Tagged / midwifery

Digital Health and AI: Paving the Way for Health Equity in Maternal and Infant Care

The long awaited 10-year health plan for England emphasises the use of digital technologies and the aspiration to “make the NHS the most AI-enabled health system in the world”. This requires expertise in artificial intelligence and data science, but interdisciplinary collaboration is also essential if we are to make this a reality.

The Maternal and Infant Health Equity Research Centre (MIHERC) aims to do this by bringing together experts in maternal health, behavioural science, AI and digital health to help drive innovative solutions through co-production and real partnership, ensuring better outcomes for all women and babies. MIHERC is led by Professor Hora Soltani at Sheffield Hallam University (SHU) in collaboration with key partners including Bournemouth University (BU), the City of Doncaster Council and South Yorkshire Digital Health Hub.

Alongside Professor Vanora Hundley, who has been appointed as a Capacity Training and Development Lead, Professor Huseyin Dogan and Prof Alessandro Di Nuovo from MIHERC will be co-leading the cross-cutting workstream titled “digital, data, monitoring, evaluation and implementation science” as part of the NIHR Maternity Disparities consortium. This workstreams aims

– to identify and test trusted, reliable AI technologies for deployment by the NHS to help reduce disparities;

– to develop and refine equity monitoring, real-world evaluation and implementation science methods for use in maternity disparities research, with a focus on enhancing their robustness and practical application;

– to embed advanced analytic and digital tools and implementation frameworks into maternity disparities research to improve the rigor and impact of studies on equity; and

– to build a community of practice within and external to consortium to develop analytical, methodological, and implementation science capacity.

The BU key academics are: Huseyin Dogan, Vanora Hundley, Edwin van Teijlingen, and Deniz Çetinkaya. Please do get in touch with the MIHERC team for further information.

Two new midwifery papers from CMWH

The latest issue of MIDIRS Midwifery Digest features two papers from CMWH members.

Laura SLaura Stedman reports on the global variance in screening approaches and diagnostic criteria for gestational diabetes mellitus (GDM). She explores the impact of these differences on policy recommendations and practice. Without a universally accepted screening criterion, the variance in approaches makes accurately calculating the prevalence of GDM difficult. Untreated GDM results in women being more likely to experience pre-eclampsia, caesarean birth or stillbirth, while babies are more likely to be born prematurely, macrosomic or large for gestational age.

Also in this issue, Maryam Malekian, a MRes student in CMWH, has had her scoping review protocol published. Maryam has recently completed the review looking at knowledge and attitudes of nulliparous women regarding breastfeeding. She presented this work at the Maternal, Parental and Infant Nutrition and Nurture Unit (MAINN) Conference in April and has submitted the findings for publication.

 

Congratulations to both authors.

References:

Stedman L, Angell C, Hundley VA. Gestational diabetes mellitus: evaluating the implications of applying international research into national policy and practice. MIDIRS Midwifery Digest, vol 35, no 2, June 2025, pp 141–147.

Malekian M, Hundley V, Irving M. A scoping review protocol of factors influencing breastfeeding knowledge and attitudes among non-pregnant, nulliparous women of reproductive age. MIDIRS Midwifery Digest, vol 35, no 2, June 2025, pp 179-182.

Bournemouth University eHealth paper cited 40 times!

open access, Publishing, writing

Yesterday, ResearchGate alerted us that the paper ‘Midwives’ views towards women using mHealth and eHealth to self-monitor their pregnancy: A systematic review of the literature’ [1] had reached 40 citations!  This paper has four Bournemouth University (BU) authors and one author, Prof. Gary Smith, who was FHSS Visiting Professor at the time of publication.  This literature review, published in 2020, sought midwives’ perspectives on women self-monitoring their pregnancy using eHealth and mHealth.

The paper fund that  midwives generally held ambivalent views towards the use of eHealth and mHealth technologies in antenatal care. They acknowledged the potential benefits of such technologies, such as their ability to modernise antenatal care and to help women make more informed decisions about their pregnancy. However, midwives were quick to point out the risks and limitations of these, such as the accuracy of conveyed information, and negative impacts on the patient-professional relationship.

