Tagged / Health

Breastfeeding research presented in Cornwall

Congratulations to Alison Taylor, senior lecturer in midwifery who presented preliminary findings of her PhD as keynote speaker last month at the Cornwall  Real Baby Milk conference.  Alison’s presentation ‘Women’s Breastfeeding Experiences – shared using video diaries’ was very well received.  Alison’s fieldwork has been supported by the Iolanthe Midwifery Trust , she received the first Tricia Anderson award in 2008. Founded in 1983, the Trust supports midwives and student midwives to undertake further education and to carry out projects designed to improve the care of mothers and babies.

More details on the conference can be found at:

http://realbabymilk.org/couldnt-make-real-baby-milk-cornwall-conference-last-month/

Congratulations!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal and Perinatal Health (CMMPH)

Congratulations to PhD student Rachel Arnold

HSC postgraduate student Rachel Arnold just had the first paper from her research in Afghanistan accepted by the scientific journal BJOG.  Her paper analyses the culture of a Kabul maternity hospital to understand its impact on the care of perinatal women and their babies.    A heavy workload, too many complicated cases and poor staff organisation lead to a low quality of maternity care. Cultural values, social and family pressures influenced the motivation and priorities of healthcare providers.

The centrality of the family and family obligations in Afghan society has emerged as a major theme. Another theme is the struggle for survival – as health care providers work to support their families, to maintain the power that they have, and to survive within a hospital system where fear rather than compassion appears to drive and motivate.  Rachel presented some of the key issues at the 2013 GLOW conference in Birmingham.   Rachel is supervised by Professors Immy Holloway, Kath Ryan (LaTrobe University, Australia) and Edwin van Teijlingen.

Rachel’s paper Understanding ‘Afghan healthcare providers: a qualitative study of the culture of care in a Kabul maternity hospital’ can be found here.  The paper is Gold Open Access.

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

Dorset Legacy Fund – addressing health inequalities in the region

The Dorset Clinical Commissioning Group (CCG) and Local Authorities, supported by the Public Health team, are very keen to build on the success of the 2012 Olympics in Dorset and have developed a legacy fund to provide a significant resource for investment in innovative and evidence based local projects in Dorset, Bournemouth and Poole. The aim of the legacy fund is to create a legacy and inspire communities by investing in projects that focus on the particularly vulnerable, marginalised and deprived communities in order to address health inequalities which exist in Dorset.

Project criteria:

  • Target vulnerable people or marginalised communities
  • Tackle identified health inequalities
  • Inspire people towards a healthier lifestyle
  • Have a lasting legacy

The second round of funding is due to open on 1 December with £200,000 funding available.

Congratulations to BUDI who were successful in the first round of funding.

For more information including the application process click here.

 

HSC research at RCM Conference this week

Research from staff in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) was well represented at this week’s Royal College of Midwives Conference (RCM). The RCM Conference 2014 held in the International Centre Telford explore the theme Better Births: United in Excellence. At this midwifery conference HSC Dr. Sue Way chaired a session on ‘Perineal Care and the Management of the Second Stage’

Dana Colbourne, Postgradute student at Bournemouth University and midwife at Portsmouth Hospitals NHS Trust presented a poster with the title ‘PhD student Leading the way – A case study of a student midwife led postnatal clinic’.

Dr Stella Rawson, senior lecturer in midwifery presented her poster ‘Listening to Women: Exploring women’s experiences of being part of a student midwife’s caseload’.

Jan Stoziek, senior lecturer in midwifery and also Prof Doc student at the University of Portsmouth presented her poster ‘Mother’s Experience of Breastfeeding after Breast Cancer’.

Lesley Milne also presented a poster on the work around ‘Staff perspectives of barriers to women accessing birthing services in Nepal: A qualitative study’  with Prof. Padam Simkhada, HSC Visiting Faculty Ms. Jillian Ireland, Prof. Vanora Hundley & Prof. Edwin van Teijlingen,

Congratulations to Dr Sarah Hean & colleagues!

Congratulations to Dr. Sarah Hean in the School of Health & Social Care and her colleagues Staddon, Clapper, Fenge, Heaslip and Jack on the acceptance of their article: ‘Improving Collaborative Practice to Address Offender Mental Health: Criminal Justice and Mental Health Service Professionals’ Attitudes Towards Interagency Training, Current Training Needs and Constraints’ by the Journal of Research in Interprofessional Practice and Education.

 

The paper is Open Access funded by BU!  A copy is available in BU’s repository BURO: http://eprints.bournemouth.ac.uk/21462/

 

Well done

 

Prof. Edwin van Teijlingen

CMMPH

Congratulations to PhD student Carol Richardson on getting a paper in The Practising Midwife

 

CMMPH PhD student Carol Richardson just had a paper accepted by the editor of The Practising Midwife.  Carol is a Bournemouth University clinical academic doctoral midwife based in Portsmouth.  She is part of a scheme jointly funded by BU and Portsmouth Hospital NHS trust (PHT).

