BU Research Blog

28 October 2015

Fear in childbirth: is the media responsible?

Knowledge Exchange, Knowledge Transfer, Public engagement Edwin van Teijlingen

The media are often blamed for influencing society’s attitudes and views. In this month’s Café Scientific we will debate the impact of the mass media on women’s views of childbirth. The motion is: “Fear in childbirth: is the media responsible?”

Café Scientific is being hosted at Café Boscanova in Bournemouth on November 3rd at 19.30. The debate is open to the general public. It will be chaired by Prof. Vanora Hundley, Professor of Midwifery and the two proponents on either side of the debate are Dr. Ann Luce and Prof. Edwin van Teijlingen. Ann Luce is a well recognised media researcher and a Senior Lecturer in Journalism and Communication. Edwin van Teijlingen is a medical sociologist and Professor of Reproductive Health Research.

The debate will touch upon social perceptions and beliefs about childbirth can increase women’s requests for interventions, such as caesarean section, with long-term health implications for mothers and babies. This month’s Café Scientific will explore the role of the mass media in shaping these beliefs and identify whether media portrayals are responsible for rising rates of intervention.

Join us for an interactive debate on the impact of the mass media on women’s views of childbirth. The audience will be given the opportunity to vote on the motion before and after the debate.

These academics have written a paper on the topic of debate, a copy of which can be found here!

13 October 2015

BU professor invited to give key note at 2016 Dutch Midwifery Conference

Knowledge Exchange, Public engagement Edwin van Teijlingen

Professor Edwin van Teijlingen (CMMPH) has been invited to present a key note speech at the Kennispoort Verloskunde conference in Utrecht, the Netherlands in January 2016. He will be speaking about ‘Dealing with risk in maternity care: the social versus medical model’. The presentation is based on a number of publications around the sociological topic of the medical/social model of childbirth. [1-3]

One of the ways sociologists analyse health and health care is in terms of a ‘medical’ versus a ‘social’ model, or in this field, a midwifery model. As pregnancy and birth are biological and physiological events which are very much embedded in a social and cultural setting, these are good examples to highlight the use and misuse of the medical and social model. Modern Western society has a slightly paradoxical view of pregnancy. On the one hand, the average woman in childbirth is not ill because pregnancy is not an illness. On the other hand, pregnant women are deemed to need a lot of health care throughout pregnancy and childbirth. Making the distinction between a medical and a social model of a social phenomenon is not exclusive to midwifery. Over the past decades researchers have pointed to the existence of a medical and social model in alcohol misuse, obesity, sex, eating disorders, infertility treatment, to name but a few phenomena.

References:

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.
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.
van Teijlingen, E. (2015) Sociology of Midwifery. In: Sociology for Midwives Deery, R., Denny, E. & Letherby, G. (eds.) Cambridge: Polity Press, 22-37.

6 October 2015

CMMPH editorial in today’s Nepal Journal of Epidemiology

Awarded & submitted bids, Fusion, open access, Post-award, Publishing Edwin van Teijlingen

The current issue of the Nepal Journal of Epidemiology published today carries an editorial by a BU-led team of researchers and development workers. The editorial Mental health issues in pregnant women in Nepal highlights the intervention funded by THET which aims to improve the knowledge and attitude of maternity care workers in a rural district in the south of Nepal. The BU authors include Visiting Faculty: Padam Simkhada, Samridhi Pradham, Jillian Ireland and Bibha Simkhada, the other co-authors are affiliated with the charity we work with in Nepal (Ram Chandra Silwal), the Buddhist charity based in London Green Tara Trust (Padmadharini Fanning), and our Tribhuvan University based colleagues (Lokendra Sherchan, Shyam K Maharjan, and Ram K Maharjan.

This THET-funded project will involve over 15 UK short-term volunteers. It is important to bring UK volunteers, who as health professionals will bring their experience of, and training in, the provision of mental health and maternity/midwifery services including the area of mental ill health prevention and health promotion. These experienced health workers (such as midwives, family doctors, mental health nurses, health visitors, psychiatrists) from the UK are invited to volunteer for two to three weeks at a time to design and deliver training. The mixture of training staff abroad (= Education) by UK professionals (=Practice) through an intervention which is properly evaluated (=Research) is a perfect example of BU’s FUSION in action.

