

Reference:
- Mivšek, A.P., Hundley, V., van Teijlingen, E., Pahor, M., Hlebec, V. (2021) Slovenian midwifery professionalisation: Perception of midwives and related health professions, European Journal of Midwifery (forthcoming)
Latest research and knowledge exchange news at Bournemouth University
Reference:
Today, with midwives across the globe, the Centre of Midwifery, Maternal & Perinatal Health (CMMPH) celebrates the International Day of the Midwife 2021. Since we are enable to celebrate in person in this challenging year, we planned and watch together online events around this year’s International Day of the Midwife theme: Follow the data: invest in midwives.
We also produced the poster on the picture with messages from BU students, staff and partners across the world.
Laura Iannuzzi, Juliet Wood, Debbee Houghton for the Midwifery Team.
The THET (Tropical Health & Education Trust)-funded project ‘Mental Health Training for Rural Community-based Maternity Care Workers in Nepal‘ [1], led by Bournemouth University, has been showcased on the webpages of Public Health England (PHE). PHE hosts the WHO (World Health Organization) Collaborating Centre for Public Health Nursing and Midwifery. A WHO collaborating centre is an institution designated by the Director-General of the WHO to form part of an international collaborative network set up by WHO in support of its programme at the country, intercountry, regional, interregional and global levels. In line with the WHO policy and strategy of technical cooperation, a WHO collaborating centre also participates in the strengthening of country resources, in terms of information, services, research and training, in support of national health development.
This THET project was organised by Tribhuvan University in collaboration with Bournemouth University and Liverpool John Moores University (LJMU). Mental health is high on the global agenda and this project raised the importance of the issue in Nepal. The three universities collaborated on an education intervention training Auxiliary Nurse Midwives in Nawalparasi on mental health issues and mental health promotion. The project was supported by Green Tara Nepal, an Non-Governmental Organisation (NGO) with whom BU has been working for over a decade. More details on this exciting project can be found in previous BU Research Blogs written in 2016 (see here) and 2017 (see here) and 2018 (see here)! The project has resulted in several academic publications including Dr. Preeti Mahato in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), Dr. Catherine Angell (CMMPH), Dr. Bibha Simkhada (formerly BU lecturer in Nursing) and FHSS Visiting Faculty Prof. Padam Simkhada and Jillian Ireland. Jillian is Professional Midwifery Advocate at University Hospitals Dorset NHS Foundation Trust. [2-6].
References:
Congratulations to Prof. Vanora Hundley who co-authored an important commentary ‘WHO next generation partograph: revolutionary steps towards individualised labour care’ in the international journal BJOG [1]. The authors comment on the partograph which is widely used across the globe as part of the assessment of labour progress. It was recommended by the World Health Organization (WHO) in the early 1990s as a routine tool for displaying the progress of labour. Despite its global acceptance, utilization and correct completion rates as low as 31% and 3% respectively, have been reported.
Congratulations!
Prof. Edwin van Teijlingen
CMMPH (Centre for Midwifery, Maternal & Perinatal Health)
Reference:
Hofmeyr, GJ, Bernitz S, Bonet M, Bucagu M, Dao B, Downe S, Galadanci H, Homer CSE, Hundley V, et al. (2021) WHO next generation partograph: revolutionary steps towards individualised labour care (Commentary), BJOG An International Journal of Obstetrics & Gynaecology, First published: 8 March 2021
We have planned three stages: 1) virtual mini workshops, guided discussion/input on academic writing, publishing, journal submission, and review processes ; 2) online workshops where participants present their draft papers/work and receive feedback from peers, mentors, invited speakers/editors and opportunities networking/collaborations (for co-authorship, peer review and peer support); and 3) monthly tutorials (webinars) later in 2021 to provide mentorship and peer support to participants.
This application is third time lucky as two previous applications to The British Academic for Writing Work had not been successful. Over the years the team has build up capacity in academic writing and publishing in Nepal ad hoc. This grant will allow us to offer a more systematic approach to academic writing capacity building in Nepal. It is building on a growing number of paper published by FHSS staff on various aspects of academic writing and publishing. [1-14]
References:
Today FHSS Prof. Jonathan Parker published an article (online first) on structural discrimination and abuse associated with COVID-19 in care homes in The Journal of Adult Protection [1]. Whilst Dr. Preeti Mahato, Prof. Edwin van Teijlingen and FHSS Visiting Professor Padam Simkhada had a COVID-19 paper published in the Journal of Midwifery Association of Nepal (JMAN) in late-January 2021 [2], although an electronic copy only reached their email inbox today.