Carol is also a Supervisor of Midwives, and her first paper ‘Chasing time for reflection’ relates to midwifery supervision.

Professor Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health
Bournemouth University

Interested in Digital Health research?

We will be holding a CHIRP meeting on Thursday 30th October at 1pm in P403 for anyone who may be currently conducting (or interested in conducting) research studies related to digital health.

The aims of these CHIRP meetings are to meet regularly as a group with common interests so that we can stay updated about current research/current technologies etc., potentially find areas of common interest for collaboration and generally bounce ideas around one another.

Meetings are open to anyone interested in digital technologies and health whether this focuses on digital health interventions, issues around the impact of digital technologies on health and wellbeing, how digital technologies can aid clinical training or something similar. We are particularly interested in creating a multi-disciplinary group of researchers so welcome any colleagues from Health and Social Care, Computing, Psychology, the Media School etc. etc.

We are currently working on pulling together a BU CHIRP/Digital Health research webpage and aim to share our first version with colleagues at the meeting as well as update current/planned projects and past/upcoming events of interest.

Please contact Sarah on swilliams@bournemouth.ac.uk if you would like to join our CHIRP group or would like to come along and find out more at our meeting on the 30th.

Congratulations to BU Visiting Faculty on latest publication

Congratulations to Bournemouth University’s Visiting Faculty Dr. Bibha Simkhada and Prof. Padam Simkhada for the paper on financial barriers to the uptake of antenatal care in a rural community in Nepal.1   The first author (a native Nepali-speaker) conducted 50 face-to-face interviews with women and their families in rural Nepal.  These interviews were thematically analysed after transcription.

This latest paper adds to our knowledge into user costs related to maternity services in Nepal as we had already published our findings on users costs in the largest obstetric hospital in the capital. 2

 

Professor Edwin van Teijlingen

CMMPH

 

References:

  1. Simkhada, B., van Teijlingen, E.R., Porter, M., Simkhada, P. & Wasti, S.P. (2014) Why do costs act as a barrier in maternity care for some, but not all women? A qualitative study in rural Nepal International Journal of Social Economics 41 (8), 705-713

 

  1. Simkhada, P.P., van Teijlingen, E., Sharma, G., Simkhada, B., Townend, J. (2012) User costs and informal payments for care in the largest maternity hospital in Kathmandu, Nepal, Health Science Journal 6(2): 317-334.  www.hsj.gr/volume6/issue2/6212.pdf

 

Congratulations to Dr. William Haydock

 

Congratulations to William Haydock, researcher in HSC, for his recently published paper in Capital & Class 38 (3): 583-600

The paper “‘20 tins of Stella for a fiver’: The making of class through Labour and Coalition government alcohol policy” is available from: http://cnc.sagepub.com/content/38/3/583.abstract

 

Prof. Edwin van Teijlingen

CMMPH

WHO statement on eliminating disrespect & abuse in childbirth

The World Health Organization (WHO) statement issued this week challenges governments, clinicians and researchers to respond to the call for the prevention and elimination of disrespect and abuse during childbirth.1   This includes:

  1. Greater support from governments and development partners for research and action
  2. Programmes to improve the quality of maternal health care, with a strong focus on respectful care
  3. Emphasizing the rights of women to dignified, respectful healthcare through pregnancy and childbirth
  4. Generating data related to respectful and disrespectful care practices, systems of accountability and meaningful professional support
  5. Involving all stakeholders, including women, in efforts to improve quality of care and eliminate disrespectful and abuse practices

We, at the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), strongly support the WHO’s statement that: “Every woman has the right to the highest attainable standard of health, including the right to dignified, respectful care during pregnancy and childbirth.”

Disrespect and abuse are significant barriers to facility birth in many low and middle income countries; an area that CMMPH has been exploring. Lesley Milne and colleagues have been working on this area in Nepal2, while PhD student Rachel Arnold has been working in Afghanistan3.  In addition, CMMPH researchers are looking at dignity within the UK. Dr Jenny Hall is working with the charity Birthrights to explore dignity in maternity care for women with disabilities.

More widely, lack of compassion in health care has triggered HSC researchers to study the issue of the de-humanisation of care.  Consequently, the School of Health and Social Care has a long-standing reputation in the field of humanising care research.  Scholars such as Professor Les Todres, Professor Kate Galvin (now at the University of Hull), Dr. Caroline Ellis-Hill and Dr. Ann Hemingway to name but a few, are at the forefront of this field globally.