This project is supported by the Tropical Health & Education Trust (THET) as part of the Health Partnership Scheme, which is funded by the UK Department for International Development (DFID) and runs from this year May 1st until the autumn of 2016. The paper is freely available on line, click here!

Prof. Edwin van Teijlingen

CMMPH

Refererence:

van Teijlingen E, Simkhada P, Devkota B, Fanning P, Ireland J, Simkhada B, Sherchan L, Silwal CR, Pradhan S, Maharjan KS, Maharjan KS. Mental health issues in pregnant women in Nepal. Nepal J Epidemiol. 2015;5(3); 499-501.

25 September 2015

Sustainable Development Goals summit today in New York

Edwin van Teijlingen

The Sustainable Development Goals (SDGs) summit is being held today in New York. As part of this summit the pope will address the United Nations in NY as will Bill and Melinda Gates who run the largest private philantropic organisation in the world. The key underlying principles of the SDGs are: (a) reducing (or eradicating) poverty eradication; (b) changing unsustainable and promoting sustainable patterns of consumption and production; and (c) protecting and managing the natural resource base of economic and social development. The seventeen SDGs are outlined in Table 1.

Table 1 Sustainable Development Goals

Goal 1	End poverty in all its forms everywhere
Goal 2	End hunger, achieve food security and improved nutrition and promote sustainable agriculture
Goal 3	Ensure healthy lives and promote well-being for all at all ages
Goal 4	Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all
Goal 5	Achieve gender equality and empower all women and girls
Goal 6	Ensure availability and sustainable management of water and sanitation for all
Goal 7	Ensure access to affordable, reliable, sustainable and modern energy for all
Goal 8	Promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all
Goal 9	Build resilient infrastructure, promote inclusive and sustainable industrialization and foster innovation
Goal 10	Reduce inequality within and among countries
Goal 11	Make cities and human settlements inclusive, safe, resilient and sustainable
Goal 12	Ensure sustainable consumption and production patterns
Goal 13	Take urgent action to combat climate change and its impacts*
Goal 14	Conserve and sustainably use the oceans, seas and marine resources for sustainable development
Goal 15	Protect, restore and promote sustainable use of terrestrial ecosystems, sustainably manage forests, combat desertification, and halt and reverse land degradation and halt biodiversity loss
Goal 16	Promote peaceful and inclusive societies for sustainable development, provide access to justice for all and build effective, accountable and inclusive institutions at all levels
Goal 17	Strengthen the means of implementation and revitalize the global partnership for sustainable development

The SDGs replace the Millennium Development Goals (MDGs) formally from today onwards. Key questions to be asked by researchers (and policy makers) include: (a) how are these SDGs different from the MDGs in their effect on international development?; (b) How successful will the SDGs be?, including the question: What do we define as success?; and (c) How useful were the MDGs, in which countries and for whom? These are ‘big’ system level questions, for those of use working in the field of maternity care more specific questions to address would be around priority settting. As reducing maternal mortality was one of the eight MDGs, i.e. recognised as an individual goal or target, but in the SDGs maternal health will fall under the overarching heading of Goals 3 ‘Ensure healthy lives and promote well-being for all at all ages’. As health is only one of 17 SDGs and maternal health fits in with all other aspects of the lifespan does this mean maternal health has become less of a priority? Of course only time and plenty of good research will tell.

Prof. Edwin van Teijlingen

CMMPH

4 July 2015

Paper published based on prestigious scholarship

Awarded & submitted bids, Publishing Edwin van Teijlingen

BU academics Ms. Lesley Milne, Prof. Vanora Hundley and Prof. Edwin van Teijlingen in collaboration with BU Visiting Faculty Prof. Padam Simkhada (Liverpool John Moores University) and Ms. Jillian Ireland (Community midwife NHS Poole) published there latest paper yesterday in BMC Pregnancy and Childbirth. The paper ‘Staff perspectives of barriers to women accessing birthing services in Nepal: a qualitative study’ originated from research conducted in small maternity hospitals in Nepal.

The project was funded in 2013 through the first ever WellBeing of Women-Royal College of Midwives International Fellowship Award. This Fellowship was the first of its kind. It was established to enable midwives to further develop research interests in midwifery, maternity services, pregnancy, childbirth and women’s health from an international perspective.

