in the home. The gender pay gap continues because of the impact on women of insecure work and associated low pay

This research report therefore explores the impact of insecure work on the rights of pregnant women and new mothers at work. Qualitative interviews were undertaken with ten pregnant and or new mothers who were in insecure work and their occupations ranged from a postgraduate research fellow, a teaching associate at a HEI, an advertising agency and another working for the NHS. Their lived experience of seeking to negotiate a safe working environment, a secure income and fair treatment is explored and reported on. The full report is available below:  https://maternityaction.org.uk/research-insecure-labour/

One of the attendees on the MA zoom session was from the TUC and she brought our attention to a report they published in June this year: Pregnant and precarious: new and expectant mums’ experiences of work during Covid-19. In this report the TUC surveyed over 3,400 pregnant women and mums on maternity leave exploring their experiences of work during the pandemic.

In brief the survey highlighted the following points:

  • One in four pregnant women and new mums experienced unfair treatment or discrimination at work including being singled out for redundancy or furlough.
  • Pregnant women’s health and safety rights are being routinely disregarded, leaving women feeling unsafe at work or without pay when they are unable to attend their workplaces.
  • Low-paid pregnant women are almost twice as likely as women on median to high incomes to have lost pay and or been forced to stop work (either by being required to take sick leave when they were not sick or to take unpaid leave, start their maternity leave early or leave the workplace altogether) because of unaddressed health and safety concerns. 
  • 71 per cent of new mums planning to return to work in the next three months are currently unable to find childcare to enable them to do so.

For the full report please click on the link: https://www.tuc.org.uk/sites/default/files/2020-06/PregMatCovid-19.pdf

 

 

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.

 

The PhD examiner

Being asked to examine a PhD thesis is a honour for most academics.  As an examiner you always learn something new.  If not about the topic itself, you may learn different ways of applying a research method or new theoretical explanations or even new ideas for supervising your own PhD students.  It is a joy to have an in-depth scientific discussion with a dedicated and motivated candidate. Usually the candidate is a little nervous, especially at the start of the viva, and I see it as one of my tasks as an examiner to help the candidate to relax a little.

Today I had the pleasure of being one of the examiners for a PhD at the University of Maastricht (the Netherlands).   The PhD candidate (now Dr.) Franka Cadée was a little nervous according to her supervisors, although it did not show during the viva.

Interestingly, enough I also felt nervous!  Before today I had examined 50th PhD thesis in seven different countries.  However, I probably had not felt this nervous since my own viva nearly three decades ago.  Why was I nervous?  First, although I am Dutch and I have studied in the Netherlands and the UK, I had never attended a PhD examination in the Netherlands.  And PhD examinations really do differ between the UK and most northern European countries, especially the public defence of the thesis by the candidate in front of examiners, colleagues, friends and family.  Secondly, the candidate today is the president of the ICM (the International Confederation of Midwives).  Of course, this does not make any difference in the examination process, this candidate was treated the same as any other student would have been.  Thirdly, and most importantly, the ICM had globally advertised the public defence of Dr. Cadée’s thesis to midwives, maternity policy-makers, member of International Non-Governmental Organisations and maternity care providers and invited ‘everybody’ to watch on ZOOM.

I really think it was the latter that made me more nervous than the much more private UK PhD viva with perhaps five or six people in a small class room, or, these days, on ZOOM.

Finally, my congratulations to Dr. Franka Cadée on the successful defence of her thesis Twinning, a promising dynamic process to strengthen the agency of midwives.

 

Professor Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

New CMMPH nutrition paper published

Congratulations to FHSS authors on the publication of their paper “A Priori and a Posteriori Dietary Patterns in Women of Childbearing Age in the UK” which has been published in the scientific journal Nutrients [1].  The authors highlight that a poor diet quality is a major cause of maternal obesity. They investigated investigate a priori and a-posteriori derived dietary patterns in childbearing-aged women in the United Kingdom. An online survey assessed food intake, physical activity (PA), anthropometry and socio-demographics.  A poor diet quality was found among childbearing-aged women; notably in the younger age category, those of white ethnicity, that were more physically inactive and with a lower socioeconomic background.

The article is Open Access and freely available (click here!).

 

 

Reference:

  1. Khaled, K.; Hundley, V.; Almilaji, O.; Koeppen, M.; Tsofliou, F. (2020) A Priori and a Posteriori Dietary Patterns in Women of Childbearing Age in the UK. Nutrients 202012, 2921.

New FHSS nutrition publication

Congratulations to Dr. Jib Acharya on the publication of his latest research paper ‘Exploring Food-Related Barriers and Impact on Preschool-Aged Children in Pokhara, Nepal: A Qualitative Review’ which is based on his PhD research [1].  Dr. Acharya has published several papers [2-3] from his PhD thesis in collaboration with his supervisors, Prof. Jane Murphy, Dr. Martin Hind and Prof, Edwin van Teijlingen.

Congratulations!

 

References:

  1. Acharya, J., van Teijlingen, E., Murphy, J., Hind, M., Ellahi, B., Joshi, A. (2020) Exploring Food-Related Barriers and Impact on Preschool-Aged Children in Pokhara, Nepal: A Qualitative Review, Participation 22(20): 98-110.
  2. Acharya, J., van Teijlingen E., Murphy, J., Hind, M. (2015) Assessment of knowledge, beliefs & attitudes towards healthy diet among mothers in Kaski, Nepal, Participation 17(16): 61-72.
  3. Acharya, J., van Teijlingen E, Murphy, J., Hind, M. (2015) Study of nutritional problems in preschool aged children in Kaski District Nepal, Journal of Multidisciplinary Research in Healthcare 1(2): 97-118. http://dspace.chitkara.edu.in/jspui/bitstream/1/560/1/12007_JMRH_Acharya.pdf

 

 

 

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

FHSS PhD student’s poster at prestigious GLOW conference

Today and tomorrow Sulochana Dhakal-Rai will have her poster ‘Factors contributing to rising Caesarean Section rates in South Asia: a systematic review’ online at this year’s GLOW Conference [Global Women’s Research Society Conference].  This year for the first time, this international conference is held completely online.  Sulochana’s PhD project is supervised by Dr. Pramod Regmi, P., Dr. Juliet Wood and Prof Edwin van  Teijlingen at BU with Prof. Ganesh Dangal [Professor of Obstetrics and Gynaecology at Kathmandu Model Hospital] who acts as local supervisor in Nepal.  Sulochana has already published two papers from her on-going thesis research [1-2].

References

  1. Dhakal-Rai, S., Regmi, PR, van Teijlingen, E, Wood, J., Dangal G, Dhakal, KB. (2018) Rising Rate of Caesarean Section in Urban Nepal, Journal of Nepal Health Research Council 16(41): 479-80.
  2. 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.