Today our chapter: Birth Systems across the World: Variations in maternity policy and services across countries was published in the renowned series of books: FIGO Continuous Textbook of Women’s Medicine [1]. This chapter was co-authored by Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) with Prof. Sirpa Wrede and Doctoral Researcher from the University of Helsinki (Finland) and Dr. from the European University at St. Petersburg (Russia). The chapter includes a set of recommendations for future practice.
Volume 1 is edited by Prof. Jane Sandall from King’s College London. Earlier this year Prof. Sandall was appointed as the first-ever head of midwifery research for England and one of her key focuses will be around ending racial health inequalities in maternity care.
Everything published on The Global Library of Women’s Medicine is available to everyone everywhere for free and there is no requirement to register in order to view it.
Reference:
Congratulations to Prof. Vanora Hundley whose article ‘Escalation triggers and expected responses in obstetric early warning systems used in UK consultant-led maternity units’ is now available Open Access online. The paper has been accepted in Resuscitation Plus. Co-authors include FHSS Visiting Faculty Prof. Gary Smith and Dr. Richard Isaacs.
The paper reports on a review of OEWS [Obstetric Early Warning Systems] charts and escalation policies across consultant-led maternity units in the UK (n = 147). OEWS charts were analysed for variation in the values of physiological parameters triggering different levels of clinical escalation. The observed variations in the trigger thresholds used in OEWS charts and the quality of information included within the accompanying escalation protocols is likely to lead to suboptimal detection and response to clinical deterioration during pregnancy and the post-partum period. The paper concludes the development of a national OEWS and escalation protocol would help to standardise care across obstetric units.
Congratulations!
CMMPH
Today we received an end-of-year good-news message from ResearchGate telling us that 700 people had ‘read’ our book Midwifery, Childbirth and the Media [1]. Lee Wright, Senior Lecturer in the School of Nursing and Midwifery at Birmingham City University wrote in his review of our edited volume: “…our media image and digital foot print are rapidly becoming the most important window into our profession. In a rapidly changing environment this book provides an up to date and informative insight into how our profession is affected by the media and how our profession can inform and influence the image of midwifery. This area is going to become even more important in the future universities and trusts increasingly use broadcast and social media to manage information and inform our clients of the services we provide. This book will be the important first text in a new growth area. It brings together an internationally recognised group of authors who are experts in this field. I wholeheartedly recommend it to you.”
This edited collection was published by Palgrave Macmillan in 2017 and it is part of a larger body of Bournemouth University research on the topic [2-6].
Professor Edwin van Teijlingen, Professor Vanora Hundley and Associate Professor Ann Luce
References:
The start of 16 days of activism against Gender-based Violence commenced on 25th November 2020 on the day known as the International Day for the Elimination of Violence against Women. A report: UK Femicides 2009-2018 published on the 25/11/20 has revealed that the number of women killed each year by men has stayed the same at between 124 and 168. From 2009 to 2018 at least 1,425 women were killed by men in the UK. What do these figures mean? Sadly it translates as :
In addition, the methods used, the contexts in which women are killed and their relationship with the men who kill them have changed little over the ten-year period. Women are killed by their husbands, partners and ex-partners; by sons, grandsons and other male relatives; by acquaintances, colleagues, neighbours and strangers. The rate at which men kill women shows no sign of reducing. The report is dedicated to all those women with each one named. Every single woman and girl in this report mattered. The Femicide Census is a call to action for change. femicidecensus.org
During these 16 days of activism what can we do? What is in no doubt is that ending violence against women is mine and your business, it’s everybody’s business. UN Women have ten suggestions in which we can make a difference:
The general effects of lockdown on healthy individuals range from a general annoyance to a major limiting factor in life, especially in lockdown affects someone livelihood and/or mental health. These effects have been well documented in the media. At a societal level these effects are more mixed, first and foremost, there is positive outcome in terms of a reduced spread of the infectious disease COVID-19. Further positive effects include a reduction in air pollution, water pollution levels (in Venice), traffic jams, but also fewer break-ins (as more people are at home for more of the time). Whilst negative effects include not only economic decline, but also a lack of opportunity to travel for work or leisure, children missing education and people avoiding health care professionals for screening and treatment of diseases other then COVID-19. We have also learnt that lockdown affects different groups in society differently, some quite unexpectedly. For example, AbilityNet highlighted that “For students living with physical impairments and long-term health conditions, the benefits of studying from home and avoiding the exhausting experience of accessing face-to-face learning has left them with more energy to apply to their studies” [1]. Even before the first lockdown universities in the UK had been pro-active in their response to the pandemic [2]. One of the practical responses was to move to webinars, online teaching, marking and meetings. Before March most university academics don’t much about Zoom, Teams, Jitsi Meet or Google Meet, and today most academics will have used most of these platforms (and several others) for research meetings, webinars and conferences.
Our second example is a project to support midwifery education in Nepal. The Centre for Midwifery, Maternal & Perinatal Health (CMMPH) in collaboration with Dalarna University in Sweden and University Hospitals Dorset NHS Foundation Trust produced a draft Bridging Course for nursing lecturers in Nepal who are currently teaching midwifery and maternity care. This project is funded by GIZ (Gesellschaft für Internationale Zusammenarbeit). As part of this project BU offers academics at NAMS (National Academy of Medical Sciences) in Kathmandu support in their professional and pedagogic development.
Following the lockdown and seeing the success of online teaching of BU’s students earlier in 2020 we decided to try out online teaching with midwifery lecturers at NAMS. Since many people in Nepal only have a one-day weekend (Saturday) Sunday is usually a working day and due to time difference early Sunday morning are ideal times for webinars. To date online sessions in Kathmandu have been delivered by Juliet Wood, Michelle Irving, Edwin van Teijlingen and CMMPH Visiting Faculty Jillian Ireland (Professional Midwifery Advocate in Poole). The sessions proved very popular with 30 to 40 people regularly attending online from Nepal.
With challenges to delivering face-to-face lectures and tutorials at universities, online teaching and webinars have opened a whole set of new opportunities to internationalise our education.
Prof. Edwin van Teijlingen
CMMPH
References
Congratulations!
Prof. Edwin van Teijlingen
CMMPH
Reference:
Being asked to examine a PhD thesis is a honour for most academics. As an examiner you always learn something new. If not about the topic itself, you may learn different ways of applying a research method or new theoretical explanations or even new ideas for supervising your own PhD students. It is a joy to have an in-depth scientific discussion with a dedicated and motivated candidate. Usually the candidate is a little nervous, especially at the start of the viva, and I see it as one of my tasks as an examiner to help the candidate to relax a little.
Today I had the pleasure of being one of the examiners for a PhD at the University of Maastricht (the Netherlands). The PhD candidate (now Dr.) Franka Cadée was a little nervous according to her supervisors, although it did not show during the viva.
Interestingly, enough I also felt nervous! Before today I had examined 50th PhD thesis in seven different countries. However, I probably had not felt this nervous since my own viva nearly three decades ago. Why was I nervous? First, although I am Dutch and I have studied in the Netherlands and the UK, I had never attended a PhD examination in the Netherlands. And PhD examinations really do differ between the UK and most northern European countries, especially the public defence of the thesis by the candidate in front of examiners, colleagues, friends and family. Secondly, the candidate today is the president of the ICM (the International Confederation of Midwives). Of course, this does not make any difference in the examination process, this candidate was treated the same as any other student would have been. Thirdly, and most importantly, the ICM had globally advertised the public defence of Dr. Cadée’s thesis to midwives, maternity policy-makers, member of International Non-Governmental Organisations and maternity care providers and invited ‘everybody’ to watch on ZOOM.
I really think it was the latter that made me more nervous than the much more private UK PhD viva with perhaps five or six people in a small class room, or, these days, on ZOOM.
Finally, my congratulations to Dr. Franka Cadée on the successful defence of her thesis Twinning, a promising dynamic process to strengthen the agency of midwives.
Professor Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
Congratulations to FHSS authors on the publication of their paper “A Priori and a Posteriori Dietary Patterns in Women of Childbearing Age in the UK” which has been published in the scientific journal Nutrients [1]. The authors highlight that a poor diet quality is a major cause of maternal obesity. They investigated investigate a priori and a-posteriori derived dietary patterns in childbearing-aged women in the United Kingdom. An online survey assessed food intake, physical activity (PA), anthropometry and socio-demographics. A poor diet quality was found among childbearing-aged women; notably in the younger age category, those of white ethnicity, that were more physically inactive and with a lower socioeconomic background.
The article is Open Access and freely available (click here!).
Reference:
Today the European Journal of Midwifery published our paper ‘Midwives’ views towards women using mHealth and eHealth to self-monitor their pregnancy: A systematic review of the literature’. There are many apps to help women to monitor aspects of their own pregnancy and maternal health. This literature review aims to understand midwives’ perspectives on women self-monitoring their pregnancy using eHealth and mHealth, and establish gaps in research. mHealth (mobile health) is the use of mobile devices, digital technologies for health, health analytics, or tele-health, whilst eHealth (electronic health) is the health care supported by electronic processes.
It established that midwives generally hold ambivalent views towards the use of eHealth and mHealth technologies in antenatal care. Often, midwives 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. The authors conclude that with COVID-19 making face-to-face maternity service provision more complicated and with technology is continuously developing, there is a compelling need for studies that investigate the role of eHealth and mHealth in self-monitoring pregnancy, and the consequences this has for pregnant women, health professionals and organisations, as well as midwifery curricula.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
Reference:
Today and tomorrow Sulochana Dhakal-Rai will have her poster ‘Factors contributing to rising Caesarean Section rates in South Asia: a systematic review’ online at this year’s GLOW Conference [Global Women’s Research Society Conference]. This year for the first time, this international conference is held completely online. Sulochana’s PhD project is supervised by Dr. Pramod Regmi, P., Dr. Juliet Wood and Prof Edwin van Teijlingen at BU with Prof. Ganesh Dangal [Professor of Obstetrics and Gynaecology at Kathmandu Model Hospital] who acts as local supervisor in Nepal. Sulochana has already published two papers from her on-going thesis research [1-2].
References
Over the past half year or so BU academics have produced a healthy crop of publications on COVID-19/ corona virus. Searching the word ‘COVID’ today Saturday 5th September, on the university’s repository BURO (Bournemouth University Research Online), resulted in 59 records of publications whilst searching for ‘corona’ gave 48 publications. Removing duplicates, obviously irrelevant papers (e.g. one paper had a co-author called ‘Corona’) and papers published prior to 2020 resulted in a combined total of 66 BU publications. Some papers are obviously focused on COVID-19/corona virus, as the title suggests. Others may merely mention corona virus or COVID-19 in the body of the text, perhaps as a reason for delay in the research, as a new opportunity or barrier and so on. A search on Scopus and BRIAN added nine more Bournemouth co-authored papers to the reference list below.
References from BURO & Scopus:
Whilst searching BU Research Blog added a further eight references:
And last, but not least, BU’s PATH project team has produced a comic book to point pregnant women and their families to a collection of trusted online resources The interactive version of the book is here.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
Some weeks are more productive than others and this week the academics in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) have been very busy. Professor Hundley published a paper ‘The initiation of labour at term gestation: physiology and practice implications’ with two midwifery colleagues [1]. The further two CMMPH paper accepted this week were systematic reviews: (a) Perceived Stress and Diet Quality in Women of Reproductive Age: A Systematic Review and Meta-Analysis; and (b) ‘Midwives’ views towards women using mHealth and eHealth to self-monitor their pregnancy: A systematic review of the literature’ [2-3]. Fourthly, CMMPH PhD student Sulochana Dhakal-Rai had a poster accepted at this year’s GLOW conference, which will be held, for the first time, online. This poster based on her PhD ‘Factors contributing to rising caesarean section rates in South Asia: a systematic review’ is supervised by Dr. Juliet Wood, Dr. Pramod Regmi, Prof. Edwin van Teijlingen and Prof. Ganesh Dangal (based in Nepal).
Congratulations!
Prof. Edwin van Teijlingen
References:
Khaled K, Tsofliou F, Hundley V, Helmreich R, Almilaji O Perceived Stress and Diet Quality in Women of Reproductive Age: A Systematic Review and Meta-Analysis Nutrition (in press)
Vickery M, van Teijlingen E, Hundley V, Smith GB, Way S, Westward G. Midwives’ views towards women using mHealth and eHealth to self-monitor their pregnancy: A systematic review of the literature. European Journal of Midwifery (in press)