BU Research Blog

5 September 2017

The Conversation about midwifery campaign

international, Public engagement, Publishing, writing Edwin van Teijlingen

Last week saw the publication of a piece by BU Professors Vanora Hundley and Edwin van Teijlingen in The Conversation under the title: “Why UK midwives stopped the campaign for ‘normal birth’”. The editor of The Conversation invited the authors to write in reply to the statement: “According to media reports, women will no longer be told they should have an intervention-free birth and midwives will be encouraged to use terms a “physiological birth” rather than “normal birth”. We are looking for an expert to comment on this.”

The resulting article is the result of a quite long process of writing a draft, which was initially edited by The Conversation in a way the authors did not feel represented what they wanted to say. In our original submission we raised the role of the media with regard to responsible reporting, but it seems this was a step too far. In submitting a re-written version, which was edited again before it came back to the authors, we were advised that academics should not ‘blame the media’ since that avoids addressing the issue, but what if the media really does have a role? After seven or eight major alterations we reached and an agreed version that we think is a balance and fairly easy to read newspaper article. Our new book Midwifery, Childbirth and the Media due to be published by Palgrave Macmillan will cover these media issue in greater detail.

Professors Vanora Hundley & Edwin van Teijlingen

CMMPH

20 July 2017

New publication Sheetal Sharma (PhD graduate 2017)

international, open access, PG research, Publishing, student research, writing Edwin van Teijlingen

Congratulations to Sheetal Sharma whose latest article appeared in today’s new issue of Journal of Asian Midwives [1]. Sheetal wrote the paper ‘Evaluation a Community Maternal Health Programme: Lessons Learnt’ with her PhD supervisors Dr. Catherine Angell, Prof. Vanora Hundley, Prof. Edwin van Teijlingen and Prof. Padam Simkhada (Liverpool John Moores University & FHSS Visiting Professor) and the director of Green Tara Nepal Mr. Ram Chandra Silwal and the founder of Green Tara Trust, London, Dr. Jane Stephens. The Journal of Asian Midwives is an Open-Access journal hence this article is freely available across the globe.

Focus groups in open air in rural Nepal, (c) Sheetal Sharma

Reference:

Sharma, S., Simkhada, P., Hundley, V., van Teijlingen, E., Stephens, J., Silwal, R.C., Angell, C. (2017) Evaluation a Community Maternal Health Programme: Lessons Learnt. Journal of Asian Midwives. 4(1): 3–20.

9 July 2017

Successful Breastfeeding Debate in 2017 Festival of Learning

Festival of Learning, Public engagement Edwin van Teijlingen

Yesterday, on the first day of BU’s Festival of Learning, we organised a debate on breastfeeding in society. The debate was structured around the motion “This house believes that: Breastfeeding is over-rated and unpopular.”

In favour of the motion argued Dr. Ann Luce from the Faculty of Media and Communication (FMC) and Prof. Edwin van Teijlingen from the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) in the Faculty of Health & Social Sciences (FHSS).

Against the motion argued Dr. Catherine Angell (CMMPH) and Ms. Sue Hurst midwife and lactation advisor at St Mary’s Maternity Hospital which is part of Poole Hospital NHS Foundation Trust.

Before the debate started Prof. Vanora Hundley (CMMPH) asked the audience to vote on the motion. At this first vote the audience overwhelmingly voted against the motion (86%). After the presentations of the four debaters the audience was asked to vote again and this time the against vote had dropped to 71%. Prof. Hundley then opened up the debate to the wider audience and, after an occasionally heated debate, the audience were asked for their final vote. On this final occasion 85% voted against.

There was a general agreement that breastfeeding beneficial for both mother and baby and hence that it was not over-rated. There appeared to be sympathy for the view that breastfeeding was not popular, or at least not as popular as it should be, considering how good it is!

20 June 2017

BU posters at international midwifery conference

conferences, international Edwin van Teijlingen

BU academics from the Faculty of Health & Social Sciences had a strong presence at the International Confederation of Midwives (ICM) in Canada this lunch time. They presented four separate academic posters today at the ICM conference in Toronto. First, Dr. Alison Taylor presented her poster ‘Mothers need to talk, midwives need to listen: Insights from breastfeeding mother’s video diaries’. Secondly, Sara Stride and Dr. Sue Way presented their poster on ‘UUPP Study: Updating the Understanding of Perineal Practice at the time of birth across the United Kingdom’.