The Scholarship competition was open to RCM midwives undertaking research in the UK or abroad which would address Millennium Development Goals 4 (Reduce Child Mortality) and 5 (Improve Maternal Health). Lesley Milne in the Centre for Midwifery, Maternal & Perinatal Heealth (CMMPH) was the first and very worthy recipient of this award.

Based on the fieldwork we published our paper in BMC Pregnancy & Childbirth an Open Access journal. The paper highlights that Nepal has made significant progress with regard to reducing the maternal mortality ratio but a major challenge remains the under-utilisation of skilled birth attendants. We found other studies had explored women’s views of the barriers to facility birth; however the voices of staff who offer services have not been studied in detail. This research explored the views of staff as to the key reasons why pregnant women do not give birth in a maternity-care facility when they exist.

This study highlights a multitude of barriers, not all of the same importance or occuring at the same time in the pregnancy journey. It is clear that staff are aware of many of the barriers for women in reaching the facility to give birth, and these fit with previous literature of women’s views. However, staff had limited insight into barriers occuring within the facility itself and were more likely to suggest that this was a problem for other institutions and not theirs.

Edwin van Teijlingen, Lesley Milne & Vanora Hundley

CMMPH

@EvanTeijlingen / @VanoraHundley

Reference:

Lesley Milne, Edwin van Teijlingen, Vanora Hundley, Padam Simkhada and Jillian Ireland, Staff perspectives of barriers to women accessing birthing services in Nepal: a qualitative study, BMC Pregnancy & Childbirth 2015, 15:142 http://www.biomedcentral.com/1471-2393/15/142

3 July 2015

‘Meet the Editors’ at BU Midwifery Education Conference

Publishing Edwin van Teijlingen

Dr. Jenny Hall and Prof. Edwin van Teijlingen are holding a lunchtime at today’s (Friday 3rd July 2015) BU Midwifery Education Conference (#MidEd15) in Business School. The one-hour session is advertised under the title ‘Believe you can write!’ Both BU academics are editors and on editorial boards of several prestigious health journals across the globe.

Over the past few years CMMPH staff have written and published several articles on academic writing and publishing. Some of these papers have been co-authored by BU Visiting Faculty, Dr. Bri jesh Sathian (Nepal), Dr. Emma Pitchforth (RAND, Cambridge), Ms. Jillian Ireland (NHS Poole) and/or Prof. Padam Simkhada (Liverpool John Moores University).

Prof. Edwin van Teijlingen & Dr. Jenny Hall

CMMPH

Twitter accounts: @HallMum5 / @EvanTeijlingen

23 June 2015

CMMPH at the 10th International Normal Birth conference

jhall

Grange-over-Sands in Lancashire was once again a beautiful setting from 15^th-17^th June for one of the most inspirational midwifery research conferences. Attracting a significant international attendance from eminent researchers, clinicians and user representatives from as far afield as Australia, China, Canada, Brazil and across Europe (many regular attendees), the conference is now in its 10^th year. Hosted by Professor Soo Downe and her team from UCLAN, it brings together researcher across all maternity professions, to present and debate work primarily relating to physiological birth. Two members of CMMPH were presenting (and tweeting!):

Professor Vanora Hundley discussed ‘Do midwives need to be more media savvy?’, a presentation created with Professor Edwin van Teijlingen and Ann Luce, based on a previous FoL public debate at BU relating to the role media plays in creating fear in childbirth https://research.bournemouth.ac.uk/engagement/fear-in-childbirth-are-the-media-responsible/ . She highlighted the need for midwives to be more aware of how to work with the media in order to harness the power to present positive messages, as well as understanding impact on women and health care providers. A paper on this presentation is accessible from: http://eprints.bournemouth.ac.uk/21600/

Jenny Hall with Maltese midwives and other delegates

Dr Jenny Hall presented as part of a symposium with midwifery colleagues from Malta on an ongoing educational project relating to promotion of physiological birth in Malta. Malta has one of the highest Caesarean section rates in Europe and the team have been working together to develop midwives confidence in facilitating physiological birth as well as supporting them to educate women and families.