This paper will contribute to our recently awarded NIHR funding to tackle inequalities in UK maternal healthcare as part of the NIHR Challenge Call: Maternity Disparities Consortium.  Profs Vanora Hundley and Edwin van Teijlingen from the Centre for Midwifery and Women’s Health, and Prof. Huseyin Dogan and Dr. Deniz Cetinkaya from the Department of Computing and Informatics collaborate in MIHERC (Maternal & Infant Health Equity Research Centre).   MIHERC is led by Prof. Hora Soltani at Sheffield Hallam University, and it is a partnership with Bournemouth University, the City of Doncaster Council and South Yorkshire Digital Health Hub as well as several charities and voluntary organisations.  Prof. Dogan has recently been appointed  the co-lead for the “Digital, data, monitoring, evaluation and implementation science” work stream of the NIHR Maternity Disparities consortium.

 

Reference:

  1. Vickery, M., van Teijlingen, E., Hundley, V., Smith, G. B., Way, S., Westwood, G. (2020). Midwives’ views towards women using mHealth and eHealth to self-monitor their pregnancy: A systematic review of the literature. European Journal of Midwifery, 4(Sept.), 1-11. https://doi.org/10.18332/ejm/126625

 

New Midwifery Publication

international, open access, Publishing, Women's Academic Network, writing

Congratulations to Joanne Rack, who is currently undertaking Bournemouth University’s four-year clinical doctorate, on the publication is week in the Canadian Journal of Midwifery Research and Practice.  The latest paper “Mapping the Landscape of Canadian Midwifery Research” is Open Access and freely available online.  The paper reports on a nation-wide study led by an inspiring team of midwifery researchers exploring the current landscape of midwifery research in Canada—identifying both its strengths and urgent gaps. With insights from over 200 stakeholders, this research calls for enhanced funding, mentorship, and research capacity to advance midwife-led, person-centered care.

Congratulations!

Profs. Vanora Hundley & Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

 

Reference:

  1. Rack, J., Ruby, E., Brunton, G., Al Balkhi, S., Banfield, L., Grenier, L.N., Hutton, E.K, Darling, E.K., Mattison, C., Kaufman, K., Murray-Davis, B. (2025) Mapping the Landscape of Canadian Midwifery Research Canadian Journal of Midwifery Research and Practice, 24 (1).

Early Labour App Interns attend NIHR Celebration Day

NIHR Undergraduate Interns Tom Lower and Kaisei Wieczorek Numao with their supervisor Dr. Dominique Mylod attended the Round 1 NIHR Undergraduate Intern Celebration at International Student House, Regent’s Park, London on 19th March 2025.
Tom and Kaisei are both BU Computer Animation students. Together with Year 3 midwifery student Carys Nash they have developed the User Interface and tracking systems on our Early Labour App during their internship. In line with the feedback that Carys has gathered from women and birth partners, the app provides education and strategies for families to navigate the latent phase (or ‘early labour’) at home before labour establishes and they transfer to a birth unit or Labour Ward. The app content has been developed from research through the BU Centre for Midwifery and Women’s Health and with the latest funding from the NIHR Undergraduate Internship programme. 
Tom presented on behalf of the group and we caused some excitement by showcasing the app on a mobile phone to the other attendees!

Nepal maternity care paper online yesterday

international, open access, Publishing, Women's Academic Network, writing

Yesterday the international journal PLoS ONE published the latest paper of former Centre for Midwifery & Women’s Health (CMWH) PhD student Dr. Sulochana Dhakal-Rai [1].  As in many countries, Caesarean Section (CS) rates are rising in urban hospitals in Nepal. However, the reasons behind these rising rates are poorly understood. Therefore, this study explores factors contributing to rising CS rates in two urban hospitals as well as strategies to make a more rational use of CS.  Dr. Dhakal-Rai was supervised by Dr. Juliet Wood, Dr. Pramod Regmi and Prof. Edwin van Teijlingen all based in the Faculty of Health & Social Sciences.

The paper highlights that high CS rates in the private hospital reflects the medicalisation of childbirth, a public health issue which needs to be urgently addressed for the health benefits of both mother and baby. Multiple factors affecting rising CS rates were identified in urban hospitals. This study provides insights into factors affecting the rising CS rate and suggests that multiple strategies are required to stem the rise of CS rates and to make rational use of CS in urban hospitals.

The journal is Open Access and the paper is freely available to read in Nepal (and elsewhere) for anyone with internet access.

