Tagged / midwifery

Photo of the Week: The researcher as tourist: “Photographing the photographer”

The researcher as tourist: “Photographing the photographer”

Our next Photo of the Week is Edwin van Teijlingen‘s photo taken in the Nawalparasi district of Nepal. This weekly series features photo entries taken by our academics, students and professional staff for our annual Research Photography Competition, which gives a glimpse into some of the fantastic research undertaken across the BU community.

In early 2017, Bournemouth University led the last of six one-day training sessions in Nepal. This project in improving maternal mental health involved bringing UK volunteers to this South-Asian country to do the training.  The training was conducted jointly by UK volunteers and Nepali-speaking trainers and translators. The project, under the Health Partnership Scheme (HPS), was funded by the UK Department for International Development (DfID) and managed by THET (Tropical Health & Education Trust).

The project centred on Auxiliary Nurse Midwives working in birthing centres in Nawalparasi.  This is relatively poor a district in the south of Nepal, bordering India.  Since the training site was very close to Lumbini, the birthplace of Buddha, we always tried to take volunteers there for a visit.  This photo was taken just outside of the main building (not in view).  It shows many Nepali visitors to the site trying to get a photograph of, or be in a photograph with, our fair-haired Scottish volunteer, Dr. Flora Douglas.

Edwin van Teijlingen is a Professor of Reproduction Health. For more information about this research, please contact Edwin here.

– @EVanTeijlingen

Publication by BU midwifery student

Centre for Excellence in Learning, Publishing, Student Engagement, student research, writing

Rebecca Weston, BU student midwife, on the publication of her article: ‘When all you want to do is run out of the room…‘  Rebecca published this reflective piece in May issue of the journal The Practising Midwife.  She wrote it shortly after having been involved in “a traumatic, sudden and heart-breaking event in practice”.   Reflection is certainly beneficial in experiential learning, developing critical thinking and integrating midwifery theory and practice.

It is my pleasure to wrote this BU Research Blog to congratulate Rebecca today on the International day of the Midwife. 

Well done!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

Congratulations to two FHSS PhD students

international, open access, Publishing, student research, writing

Congratulations to two Faculty of Health & Social Sciences PhD students, Preeti Mahato and Elizabeth Waikhaka, who co-authored a paper published in the WHO South-East Asia Journal of Public Health. Their paper is called ‘Social autopsy: a potential health-promotion tool for preventing maternal mortality in low-income countries’.[1]   Co-authors include Dr. Puspa Pant from the Centre for Child and Adolescent Health, University of the West of England (Bristol) and Dr. Animesh Biswas based at the Reproductive & Child Health Department, Centre for Injury Prevention & Research, Bangladesh (CIPRB) in the capital of Bangladesh, Dhaka.

The authors argue that verbal autopsy is used to attribute a clinical cause to a maternal death.  The aim of social autopsy is to determine the non-clinical contributing factors. A social autopsy of a maternal death is a group interaction with the family of the deceased woman and her wider local community, where facilitators explore the social causes of the death and identify improvements needed. Although still relatively new, the process has proved useful to capture data for policy-makers on the social determinants of maternal deaths. This article highlights the potential role of social autopsy in health promotion.

Reference:

  1. Mahato, P.K, Waithaka, E., van Teijlingen, E., Pant, P.R., Biswas, A. (2018) Social autopsy: a potential health-promotion tool for preventing maternal mortality in low-income countries. WHO South-East Asia Journal of Public Health 7(1): 24–28.

CMMPH lecturer Daisy Wiggins’ paper published

open access, PG research, Publishing, student research, Women's Academic Network, writing

Congratulations to Daisy Wiggins in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on the publication of her paper ‘The effect of a birthplace decision support tool on women’s decision-making and information gathering behaviours during pregnancy: mybirthplace study protocol’.  The paper is published in the Open Access journal Journal of Innovation in Health Informatics and can be accessed by clicking here!  The paper is co-authored by CMMPH’s Prof. Vanora Hundley, Dr. Carol Wilkins, as well asProf. Carol Bond (University of Wolverhampton) and the Chief Executive of the Royal College of Midwives (RCM) Gill Walton.

