Tagged / midwifery

CoPMRE Visiting Faculty bi-annual event

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Yesterday CoPMRE welcomed 30 colleagues to our Visiting Faculty bi-annual event showcasing the exciting medical developments at BU from the new Bournemouth Gateway Building to the Institute of Medical Imaging and Visualisation. The key priorities to support delivery of BU2025 were presented by Dr Clare Wedderburn, Interim Head of Department of Medicine & Public Health presented.  Juan Campos-Perez, Clinical Research Co-ordinator, BUCRU spoke about Biobanks which were highlighted in Professor Emma King’s research presentation on immunotherapy.  Professor Jeffrey Wale, Lecturer in Law encouraged innovative medical cross faculty collaboration demonstrated by his recent research collaboration with Professor Sam Rowlands, Visiting Professor resulting in four co-authored papers. The main focus of the meeting centred around Visiting Faculty engagement in research and education to help us achieve our aims.  The audience reported that they were ‘very excited’ about these new developments at BU and were keen to support this vision.

CMMPH represented at The European Midwives Association (EMA) conference

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EMA held its 6th triennial education conference in Malmo, Sweden from the 28-29 November 2019. Dr. Luisa Cescutti-Butler and Professor Sue Way had three abstracts accepted, two of which highlighted units of learning in our midwifery undergraduate programme (Evaluating the student experience of introducing newborn infant physical theory into a pre-registration midwifery programme in the UK and An evaluation of the student experience of peer facilitated learning) and a further one which was focused on a national collaborative project on grading practice (Developing a set of key principles to achieve consistency in assessing pre-registration midwifery competency in practice in the UK). The opening keynote speaker at the EMA Conference was Fran McConville – Midwifery Expert at WHO.  Fran presented on ‘Strengthening Quality Midwifery Education for Universal Health Coverage 2030’. Our takeaway message from her presentation was the following important statement: “When midwives are educated to international standards, and midwifery includes the provision of family planning……more than 80% of all maternal deaths, stillbirths and neonatal deaths could be averted”.

On the social side we were privileged to a hear a woman from the Sammi tribe in Sweden sing three traditional songs and a tradition adopted from Syracuse in Sicily which was the ‘Santa Lucia’ group of singers celebrating the start of Christmas who sang  Xmas Carols in Swedish. We were also able to network with some significant and contemporary midwifery leaders such as Gill Walton (CEO of the Royal College of Midwives), Fran McConville (WHO) and Grace Thomas, Reader and Lead Midwife for Education (Cardiff University).

BU professor visiting University of West Bohemia

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The University of West Bohemia in Pilsen (Plzeň in the Czech Republic) invited Bournemouth University’s Professor Edwin van Teijlingen for an academic exchange visit with BU Visiting Faculty Ms Jillian Ireland (Professional Midwifery Advocate at Poole Maternity Hospital) .  Yesterday he presented a session about academic publishing to staff and students in the health faculty.  This afternoon his audience comprised sociology students in a session on ‘The medical/social model of childbirth’.  The two guests from Dorset were also shown round the obstetric wards of the two main maternity hospitals in the city of Pilsen.  The international visit was funded by the European Union!

Ms Ireland has shared two presentations with student midwives and staff sharing the development of maternity services in partnership with families in Dorset using the ‘Maternity Matters’ website (developed as early adopters of ‘Better Births’ –  Improving outcomes of maternity services in England – A five year forward view for maternity care). A particular focus on birth trauma was complemented with discussion of care and self-care of midwives. 

Powerless Responsibility: A feminist study exploring women’s experiences of caring for their late preterm babies

BU research, NHS, Women's Academic Network, writing

A new publication by Dr. Luisa Cescutti-Butler (FHSS) and her co-authors (Professor A Hemingway & Dr. J. Hewitt-Taylor) which explores women’s experiences of caring for a late preterm baby using feminism as a research methodology has just been published in the Australian Women and Birth Journal (October 2019). Her research found that women who become mothers’ of late preterm babies have a complex journey. It begins with separation, with babies being cared for in unfamiliar and highly technical environments where the perceived experts are healthcare professionals. Women’s needs are side-lined, and they are required to care for their babies within parameters determined by others. Institutional and professional barriers to mothering/caring are numerous. For example: some of the women who were separated from their babies immediately after birth had difficulties conceiving themselves as mothers, and others faced restrictions when trying to access their babies. Women described care that was centred on their babies. They were allowed and expected to care for their babies, but only with ‘powerless responsibility’. Many women appeared to be excluded from decisions and were not always provided with full information about their babies. The research concludes by recommending that women whose babies are born late preterm would benefit from greater consideration in relation to their needs, rather than the focus being almost exclusively on their babies.

Luisa is Senior Lecturer in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and Lead for Examination of the Newborn in the Faculty of Health & Social Sciences. If you would like any further information please email Luisa on lcbutler@bournemouth.ac.uk

References: 

Cescutti-Butler, L.D. Hewitt-Taylor, J. and Hemingway, A., 2019. Powerless responsibility: A feminist study of women’s experiences of caring for their late preterm babies. Women and Birth, DOI: https://doi.org/10.1016/j.wombi.2019.08.006

Cescutti-Butler, L.D., Hemingway, A., and Hewitt-Taylor, J., 2018. “His tummy’s only tiny” – Scientific feeding advice versus women’s knowledge. Women’s experiences of feeding their late preterm babies. Midwifery, DOI:  https://doi.org/10.1016/j.midw.2018.11.001

Successful Introduction to Research Day at BU

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Yesterday Dorset Healthcare University NHS Foundation Trust held an away day for its clinical staff to learn more about health research.  The event was hosted by the Faculty of Health & Social Sciences on its Lansdowne Campus.  The organiser, Dr. Ciarán Newell, a Consultant Nurse Eating Disorders as well as Dorset Healthcare’s Facilitator for Research and Development organised the event to increase research collaborations between Dorset Healthcare and Bournemouth University. 

Our guests were offered a very varied programme with many FHSS staff (as well as one of our Psychology colleagues) presenting their own research or research-related services available at the university.  We hope this event will lead to further fruitful collaborations between the NHS and the university in the near future.

TIME SESSION FACILITATOR
9.30am Welcome Dr. Ciarán Newell
9.40am What research means to me: Patient Research Ambassador (PRA) Anna Glanville-Hearson
10.10am Health & Social Care Research at BU: overview

·        Strategic Investment Areas

·        Departments / Research Centres

 Prof. Edwin van Teijlingen
10.30am Research at Dorset HealthCare University NHS Trust: an overview Dr Paul Walters   Clinical Lead, R&D
10.50am Research Design Service & BU Research Support Prof. Peter Thomas
11.00am COFFEE BREAK
11.15am Mixed-methods & qualitative research Prof. Edwin van Teijlingen
11.30am What Bournemouth University Library can offer Caspian Dugdale
11.50am Postgraduate Studies at BU Dr. Sharon Docherty
12.20am Research into health of BAME communities Dr. Bibha Simkhada
12.30pm LUNCH
1.30pm Trust Research & Development team: how can we help you with your research? Dr. Ciarán Newell, Facilitator, R&D

Irene Bishton, Lead Research Nurse
2.15pm

2.25pm

2.35pm

 Research into: Nutrition/Dementia/Ageing

Pain research

Smoking cessation & baby dolls

 Prof. Jane Murphy

Dr. Carol Clark

Dr. Humaira Hussain
2.45pm TEA BREAK
3.00pm Clinical Academic Support (links to Wessex) Prof Vanora Hundley
3.15pm Academic Writing & Publishing Prof Edwin van Teijlingen
4.15pm Psychology: Mental health research Dr. Andy Mayers
4.30pm Close – Questions & Answers Prof. Edwin van Teijlingen / All

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

BMC blog on latest HSS paper

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Dr. Rachel Arnold’s recent paper in BMC Pregnancy & Childbirth was highlighted in a blog promoted by the publisher.  The paper ‘Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care‘ reports on the everyday lives of maternal healthcare providers working in a tertiary maternity hospital in Kabul, Afghanistan (1). BMC Pregnancy & Childbirth is an Open Access journal so the paper is available free of charge to anybody in Afghanistan (and elsewhere) with an internet connection.  The aim was to understand the staff’s notions of care, their varying levels of commitment to providing care for women in childbirth, and the obstacles and dilemmas that affected standards, and thereby gain insight into their contributions to respectful maternity care, whether as ‘villains’ or as ‘victims.’

Dr. Arnold is Postdoctoral Midwifery Researcher in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).  This is the third paper from Rachel’s excellent PhD project, the previous two papers appeared in BJOG and Social Science & Medicine (2-3).

Click here for BMC Blog post:

Villains or victims? The role of maternity staff in decreasing or enhancing respectful care

Reference:

  1. Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2019) Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care, BMC Pregnancy & Childbirth 19 :307 https://rdcu.be/bPqlj
  2. Arnold R., van Teijlingen E, Ryan K., Holloway I. (2015) Understanding Afghan health care providers: Qualitative study of culture of care in Kabul maternity hospital, BJOG 122: 260-267.
  3. Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2018) Parallel worlds: an ethnography of care in an Afghan maternity hospital, Social Science & Medicine 126:33-40.

 

Promoting Nursing CPD in Nepal

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Bournemouth University facilitated a Strategic planning meeting to develop a Continuing Professional Development (CPD) Framework for Nepal last week in Kathmandu. The planning meeting was held on 30th July 2019 at the Institute of Medicine IOM Maharajgunj Nursing Campus.  Midwifery is not formally recognised in Nepal, i.e. as a profession separate from nursing, therefore when refer to nursing CPD in this blog we mean both ‘nurses’ and ‘nurse-midwives’.

Bournemouth University is collaborating in this project with Liverpool John Moores University (LJMU) in the UK, the IOM Nursing Campus, the Nursing Association of Nepal (NAN), MIDSON, the Nepal Nursing Council (NNC) and several other key stakeholders in Nepal to support nursing regulatory bodies to establish mandatory CPD and/or post-registration training programmes relevant to their current practice in nursing. 

The Bournemouth team (led by Dr. Bibha Simkhada with Prof. Edwin van Teijlingen and Dr.Pramod Regmi) argued that CPD offers nurses the opportunity to maintain, improve and broaden knowledge, expertise and develop their personal and professional qualities to enhance practice and career development. Nepal has had limited process and progress in ensuring CPD for nurses and the uptake of post-registration education and training  programmes or CPD tends to be ad hoc.  Generally, CPD in Nepal remains under-developed as showing evidence of having received CPD is not currently a requirement of nurses when they re-register every five year.

This project is a good example of a BU FUSION project as our earlier Research in the form of a needs assessment will to the introduction of CPD which is of course, post-registration Education in nursing, helping to improve Practice in a low-income country.  We think we have had at least some impact on nursing in Nepal as the general feeling of our strategic planning meeting positive towards introducing CPD in the near future in Nepal.

 

 

New CMMPH publication on health promotion in post-earthquake Nepal

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Today saw the publication of a new paper from an international research team from the UK, Japan and Nepal.  Our research article ‘Assessing knowledge and behavioural changes on maternal and newborn health among mothers following post-earthquake health promotion in Nepal’ has been published in the Open Access journal PLoS ONE [1]. 

The paper reminds us that natural disasters often disrupt health systems affecting the whole population, but especially vulnerable people such as pregnant women, new mothers and their babies. Despite the global progress in maternal, newborn and child health (MNCH) programmes over the years, emergency responses after a disaster are often poor. Post-disaster health promotion could play an important role in improving MNCH outcomes. However, evidence remains limited on the effect of post disaster health promotion activities in low-income countries such as Nepal.

The paper reports on an post-disaster intervention study aimed at women in Nepal following the 2015 earthquake. In total, 364 mothers were recruited in the pre-intervention group and 377 in the post-intervention group. The post-intervention group was more likely to have knowledge of at least three danger signs in pregnancy (AOR [Adjusted Odds Ratio] = 2.96, P<0.001), at least three danger signs in childbirth (AOR = 3.8, P<0.001), and at least five danger signs in newborns (AOR = 1.56, P<0.001) compared to the pre-intervention group. The mothers in the post-intervention group were also more likely to ever attend ANC (AOR = 7.18, P<0.001), attend a minimum of four ANC sessions (AOR = 5.09, P<0.001), and have institutional deliveries (AOR = 2.56, P<0.001).

Religious minority groups were less likely to have knowledge of all danger signs compared to the majority Hindu group. Mothers from poorer households were also less likely to attend four ANC sessions. Mothers with higher education were more likely to have knowledge of all the danger signs. Mothers whose husbands had achieved higher education were also more likely to have knowledge of danger signs and have institutional deliveries.  The paper concludes that the health promotion intervention helped the disaster-affected mothers in improving the knowledge and behaviours related to MNCH. However, the authors also comment that vulnerable populations need more support to benefit from such intervention.

 

Reference:

Dhital R, Silwal RC, Simkhada P, van Teijlingen E, Jimba M (2019) Assessing knowledge and behavioural changes on maternal and newborn health among mothers following post-earthquake health promotion in Nepal. PLoS ONE 14(7): e0220191. https://doi.org/10.1371/journal.pone.0220191

Dr. Rachel Arnold’s first paper as BU staff

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Congratulations to Dr. Rachel Arnold in the Centre for Midwifery, Maternal & Perinatal Health who had her first paper accepted since she started working at BU two months ago. Her paper ‘Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care’ is co-authored with her former PhD supervisors Professor Kath Ryan (BU Visiting Faculy), Professor Emerita Immy Holloway and CMMPH’s Professor Edwin van Teijlingen [1].  The paper is Open Access funded by Bournemouth University’s Open Access Fund which will help promote the visibility of the paper before REF 2021.

I was tempted to head this blog ‘Dr. Arnold only two months at BU and first paper published’, but I decide this would perhaps send the wrong message to other new BU staff.  Rachel completed her PhD in CMMPH and this is paper is the third publication from her thesis.  The other academic publications by Dr. Arnold on Afghanistan have been in BJOG and Social Science & Medicine [2-3].

 

References:

  1. Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2019) Villains or victims? An ethnography of Afghan maternity staff and the challenge of high quality respectful care ,     BMC Pregnancy and Childbirth (accepted).
  2. Arnold R., van Teijlingen E, Ryan K., Holloway I. (2015) Understanding Afghan health care providers: Qualitative study of culture of care in Kabul maternity hospital, BJOG 122: 260-267.
  3. Arnold, R., van Teijlingen, E., Ryan, K., Holloway, I. (2018) Parallel worlds: an ethnography of care in an Afghan maternity hospital, Social Science & Medicine 126:33-40.

Congratulations to PhD student Alice Ladur

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FHSS PhD student Alice Ladur has been awarded a small but very competitive grant by FfWG, the Funds for Women Graduates.  FfWG is the trading name of the BFWG Charitable Foundation and the BFWG (British Federation of Women Graduates), which is affiliated to the International Federation of University Women.

Alice is based in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).  Her PhD research in Uganda is supervised by Prof. Vanora Hundley and Prof. Edwin van Teijlingen. Her thesis research has already resulted in an academic paper published in the international journal BMC Pregnancy & Childbirth, which Open Access.

New BU cross-faculty publication

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This week Evidence-Based Midwifery published the latest article from the BU team working on the portrayal of midwifery and maternity in the media.  This qualitative paper ‘Changing the narrative around childbirth: whose responsibility is it?’ is co-authored by a multidisciplinary team including the disciplines of Midwifery, Sociology and Media.[1]  The lead author is Prof. Vanora Hundley in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), one of longest established centres at BU, her co-authors are Dr. Ann Luce in the Faculty of Media & Communication, Prof. Edwin van Teijlingen director of CMMPH and Sophie Edlund, who was based at BU at the time of the research but who is now at Malmö University in Sweden.

The paper addresses societal’s interest in all aspects of childbirth, which is reflected in both social and traditional media. Stories often focus on dramatic, risky and mostly unrealistic events; misrepresenting childbirth and maternity care professionals. The authors raised the question: “Whose responsibility is it to ensure accurate representations of childbirth?”   Using semi-structured in-depth interviews with ten midwives working in the UK some working in the NHS, some in Higher Education or independent practice, the authors distilled four separate but inter-related themes:

(1) not my responsibility;

(2) fear of retribution;

(3) power balance; and

(4) social media.

The themes sat within two wider societal issues that reflect the current challenges for midwifery, these were (a) the ongoing battle between the social and the medical models of childbirth and (b) the impact of gender.  Finding that midwives fear the media resonates with experiences from a number of countries and professional groups. There is a need to change media discourse in both fictional and factual representations of childbirth and midwives have a critical role to play in this, but to do this they need to equip themselves with the skills necessary to engage with the media. Guidelines on responsible media reporting could ensure that media producers portray pregnancy, midwifery and maternity care as naturally as possible.

This paper is paper of a growing body of interdisciplinary research at BU across faculties, which had already resulted in six earlier publications. [2-7]  In addition last month Dr Chapleo from the Faculty of Management submitted a grant application to the ESRC under the title ‘Rebranding childbirth: understanding the role of marketing in influencing uptake of health services’, a joint application with CMMPH staff (Profs. Hundley & van Teijlingen) and the Media School (Dr. Luce).

 

References:

  1. Hundley, V., Luce, A., van Teijlingen, E., Edlund, S. (2019) Changing the narrative around childbirth: whose responsibility is it? Evidence-based Midwifery 17(2): 47-52.
  2. Luce, A., Cash, M., Hundley, V., Cheyne, H., van Teijlingen, E., Angell, C. (2016) “Is it realistic?” the portrayal of pregnancy and childbirth in the media BMC Pregnancy & Childbirth 16: 40 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0827-x
  3. van Teijlingen, E., Simkhada, P., Luce, A., Hundley, V. (2016) Media, Health & Health Promotion in Nepal, Journal of Manmohan Memorial Institute of Health Sciences 2(1): 70-75. http://www.nepjol.info/index.php/JMMIHS/article/view/15799/12744
  4. Luce, A., Hundley, V., van Teijlingen, E. (Eds.) (2017) Midwifery, Childbirth and the Media, London: Palgrave Macmillan.
  5. 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.
  6. Hundley, V., Luce, A., van Teijlingen, E. (2015) Do midwives need to be more media savvy? MIDIRS Midwifery Digest 25(1):5-10.
  7. van Teijlingen, E., De Vries, R., Luce, A., Hundley, V. (2017) Meer bemoeien met media (In Dutch: more engagement with media). Tijdschrift voor Verloskundigen (in Dutch: Journal for Midwives), 41 (6):28-29.

Key role of volunteers in the health system

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This week saw the publication of ‘Perceived barriers to accessing Female Community Health Volunteers’ (FCHV) services among ethnic minority women in Nepal: A qualitative study’ [1].  This article in the Open Access journal PLoS ONE highlights the key role volunteers play in delivering health services to minorities/the poorest people, especially in low-income countries like Nepal.

This paper studies community health workers in Nepal, who are known as Female Community Health Volunteers (FCHVs). To address this issue, we conducted a qualitative study to explore perceived barriers to accessing maternal and child healthcare services among ethnic minority groups in two different parts of Nepal with varying degrees of access to local healthcare centres. Semi-structured interviews were conducted with twenty FCHVs, 26 women service users and 11 paid local health workers. In addition, 15 FCHVs participated in four focus group discussions.

A thematic analysis of the data identified five major themes underlying barriers to accessing available maternal and child healthcare services by ethnic minority groups. These themes include: a) lack of knowledge among service users; b) lack of trust in volunteers; c) traditional beliefs and healthcare practices; d) low decision-making power of women; and e) perceived indignities experienced when using health centres.  The paper concluded that community health programmes should focus on increasing awareness of healthcare services among ethnic minority groups, and the programmes should involve family members (husband and mothers-in-law) and traditional health practitioners. Both the FCHVs and local healthcare providers should be trained to communicate effectively in order to deliver respectful care among ethnic minorities if we want to achieve universal healthcare coverage for maternal and child health in low- and -middle income countries.

The paper is based on the PhD research conducted by Dr. Sarita Panday in ScHARR at the University of Sheffield.  Dr. Panday is currently affiliated with the Walter H. Shorenstein Asia-Pacific Research Centre (APARC) at Stanford University in the USA.  Her co-authors are Prof. Paul Bissell at the University of Huddersfield, FHSS’s Visiting Prof. Padam Simkhada at the Liverpool John Moores University and BU Prof. Edwin van Teijlingen.  This is the second paper from Dr. Panday’s excellent thesis, the first paper was also published in an Open Access journal BMC Health Services Research [2].

 

References:

  1. Panday S, Bissell P, van Teijlingen E, Simkhada P (2019) Perceived barriers to accessing Female Community Health Volunteers’ (FCHV) services among ethnic minority women in Nepal: A qualitative study. PLoS ONE 14(6): e0217070.
  2. Panday S, Bissell P, van Teijlingen E, Simkhada P (2017) The contribution of female community health volunteers (FCHVs) to maternity care in Nepal: a qualitative study. BMC Health Services Research 17(1):623.