Tagged / midwifery

Midwifery-led antenatal care models

open access, Publishing, writing

BU academics in CMMPH (Centre for Midwifery, Maternal & Perinal Health) have been working with colleagues across the UK in the so-called McTempo Collaboration on mapping the key characteristics of midwifery-led antenatal care models. This week BMC Pregnancy & Childbirth published our paper that brings this evidence together [1].  The lead author of the paper, Dr. Andrew Symon, is based at the University of Dundee his co-authors are based at the University of Stirling, UCLAN, Queen’s University, Belfast, NHS Education for Scotland and Bournemouth University.  The McTempo (Models of Care: The Effects on Maternal and Perinatal Outcomes) collaboration is a multi-disciplinary and multi-institutional research grouping established to explore and evaluate differentcare models used in maternity care.

Symon et al 2016 frameworkOur specific aim in this paper was to map the characteristics of antenatal care models tested in Randomised Controlled Trials (RCTs) to a new evidence-based framework for quality maternal and newborn care (QMNC) [2]. This offers the opportunity to identify systematically the characteristics of care delivery that may be generalizable across contexts, thereby enhancing implementation.  The paper concludes: “The QMNC framework facilitates assessment of the characteristics of antenatal care models. It is vital tounderstand all the characteristics of multi-faceted interventions such as care models; not only what is done but why itis done, by whom, and how this differed from the standard care package. By applying the QMNC framework we have established a foundation for future reports of intervention studies so that the characteristics of individual models can be evaluated, and the impact of any differences appraised.”

The paper has been published in an Open Access journal and is, therefore, easily available across the globe.

 

References:

  1. Symon, A., Pringle, J., Cheyne, H., Downe, S., Hundley, V., Lee, E., Lynn, F., McFadden, A., McNeill, J., Renfrew, M., Ross-Davie, M., van Teijlingen, E., Whitford, H, Alderdice, F. (2016) Midwifery-led antenatal care models: Mapping a systematic review to an evidence-based quality framework to identify key components and characteristics of care BMC Pregnancy & Childbirth 16: 168 http://www.biomedcentral.com/1471-2393/16/168
  2. Renfrew MJ, McFadden A, Bastos MH, Campbell J, Channon AA, Cheung NF, Audebert Delage Silva DR, Downe S, Kennedy HP, Malata A, et al. (2014) Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care. The Lancet, 384(9948): 1129-1145.

BU-Nepal link highlighted

international, Publishing, writing

Talbot Himalayans 2016This week BU’s work in Nepal was highlighted in several ways.  Most publicly on the wonderful new mural at Talbot Campus.  Secondly, BU currently displays some of the entries of images to the past two years of its research photo competition.  The photos show the creativity of BU’s academics and students as well as the fascinating range of research taking place at the university.  One of these pictures was taken by FHSS Visiting Faculty Dr. Bibha Simkhada during fieldwork in Dhading, Nepal.  The selected photos are on display in the Atrium Art Gallery until the 13th of June.  Helicopter Dhading

Last, but not least, another FHSS Visiting Faculty, Poole Hospital NHS Foundation Trust midwife Jillian Ireland published a blog on her involvement in the THET-funded project in Nepal.  She reflects on her time as UK volunteer in Nepal.  Jilly wrote: ” Three volunteers Andrea Lawrie, David Havelock and I are keen to share what we experienced in a paper sometime soon and today I will condense some of my own reflections. I wrote ‘letters’ (via email) to my Head of Midwifery, Sandra Chitty and to Senior Lecturer in Midwifery at Bournemouth University Dr. Jen Leamon while I was away, using different styles of expression to ‘get at’ my reflections from more than one angle. It helped me to separate out elements of the whole experience.”

Prof. Edwin van Teijlingen

CMMPH

New paper BU PhD student Sheetal Sharma

open access, PG research, Publishing, writing

Plos ONE Sheetal 2016Congratulations to FHSS PhD student Sheetal Sharma on her latest paper [1].  The paper ‘Measuring What Works: An impact evaluation of women’s groups on maternal health uptake in rural Nepal’ appeared this week in the journal PLOS One.  Sheetal’s innovative mixed-methods approach was applied to a long-running maternity intervention in rural Nepal.  The paper concludes that community-based health promotion in Sheetal’s study had a greater affect on the uptake of antenatal care and less so on delivery care. Other factors not easily resolved through health promotion interventions may influence these outcomes, such as costs or geographical constraints. The evaluation has implications for policy and practice in public health, especially maternal health promotion.

Reference:

  1. Sharma, S., van Teijlingen, E., Belizán, J.M., Hundley, V., Simkhada, P., Sicuri, E. (2016) Measuring What Works: An impact evaluation of women’s groups on maternal health uptake in rural Nepal, PLOS One 11(5): e0155144 http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0155144

Dr. Jenny Hall on spirituality in midwifery: new publication

Publishing

Dr. Jenny Hall in CMMPH published her latest article ‘Facilitating learning of spirituality in midwifery’ in the academic journal Spiritual Care [1].   She highlights that there has been considerable discussion in the literature around spirituality at the end of life but little relating to childbirth. Perhaps because of this facilitation of learning around the subject is limited. The aim of this article is to raise awareness of these issues and promote future discussion and research.

Congratulations

 

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

Hall, J. (2016) Facilitating learning of spirituality in midwifery, Spiritual Care 5(2): 81–88.  DOI: 10.1515/spircare-2016-0021,

Congratulations to Prof. Hundley on her latest systematic review paper

Publishing, writing

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

 

FHSS paper in Journal of Neonatal Nursing

international, Publishing, writing

Cover image volume 22, Issue 2The April issue of the Journal of Neonatal Nursing will publish the latest article written by a combination of Faculty of Health & Social Sciences staff and Visiting Faculty.  The paper ‘Experiences of fathers with babies admitted to neonatal care units: A review of the literature’ offers a systematic narrative review on issues affecting fathers, whose babies are admitted to neonatal units. [1] The authors include Visiting Faculty Poole Hospital NHS Foundation Trust midwife Jillian Ireland and Prof. Minesh Khashu (consultant neonatologist) and FHSS staff Jaqui Hewitt-Taylor, Luisa Cescutti-Butler, and Edwin van Teijlingen.  Twenty-seven papers in this interesting review highlighted four key themes: (1) stress & anxiety; (2) information (or lack thereof); (3) gender roles and (4) emotions.  This paper adds to the growing literature (and understanding) of the role and place of men in maternity care generally and for fathers of babies in neonatal care in particular.

 

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. Ireland, J., Khashu, M., Cescutti-Butler, L., van Teijlingen, E., Hewitt-Taylor, J. (2016) Experiences of fathers with babies admitted to neonatal care units: A review of the literature, Journal of Neonatal Nursing [pre-published]

Fusion in Action: Clinical Academic PhD scholarships jointly funded with NHS

Fusion, PG research, student research

Fusion Diagram Doing a PhD may appeal to midwives and other NHS health professionals, but it often involves having to make difficult choices. Undertaking a part-time PhD means studying on top of a busy clinical position, but starting full-time study involves stepping away from practice, which may lead to a loss of clinical skills and confidence. The Centre for Midwifery, Maternal & Perinatal Health (CMMPH) at Bournemouth University has come up with a novel solution making it easier for midwives to undertake a doctorate while still maintaining their clinical skills. This approach is highlighted in the latest publication by Dr. Susan Way and colleagues, describing a process where CMMPH collaborate with NHS partners to apply for a match-funded PhD. [1]  The first partnership was with Portsmouth Hospitals NHS Foundation Trust (PHT), with later partners expanded to cover the Isle of Wight and Southampton. Currently there are negotiations with Dorset Country Hospital NHS Foundation Trust and Poole Hospital NHS Foundation Trust. Non NHS organisations have also showed an interest with the Anglo European Chiropractic College (AECC) our likely next collaborator.

Dr. Know 2016

This jointly funded clinical academic doctorate allows midwives to combine clinical practice with a research role, working across BU and their NHS Trust. The studentships runs for four years and PhD students will spend two days per week working as a midwife in clinical practice and three days per week working on their thesis. This set up facilitates the co-creation of knowledge. Anybody interested in developing a joint clinical academic PhD with us please contact Dr. Susan Way (sueway@bournemouth.ac.uk), Prof. Vanora Hundley (vhundley@bournemouth.ac.uk), or Prof. Edwin van Teijlingen (evteijlingen@bournemouth.ac.uk) .

In addition to providing the individual midwives with excellent education, these studentships are designed to examine an area of clinical practice identified by the collaborating organisation where the evidence is lacking and research is needed. As a consequence the research studies will be directly relevant to practice and will have a demonstrable impact in the future. Hence BU will be able to show that its research and education have a direct benefit to the wider society. Moreover, the studentships currently benefit midwifery practice by building a critical mass of research-focus practitioners, who will translate research findings into practice and so create a culture of evidence-based practice. At BU the model has also been adopted by other professional groups such as nursing, physiotherapy and occupational therapy (OT).

 

The result is a clinical academic doctoral studentship is probably the best practical example of BU’s concept of FUSION, since it truly fuses research, education and practice.

 

Susan Way, Vanora Hundley & Edwin van Teijlingen.

CMMPH

 

 

References:

  1. Way. S., Hundley, V., van Teijlingen, E., Walton, G., Westwood, G. (2016). Dr Know. Midwives (Spring Issue): 66-67.

Editorial by Dr. Way in top journal highlights midwifery education

Fusion, international, Publishing

Way editorial 2016The forthcoming editorial in Midwifery (Elsevier) by FHSS’s Dr Susan Way highlights the importance of midwifery education and its educators.[1]  This editorial makes reference to the recent series on midwifery in The Lancet.[2]  Of course, midwifery plays a vital role in improving the quality of care of women and infants globally. Dr. Way reminds us that consistent, high-quality midwifery care has a vital role to play in the reduction of maternal and newborn mortality. Outcomes are enhanced when care is led by midwives who are educated, licensed, regulated, integrated in the health system, and working in interdisciplinary teams, with ready access to specialised care when needed.

Midwifery one of the leading academic journals globally in the field of midwifery and maternity care.  Dr.Way is based in the Centre for Midwifery, Maternal & Perinatal Health in FHSS at the Lansdowne Campus.

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. Way, S. (2015) Consistent, quality midwifery care: How midwifery education and the role of the midwife teacher are important contributions to the Lancet Series, Midwifery (online first) see: http://www.midwiferyjournal.com/article/S0266-6138(16)00021-8/abstract
  2. Renfrew, M.J., McFadden, A., Bastos, M.H. et al. (2014) Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care. the Lancet. 384:1129–1145.

Presentation by PhD student Preeti Mahato Jan 27th.

international, PG research, student research

On Wednesday Jan. 27th CMMPH PhD student Preeti Mahato will present her PhD research ideas under the title “Addressing quality of care and equity of services available at birthing centres to improve maternal and neonatal health in western Nepal.”  Her presentation will be held at the Lansdowne Campus at 13.00 in room 301 in Royal London House.

IMG_6459Preeti’s research focuses on birthing centres in western Nepal; and quality and equity of service available at these facilities. In Nepal, birthing centres act as first contact point for the women seeking maternity services especially the basic obstetric care. The focus of this presentation will be to talk about the first review article Preeti Mahato wrote for the ‘Journal of Asian Midwives’ entitled “Birthing centres in Nepal: Recent development, obstacles and opportunities”. The article has been accepted for publication in June 2016 and focuses on introducing birthing centres, their current state of operation under the health system of Nepal, barriers they are facing and what could be done to improve their present state. The quality of care issue available at birthing centre is emphasised, since the number of these facilities are increasing however there is a growing trend to bypass and uptake services at hospitals. Despite barriers to utilisation of services at birthing centres, they can play an important role in increasing institutional delivery rate and proportion of births benefiting from a skilled birth attendant.IMG_6591

The second part of presentation will provide a brief summary on what Preeti has done since writing a review article, as she has worked on a systematic review on quality of basic obstetric care facilities in low and middle income countries.

Preeti Mahato has worked in the field of public health in Nepal for three years after completing her Master of Public Health. She has an interest in sexual and reproductive health, women’s health and maternal and child health. Working as a public health officer she was involved in maternal and neonatal health that developed her interest in pursuing a doctorate related to maternal and neonatal health. Part of her work in Nepal also included monitoring and supervision of birthing centres in rural areas of Nepal and that is how she became motivated to start a PhD at BU.

 

Prof. Edwin van Teijlingen

CMMPH

New joint AECC and FHSS publication

PG research, Publishing

journal 2015

Congratulations to Joyce Miller, Monica Beharie and Elisabeth Simmenes based at the Anglo-European College of Chiropractic (AECC) and FHSS’s Alison Taylor and Sue Way who just had their paper ‘Parent reports of exclusive breastfeeding after attending a combined midwifery and chiropractic feeding clinic in the UK: A cross sectional service evaluation’ accepted in the journal Journal of Evidence-Based Complementary & Alternative Medicine.

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

 

The Hands-on Guide to Midwifery Placements – Newly published book

Knowledge Exchange, writing

smaal image book and studentsStudent midwives spend approximately 50% of their three year undergraduate programme in the clinical area. Going to a new placement is often a stressful time for them as they consider ‘will they fit in’, ‘will they know enough’, ‘have they the right skills’, ‘what will they be able to learn whilst there to meet their practice assessments’ and so on. Other concerns relate to being away from home, what hours they are expected to do and how they cope with ‘difficult’ mentors. If students are unfamiliar with healthcare environments it takes time for them to adjust and become used to the environment. It was these thoughts that began fermenting in my head back in 2010 and following a positive response from students whose views on a book on placements were informally sought, I pitched the idea to a commissioning editor at Wiley Blackwell. In addition wider research had revealed that no such book existed within the published midwifery arena. Finally, in 2012 a contract was agreed between myself, and Margaret Fisher, Associate Professor in Midwifery at Plymouth University to co-edit nine chapters for submission in November 2014. The book is now due for publication on the 11th December 2015.
Professor Paul Lewis wrote the forward and chapter contributions from Bournemouth University lecturers, Dr. Sue Way, Stella Rawnson and myself, prepare prospective and current students for midwifery practice and the profession, caseloading and the elective period. Jo Coggins and Henrietta Otley, both midwives practising in North Wiltshire were co-opted to write chapters on ‘Preparing for practice’ and ‘Low-risk midwifery placements’. Other chapters were written by Margaret Fisher and Faye Doris at Plymouth University.
The final published edition is small enough to fit into a uniform pocket and contains many vignettes from students currently or previously studying at Bournemouth and Plymouth University. Their stories reflect ‘real life’ clinical experience and ‘Top Tips’ provide overall advice. Three original cartoons illustrating the vagaries of placement were devised by Clare Shirley (formerly a BU student, now a newly qualified midwife) and Hugo Beaumont (4th year medical student at Plymouth University). Students and women have provided photographs. Both Margaret and I hope students far and wide will enjoy the book which aims to provide a realistic perspective on clinical placement, by offering hints and tips and encouragement along their student journey.