CMMPH applauds the WHO stand on this issue and hopes that it helps to maintain the global momentum to eliminate disrespectful care.

 Prof Edwin van Teijlingen and Prof Vanora Hundley

References:

  1. http://www.who.int/reproductivehealth/topics/maternal_perinatal/statement-childbirth/en/
  2. Milne L, van Teijlingen E, Hundley V, Simkhada P. Barriers within hospital (either real or perceived) to women seeking facility based birth in Nepal. Final report to Wellbeing of Women. 2014
  3. Arnold R, van Teijlingen E, Ryan K, Holloway I. Understanding Afghan health care providers; a qualitative study of the culture of care in a Kabul maternity hospital. BJOG (submitted).

 

 

 

September: A good month for CMMPH publications

 

 

 

 

 

 

 

The Centre for Midwifery, Maternal & Perinatal Health started well this September with four publications in academic and practitioners’ journal.  Starting with final-year student midwife Joanna Lake who just had an article published in The Practising Midwife.1

Secondly, BU midwifery staff Jen Leamon and Sue Way together with HSC Visiting Fellow Suzie Cro also have had an article published this month in the same journal.2

Susanne Grylka-Baeschlin, a midwife from Switzerland who spent time at BU as an international visitor (see http://blogs.bournemouth.ac.uk/research/2014/07/02/latest-hsc-midwifery-paper-in-open-access/) had her paper published in BMC Pregnancy and Childbirth this month.3

And last, but not least, Wendy Marsh, based in HSC’s Portsmouth office had a paper in the September issue of the British Journal of Midwifery.4

 

Congratulations,

 

Prof. Edwin van Teijlingen

 

 

References:

  1. Lake J., 2014. Witnessing the art of woman-centred care by and exceptional mentor. The Practicing Midwife. 17(8), 24-26.
  2. Leamon J, Way S. & Cro S., 2014. Supervision of midwives and the 6Cs: exploring how we do what we do. The Practicing Midwife. 17(8), 41-42.
  3. Grylka-Baeschlin  S., van Teijlingen,  E. & Mechthild, G.M., 2014. Cultural differences in postnatal quality of life among German-speaking women: a prospective survey in two countries. BMC Pregnancy and Childbirth 14:277    www.biomedcentral.com/1471-2393/14/277
  4. Marsh, W. 2014. Removing babies from mother’s at birth: Midwives experiences. British Journal of Midwifery. 22(9):620 – 624.

Horizon 2020: 2015 Health Call Now Open!

The European Commission has launched the 2015 call for projects under the Horizon 2020 Health, demographic change and wellbeing challenge. The Health work programme is available here: http://ec.europa.eu/research/participants/data/ref/h2020/wp/2014_2015/main/h2020-wp1415-health_en.pdf 

The 2015 Health call is made of 4 different sub-calls, depending on the submission procedure (single stage or two stage), the final deadline for the submission and the funding scheme (research and innovation actions, and coordination and support actions). Specific information for each call can be found below:

1) Personalising Health and Care – Single Stage 

Budget: (€ Mn): 104.50

Deadline: 21st April 2015

Topics (PHC):  21, 25, 27, 28, 29, 30

2) Personalising Health and Care – Single Stage RTD

Budget (€ Mn): 88.00

Deadline: 24th February 2015

Topics (PHC): 9, 15, 33

3) Personalising Health and Care – Two Stage

Budget (€ Mn): 306.00

Deadline (stage 1): 14th October 2014

Deadline (stage 2): 21st April 2015

Topics (PHC): 2, 3, 4, 11, 14, 16, 18, 22, 24

4) Health Co-ordination Activities 

Budget (€ Mn): 40.00

Deadline: 15th April 2014

Topics (HCO): 3, 6, 11, 12, 13, 17

 

Surrogate mother producing faulty goods: commodification of childbirth

Over the weekend an interesting story appeared on the BBC news and in the Sunday papers.  The story goes that an Australian couple left a Thai surrogate mother with a baby who is genetically their child.  The reason for this abandonment is that the baby is not perfect.  If that is not bad enough the couple has taken the healthy twin sister of this baby back home to Australia.  Some newspapers reported that the Australian parents knew that the baby had Down’s syndrome from the fourth month of gestation onwards, but that they did not ask until the seventh month  – through the surrogacy agency – for selective abortion of the affected fetus.    The surrogate mother, Pattaramon Chanbua, says that the couple were told: (a) that she was carrying twins and (b) that one of the twins had Down’s syndrome as well as heart problems. The surrogate mother refused the intervention on the grounds of her Buddhist beliefs.