Prof. Vanora Hundley, Dr. Ann Luce (BU Faculty of Media & Communication), Prof. Edwin van Teijlingen and two students, Sofie Edlund and Sian Ridden also presented their poster on ‘Changing the narrative around birth: midwives’ views of working with the media’. And, last but not least, Prof. Vanora Hundley and Prof. Edwin van Teijlingen also contributed to a poster produced by Dr. Andrew Symon and colleagues from across the UK: ‘Midwifery-led antenatal care models: Mapping a systematic review to an evidence-based quality framework to identify key components and characteristics of care’.

20 June 2017

Poster presentation Dr Alison Taylor at ICM conference

conferences Edwin van Teijlingen

Dr. Alison Taylor of the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) presented her poster today on breastfeeding on the first day of the International Confederation of Midwives (ICM) conference. Alison’s poster ‘Early breastfeeding support for first-time UK mothers: A study based on video diaries’ was well received in Toronto (Canada).

The ICMLive produces webcasts of some of the major conference. This week you can watch events live here.

Professors Vanora Hundley and Edwin van Teijlingen

CMMPH

18 June 2017

BU contributions to international midwifery conference 2017

conferences, international, PG research, student research Edwin van Teijlingen

Today sees the start of the triennial ICM (International Confederation of Midwives) conference in Toronto. BU is well represented in Canada through academics based in the Centre for Midwifery, Maternal and Perinatal Health (CMMPH) presenting posters, papers and workshops. The ICM programme can be accessed on line, click here!

Over the next few days BU staff will present on a collaboration with the Anglo-European College of Chiropractic: ‘Newborn feeding clinic service evaluation: Midwives working in partnership with chiropractors to enhance breastfeeding experiences of mothers & babies in the UK’.

Dr. Rachel Arnold presents on her PhD research at Bournemouth University under the title ‘Ensuring high-quality respectful care in a climate of fear and intimidation’. On Wednesday Prof. Edwin van Teijlingen reports on the maternal mental health training conducted in Nepal in 2016-2017 under the title ‘Mental health training for community maternity workers in Nepal’. Dr. Jenny Hall is co-organiser of a symposium Spirituality and Childbirth with Prof. Susan Crowther and Dr. Celine Lemay.

Moreover there will be many BU poster presentations this week including ones by:

Dr. Rachel Arnold and her PhD supervisors on ‘Women’s rights: the impact of management systems, managers’ practice and attitudes on midwives’;
Dr. Alison Taylor and her PhD supervisors on ‘Early breastfeeding support for first-time UK mothers: A study based on video diaries’ AND a further posters on ‘Mothers need to talk, midwives need to listen: Insights from breastfeeding mother’s video diaries’;
Sara Stride and Dr. Sue Way on ‘UUPP Study: Updating the Understanding of Perineal Practice at the time of birth across the United Kingdom’
Prof. Vanora Hundley, Dr. Ann Luce (BU Faculty of Media & Communication), Prof. Edwin van Teijlingen and two students, Sofie Edlund and Sian Ridden, on ‘Changing the narrative around birth: midwives’ views of working with the media’;
Profs. Vanora Hundley and Edwin van Teijlingen also contributed to a poster produced by Dr. Andrew Symon and colleagues from across the UK: ‘Midwifery-led antenatal care models: Mapping a systematic review to an evidence-based quality framework to identify key components and characteristics of care’.

Prof. Edwin van Teijlingen

Toronto, Canada

1 May 2017

THET-funded mental health training dissemination in Kathmandu

international, Knowledge Exchange, open access, writing Edwin van Teijlingen

On the last day of April we presented our key findings from the THET-funded project on Mental Health Training for Rural Community-based Maternity Care Workers in Nepal. The session in Hotel Yak & Yeti in central Kathmandu was jointly organised by Tribhuvan University with Bournemouth University and Liverpool John Moores University (LJMU). Mental health is high on the global agenda and increasingly so in Nepal. Mental health in pregnant women and new mothers is increasing recognised across the world. However, for many people in Nepal mental health problems are still difficult topics to discuss.

The team presented slides on mental health in maternity care issue, the curriculum review, the intervention and the volunteers and various aspects of the evaluation. The slide (below) highlighting a few mishaps with UK volunteers definitely got the most laughs.

The three universities have been working together training Auxiliary Nurse Midwives in Nawalparasi on key aspects of mental health and mental health promotion. The project led by Bournemouth University was funded under the Health Partnership Scheme (HPS) which is managed by a London-based organisation called THET (Tropical Health & Education Trust).

