Tagged / Prof. Vanora Hundley

Another BU Impact Case Study

In 2018 BU researchers Dr. Jenny Hall and Prof. Vanora Hundley in the Centre for Midwifery, Maternal & Perinal Health (CMMPH) published a paper on disabled women and maternity care.  This scientific paper was co-authored with Ms. Jillian Ireland, Professional Midwifery Advocate in University Hospitals Dorset NHS Foundation Trust and BU Visiting Faculty, and Dr. Bethan Collins at the University of Liverpool (and former BU staff member).  Their paper ‘Dignity and respect during pregnancy and childbirth: a survey of the experience of disabled women’ appeared in the Open Access journal BMC Pregnancy & Childbirth and was commissioned by the charity Birthrights.   The study shows that disabled women are generally not receiving the individualised care and support they that they need to make choices about their maternity care.   At the time of publication this BU paper was picked up by various media, including in South Africa.

The study resulted in change in St Mary’s Maternity Hospital in Poole (as part of maternity care provision by University Hospitals Dorset NHS Foundation Trust).  One of the innovations at Poole Maternity Hospital was  supporting a woman to give birth in hospital with her assistance dog by her side to help ease her anxiety.

This story was picked up by several newspapers including the local Bournemouth Echo under the heading ‘Dog to accompany Poole dog handler as she gives birth‘, and by several national newspapers last week when the The Guardian published ‘UK woman has baby in hospital with ‘birth dog’ by her side‘, The Times printed Baby safely delivered, with a little help from woman’s best friend‘, whilst the online news website Big World Tale used the headline: ‘Woman, 24, gives birth in hospital with a DOG as ‘medical aid”.

 

Universities are always on the look out for impact generated by its research.  This seems a clear example of joint research between BU and University Hospitals Dorset NHS Foundation Trust staff resulting in innovations in practice.

 

Congratulations to all involved!

Prof. Edwin van Teijlingen

CMMPH

This Sunday is a midwifery day

Today Sunday 21st November was a midwifery dominated day today.  This lunchtime a interdisciplinary team from CMMPH (Centre for Midwifery, Maternal & Perinatal Health) at BU and the University of Exeter submitted a research proposal to the ICM (International Confederation of Midwives) on Midwife-Led Birthing Centres in Low- and Middle-Income  Countries.   As a personal observation: whoever thought that setting the submission deadline for a Sunday was a good idea has no respect for researchers’ work-life balance!

This afternoon many of us attended the  March with Midwives vigils which were held nationwide in the UK to highlight issues with midwifery staffing and working conditions.  The March with Midwives vigil took place in 50 towns and cities, as a vigil to make the general public and politicians aware about the maternity crisis.  In Poole Park it attracted over fifty people.

Prof. Edwin van Teijlingen
CMMPH

Midwifery paper co-produced with BU students

Congratulations to Faculty of Health & Social Sciences (FHSS) staff and students on their latest publication in the international journal Midwifery (published by Elsevier).   FHSS Professors Carol Clark and Vanora Hundley, undergraduate student researcher Guste Kalanaviciute and CMMPH PhD student Vanessa Bartholomew and Professor Helen Cheyne from the University of Stirling recently had the following paper accepted: ‘Exploring pain characteristics in nulliparous women; a precursor to developing support for women in the latent phase of labour’ [1].

 

Reference:

Clark C, Kalanaviciute G, Bartholomew V, Cheyne H, Hundley VA (2021) Exploring pain characteristics in nulliparous women; a precursor to developing support for women in the latent phase of labour. Midwifery (in press) 

Pilot studies paper reaches 90,000 reads

Today ResearchGate informed Prof. Vanora Hundley and I that our paper in the Nursing Standard of 2002 had reached 90,000 reads.  This short methods paper called ‘The Importance of Pilot Studies’ [1] was one of our earlier attempts, nearly two decades ago, to publish more of our work in practitioners journals.  This approach has been highly successful in terms of reaching a wider audience.  We have written longer, more sophisticated research methods papers on pilot studies over the years, including in the Journal of Advanced Nursing, Social Research Update, and the SAGE encyclopedia on research methods [2-6], but none of these has been read or cited as often as our short paper in the Nursing Standard. 

The term ‘pilot studies’ refers to mini versions of a full-scale study (also called ‘feasibility’ studies), as well as the specific pre-testing of a particular research instrument such as a questionnaire or interview schedule. Pilot studies are a crucial element of good study design. Conducting a pilot study does not guarantee success in the main study, but it does increase the likelihood of success. Pilot studies fulfill a range of important functions and can provide valuable insights for other researchers. There is a need for more discussion among researchers of both the process and outcomes of pilot studies.

 

References:

  1. van Teijlingen E, Hundley, V. (2002) ‘The importance of pilot studies’ 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.
  3. van Teijlingen E, Hundley, V. (2001) The importance of pilot studies, Social Research Update Issue 35, (Editor N. Gilbert), Guildford: University of Surrey. Web:  http://www.soc.surrey.ac.uk/sru/SRU35.html
  4. Hundley, V., van Teijlingen E. (2002) The role of pilot studies in midwifery research RCM Midwives Journal 5(11): 372-74
  5. van Teijlingen E, Hundley, V. (2005) Pilot studies in family planning & reproductive health care, Journal of Family Planning & Reproductive Health Care 31(3): 219-21.
  6. van Teijlingen E, Hundley, V. (2003) Pilot study, In: Encyclopaedia of Social Science Research Methods, Vol. 2, Lewis-Beck, M., Bryman, A. & Liao, T. (eds.), Oregon, Sage: 823-24.

New FHSS nutrition publication

Congratulations to Faculty of Health & Social Sciences’ PhD student Karim Khaled and supervisors Prof. Vanora Hundley and Dr. Fotini Tsofliou on the acceptance of your manuscript ‘Perceived Stress was associated with Poorer Diet Quality among Women of Reproductive Age in the UK’.  This paper will appear in the international journal Nutrients.
All three are associated with our research unit CMMPH (Centre for Midwifery, Maternal & Perinatal Health). This paper is supported by BU’s Open Access Fund will be freely available online soon.

Well done!

 

Prof. Edwin van Teijlingen

CMMPH

Congratulations to Sara Stride

Congratulations to Sara Stride and her PhD supervisors on the publication of ‘Identifying the factors that influence midwives’ perineal practice at the time of birth in the United Kingdom’ in the international journal Midwifery [1].  The Obstetric Anal Sphincter Injuries (OASI) Care Bundle is designed to reduce the incidence of obstetric anal sphincter injuries. However, introducing behavioural change requires an understanding of current practice. This national study aims to establish midwives practice at the time of birth, and the factors that influence this.  The paper concludes that there has been a growth in the number of midwives using “hands on” at the time of birth but midwives feel that they require additional training in regards to identifying an OASI. The study should be repeated following the roll out of the OASI care bundle, to identify its impact on midwives’ perineal practice.  This nation-wide study identified the need for improvements in the recognition of OASI by midwives, and in future repeating the study would identify whether the OASI care bundle has influenced midwives’ practice.

Well done!

Prof. Edwin van Teijlingen

CMMPH

 

Reference

  1. Stride, S.L., Hundley, V.A., Way, S., Sheppard, Z.A. (2021) Identifying the factors that influence midwives’ perineal practice at the time of birth in the United Kingdom, Midwifery, 103077

International Confederation of Midwives online conference started today

The ICM (International Confederation of Midwives) planned its tri-annual conference for 2020.  Due to the COVID-19 pandemic this conference was postponed and this year summer it is being held online.  BU’s Centre for Midwifery, Maternal & Perinatal Health (CMMPH) has a number of great contributions, starting with today’s Symposium ‘Birth by Design 20 years on- a sociological lens on midwifery in the year of the midwife’.

The following sessions, to which CMMPH academic have contributed, are ones to look forward to over the next month:

  • Uniting the voice of midwifery education in the United Kingdom: the evolution and impact of the role of the Lead Midwife for Education (S. Way & N. Clark)
  • Students’ experience of “hands off/hands on” support for breastfeeding in clinical practice (A. Taylor, G. Bennetts & C. Angell)
  • Changing the narrative around childbirth: whose responsibility is it? (V. Hundley, A. Luce, E. van Teijlingen & S. Edlund)
  • The social/medical of maternity care AND you (E. van Teijlingen)
  • Developing an evidence-based toolkit to support practice assessment in midwifery (M. Fisher, H. Bower, S. Chenery Morris, F. Galloway, J. Jackson & S. Way)
  • Are student midwives equipped to support normal birth? (J. Wood & J. Fry)

 

New international midwifery paper

Today the editor of the European Journal of Midwifery emailed to announce the acceptance of the paper ‘Slovenian midwifery professionalisation: Perception of midwives and related health professions’ [1].   The first author from Slovenia, Dr. Polona Mivšek, has a long working relationship with BU’s Prof. Vanora Hundley (Professor of Midwifery) in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).  The paper is the result of an international collaboration between the University of Ljubljana and Bournemouth University as well as an interdisciplinary collaboration between midwifery and sociology.

 

 

Reference:

  1. 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)

Happy New Year 2078 (in Nepal)

Bournemouth University wishes all its Nepali students, staff and collaborators in both the UK and in Nepal a Healthy and Happy New Year 2078 today.

 

 

 

First BU paper accepted for 2021

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!

Prof. Edwin van Teijlingen

CMMPH

Midwifery and the Media

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:

  1. Luce, A., Hundley, V., van Teijlingen, E. (Eds.) (2017) Midwifery, Childbirth and the Media, London: Palgrave Macmillan [ISBN: 978-3-319-63512-5].
  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. Angell, C. (2017) An Everyday Trauma: How the Media Portrays Infant Feeding, In: Luce, A. et al. (Eds.) Midwifery, Childbirth and the Media, London: Palgrave Macmillan pp: 45-59.
  4. 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.
  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.

New CMMPH midwifery paper

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:

  1. Vickery, M., Way, S., Hundley, V., Smith, G., van Teijlingen, E., Westwood G. (2020) Midwives’ views women’s use of mHealth and eHealth to self-monitor their pregnancy: A systematic review of the literature, European Journal of Midwifery 4: 36 DOI: https://doi.org/10.18332/ejm/126625