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.
Tagged / midwifery
CMMPH represented at The European Midwives Association (EMA) conference
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
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
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


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
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:
- 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
- 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.
- 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.
BU Writing & Publishing Workshops in Kathmandu
This past week Prof. Edwin van Teijlingen from the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) presented several workshops on academic writing and scientific publishing to BU’s partners in Nepal. He presented at Nepal’s oldest and largest university Tribhuvan University (TU) on Wednesday. The Faculty of Education had made the effort to produce a personalised banner for Edwin. Prof. Bhimsen Devkota, who invited him to run this workshop, was his PhD student many years ago at the University of Aberdeen
The next day he visited Manmohan Memorial Institute of Health Sciences (MMIHS) which has a Memorandum of Agreement with BU, which was signed by Prof. Tee in early 2018 (see BU Research Blog). At MMIHS the audience that day consisted mostly of Master of Public Health students. Edwin recently celebrated his ten-years of being Visiting Professor at MMIHS.
Yesterday he had the honour of running a workshop at BNMT (Birat Nepal Medical Trust), affiliated with the Britain Nepal Medical Trust which started working in Nepal more than fifty years ago in 1967. The audience at BNMT was smaller and this allowed for loads of fruitful discussions.
These workshops are part of BU capacity building approach for health workers, development workers, health students and researchers in Nepal. Writing with colleagues in the Faculty of Health & Social Sciences, and various UK universities, including with Visiting Faculty based at Liverpool John Moores University (LJMU) and University of Exeter Medical School (UEMS) as well as Visiting Faculty at NHS Poole Foundation Hospital and Hamad General Hospital (Qatar) the BU team as published 12 papers on aspects of academic writing and/or publishing [1-12].
References
- van Teijlingen, E, Hundley, V. (2002) Getting your paper to the right journal: a case study of an academic paper, J Advanced Nurs 37(6): 506-11.
- Pitchforth, E, Porter M, Teijlingen van E, Keenan Forrest, K. (2005) Writing up & presenting qualitative research in family planning & reproductive health care, J Fam Plann Reprod Health Care 31(2): 132-135.
- van Teijlingen, E, Simkhada, PP, Rizyal A (2012) Submitting a paper to an academic peer-reviewed journal, where to start? (Guest Editorial) Health Renaissance 10(1): 1-4.
- van Teijlingen, E, Simkhada. PP, Simkhada, B, Ireland J. (2012) The long & winding road to publication, Nepal J Epidemiol 2(4): 213-215 http://nepjol.info/index.php/NJE/article/view/7093/6388
- Hundley, V, van Teijlingen, E, Simkhada, P (2013) Academic authorship: who, why and in what order? Health Renaissance 11(2):98-101 www.healthrenaissance.org.np/uploads/Download/vol-11-2/Page_99_101_Editorial.pdf
- Simkhada, P., van Teijlingen E., Hundley, V., Simkhada, BD. (2013) Writing an Abstract for a Scientific Conference, Kathmandu Univ Med J 11(3): 262-65. http://www.kumj.com.np/issue/43/262-265.pdf
- Simkhada P, van Teijlingen E, Hundley V. (2013) Writing an academic paper for publication, Health Renaissance 11(1):1-5. www.healthrenaissance.org.np/uploads/Pp_1_5_Guest_Editorial.pdf
- van Teijlingen, E., Ireland, J., Hundley, V., Simkhada, P., Sathian, B. (2014) Finding the right title for your article: Advice for academic authors, Nepal J Epidemiol 4(1): 344-347.
- van Teijlingen E., Hundley, V., Bick, D. (2014) Who should be an author on your academic paper? Midwifery 30: 385-386.
- Hall, J., Hundley, V., van Teijlingen, E. (2015) The journal editor: friend or foe? Women & Birth 28(2): e26-e29.
- Sathian, B., Simkhada, P., van Teijlingen, E., Roy, B, Banerjee, I. (2016) Grant writing for innovative medical research: Time to rethink. Med Sci 4(3):332-33.
- Pradhan, AK, van Teijlingen, ER. (2017) Predatory publishing: a great concern for authors, Med Sci 5(4): 43.
Not all fieldwork goes to plan
Hardly ever does a research trip go smoothly and completely to plan. Our latest trip to Nepal was no different. It started really with a delay, I had the money for a flight in the spring, but I really could not find the time to leave Bournemouth University for a three-week trip.
The first little hiccup of this summer’s fieldwork trip, during the monsoon, occurred on arrival at Kathmandu Airport on 23 July. I normally bring three bottles of whisky as a present for my PhD former students and fellow researchers in Nepal. These are bought during my stop-over in the Middle East and this always worked well until this year. This time I was stopped on arrival by a very apologetic customs officer who informed me that the rules for bringing alcohol into Nepal had changed since the beginning of this year and that I could only bring in one bottle. I received a lovely certificate for the two bottles I had to leave behind (see photo).
The second little hiccup was that one of the three research dissemination meetings we had hoped to organise in Kathmandu could not take place. Unfortunately, the organisation we had been collaborating with had not managed to finalise the research report on time. We had also hoped to meet up with staff at Social Science Baha. We have submitted the final draft manuscript for our next book to them and wanted to discuss progress, but the director was unfortunately out of the country.
Further little hiccups were more mundane, such as the electricity going off twice (for perhaps five minutes each time) during one of my teaching sessions on Introduction to Qualitative Research. This meant trying to start a slow laptop as back-up, whilst restarting a still warm overhead projector, etc. But the Nepali audience, being used this, took it all in its stride. And I’ll spare you the details of my day of diarrhoea (either weather or food-hygiene related, probably both).
The biggest problem this time was much more unexpected. Two days ago there was a big fire not too far from in Kathmandu (see picture taken from my bed room). A little later after the photo was taken, we got stuck in traffic because several roads were blocked around the burning building on our way to Tribhuvan University. Later I found out that the fire had destroyed the head office of a national internet provider, which is also the provider for the charity Green Tara Nepal, which we are working with. So I have had hardly any internet for a few days which is really difficult for a 21st century academic.