All delegates also received a copy of the book ‘Roar behind the silence: why kindness, compassion and respect matter in maternity care’, that includes chapters by two BU authors: Dr Jenny Hall and Consultant midwife, Katherine Gutteridge. ( see http://blogs.bournemouth.ac.uk/research/2015/02/28/stop-the-fear-and-embrace-birth/ for further information)

As usual the conference provided extensive opportunity for networking and developing links for future collaboration in a considerably relaxing environment.

A tweet storify and photographs of the whole conference are available which includes contribution from BU researchers:

https://storify.com/SagefemmeSB/normal-labour-birth-10th-research-conference

https://animoto.com/play/M21BCHDHihSqkH3LdxU0hw

13 June 2015

Prof. Paul Lewis awarded OBE

Awarded & submitted bids Edwin van Teijlingen

Congratulations to Professor Emeritus Paul Lewis who is listed on this year’s Queen’s Birthday Honours List. Professor Lewis has been awarded his OBE for Services to Mothers, Midwives and Maternity Services. Bournemouth University celebrated the retirement of Professor Lewis in October 2011.¹ He had been leading midwifery education at Bournemouth University since 1995. The Royal College of Midwives (RCM) recognised his contribution to the midwifery profession by including his name on the Register of Honorary Fellows of the RCM.

Amongst his many contributions to the field, Prof. Lewis was a founding member of the journal The Practising Midwife. Just a few months ago Prof. Lewis co-authored a paper under the title ‘The loss of midwifery supervision: to mourn or rejoice?’ This paper was published in the March 2015 edition of The Practising Midwife. This paper ‘reflected on and discusses some of the possible consequences of the NMC’s decision to end statutory supervision of midwives in the UK.²

Prof. Edwin van Teijlingen

References:

van Teijlingen, E., Tully, S. and Tobias, J.H., 2011. The retirement of the UK’s first male professor of midwifery – Paul Lewis. MIDIRS Essence (Dec. issue).
Lewis P, Freemantle D and Ireland J., 2015/ The loss of midwifery supervision: to mourn or rejoice? The Practising Midwife 18(4): 12-16.

1 June 2015

Birth paper cited one hundred times in Scopus

Publishing Edwin van Teijlingen

We have just been alerted that our paper has been cited for the hundredth time in Scopus. The paper ‘Maternity satisfaction studies and their limitations: “What is, must still be best’ was published in Birth. The paper originated from the Scottish Birth Study which we were both part of in our previous academic posts at the University of Aberdeen.

This paper discusses the strengths and weaknesses of satisfaction studies in the field of maternity care, including the issues that service users tend to value the status quo (i.e. What is must be best) . The implications are that innovations, of which users have no experience, may be rejected simply because they are unknown. The paper warns that problems may arise if satisfaction surveys are used to shape service provision. We advised that satisfaction surveys should be used with caution, and part of an array of tools. While involving service users is important in designing and organizing health services, there is still the risk that using satisfaction alone could end up promoting the status quo.

Professors Vanora Hundley & Edwin van Teijlingen

CMMPH

Reference:

van Teijlingen, E., Hundley, V., Rennie, A-M, Graham. W., Fitzmaurice, A. (2003) Maternity satisfaction studies and their limitations: “What is, must still be best”, Birth 30: 75-82.

5 May 2015

International Day of the Midwife, Edinburgh 2015

Public engagement Edwin van Teijlingen

The Royal College of Midwives (RCM) has organised a conference today to celebrate the International Day of the Midwife in Edinburgh. The conference ‘Midwives for a Better Tomorrow’ has a very international focus. Speakers include: Frances Day-Stirk, president of the International Confederation of Midwives, Mary Renfrew, who led The Lancet series on midwifery, and Frances McConville from the World Health Organization. The conference also reported on the RCM Global Midwifery Twinning Project, which was funded by THET and included three low-income countries: Nepal, Cambodia & Uganda. In attandance was BU Visiting Faculty (and Poole midwife) Ms. Jillian Ireland, who was one of the volunteers who went out to Nepal.

This year’s International Day of the Midwife conference co-incides with the centenary of the 1915 Midwives (Scotland) Act. This celebration reminds us of the importance to have government recognition and regulation for the profession of midwifery. The latter is still lacking in many low-income countries, such as Nepal. There is a large body of evidence which supports that skilled midwifery care has the potential to significantly reduce maternal and child mortality and increase wellbeing.

Prof. Edwin van Teijlingen

CMMPH

18 March 2015

MIDWIFERY: Top five most down-loaded articles for 2014

Publishing Edwin van Teijlingen

Today academic publisher Elsevier sent round an email with the top five most downloaded articles from the international journal Midwifery.

We were pleased to see that the fifth paper on that list is a BU paper jointly written with Dr. Helen Bryers, Consultant Midwife in Scotland.

Prof. Edwin van Teijlingen

CMMPH

17 March 2015

Midwives4all: a Swedish initiative

Public engagement Edwin van Teijlingen

Last night (March 16^th 2015) Bournemouth University Professor Edwin van Teijlingen attended a reception and panel discussion on Midwives as agents for change organised in London by the Ambassador of Sweden Ms. Nicola Clase. Earlier this year the Swedish Ministry of Foreign Affairs launched midwives4all, which an initiative to spread the knowledge about the benefits of evidence-based midwifery, working closely with contributors to The Lancet’s series on midwifery.¹

With the Millennium Development Goals (MDGs) coming to an end in 2015, it is clear that despite great improvements many countries have not reached two key targets: MDG4 to ‘reduce child mortality’ and MDG 5 to ‘improve maternal health’.² Too many women today still die in childbirth, most of these deaths occur in low-income countries and most of these deaths are avoidable. In 2013 alone, 289 000 women died from childbirth complications. Nearly 3 million newborns die in the first month of life and 2.6 million newborns are stillborn each year.

The aim of midwives4all is to use a coordinated and innovative communication approach to highlight the need to implement universal practice of midwifery globally in order to improve maternal health and empower women. Midwives4all highlights that only 22 per cent of countries have potentially enough midwives to provide life-saving interventions to meet the needs of women and newborns, which leaves most countries with severe shortages of proper maternity care. The vast majority of women and children lose their lives due to complications and illnesses that could have been prevented. Scaling up the midwifery workforce could prevent about two-thirds of maternal and newborn deaths, saving millions of lives every year.

For some countries the first step is to ensure that midwifery is properly recognised in law. In Nepal, one of the country in which we conduct research, midwifery is not yet officially recognised as an independent profession.³ Together with the president of MIDSON and Swedish colleagues we have long argued that we urgently need to convince the Government of Nepal and other the relevant stakeholders that ‘Nepal needs midwifery’.⁴

Prof. Edwin van Teijlingen

CMMPH

References:

The Lancet Midwifery Series: http://www.thelancet.com/series/midwifery
van Teijlingen, E., Hundley, V., Matthews, Z., Lewis, G., Graham, W.J., Campbell, J., ten Hoope-Bender, P., Sheppard, Z.A., Hulton, L. (2014) Millennium Development Goals: All good things must come to an end, so what next? Midwifery 30: 1-2.
Bogren, M., van Teijlingen, E., Berg. M. (2013) Where midwives are not yet recognised: A feasibility study of professional midwives in Nepal, Midwifery 29(10): 1103-1109.
Bogren, M.U., Bajracharya, K., Berg, M., Erlandsson, K., Ireland, J., Simkhada, P., van Teijlingen, E. (2013) Nepal needs midwifery, Journal of Manmohan Memorial Institute of Health Sciences (JMMIHS) 1(2): 41-44. www.nepjol.info/index.php/JMMIHS/article/view/9907/8082

6 March 2015

Two new CMMPH publications this week!

Publishing Edwin van Teijlingen

BU Senior Lecturer in Midwifery Dr. Jenny Hall published her interesting piece on Nursing Times.net under the title ‘Time-wasters in A&E: time to shake the label’. Jenny uses quite a sociological argument highlighting that “However, labels such as time waster are unhelpful and inappropriate. Instead we have a duty to provide a service that is caring, compassionate and welcoming – no matter the pressures. “

The second CMMPH paper this week is by Professor Emeritus Paul Lewis and BU Visiting Faculty Jillian Ireland in collaboration with Poole Hospital NHS Foundation Trust midwife Danielle Freemantle. Their paper ‘The loss of midwifery supervision: to mourn or rejoice?’ in the March edition of The Practising Midwife reflects on and discusses some of the possible consequences of the NMC’s decision to end statutory supervision of midwives in the UK.

Congratulations to all!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

Faculty of Health & Social Sciences

28 February 2015

Two BU authored chapters in new book on childbirth

Publishing, student research Edwin van Teijlingen

BU Ph.D. student and Consultant Midwife Kathryn Gutteridge and Hannah Dahlen Associate Professor of Midwifery at the University of Western Sydney contributed a chapter to the book ‘The Roar behind the Silence: Why kindness, compassion and respect matter in maternity care’. Kathryn Gutteridge and Hannah Dahlen wrote under the title ‘Stop the fear and embrace birth’. BU’s Dr. Jenny Hall also wrote a chapter called ‘Spirituality, compassion and maternity care’.

The volume edited by Sheena Byrom and Soo Downe was published this week by Pinter & Martin (London). I received my copy of the book yesterday, but didn’t have a chance to look at it until today. The Roar Behind the Silence is both a practical and inspirational book, which likely to be of interest to people working in maternity care (midwives, doctors, managers), local and regional maternity-care policy-makers as well as politicians and funders and, of course, to many pregnant women and maternity-care pressure groups. The book highlights examples of good practice, and offers practical tools for making change happen, advice on how to use evidence and real-life stories.

Prof. Edwin van Teijlingen

CMMPH

13 January 2015

Huffington Post Blog BU by PhD student Sheetal Sharma

PG research, Publishing Edwin van Teijlingen

FHSS PhD student Sheetal Sharma and ICS Integrare’s Petra ten Hoope-Bender discuss issues around the evidence to support the policy direction after the Millennium Development Goals come to end in 2015. The global research and policy community has been gathering the evidence and the lessons learnt on what has worked for whom and how. They remind us that the UN General Assembly’s Open Working Group has identified 17 new goals that cover far-reaching sustainable development issues, such as ending poverty and hunger, improving health and education, making cities more sustainable, combating climate change, and protecting oceans and forests. Read all at:

http://www.huffingtonpost.com/petra-ten-hoopebender/women-newborns-and-health_b_6459614.html

Prof. Edwin van Teijlingen

CMMPH

9 January 2015

Health Link Nepal

Public engagement Edwin van Teijlingen

Today I attended an interesting Health Link event in Kathmandu with Dr. Poonam Thapa speaking on ‘Subjects to Citizens: From Safe Motherhood to Safe Womanhood’ and Prof. Kiran Bajracharya presenting on ‘Midwife related skills, SMP actions, Current initiatives and challenges’.

Prof. Bajracharya put forward a strong case in favour of a midwifery profession in Nepal based on the three ICM pillars. Prof. Bajracharya is chair of MIDSON, the Midwifery Organisation of Nepal and co-author of our paper ‘Nepal needs midwifery’.(1)

The Health Link initiative has been launched to mark the close links between the United Kingdom and Nepal in the development of Nepal’s health sector and the forthcoming 200 years of UK-Nepal diplomatic relations. Health Link has a website with information on UK-Nepal health sector coordination and cooperation. It gives information on UK organisations working on health in Nepal and publications on health in Nepal that have a UK connection. Several of Bournemouth University contributions are highlighted on the Health Link website. The initiative is also hosting a series of discussion programmes and seminars on current health topics and research carried out by British and Nepalese health workers and researchers.

Prof. Edwin van Teijlingen

CMMPH, Faculty of Health & Social Sciences

Reference:

Bogren, M.U., Bajracharya, K., Berg, M., Erlandsson, K., Ireland, J., Simkhada, P., van Teijlingen, E. (2013) Nepal needs midwifery, Journal of Manmohan Memorial Institute of Health Sciences (JMMIHS) 1(2): 41-44. www.nepjol.info/index.php/JMMIHS/article/view/9907/8082

11 December 2014

Festival of Learning 2014 not ‘finished’ yet!

Festival of Learning, Publishing Edwin van Teijlingen

Whilst the call for 2015 Festival of Learning activities is already out, some of us are still busy with the 2014 one. This past year Prof. Vanora Hundley (Faculty of Health & Social Sciences) led a debate about the impact of the mass media on women’s view of childbirth. The debate was centred around The media is responsible for creating fear in childbirth.