Surrogacy is often a commercial transaction e.g. in the USA, although such a ‘business contract’ is not legal in the UK (Ireland 2011) and some parts of Australia as widely reported in the media.  However, in this case the Australian couple had paid Pattaramon Chanbua (a mother of two) to grow and carry the baby for them. She told the BBC that she had engaged in the surrogacy deal to get money to pay for the education of her other children.

This case epitomises several aspects of life that are of interest to sociology: (a) the commodification and commercialization of life (and health); (b) inequality and exploitation; and (c) globalisation.  Commodification refers to the process by which something that was not originally bought and sold becomes a good or service, i.e. a commodity that is for sale.  As we become more modern and with economic progress/the rise of capitalism, more and more parts of our lives become commodified.  Modernisation changes society and its social institutions and organisations. Economic development is based on industrialisation, but is also strongly linked to urbanisation, mass education, occupational specialisation and communication development, which in turn are linked with still broader cultural and social changes (Inglehart 1997).

The second key issue sociologists are interested in is inequality and the link between poverty and poor health.  In a global perspective where we, people in high-income countries, or so-called developed countries exploit people in low-income countries (or Third World, developing countries or under-developed countries).

Thirdly, globalisation refers to the world becoming a smaller place, both in terms of physical travel as well as the way we perceive it (Simkhada & van Teijlingen 2009).  It takes us less time to travel to London, Paris, Kathmandu than it took our parents’ or grandparents’ generation, and at the same time the information about a disaster or a  human tragedy story such as this one in Thailand reaches us more or less instantaneously.  At the same time, modernisation and globalisation, particularly in many low-income societies, are contributing to rapid socio-cultural changes.

Surrogacy as commodification

Surrogacy is the commodification of a couple having a baby themselves.  Other social solutions from the past to the problem of not being able to conceive include: (a) having more than one wife, a solution for men in a patriarchal society; (b) for women sleeping with their husband’s brother, to increase the likelihood that the baby ‘looks like’ the husband; and (c) adopting someone else’s child.

We must remember that aspects of maternity care have always been commodified.  Rich British families in the nineteenth century would have been paying a wet nurse to breastfeed their babies and a nanny to look after their children whilst instant formula baby milk bought from a shop has been replacing breastmilk supplied by the baby’s mother for nearly a century.

We don’t think surrogacy is the interesting issue here, we should ask ourselves the more basic question ‘What makes us think that every birth and every baby is going to be perfect or even okay?’

One explanation is, of course, that we have seen a rapid decline in the number and the proportion of babies dying in high-income countries such as the UK over the past century and a half.  Women having better nutrition, fewer children, having one’s first child later (but not too much later), better sanitation, and improved obstetric care have all contributed to making childbirth safer now for both mother and baby than ever before in the history of humanity.   However, these changes have also affected our ways of thinking about childbirth (Mackenzie Bryers & van Teijlingen 2010).

Social scientists recognise a social model and a medical model of childbirth (van Teijlingen 2005; van Teijlingen & Ireland 2013).  The former sees childbirth as a physiological event in women’s lives.  Pregnant women need psycho-social support, but not necessarily high-technology interventions by doctors.    The medical model stresses that childbirth can be pathological, i.e. every pregnant woman is potentially at risk.  The medical model argues that every birth needs to be in hospital with high-technology screening equipment supervised by expert obstetricians.  In other words, pregnancy and childbirth are only safe in retrospect.  In terms of social changes, we have moved from a more social model to a more medical model in a society which is more risk averse.

 

 

Edwin van Teijlingen1 & Jillian Ireland2

  1. Professor of Reproductive Health Research, Centre for Midwifery, Maternal & Perinatal Health, Bournemouth University.
  2. Visiting Faculty, Centre for Midwifery, Maternal & Perinatal Health, Bournemouth University; Midwife & Supervisor of Midwives, RCM learning Rep. Poole NHS Hospitals Trust.

 

 

References:

Inglehart R. (1997). Modernisation and post modernisation: Cultural, economic, and political change in 43 societies. New Jersey: Princeton University Press.

Ireland, J. (2011) Reflections on surrogacy-using the Taylor model to understand and manage the emotions in clinical practice, Essentially Midirs, 2(9): 17-21.

Ireland, J., van Teijlingen, E. (2013) Normal birth: social-medical model, The Practising Midwife 16(11): 17-20.

MacKenzie Bryers, H., van Teijlingen, E. (2010) Risk, Theory, Social & Medical Models: a critical analysis of the concept of risk in maternity care, Midwifery 26(5): 488-496.

Simkhada, P.P., van Teijlingen, E. (2009) Health: a global perspective, In: Alder, B. et al. (Eds.) Psychology & Sociology Applied to Medicine (3rd edn.), Edinburgh: Elsevier: 158-159.

Teijlingen van, 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