Prof. Vanora Hundley from FHSS was one of the key speakers commenting on the intervention, the research and its findings. The audience also heard from two of the ANMs who had been in the training and the chief nurse in the district about there views on the UK volunteers and their training sessions. To date the work has resulted in three academic publications, all are Open Access journals. [1-3]

Prof. Edwin van Teijlingen

CMMPH

References:

Simkhada, B., Sharma, G., Pradhan, S., van Teijlingen, E., Ireland, J., Simkhada, P., Devkota, B. & the THET team. (2016) Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey, Journal of Manmohan Memorial Institute of Health Sciences 2(1): 20-26. http://www.nepjol.info/index.php/JMMIHS/article/view/15793/12738
Simkhada, P., van Teijlingen E., Winter, R.C., Fanning, C., Dhungel, A., Marahatta S.B. (2015) Why are so many Nepali women killing themselves? A review of key issues Journal of Manmohan Memorial Institute of Health Sciences 1(4): 43-49. http://www.nepjol.info/index.php/JMMIHS/article/view/12001
van Teijlingen, E., Simkhada, P., Devkota, B., Fanning, P., Ireland, J., Simkhada, B., Sherchan, L., Silwal, R.C., Pradhan, S., Maharjan, S.K., Maharjan, R.K. (2015) Mental health issues in pregnant women in Nepal. Nepal Journal of Epidemiology 5(3): 499-501. http://www.nepjol.info/index.php/NJE/article/view/13607/11007

28 April 2017

Primary Healthcare Workshop in Nepal

conferences Edwin van Teijlingen

This week professors Vanora Hundley and Edwin van Teijlingen from the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) were invited to the Primary Healthcare Workshop in Kathmandu. This Primary Healthcare Workshop ‘Delivering Primary Health Care in hard-to-reach areas of Nepal: Opportunities & Challenges’ was organised by the non-governmental organisation PHASE and the Nepal Health Research Council (NHRC). Prof. Edwin van Teijlingen and BU Visiting Professor Padam Simkhada (who is based at Liverpool John Moores University) were invited to offer an international perspective on this workshop held in coordination with the Ministry of Health, Nepal.

Edwin made a comparison between the difficulties in access to primary care, recruiting and retention of staff in remote Nepal and his previous work on maternity care in remote and rural Scotland. He argued that some of these issues are universal, but more difficult to deal with in low-income countries like Nepal. The workshop took place at the Nepal Health Research Council.

17 March 2017

New publication: vital signs obstetric charts

PG research, Publishing, student research, writing Edwin van Teijlingen

Congratulations on the Faculty of Health & Social Sciences team which had its paper ‘Vital signs and other observations used to detect deterioration in pregnant women: an analysis of vital sign charts in consultant-led UK maternity units’ accepted by the International Journal of Obstetric Anesthesia (published by Elsevier).
The paper compares: (i) vital sign values used to define physiological normality; (ii) symptoms and signs used to escalate care; (iii) 24 type of chart used; and (iv) presence of explicit instructions for escalating care. The authors conclude that the wide range of ‘normal’ vital sign values in different systems used in the UK and the Channel Islands suggests a lack of equity in the processes for detecting deterioration and escalating care in hospitalised pregnant and postnatal women. Agreement regarding ‘normal’ vital sign ranges is urgently required and would assist the development of a standardised obstetric early warning system and chart. The lead author of this new paper is FHSS Visiting Professor Gary Smith, his co-authors include FHSS staff Vanora Hundley, Lisa Gale_Andrews and Edwin van Teijlingen as well as three BU Visiting Faculty: Debra Bick (King’s College London), Mike Wee (Poole Hospital NHS Foundation Trust) and Richard Isaacs (University Hospital Southampton).

4 March 2017

New book review published by Dr. Pramod Regmi on research ethics

international, Publishing, Research Ethics, student research, writing Edwin van Teijlingen

This week saw the publication of the latest issue of the internet-based journal Sociological Research Online. In this issue Dr. Pramod Regmi and Prof. Edwin van Teijlingen published a book review of Balanced Ethics Review: A Guide for Institutional Review Board Members written by the American academic Simon Whitney. [1] In doing so they continue the tradition of FHSS scholars contributing to the research ethics debate. For example, Regmi and colleagues recently had a paper accepted on their insights into research in low-income countries in the journal Developing World Bioethics.[2] Whilst a 2012 FHSS-led paper stressed that researchers conducting research in low-income countries need to apply for research ethics approval to the relevant local authority, if national legislation requires one to do so.[3]

