Tagged / CMWHblog

Pregnancy & COVID-19 in UK: New study published

NHS, Women's Academic Network, writing

This morning the editor of the Frontiers in Psychiatry emailed us that the paper reporting the findings of the baseline data of a large-scale epidemiological study into pregnancy during COVID-19 in the UK has been published [1].  The interdisciplinary research team includes researchers from University Hospitals Dorset NHS Foundation Trust (Dr. Latha Vinayakarao & Prof. Minesh Khashu) and Bournemouth University (Prof. Edwin van Teijlingen). 

This longitudinal study explores how the SARS-CoV-2 [COVID-19] pandemic affected the mental health of pregnant people in the UK.  In mid-to-late 2020, we recruited 3666 individuals in the UK for the EPPOCH pregnancy cohort (Maternal mental health during the COVID-19 pandemic: Effect of the Pandemic on Pregnancy Outcomes and Childhood Health). Participants were assessed for depression, anxiety, anger and pregnancy-related anxiety using validated scales. Additionally, physical activity, social support, individualized support and personal coping ability of the respondents were assessed as potential resilience factors.

Participants reported high levels of depression (57.05%), anxiety (58.04%) and anger (58.05%). Higher levels of social and individualized support and personal coping ability were associated with lower mental health challenges. Additionally, pregnant individuals in the UK experienced higher depression during the pandemic than that reported in Canada. Finally, qualitative analysis revealed that restrictions for partners and support persons during medical appointments as well as poor public health communication led to increased mental health adversities and hindered ability to make medical decisions.

The study highlights the increased mental health challenges among pregnant individuals in the UK during pandemic. These results highlight the need for reassessing the mental health support measures available to pregnant people in the UK, both during times of crisis and in general.

Reference:

  1. Datye, S., Smiljanic, M., Shetti, R.H., MacRae-Miller, A., van Teijlingen, E., Vinayakarao, L., Peters, E.M.J., Lebel, C.A., Tomfohr-Madsen, L., Giesbrecht, G., Khashu, M., Conrad, M.L. (2024) Prenatal maternal mental health and resilience in the United Kingdom during the SARS-CoV-2 Pandemic: A cross-national comparison, Frontiers in Psychiatry, 15 https://doi.org/10.3389/fpsyt.2024.1411761

Upcoming BU systematic review training

Awarded & submitted bids, PG research, Publishing, writing

With the upcoming Bournemouth University  systematic review module co-ordinated lead by Prof. Vanora Hundley, the following announcement was timely today:

Your article reached 400 reads

Article: Evidence-based health care in Nepal: The importance of systematic reviews

The systematic review course is part of the INSIGHT programme.

 

Reference:

  1. van Teijlingen, E. R., Simkhada, B., Ireland, J.C., Simkhada, P. P., Bruce, J. (2012). Evidence-based health care in Nepal: The importance of systematic reviews. Nepal Journal of Epidemiology, 1(4), 114–118. https://doi.org/10.3126/nje.v1i4.5498

Congratulations to BU Visiting Faculty Dr Ans Luyben

international, Publishing, writing

Congratulations to Dr. Ans Luyben on the publication of her latest midwifery article ‘How to promote midwives’ recognition and professional autonomy? A document analysis study’ [1]. This latest paper will appear in the forthcoming November issue of the international scientific journal Midwifery, published by Elsevier. 

The paper identified challenges in Belgian midwives’ recognition and professional autonomy and provided recommendations to address them, emphasizing the importance of recognized authority in midwifery. Implementing these recommendations can positively impact midwives’ recognition and autonomy in Belgium as well as in other countries.  Ans has long been affiliated with the Centre of Midwifery & Women’s Health (CMWH) as Visiting Faculty and she works in the Frauenzentrum (Centre for Women’s Health), Lindenhofgruppe, Bern, Switzerland.

Well done!

Prof. Edwin van Teijlingen

 

 

Reference:

  1. Vermeulen, J., Buyl, R., Luyben, A., Fleming, V., Tency, I., Fobelets, M. (2024) How to promote midwives’ recognition and professional autonomy? A document analysis study Midwifery, 138: 104138.  

Paper with a difference

international, open access, Publishing, writing

Last night ResearchGate informed us that our paper ‘Understanding health education, health promotion and public health‘ had reached 6,000 reads [1].  This reflective paper in an Open Access journal tries to bring a little more clarity in the confusion around the difference between the concepts of health education, health promotion and public health. We argue that such confusion does not limit itself to the individual terms but also to how these terms relate to each other. Some authors and public health practitioners use terms such as health education and health promotion interchangeably; others see them clearly as different concepts.

In this theoretical overview paper, we have first of all outlined our understanding of these individual terms. We suggest how the five principles of health promotion as outlined by the World Health Organization (WHO) fit into Andrew Tannahill’s model from 2009 [2] of three overlapping areas: (a) health education; (b) prevention of ill health; and (c) health protection. Our schematic overview places health education within health promotion and health promotion itself in the center of the overarching disciplines of education and public health. We hope our representation helps reduce confusion among all those interested in our discipline, including students, educators, journalists, practitioners, policymakers, politicians, and researchers.

The paper is co-authored by a primary school teacher based in Dorset, and four professors who have a combined experience in the wider public health field of over a century.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

References:

  1. van Teijlingen, K., Devkota, B., Douglas, F., Simkhada, P., van Teijlingen, E. (2021) Understanding health education, health promotion and public health, Journal of Health Promotion 9(1):1-7.
  2. Tannahill, A. (2009). Health promotion: The Tannahill model revisited. Public Health, 123(5),396-399. doi: https://doi.org/10.1016/j.puhe.2008.05.021

First EPPOCH study paper accepted for publication

open access, Publishing, writing

This afternoon the editorial office of Frontiers in Psychiatry informed us that our manuscript “Prenatal maternal mental health and resilience in the United Kingdom during the SARS-CoV-2 Pandemic: A cross-national comparison” [1] has been accepted for publication in Frontiers in Psychiatry, section Perinatal Psychiatry.   An interdisciplinary team from Germany, Canada and the UK designed and initiated a longitudinal pregnancy cohort in the United Kingdom titled Maternal mental health during the COVID-19 pandemic: Effect of the Pandemic on Pregnancy Outcomes & Childhood Health (EPPOCH).    In the second half of  2020, we recruited 3,600 pregnant individuals via self-enrollment through our website ‘www.eppoch-uk.org’. Our EPPOCH study has since collected a wealth of validated questionnaire data at multiple time points, from mothers (during pregnancy and postpartum) and their children (from birth to age 3), and we are currently distributing our 4-year childhood follow-up questionnaire. This is the first paper from the EPPOCH study.

The UK team is a collaboration between Bournemouth University and University Hospitals Dorset NHS Foundation Trust, the latter through Professor Minesh Khashu and Dr. Latha Vinayakarao based in Poole Maternity Hospital. The German team is led by Dr. Melanie Conrad, previously at Charité University Medicine Berlin, and now associated with the University of Augsburg, and includes Swarali Datye, PhD student at Charité University Medicine Berlin, whilst our Canadian collaborator, Alison MacRae-Miller, is based at the University of British Columbia, Victoria.  This EPPOCH cohort is closely linked with a sister cohort in Canada called the Pregnancy During the Pandemic (PDP) study.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

 

Reference:

  1. Datye, S., Smiljanic, M., Shetti, R.H., MacRae-Miller, A., van Teijlingen, E., Vinayakarao, L., Peters, E.M.J., Lebel, C.A., Tomfohr-Madsen, L., Giesbrecht, G., Khashu, M., Conrad, M.L. (2024) Prenatal maternal mental health and resilience in the United Kingdom during the SARS-CoV-2 Pandemic: A cross-national comparison, Frontiers in Psychiatry, (accepted).

New midwifery publication

NHS, PG research, Publishing, writing

Congratulations to Ph.D. student Joanne Rack on the publication today of her paper ‘Understanding perceptions and communication of risk in advanced maternal age: a scoping review (protocol) on women’s engagement with health care services’  [1].   Joanne is currently doing a Clinical Doctorate in the Centre for Midwifery & Women’s Health (CMWH) focusing on personalised care for women of advanced maternal age.  Her doctoral study is matched-funded by University Hospitals Dorset NHS Foundation Trust and Bournemouth University [BU].  Her PhD is supervised and supported by Profs. Vanora Hundley, Ann Luce and Edwin van Teijlingen at BU and Dr. Latha Vinayakarao in Poole Maternity Hospital.

Well done!

 

Reference:

  1. Rack, J., Hundley, V., van Teijlingen, E., Luce, A., Vinayakarao. L. (2024) Understanding perceptions and communication of risk in advanced maternal age: a scoping review (protocol) on women’s engagement with health care services, MIDIRS Midwifery Digest, 34(3): 201-204.

An interdisciplinary approach to thinking about pain

Congratulations to Professor Carol Clark, Dr Sujan Marahatta and Professor Vanora Hundley for their new interdisciplinary paper exploring the prevalence of pain catastrophising among women of reproductive age in Nepal.

It is well-acknowledged that there are multiple factors that contribute to constructing perceptions of pain – this paper explores previous pain experiences and the prevalence of pain catastrophising. The team found a high prevalence of pain catastrophising in Nepal, which could contribute rising obstetric intervention, particularly caesarean births, in Nepal.

The work is part of a programme of work looking at how best to support women during the latent phase of labour (early labour). You can hear more about this work by listening to a recent vodcast from Carol and Vanora:

Pain in Childbirth: An Interdisciplinary Approach – By: Prof. Vanora Hundley and Prof. Carol Clark (youtube.com)