Elizabeth Duff from the NCT and BU Prof. Edwin van Teijlingen affiliated with the Centre for Midwifery, Maternal & Perinatal Health argued in favour of the motion and Joanne Dewberry independent blogger, journalist and successful business woman and Dr. Ann Luce from BU’s Journalism and Communication Academic Group argued against.

The audience were given the opportunity to vote on the motion before and after the debate. The interesting and wide-ranging debate has been written up and it now published in MIDIRS under the title ‘Fear in childbirth: are the media responsible?’

The full reference is: 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.

Professors Edwin van Teijlingen & Vanora Hundley

Centre for Midwifery, Maternal & Perinatal Health

Faculty of Health & Social Sciences

17 November 2014

Examination of the Newborn (EXON) Pilot Project for under-graduate student midwives: an update.

Fusion, Knowledge Transfer, student research, Training Luisa Cescutti-Butler

In November last year I published a blog on the first pilot project I undertook with five under-graduate pre-registration midwifery students which was designed to enable them to qualify with the skills and competencies around examination of the newborn (EXON). The students were required to access and study the module with post-graduate midwives. Four of the students successfully completed the course in September 2014 with one student leaving early on in the project due to unforeseen family circumstances. The journey to completion was not smooth. The first hurdle was a clash of assessments. The EXON assessment (a presentation) fell in the same week as Complex Care (CC), a third year unit assessment where students are required to undergo a VIVA and manage two obstetric emergencies. It is a stressful experience and therefore three of the students requested an extension to their EXON presentation with only one choosing to present with her post-registration colleagues. As the EXON assessment took place on the Monday of that particular week and Complex Care assessments were running over three days, the student managed to negotiate to undertake her CC assessment on the Friday. The three students were re-scheduled to present later in the year with a number of other midwives who were on extensions or resits. One of the advantages of choosing to present in January 2014 was that the student was able to choose a topic that she could use both for her learning around EXON and for her extended essay which was due to be completed somewhat later in the academic year. The student was successful in both endeavours as were all the others but at a later date.

Another hurdle students found themselves confronted with, was a lack of opportunity to undertake newborn examinations including a shortage of midwifery mentors who could support the training requirements of the project. Two of the students could not get any of the examinations done in their own trusts. Fortunately for them, the maternity unit and midwifery staff at Poole NHS Trust Hospital were extremely obliging and supported the students to work there which enabled them to complete the practical newborn checks. All four of the students have successfully qualified as midwives and have obtained midwifery posts in the local area. They remain committed EXON and have volunteered to be EXON ‘champions’ within their respective trusts. I am grateful to Jeanette Elliot, Luzie Schroter, Jenna Penhale and Bex Coleman-Moss for their hard work and dedication during the pilot and for their feedback and advice for the next intake.

Demand for places for the second pilot project remained high when the call was put out a short while ago. Unfortunately due to some of the barriers described above it was only feasible to recruit five students again and all of them based in the west. The students have commenced their studies and are enjoying the learning so far. The pilot projects are helping to inform what impact these barriers will have on the training needs for midwifery students within our local maternity units as this year we are introducing EXON theory to all midwifery students on our newly validated curriculum with the caveat that students will obtain the necessary theoretical knowledge but not all with qualify with the required skills. However by ‘fast-tracking’ students onto one of our twice yearly CPD EXON modules which has around 20+ midwives enrolled, by the time the students reach their third year there should be many more midwives qualified in EXON and in place to support our under-graduate students to gain the competencies around newborn examination. If you require any further information please contact Luisa Cescutti-Butler on lcbutler@bournemouth.ac.uk

Tagged / midwifery

‘Meet the Editors’ at BU Midwifery Education Conference

CMMPH at the 10th International Normal Birth conference

Prof. Paul Lewis awarded OBE

Birth paper cited one hundred times in Scopus

International Day of the Midwife, Edinburgh 2015

Midwives4all: a Swedish initiative

Two new CMMPH publications this week!

Two BU authored chapters in new book on childbirth

Huffington Post Blog BU by PhD student Sheetal Sharma

Examination of the Newborn (EXON) Pilot Project for under-graduate student midwives: an update.

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