Looking better a little further back, Professor Emerita Immy Holloway wrote about the researcher who may have (potentially) conflicting roles namely those of researcher and health care professional.[4] Whilst a combination of midwifery researchers in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) highlighted the problems faced by practitioners doing research in their field of practice with perhaps the risk of blurring professional and research ethics, as balancing competing ethical concerns between protecting research participants and over-managing the ethical process can be problematic.[5-6] The latter issue of management and regulation of research ethics has recognised as getting more and more cumbersome and bureaucratic.[7-8]

Two further publications by Prof. Ashencaen Crabtree have added to the pool of FHSS publication on research ethics.[9-10] The first one, a book, addressed the problematic issue of gate-keepers in research together with the ethics of critical observation of abuse (potential or actual), as well as the ethics of advocating on behalf of research participants.[9] The second paper covered issues around working with research participants who are regarded as ‘vulnerable’ in a study into the context of care and patient/service user experiences.[10]

Whilst Prof. Parker has highlighted the benefits and dangers of using email and the Internet for social and health research.[11] An even newer research approach is the use of discussion boards as sources of data, which brings its own ethical dilemmas.[12]

In 2010-11 Prof. Parker and colleagues explored in two separate papers the contested meanings and difficulties associated with informed consent, highlighting challenges raised by an almost unquestioned acceptance of biomedical research ethics in social research and questioning whether potential ‘harm’ is different in this context.[13-14]

Prof. Hundley and colleagues discussed the ethical challenges involved in conducting a cluster randomised controlled trial, where getting informed consent can be complication.[15] Whilst it is worth reminding researchers that in issues of informed consent during pregnancy and childbirth one has to consider the potential for harm to two participants.[16]

References

Regmi, P., van Teijlingen, E. (2017) ‘Balanced Ethics Review: A Guide for Institutional Review Board Members’ by Whitney, Simon N., Springer, (2015) ISBN: 9783319207056 (pb) (book review), Sociological Research Online 22(1) http://www.socresonline.org.uk/22/1/reviews/3.html
Regmi, PR., Aryal, N., Kurmi, O., Pant, PR., van Teijlingen, E., Wasti, P.P. (forthcoming Informed consent in health research: challenges and barriers in low-and middle-income countries with specific reference to Nepal, Developing World Bioethics.
van Teijlingen E.R., Simkhada, P.P. (2012) Ethical approval in developing countries is not optional, Journal of Medical Ethics 38:428-430.
Holloway, I., Wheeler, S. (1995) Ethical Issues in Qualitative Nursing Research, Nursing Ethics 2: 223-232. http://nej.sagepub.com/content/2/3/223.full.pdf+html
Ryan, K., Brown, B., Wilkins, C., Taylor, A., Arnold, R., Angell, C., van Teijlingen, E. (2011) Which hat am I wearing today? Practicing midwives doing research, Evidence-Based Midwifery 9(1): 4-8.
van Teijlingen, E.R., Cheyne, H.L. (2004) Ethics in midwifery research, RCM Midwives Journal 7 (5): 208-10.
van Teijlingen, E. (2006) Reply to Robert Dingwall’s Plenary ‘Confronting the Anti-Democrats: The unethical Nature of Ethical Regulation in Social Science, MSo (Medical Sociology online) 1: 59-60 www.medicalsociologyonline.org/archives/issue1/pdf/reply_rob.pdf
van Teijlingen, E., Douglas, F., Torrance, N. (2008) Clinical governance and research ethics as barriers to UK low-risk population-based health research? BMC Public Health 8(396) www.biomedcentral.com/content/pdf/1471-2458-8-396.pdf
Ashencaen Crabtree, S. (2012) Rainforest Asylum: The enduring legacy of colonial psychiatric care in Malaysia, London: Whiting & Birch.
Ashencaen Crabtree, S. (2013) Research ethics approval processes and the moral enterprise of ethnography. Ethics & Social Welfare. Advance Access: DOI:10.1080/17496535.2012.703683
Bond, C.S, Ahmed, O.H., Hind, M., Thomas, B., Hewitt-Taylor, J. (2013) The Conceptual and Practical Ethical Dilemmas of Using Health Discussion Board Posts as Research Data, Journal of Medical Internet Research 15(6):e112) Web address: http://www.jmir.org/2013/6/e112/
Parker, J. (2008) Email, ethics and data collection in social work research: some reflections from a research project, Evidence & Policy: A Journal of Research, