Tagged / labour

Midwifery paper co-produced with BU students

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Congratulations to Faculty of Health & Social Sciences (FHSS) staff and students on their latest publication in the international journal Midwifery (published by Elsevier).   FHSS Professors Carol Clark and Vanora Hundley, undergraduate student researcher Guste Kalanaviciute and CMMPH PhD student Vanessa Bartholomew and Professor Helen Cheyne from the University of Stirling recently had the following paper accepted: ‘Exploring pain characteristics in nulliparous women; a precursor to developing support for women in the latent phase of labour’ [1].

 

Reference:

Clark C, Kalanaviciute G, Bartholomew V, Cheyne H, Hundley VA (2021) Exploring pain characteristics in nulliparous women; a precursor to developing support for women in the latent phase of labour. Midwifery (in press) 

Congratulations to Dr. Pratik Adhikary

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Congratulations to Dr. Pratik Adhikary on the fifth (and final paper) from his PhD in the Faculty of Health & Social Sciences. This latest paper ‘Support networks in the Middle East & Malaysia: A qualitative study of Nepali returnee migrants’ experiences’ was recently published in the International Journal of Occupational Safety and Health [1].

This is one of the few studies focusing on the support networks of Nepali migrant worker in the Middle East and Malaysia.  The previous four papers have focused more on living conditions and working conditions of migrant workers as well as occupational health and safety abroad [2-5].

 

References:

  1. Adhikary P, van Teijlingen E. (2019) Support networks in the Middle East & Malaysia: A qualitative study of Nepali returnee migrants’ experiences’ – International Journal of Occupational Safety and Health  9(2): 31-35.
  2. Adhikary P, van Teijlingen E., Keen S. (2019) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant & Minority Health 21(5): 1115–1122. https://link.springer.com/article/10.1007/s10903-018-0801-y
  3. Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health and Social Care 14(1): 96-105.   https://doi.org/10.1108/IJMHSC-12-2015-0052
  4. Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi, Health Prospect 16(2): 3-10.
  5. Adhikary P., Keen S., van Teijlingen, E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-175. www.hsj.gr/volume5/issue3/532.pdf

Growing wealth of migration publications at Bournemouth University

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Yesterday saw the latest publication based on Bournemouth University (BU) migration research.  The international journal BMC Public Health published our quantitative paper ‘Psychological morbidity in Nepali cross-border migrants in India: a community based cross-sectional study’ [1].  This scientific article highlights that since Nepali migrants can freely cross the border with India and hence work and stay there, they are largely undocumented. The majority of these Nepali migrant workers is involved in semi-skilled or unskilled jobs with limited labour rights and social security, which predisposes them to psychological distress. The paper assessed the prevalence of and factors associated with psychological morbidity among Nepali migrants upon their return from India.

Just a few days ago the UN Migration Agency in Nepal IOM (International Organization for Migration) published ‘Research on the Health Vulnerabilities of the Cross-Border Migrants from Nepal‘, an online report to which BU academics (Aryal, Regmi & van Teijlingen) had contributed [2].  Just recently we had published the qualitative sister paper on Nepali migrants working and living in India. [3].  Whilst Dr. Nirmal Aryal was the lead author on a paper highlighting the need for more research specifically focusing on adolescents left behind by migrant workers [4]. Earlier this year BU PhD graduate Dr. Pratik Adhikary published his latest paper from his thesis, the paper is called ‘Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study’ and was published in the Journal of Immigrant & Minority Health [5].

Last year was also a very good year for BU migration research, including a systematic review on sex trafficking (perhaps the worst kind of migrant workers) [6], an earlier research paper by Dr. Adhikary with his PhD supervisors [7], and one paper on Nepali female migrants workers in the Middle-East & Malaysia [8].  Earlier BU academics published on general health issues and accidents among Nepali migrant workers in Malaysia, Qatar & Saudi Arabia [9-10], Nepali migrants in the UK [11-12] , other papers included: a call for action on Public Health [13]; a systematic review [14]; a paper on migrant workers’ spouses [15]; migrant health workers in the UK [16-17]; migration and tourism industry [18-20]; migrants and space in Italy [21-22]; an anthropological perspective on migration [23]; a media studies’ perspective [24]; and archaeological perspective [25]; and a socio-economic perspective [26].  No doubt there are several other publications I have forgotten or I am simply unaware missed in this list.

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

 

References:

  1. Dhungana, R.R., Aryal, N, Adhikary, P., KC, R., Regmi, P.R., et al. (2019) Psychological morbidity in Nepali cross-border migrants in India: A community-based cross-sectional, BMC Public Health 19:1534
  2. International Organization for Migration (2019) Research on the Health Vulnerabilities of the Cross-Border Migrants from Nepal, Kathmandu, Nepal: International Organization for Migration.
  3. Regmi, P., van Teijlingen, E., Mahato, P., Aryal, N., Jadhav, N., Simkhada, P., Syed Zahiruddin, Q., Gaidhane, A., (2019) The health of Nepali migrants in India: A qualitative study of lifestyles and risks, Journal of Environmental Research & Public Health 16(19), 3655; doi:10.3390/ijerph16193655.
  4. Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P., Mahat, P. (2019) Adolescents left behind by migrant workers: a call for community-based mental health interventions in Nepal. WHO South East Asia Journal of Public Health 8(1): 38-41.
  5. Adhikary P, van Teijlingen E., Keen S. (2019) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant & Minority Health 21(5): 1115–1122. https://link.springer.com/article/10.1007/s10903-018-0801-y
  6. Simkhada, P., van Teijlingen, E., Sharma, A., Bissell, P., Poobalan, A., Wasti, S.P. (2018) Health consequences of sex trafficking: A systematic review, Journal of Manmohan Memorial Institute of Health Sciences, 4(1): 130-149.
  7. Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health & Social Care 14(1): 96-105. https://doi.org/10.1108/IJMHSC-12-2015-0052
  8. Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A survey of health problems of Nepalese female migrants workers in the Middle-East & Malaysia, BMC International Health & Human Rights 18(4): 1-7. http://rdcu.be/E3Ro
  9. Adhikary, P, Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: accidents among Nepalese migrant workers in Malaysia, Qatar & Saudi Arabia, Health Prospect 16(2): 3-10.
  10. Adhikary P., Keen S., van Teijlingen E (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-75. www.hsj.gr/volume5/issue3/532.pdf
  11. Adhikary, P., Simkhada, P.P., van Teijlingen E., Raja, AE. (2008) Health & Lifestyle of Nepalese Migrants in the UK BMC International Health & Human Rights 8(6). Web address: www.biomedcentral.com/1472-698X/8/6
  12. van Teijlingen E, Simkhada, P., Adhikary, P. (2009) Alcohol use among the Nepalese in the UK BMJ Rapid Response: www.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
  13. Aryal, N., Regmi, PR., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, YKD., Mann, S. (2016) Injury and Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.
  14. Simkhada, PP., Regmi, PR., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health & well-being: A review of the literature, Journal of Travel Medicine 24 (4): 1-9.
  15. Aryal, N., Regmi, PR., van Teijlingen, E., Dhungel, D., Ghale, G., Bhatta, GK. (2016) Knowing is not enough: Migrant workers’ spouses vulnerability to HIV SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS 8(1):9-15.
  16. Scammell, J., 2016. Nurse migration and the EU: how are UK nurses prepared? British Journal of Nursing, 25 (13), p. 764.
  17. Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Science Journal 8(1):57-74.
  18. Janta, H., Ladkin, A., Brown, L., Lugosi, P., 2011. Employment experiences of Polish migrant workers in the UK hospitality sector. Tourism Management, 32 (5): 1006-1019.
  19. Dwyer, L., Seetaram, N., Forsyth, P., Brian, K. (2014) Is the Migration-Tourism Relationship only about VFR? Annals of Tourism Research, 46: 130-143.
  20. Filimonau, V., Mika, M. (2017) Return labour migration: an exploratory study of Polish migrant workers from the UK hospitality industry. Current Issues in Tourism, 1-22.
  21. De Martini Ugolotti, N., 2016. ‘If I climb a wall of ten meters’: capoeira, parkour and the politics of public space among (post)migrant youth in Turin, Italy. Patterns of Prejudice, 50 (2), 188-206.
  22. De Martini Ugolotti, N., 2015. Climbing walls, making bridges: children of immigrants’ identity negotiations through capoeira and parkour in Turin. Leisure Studies, 34 (1), 19-33.
  23. Mai, N., Schwandner-Sievers, S. (2003) Albanian migration and new transnationalisms, Journal of Ethnic & Migration Studies 29(6): 939-948.
  24. Marino, S., Dawes, S., 2016. Fortress Europe: Media, Migration and Borders. Networking Knowledge, 9 (4).
  25. Parker Pearson, M., Richards, C., Allen, M., Payne, A. & Welham, K. (2004) The Stonehenge Riverside project Research design and initial results Journal of Nordic Archaeological Science 14: 45–60.
  26. Chowdhury, M., 2014. Migration, Human Capital Formation and the Beneficial Brain Drain Hypothesis: A Note. Migration & Development, 3 (2), 174-180.