 

Reference:

  1. Dhakal Rai S, van Teijlingen E, Regmi PR, Wood J, Dangal G, Dhakal KB (2025) Explaining rising caesarean section rates in urban Nepal: A mixed-methods study. PLoS ONE 20(2): e0318489. https://doi.org/10.1371/journal.pone.0318489

Consider starting M.Res. at Bournemouth University

NHS, PG research, student research

Bournemouth University is delighted to be working with UWE Bristol as one of the NIHR INSIGHT hosts providing funded postgraduate M.Res. research training for health and social care professionals.  BU provides excellent training, development, and teaching for the postgraduate community across disciplinary and interdisciplinary research fields.

The National Institute for Health and Care Research (NIHR) INSIGHT programme is a unique opportunity designed to inspire and equip the next generation of health and social care researchers. As part of its commitment to fostering a world-class research workforce, the NIHR INSIGHT programme offers a transformative experience with numerous benefits:

  • Exposure to Research Opportunities: Gain invaluable insight into health and social care research.
  • Hands-On Experience: Engage directly with researchers and practitioners, acquiring real-world skills.
  • Mentorship: Receive guidance from experienced professionals, helping to shape your research career and development.
If you are health or social care professional you may want to have a look at the experience of midwifery researcher and current M.Res. student Susara Blunden (click here!).   For a more informal discussion email INSIGHTSWCC@bournemouth.ac.uk
Applications Open until 31st March 2025 (for September 2025 entry).
Links: – NIHR INSIGHT Programme for the South West Central Collaboration

New PhD publication on Caesarean Section

international, PG research, Publishing, Women's Academic Network, writing

Congratulations to Dr. Soluchana Dhakal-Rai whose latest research paper ‘Explaining rising caesarean section rates in urban Nepal: A mixed-methods study’ has been accepted today by the international journal PLOS One [1].  Sulochana graduated last November with a Ph.D. from Bournemouth University; photo shows her with the BU-based supervisors: Dr. Juliet Wood, Dr. Pramod Regmi and Prof. Edwin van Teijlingen. 

Sulochana has been very productive in terms of publications based on her Ph.D., as this is the seventh paper based on her research! She published six previous papers [1-6], in addition during her time as BU Ph.D. student Sulochana also contributed to a book chapter [8[ as part of the textbook Academic Writing and Publishing in Health & Social Sciences.

 

Prof. Edwin van Teijlingen

 

 

 

 

 

References:

  1. Dhakal Rai, S., van Teijlingen, E., Regmi, P.R., Wood, J., Dangal, G., Dhakal, K.B. 2025 Explaining rising caesarean section rates in urban Nepal: A mixed-methods study, PLOS One (Accepted).
  2. Dhakal-Rai, S, van Teijlingen E, Regmi,PR, Wood J, Dangal G, Dhakal KB. (2022) Factors contributing to rising cesarean section rates in South Asian countries: A systematic review, Asian J Med Sci 13(2): 143-174.
  3. Dhakal-Rai, S, van Teijlingen E, Regmi,PR, Wood J, Dangal G, Dhakal KB. (2021) Caesarean Section for Non-medical Reasons: A Rising Public Health Issue. J Karnali Acad Health Sci 2021;4(2)
  4. Dhakal-Rai, S., van Teijlingen, E., Regmi, P., Wood, J., Dangal, G., Dhakal, K.B. (2021) A brief history and indications for cesarean section. J Patan Acad Health Sci, 8: e1-e10.
  5. Dhakal-Rai, S., van Teijlingen, E, Regmi, P, Wood, J, Dangal, G, Dhakal, KB. (2021) Classification of Caesarean Section: A Scoping Review of the Robson classification. Nep J Obstet Gynecol. 16(32):2-9.
  6. Dhakal-Rai, S., Regmi, PR, van Teijlingen, E, Wood, J., Dangal G, Dhakal, KB. (2018) Rising Rate of Caesarean Section in Urban Nepal, J Nepal Health Res Council 16(41): 479-80.
  7. Dhakal Rai, S., Poobalan, A., Jan, R., Bogren, M., Wood, J., Dangal, G., Regmi, P., van Teijlingen, E., Dhakal, K.B., Badar, S.J., Shahid, F. (2019) Caesarean Section rates in South Asian cities: Can midwifery help stem the rise? J Asian Midwives, 6(2):4–22.
  8. van Teijlingen, E., Ireland, J., Hundley, V, Dhakal Rai, S., Simkhada, P., Sathian, B. (2022) Identifying an appropriate Title, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 39-47.

 

New editorial Journal of Asian Midwives

international, open access, Publishing, writing

This weekend a new issue of the Journal of Asian Midwives appeared online [1].  Its latest editorial focuses in part on research ethics.  The editors highlight the new World Health Organization (WHO) guidance for best practices in clinical trials [2].  The new WHO guidance was picked up at the 24th FERCAP International Conference “Maximizing Benefits through Responsible Conduct of Research” held in November 2024 in Nepal.  FERCAP is the Forum for Ethical Review Committees in the Asian and Western Pacific Region.

FERCAP reminded us that research as a social activity should improve health and quality of life for both targeted and general populations.  One notable message from this recent conference was the need for shorter and more comprehensible consent forms to make them user-friendly without sacrificing clarity. The other interesting development is that of so-called “decentralized clinical trials”. Decentralized or point-of-care trials can increase the diversity of clinical trial enrollment by increasing its accessibility, for example where elements of the trial are delivered at home and/or data are collected electronically by trial participants instead of researchers. These are exciting new developments in thinking about research ethics.

The Journal of Asian Midwives is Gold Open Access and hence freely available online.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

References:

  1. van Teijlingen, E., Musaddique, A.,  Jan, R. (2024) Editorial – Dec 2024. Journal of Asian Midwives, 11(2):1–2.
  2. World Health Organization (2024). Guidance for best practices for clinical trials. World Health Organization. https://www.who.int/publications/i/item/9789240097711 (accessed Jan. 2025)

Two new BU midwifery publications

international, open access, writing

This past week, as part of her work with McMaster University in Canada, Bournemouth University’s (BU) Centre for Midwifery & Women’s Health (CMWH) postgraduate PhD student Joanne Rack published a paper in BMJ Open.  This Open Access paper explores the strengths and weaknesses of midwifery research in Canada [1].  Joanne is currently doing a Clinical Doctorate in the  specialising in personalised care for women of advanced maternal age.  This PhD study is matched-funded by University Hospitals Dorset NHS Foundation Trust and Bournemouth University [BU].  Her PhD is supervised and supported by Professors Vanora Hundley and Edwin van Teijlingen in CMWH, Prof. Ann Luce, deputy dean in BU’s Department of Communication & Journalism as well as Dr. Latha Vinayakarao in Poole Maternity Hospital.

The second midwifery paper ‘Importance of Expanding Midwifery-led Units and Midwifery Care in Reducing Maternal Deaths in Nepal‘, which is also Open Access, has a different international focus, this time on Nepal [2].  The paper is co-authored by Dr. Preeti Mahato and Prof. Edwin van Teijlingen.  Dr. Preeti Mahato, formerly in BU’s Faculty of Health & Social Sciences, is currently based at Royal Holloway, University of London.

 

 

 

 

References:

  1. Ruby, E., Brunton, G., Rack, J., et al. (2024). Exploring the landscape of Canadian midwifery research: strengths, gaps and priorities – results of a scoping review. BMJ Open 14:e087698. doi:10.1136/bmjopen-2024-087698
  2. Mahato, P.,  van Teijlingen, E. (2024). Importance of Expanding Midwifery-led Units and Midwifery Care in Reducing Maternal Deaths in Nepal. Europasian Journal of Medical Sciences 6(1). https://doi.org/10.46405/ejms.v6i1.537

Appreciating Appreciative Inquiry

international, Publishing, Women's Academic Network, writing

Prof. Gabriele Bammer, the editor of the i2Insights blogs, highlighted in her ninth annual review that a post created by Bournemouth University academics was one of the website’s  most popular contributions in 2024.  This BU contribution ‘Learning to use Appreciative Inquiry‘ by Dr. Rachel Arnold is in the top eight most viewed this year – in fact it’s the second most viewed blog!

Dr. Rachel Arnold has been lead author on several research papers in the field of Appreciative Inquiry [1-2], in collaboration with current and former Bournemouth Academics, Professor Emerita Sue Way, Dr. Preeto Mahato (now at Royal Holloway, University of London) and Prof. Edwin van Teijlingen.   Rachel has also been a contributor to a major textbook in the field [3-4].