 

Congratulations to all!

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

Wiggins D, Hundley VA, Wilkins C, Bond C, Walton G. The effect of a birthplace decision support tool on women’s decision-making and information gathering behaviours during pregnancy: mybirthplace study protocol. J Innov Health Inform.2018;25(1):001–006.

 

New CMMPH paper accepted in Nurse Education Today

international, PG research, Publishing, student research, Training, writing

Congratulations to Mrs. Preeti Mahato on the acceptance of her paper ‘Qualitative evaluation of mental health training of Auxiliary Nurse Midwives in rural Nepal’ by Nurse Education Today, an academic journal published by Elsevier.   Preeti is currently registered as PhD student in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).  The paper is co-authored by CMMPH’s Catherine Angell and Edwin van Teijlingen as well as BU Visiting Faculty Padam Simkhada and Jillian Ireland.  The paper is a result of the evaluation part of the ‘Mental Health Training for Community-based Maternity Providers in Nepal’ project and written on behalf of this THET team.

Our THET project in Nepal is a collaboration between the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), Tribhuvan University (Nepal’s oldest university) and Liverpool John Moores University (LJMU). The project receives funding from DFID, and is managed through THET and supported locally in Nepal by a charity Green Tara Nepal.

 

THET team:

Edwin van Teijlingen, Padam Simkhada, Shyam K Maharjan Preeti Mahato, Bhimsen Devkota, Padmadharini Fanning, Jillian Ireland, Bibha Simkhada, Lokendra Sherchan, Ram Chandra Silwal, Shyam K Maharjan, Ram K Maharjan, Catherine Angell, Flora Douglas.

 

 

 

Systematic Review birthing centres by CMMPH PhD student Preeti Mahato

international, open access, PG research, Publishing, Student Engagement, student research, writing

BU PhD student Mrs Preeti Mahato published her latest scientific paper ‘Determinants of quality of care and access to Basic Emergency Obstetric and Neonatal Care facilities and midwife-led facilities in low and middle-income countries: A Systematic Review’ in the Journal of Asian Midwives [1].  This paper is co-authored by Dr. Catherine Angell and Prof. Edwin van Teijlingen, who are both based in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and Prof. Padam Simkhada, BU Visiting Professor and based at Liverpool John Moores University (LJMU).  Journal of Asian Midwives is a free Open Access journal, freely available for anybody across the globe to read online.

The authors highlight that maternal mortality is a major challenge to health systems in Low and Middle-Income Countries (LMICs) where almost 99% of maternal deaths occurred in 2015. Primary-care facilities providing Basic Emergency Obstetric and Neonatal Care (BEmONC) facilities, and facilities that are midwife-led are appropriate for normal birth in LMICs and have been proposed as the best approach to reduce maternal deaths. However, the poor quality of maternal services that leads to decreased utilisation of these facilities is among the major causes of maternal deaths worldwide. This systematic review studied factors affecting the quality of care in BEmONC and midwife-led facilities in LMICs.

Thematic analysis on included studies revealed various factors affecting quality of care including facility-level determinants and other determinants influencing access to care. Facility-level determinants included these barriers: lack of equipment and drugs at the facility, lack of trained staff, poor attitudes and behaviour of service providers, and poor communication with women. Facility-level positive determinants were: satisfaction with services, emotional support during delivery and trust in health providers. The access-to-care determinants were: socio-economic factors, physical access to the facility, maintaining privacy and confidentiality, and cultural values.  The authors include that improving quality of care of birthing facilities requires addressing both facility level and non-facility level determinants in order to increase utilization of the services available at the BEmONC and midwife-led facilities in LMICs.

This is the fifth paper co-authored by CMMPH’s current most published PhD student.  The evaluation of birth centres in rural Nepal by Preeti Mahato under joint supervision Dr. Angell and Prof. Simkhada (LJMU) and Prof. van Teijlingen.