However, this fieldwork trip has been very successful to date. We have co-organised two well attended meetings, one on the introduction of CPD in Nursing led by Dr. Bibha Simkhada (see previous BU blog here) and one Consultation meeting on migration and health research led by Dr. Pramod Regmi, both run in collaboration with BU’s Visiting Professor Padam Simkhada. Moreover, I was invited to speak at an international sociology conference last Sunday here in Kathmandu which I did not even know was going on till two days before. I had to pleasure of meeting our midwifery friends in Nepal as well as a representative of the German Aid Agency GIZ. We managed to have dinner in Kathmandu with loads of colleagues and friends who work with BU in one form or another, including one of my recent co-authors from the University of Tokyo who happened to be in Nepal.
Prof. Edwin van Teijlingen
CMMPH
CMMPH presents at Nepal Sociological Association in Kathmandu


Prof. van Teijlingen outlined the notion of the social-medical model [1-5] and linked it to recent developments in Nepal, including the introduction of midwifery education (i.e. midwifery separately from nursing) something tat has been advocated for a long time [6] and the rising Caesarean Section rate in Nepal, especially in hospitals in the capital [7].
References:
- van Teijlingen, E. (2017) The medical and social model of childbirth, Kontakt 19 (2): e73-e74
- 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.
- Ireland, J., van Teijlingen, E. (2013) Normal birth: social-medical model, Practising Midwife 16 (11): 17-20.
- van Teijlingen E. (2005) A critical analysis of the medical model as used in the study of pregnancy and childbirth, Sociol Res Online, 10 (2) Web address: http://www.socresonline.org.uk/10/2/teijlingen.html
- Nieuwenhuijze, M., van Teijlingen, E., MacKenzie Bryers, H. (2019) Denken in risico’s: niet zonder risico?! (in Dutch: Thinking in terms of risk is not without its risks), Nederlands Tijdschrift voor Verloskundigen (in Dutch: Journal for Midwives), (forthcoming)
- 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
- Dhakal-Rai, S., Regmi, P.R., van Teijlingen, E., Wood, J., Dangal, G., Dhakal, K.B. (2018) Rising Rate of Caesarean Section in Urban Nepal, Journal of Nepal Health Research Council 16(41): 479-80.
BU CILVRS Project presented at Parliament
Denyse King from the Centre of Midwifery, Maternal & Perinatal (CMMPH) recently presented her CILVRS Project at a Parliamentary event. The CILVRS Project is a Virtual Reality Learning Environment (VRLE) to improve healthcare education. Denyse presented this at the Further Education for Leadership symposium on Ed-Tech at Parliament on July 17th 2019. She introduced a VRLE on ‘safeguarding’ to share with delegates there who then experienced the VRLE through immersion with Oculus Quest headsets. The response from symposium delegates to the VRLE was overwhelmingly positive and with excellent discussions regarding the possible content of future VRLEs. Denyse has written this VRLE content as part of her role as a lecturer in midwifery. This was subsequently built to her specifications by a company called Daden Ltd. The VRLE are designed to be profession generic and topic specific, which ensures that the majority of healthcare students can use each VRLE. Denyse King is sitting on the far right of the table of experts for the Further Education Trust for Leadership (photo).
VRLEs offer healthcare students access learning materials in ways which enhance their student experience. Use of VRLE mean Bournemouth University can offer students clinical experiences which cannot otherwise be guaranteed as routine part of their healthcare education. In addition to this, Continuous Practice Development (CPD) is a requirement of the Nursing and Midwifery Council [1-2] and the World Health Organization (WHO) [3] have highlighted that learners globally have limited access to Higher Education. The WHO also state that educators internationally lack skills and necessary equipment as well as a lack of access to practical skills teaching. Therefore, VRLE also have a place in offering realistic clinical experiences for CPD nationally and internationally. One example of the latter would be through Bournemouth University a close working relationships in Nepal: (1) where midwifery students can also benefit; or (2) in the development of CPD in nursing and midwifery in Nepal as recently presented on the BU Research Blog (click here).


The response from symposium delegates to the VRLE was overwhelmingly positive and with excellent discussions regarding the possible content of future VRLEs. Denyse is very active in this field. She has created a VRLE for urinalysis training as well as three VRLE related to safeguarding (which are nearly complete) as part of the CILVRS Project. She is developing further VRLEs I: two for perinatal mental health which I am creating in collaboration with University of Newcastle (Australia), Solent NHS Trust and Portsmouth Hospitals NHS Trust. Some of this is being trialled within the BU midwifery programme in the forth coming year 2019/2020, and this exciting work is part of her doctorate research: Towards more holistic clinical practice: exploring the impact of virtual reality learning environments on healthcare education.
Congratulations!
Prof. Edwin van Teijlingen
CMMPH
References:
- NMC 2018a. Standards for competence for registered midwives. London: NMC
- NMC 2018b. Future Nurse: Standards of proficiency for registered nurses. London: NMC
- World Health Organization (WHO), United Nations Population Fund (UNPF), UNICEF, and International Confederation of Midwives (ICM). 2019. Framework for Action: Strengthening Quality Midwifery Education for Universal Health Coverage 2030. Geneva: WHO.
Promoting Nursing CPD in Nepal
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.


New CMMPH publication on health promotion in post-earthquake Nepal
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


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:
- 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).
- 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.
- 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
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.
CMMPH: “On paper you’re my type”
BU is going through a process of re-commissioning its research centres this month. Existing centres, like ours CMMPH (the Centre for Midwifery, Maternal & Perinatal Health) were required to submit evidence of their contribution to BU’s research capacity to deliver our strategic plan BU2025.
This process was an interesting stock-take exercise and offered an opportunity to reflect on our successes. Our friends and associates will be aware of some of our work through our collaborations, joint publications, posts on BU’s award-winning Research Blog as well as our newsletter three times a year. The phrase commonly heard on the television programme Love Island, “You’re my type on paper”, reflects the notion here that a description on paper never quite reflects reality. The same goes for the research centre description of CMMPH, on a structured application form some of the subtle success can be overlooked. First of all, being a research centre is the main function of CMMPH, but certainly not the only one.
CMMPH is much more a university centre in the sense of FUSION, bringing together and creating a synergetic effect between research, Education and Practice. This FUSION enables research to be meaningful and has the ability to impact on the student experience through education as well as ‘real life’ issues and challenges in midwifery practice. This notion of being more than a research centre is reflected in our newsletters which always have sections on Research, Education and Practice.
To highlight this synergetic effect of being a properly fused centre, CMMPH has built a reputation for developing innovative student-led clinics: i) Student Midwife integrated Learning Environment (SMiLE) postnatal clinic in collaboration with Portsmouth NHS Trust; and ii) Newborn infant feeding clinic, in collaboration with the AECC University College. These clinics are underpinned by a growing body of evidence (=Research) from studies undertaken within CMMPH, which identifies their effectiveness in terms of a unique learning environment (=Education) to offer women better maternity care (=Practice). Both student-led clinics are being evaluated by PhD students at BU, one being match-funded with Portsmouth Hospitals NHS Trust and the other a self-funded chiropractic student.
On a different note, in the past four years our academics have been involved in organising five international conferences. CMMPH held two, high profile, international conferences focusing on research in midwifery education (2015, 2018); it organised the BNAC (British-Nepal Academic Council) conference at Bournemouth University in April 2017 (https://blogs.bournemouth.ac.uk/research/2017/03/24/nepal-conference-at-bu/ and CMMPH staff co-organised a conference in India on Mixed-Methods Research at the Mahatma Gandhi University (2019), and an education conference in Nepal (2018). Prof. Steve Tee, FHSS Executive Dean and National Teaching Fellow, gave a key note speech at the 2018 International Conference on ‘Challenges and Prospects of Quality Education in Nepal in Federalism Era in Nepal’.

Research team includes Ann Luce, Marilyn Cash, Vanora Hundley, Helen Cheyne, Edwin van Teijlingen and Catherine Angell
CMMPH was on the BU Research Blog this week celebrating its latest media and midwifery publication (to see click here!). This paper is paper of a growing body of interdisciplinary research at BU across faculties and across the UK (see photo left). In addition last month Dr. Chris 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 (Hundley & van Teijlingen) and Dr. Ann Luce in the Faculty of Media & Communication.
CMMPH is internationally recognised for its midwifery and maternity care research, education and publications. It has strong international links which includes active partnership agreements (MoA) with the University of Ljubljana in Slovenia, Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal and University of Texas Health Science Centre, School of Nursing in the USA.
Did I mention that CMMPH academics sit on the editorial boards of (or are editors of) all top four world-leading midwifery research journals: Birth, Midwifery, Women and Birth and BMC Pregnancy & Childbirth. Not only is this unique in the UK, as no other midwifery research group can claim this, it is also unique at BU as no other research centre can claim this kind of global coverage! And, last but not least CMMPH staff can claim to have written the eighth most quoted article in the international journal Midwifery (out if 2,626 published papers over the past 35 years).
All in all, on paper, 100% a centre to be proud of.
Prof. Edwin van Teijlingen
CMMPH
New BU cross-faculty publication
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:
- 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.
- 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
- 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
- Luce, A., Hundley, V., van Teijlingen, E. (Eds.) (2017) Midwifery, Childbirth and the Media, London: Palgrave Macmillan.
- 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.
- Hundley, V., Luce, A., van Teijlingen, E. (2015) Do midwives need to be more media savvy? MIDIRS Midwifery Digest 25(1):5-10.
- 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.
Social\medical model of childbirth presented at Dorset RCM conference


Edwin will be sharing a platform with two Bournemouth University Visiting Faculty, both based at Poole Hospital NHS Foundation Trust: Prof. Minesh Khashu, Consultant Neonatologist and Clinical Director Wessex Maternity Children and Young People Clinical Network and Ms. Jillian Ireland, Professional Midwifery Advocate.
References:
- Brailey, S., Luyben, A., Firth, L., van Teijlingen, E. (2017) Women, midwives and a medical model of maternity care in Switzerland, Int J Childbirth 7(3): 117-125.
- van Teijlingen, E. (2017) The medical and social model of childbirth, Kontakt 19 (2): e73-e74
- 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.
- Ireland, J., van Teijlingen, E. (2013) Normal birth: social-medical model, Practising Midwife 16 (11): 17-20.
- van Teijlingen E. (2005) A critical analysis of the medical model as used in the study of pregnancy and childbirth, Sociol Res Online, 10 (2) Web address: http://www.socresonline.org.uk/10/2/teijlingen.html
- Nieuwenhuijze, M., van Teijlingen, E., MacKenzie Bryers, H. (2019) Denken in risico’s: niet zonder risico?! (in Dutch: Thinking in terms of risk is not without its risks), Nederlands Tijdschrift voor Verloskundigen (in Dutch: Journal for Midwives), (forthcoming).
- 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
- 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
- Luce, A., Hundley, V., van Teijlingen, E. (Eds.) (2017) Midwifery, Childbirth and the Media, London: Palgrave Macmillan.
- Hundley, V., Luce, A., van Teijlingen, E., Edlund, S. (2019) Changing the narrative around childbirth: whose responsibility is it? Evidence-based Midwifery (forthcoming).
- 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.
- Hundley, V., Luce, A., van Teijlingen, E. (2015) Do midwives need to be more media savvy? MIDIRS Midwifery Digest 25(1):5-10.
- 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
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:
- 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.
- 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.