References:

  1. Arnold, R., Way, S., Mahato, P., van Teijlingen, E. (2024) “I might have cried in the changing room, but I still went to work”. Maternity staff managing roles, responsibilities, and emotions of work and home during COVID-19: an Appreciative Inquiry, Women & Birth 37: 128-136. 
  2. Arnold, R., Gordon, C., Way, S., Mahato, P., van Teijlingen, E. (2022) Why use Appreciative Inquiry? Lessons learned during COVID-19 in a UK maternity service, European Journal of Midwifery 6 (May): 1-7.
  3. Hodgkiss, D., Quinney, S., Slack, T., Barnett, K., Howells, B. (2024a)  Appreciating Health and Care: A practical Appreciative Inquiry resource for the Health and Social Care sector, Forres: Appreciating People; ISBN: 978-1-9160267-6-6
  4. Hodgkiss, D., Quinney, S., Slack, T., Barnett, K., Howells, B. (2024b) Appreciating Health and Care: AI in practice, Forres: Appreciating People.

 

BU academics’ paper read 170,000 times!

NHS, Publishing, Training, Women's Academic Network, writing

This week ResearchGate notified us that our methods paper ‘The Importance of Pilot Studies‘ [1], published 22 years ago in The Nursing Standard, has now been read 170,000 times!  Prof. Vanora Hundley and Prof. Edwin van Teijlingen wrote this more elementary paper after  publishing an in-depth academic paper on a pilot study into assessing  maternity care in Scotland [2].  The latter paper described their learning from a pilot study which we conducted prior to a cross-national study of births in Scotland.

The methods paper in the Nursing Standard is also their most highly cited paper.  Today Google Scholar lists it with 2,035 citations, interestingly this is not the case on SCOPUS as The Nursing Standard is not listed on SCOPUS.  Researchers seem to be quoting this paper in their research methods section when they have done pilot or feasibility study for a larger-scale study.

 

 

References:

  1. van Teijlingen E, Hundley, V. (2002) The importance of pilot studies, The Nursing Standard 16(40): 33-36. Web: nursing-standard.co.uk/archives/vol16-40/pdfs/vol16w40p3336.pdf
  2. van Teijlingen E, Rennie, AM., Hundley, V, Graham, W. (2001) The importance of conducting & reporting pilot studies: example of Scottish Births Survey, Journal of Advanced Nursing, 34: 289-95.

New weight change BU paper

PG research, Publishing, Women's Academic Network, writing

Congratulations to Faculty of Health & Social Sciences (FHSS) PhD student Eirini-Iro Arvanitidou and two FHSS colleagues Dr. Fotini Tsofliou, and Dr. Juliet Wood who published together with Ioulia Tsatsani (Stanley Centre for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, USA) the paper ‘The effectiveness of couples’ lifestyle interventions on weight change: A systematic review and meta-analysis of Randomised Controlled Trials‘.

Iro is a PhD student and this systematic review and meta-analysis is the first to investigate the effectiveness of lifestyle interventions targeting couples on weight loss, compared to interventions focused on individuals or standard care. The findings suggest that interventions aimed at couples lead to greater weight loss, though the results should be interpreted with caution due to the wide heterogeneity among the studies. The authors conclude that further research is needed with evidence-based study designs, targeting younger participants, and incorporating intervention of longer duration, and longer follow-up periods.

Congratulations!
Prof. Edwin van Teijlingen
Reference:
  1. Arvanitidou, E. I., Tsofliou, F., Wood, J., & Tsatsani, I. (2024). The effectiveness of couples’ lifestyle interventions on weight change: A systematic review and meta-analysis of Randomised Controlled Trials. Nutrition and health, 2601060241291123. Advance online publication. https://doi.org/10.1177/02601060241291123

New BU women’s health publication

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

Congratulations to Karim Khaled on the publication in the international journal Nutrients of his latest women’s health paper  [1].  The paper ‘A Structural Equation Modelling Approach to Examine the Mediating Effect of Stress on Diet in Culturally Diverse Women of Childbearing Age’ is co-authored with his PhD supervisors Dr. Fotini Tsofliou and Prof. Vanora Hundley.

This paper in Nutrients  is Open Access, hence available to read to anybody across the globe with internet access.

 

Well done!

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

Reference:

  1. Khaled, K., Tsofliou, F., Hundley, V.A. A Structural Equation Modelling Approach to Examine the Mediating Effect of Stress on Diet in Culturally Diverse Women of Childbearing Age. Nutrients. 2024; 16(19):3354. https://doi.org/10.3390/nu16193354