References:

  1. Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2017) Determinants of quality of care & access to Basic Emergency Obstetric & Neonatal Care facilities & midwife-led facilities in low & middle-income countries: A Systematic Review, Journal of Asian Midwives 4(2):25-51.
  2. Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2016) Birthing centres in Nepal: Recent developments, obstacles and opportunities, Journal of Asian Midwives 3(1): 18-30. http://ecommons.aku.edu/cgi/viewcontent.cgi?article=1033&context=jam
  3. Mahato, P., van Teijlingen, E., Simkhada, P., Sheppard, Z., Silwal, R.C. (2017) Factors related to choice of place of birth in a district in Nepal. Sexual & Reproductive Healthcare 13: 91-96.
  4. Mahato, P.K., Regmi, P.R., van Teijlingen, E., Simkhada, P., Angell, C., Sathian, B. (2015) Birthing centre infrastructure in Nepal post 2015 earthquake. Nepal Journal of Epidemiology 5(4): 518-519. http://www.nepjol.info/index.php/NJE/article/view/14260/11579
  5. Regmi, P., van Teijlingen, E., Hundley, V., Simkhada, P., Sharma, S., Mahato, P. (2016) Sustainable Development Goals: relevance to maternal & child health in Nepal. Health Prospect 15(1):9-10. www.healthprospect.org/archives/15/1/3.pdf

New paper international midwifery

international, Publishing, writing

Over the Festive Season the International Journal of Childbirth published the latest article from staff based at the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) [1].  This paper ‘Women, Midwives, and a Medical Model of Maternity Care in Switzerland’ is co-authored with Bournemouth University Visiting Faculty Ans Luyben (a Dutch midwife working in Switzerland), Sue Brailey from the School of Health & Education at Middlesex University and Lucy Firth at the University of Liverpool.

This Swiss paper builds on a body of work within CMMPH around a medical/social model of childbirth.  BU academics have applied this model in multidisciplinary studies, including the disciplines of midwifery, [2-4] sociology, [5] and media studies [6].

 

References

  1. Brailey, S., Luyben, A., Firth, L., van Teijlingen, E. (2017) Women, midwives and a medical model of maternity care in Switzerland, International Journal of Childbirth 7(3): 117-125.
  2. van Teijlingen, E. (2017) The medical and social model of childbirth, Kontakt 19 (2): e73-e74
  3. MacKenzie Bryers H., van Teijlingen, E. (2010) Risk, Theory, Social & Medical Models: critical analysis of the concept of risk in maternity care, Midwifery 26(5): 488-496.
  4. Ireland, J., van Teijlingen, E. (2013) Normal birth: social-medical model, The Practising Midwife 16 (11): 17-20.
  5. van Teijlingen 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
  6. 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

Last publication of 2017?

international, Knowledge Exchange, Publishing, writing

The final issue for 2017 of the Dutch Journal for Midwives, Nederlands Tijdschrift voor Verloskundigen, published our contribution on midwives and the media [1].  The two-page article ‘MEER BEMOEIEN MET MEDIA’ argues (in Dutch) that midwives as individuals and as a profession must try to engage with the media.  Midwives should be open to starting a dialogue concerning issues around maternity care and midwifery.  This article published in a practitioners’ journal builds on the collaborative research conducted at Bournemouth University around midwifery and the media [2-4], and our recently published edited book on the topic [5].

Ann Luce, Vanora Hundley & Edwin van Teijlingen

 

References:

  1. van Teijlingen, E., De Vries, R., Luce, A., Hundley, V. (2017) Meer bemoeien met media (In Dutch: more engagement with media). Tijdschrift voor Verloskundigen (in Dutch: Journal for Midwives), 41 (6):28-29.
  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. 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.
  4. Hundley, V., Luce, A., van Teijlingen, E. (2015) Do midwives need to be more media savvy? MIDIRS Midwifery Digest 25(1):5-10.
  5. Luce, A., Hundley, V., van Teijlingen, E. (Eds.) (2017) Midwifery, Childbirth and the Media, Palgrave Macmillan