Migration & health research in Middle East & Malaysia

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Yesterday the Journal of Immigrant and Minority Health published the final version of Dr. Pratik Adhikary’s paper ‘Workplace Accidents Among Nepali Male Workers in the Middle East and Malaysia: A Qualitative Study’ [1].  This is the fourth paper originating from Pratik’s Ph.D. research conducted in the Faculty of Health & Social Sciences, the first three papers appeared in the period 2011-2018 [2-4].

The paper highlights that many Nepali men work in the Middle East and Malaysia and media reports and anecdotal evidence suggests they are at a high risk of workplace-related accidents and injuries for male Nepali workers.   Pratik’s Ph.D. study used face-to-face interviews to explore the personal experiences of twenty male Nepali migrants of unintentional injuries at their place of work.  His study found that almost half of study participants experienced work-related accident abroad. The Participants suggested that the reasons behind this are not only health and safety at work but also poor communication, taking risks by workers themselves, and perceived work pressure. Some participants experienced serious incidents causing life-long disability, extreme and harrowing accounts of injury but received no support from their employer or host countries.

The paper concludes that Nepali migrant workers are at a high risk of occupational injuries owing to a number of interrelated factors poor health and safety at work, pressure of work, risk taking practices, language barriers, and their general work environment. Both the Government of Nepal and host countries need to be better policing   existing policies; introduce better legislation where necessary; ensure universal health (insurance) coverage for labour migrants; and improve preventive measures to minimize the number and severity of accidents and injuries among migrant workers.

 

References:

  1. Adhikary P, van Teijlingen E., Keen S. (2019) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant & Minority Health 21(5): 1115–1122. https://link.springer.com/article/10.1007/s10903-018-0801-y
  2. Adhikary P., Keen S., van Teijlingen E (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-75. www.hsj.gr/volume5/issue3/532.pdf
  3. Adhikary, P, Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: accidents among Nepalese migrant workers in Malaysia, Qatar & Saudi Arabia, Health Prospect 16(2): 3-10.
  4. Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health & Social Care 14(1): 96-105.  https://doi.org/10.1108/IJMHSC-12-2015-0052

 

New BU migrants’ health publication

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The Journal of Immigrant and Minority Health (Springer) just accepted the latest paper by former FHSS Ph.D. student Dr. Pratik Adhikary (photo). [1]  His latest paper ‘Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study’ is the fourth, and probably final, paper from his Bournemouth University Ph.D. thesis.  This latest paper is based on the qualitative part of the mixed-methods thesis, his previous papers focused more on the quantitative data. [2-4] 

Since this is a qualitative paper it also offers a more theoretical underpinning than the previous papers.  The work uses the dual labour market theory which associates labour migration specifically to the host economy as it explains migration from the demand side. Labour migrants from less developed economies travel to fill the unskilled and low-skill jobs as guest workers in more developed economies to do the jobs better trained and paid local workers do not want to do.  This theory also explains the active recruitment through labour agents in Nepal to help fulfil the demand for labour abroad, and it helps explain some of the exploitation highlighted in host countries. The theory also helps explain why lowly skilled migrant workers are often at a higher risk to their health than native workers . Similar to migrant workers from around the world, Nepali migrant workers also experience serious health and safety problems in the host countries including accidents and injuries.

The latest article will be Open Access in the Journal of Immigrant and Minority Health!

 

References:

  1. Adhikary P, van Teijlingen E., Keen S. (2018) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant and Minority Health (First Online), https://link.springer.com/article/10.1007/s10903-018-0801-y
  2. Adhikary P., Keen S., van Teijlingen, E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-175. www.hsj.gr/volume5/issue3/532.pdf
  3. Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi, Health Prospect 16(2): 3-10.
  4. Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health & Social Care 14(1): 96-105. https://doi.org/10.1108/IJMHSC-12-2015-0052

New CMMPH midwifery publication

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Congratulations to Dr. Sue Way and Prof. Vanora Hundley in BU’s Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on their latest publication on the latent phase of labour.  Their paper ‘Defining the latent phase of labour: is it important?’ appeared in Evidence Based Midwifery and was written with midwifery colleagues across the UK, Germany and Canada [1].

 

Congratulations

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. Hundley V, Way S, Cheyne H, Janssen P, Gross M, Spiby H (2017) Defining the latent phase of labour: is it important? Evidence Based Midwifery 15 (3): 89-94. 

 

Congratulations to Prof. Hundley on her latest systematic review paper

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This week Professor Vanora Hundley in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) published a systematic review form with her international collaborators working on early labour.   The paper is called ‘Diagnosing onset of labor: A systematic review of definitions in the research literature‘ and can be found it the Open Access journal BMC Pregnancy & Childbirth. [1]

Congratulations!

Prof. Edwin van Teijlingen

 

Reference:

  1. Hanley GE, Munro S, Greyson D, Gross MM, Hundley V, Spiby H and Janssen PA (2016) Diagnosing onset of labor: A systematic review of definitions in the research literature. BMC Pregnancy and Childbirth 16: 71 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0857-4

 

BUCRU – Seminar presenting Breaking News!

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BREAKING  NEWS…

We would like to invite you to an afternoon seminar by one of our Visiting Faculty, Professor Mike Wee, presenting some exciting new research findings to come out of a recently completed Research for Patient Benefit funded study comparing two methods of pain relief during labour (abstract and biography below).  This paper was just voted best paper of the conference at the Obstetric Anaesthetists Association Annual Conference in Liverpool and was featured recently in the Bournemouth Echo http://www.bournemouthecho.co.uk/news/9770928.Pain_relief_in_labour__study_at_Poole_hospital_makes_important_discovery/

The seminar is scheduled for Thursday 19th July 2-3pm in BG10 Bournemouth House (after the HSC end of term lunch and next door for your convenience).

We hope you can make it and look forward to seeing you then.

BUCRU

Website: http://microsites.bournemouth.ac.uk/bucru/

Administrator: +44 (0)1202 961939 / wardl@bournemouth.ac.uk

Title: The IDvIP Trial: A two-centre double blind randomised controlled trial comparing i.m. diamorphine and i.m. pethidine for labour analgesia

Research team and affiliations: MYK Wee, JP Tuckey,* P Thomas,† S Burnard,* D Jackson.

Poole Hospital NHS Foundation Trust, Poole, UK, *Royal United Hospital, Bath, UK, †Bournemouth University Clinical Research Unit, Bournemouth, UK.

Abstract:

Background: Intramuscular pethidine, the commonest parenteral opioid analgesic used in obstetrics and more recently diamorphine usage has increased in the UK.  The maternal, fetal and neonatal side effects are well known for pethidine but there are no sufficiently powered large RCTs comparing pethidine with diamorphine. The aim of this trial is to address this.

Methods: After ethical approval, informed consent was obtained from 484 women randomised to receive either 7.5mg diamorphine i.m. or 150mg pethidine i.m. for labour analgesia. The sample size calculation derived from a small RCT giving 90% power (at the 5% significance level) is based upon the maternal primary outcome measure of pain relief at 60mins and the neonatal primary outcome measures of Apgar Score of <7 at 1min and neonatal resuscitation. Secondary outcome measures include verbal pain intensity at 60mins and over 3hrs post-analgesia, pain relief over first 3hrs, maternal oxygen saturation, sedation, nausea and vomiting and maternal satisfaction with analgesia. Fetal and neonatal secondary outcomes include CTG trace, meconium staining, UApH, UVpH, time of delivery to first breath, Apgar Score at 5mins, naloxone use, neonatal oxygen saturations, sedation and feeding behaviour for the first 2hrs after delivery.

Results: Reported using CONSORT guidelines. At 60mins post-administration and over a 3hr period, diamorphine is better at reducing pain scores than pethidine (p<0.001). There were no statistical differences between the two groups regarding Apgar Scores of <7 at 1min and the need for neonatal resuscitation.  The time between first dose administered and delivery is on average 82mins longer with the diamorphine group compared to pethidine (p<0.001). The vast majority of women experienced moderate to severe pain at all times. Women receiving diamorphine were more satisfied with their analgesia. There were no statistically significant differences in maternal sedation, nausea and vomiting or oxygen saturations over the 3hr period. There were no statistically significant differences in the fetal and neonatal outcomes including feeding behaviour between the two groups within 2hrs of birth but neonates in the pethidine group were more likely to be moderately or severely sedated at delivery.

Discussion: Intramuscular 7.5mg diamorphine gives significantly better analgesia than 150mg pethidine but prolongs delivery by approx. 82mins.  Women given diamorphine are more likely to be satisfied with their analgesia.  The mechanism for the prolongation of delivery time in the diamorphine group should be investigated further.

Acknowledgement: This research was funded by the NIHR Research for Patient Benefit Programme (PB-PG-0407-13170).

References

1. Tuckey JP, Prout RE, Wee MYK. Prescribing intramuscular opioids for labour analgesia in consultant-led maternity units: a survey of UK practice. International Journal of Obstetric Anesthesia 2008, 17(1):3-8.

2. Fairlie FM, Marshall L, Walker JJ et al. Intramuscular opioids for maternal pain relief for labour: a randomised controlled trial comparing pethidine with diamorphine. British  Journal of Obstetrics and Gynaecology 1999; 106(11): 1181 -1187.

Biography of speaker:

Michael Wee is a consultant anaesthetist from Poole Hospital and Royal Bournemouth Hospitals.  He has a special interest in obstetric anaesthesia and is the lead obstetric anaesthetist at Poole Hospital.  He is chair of the Research and Innovations Group at Poole Hospital and is a Board member of the Western Comprehensive Local Research Network.  He was awarded a visiting professorship at Bournemouth University in 2009.  He is a referee for several medical journals.  His research interests include patient information, safety in anaesthesia, maternal analgesia and simulation in epidural anaesthesia.  He is a co-supervisor of a PhD student at BU and chief investigator of the MObs study investigating early warning scores in obstetrics.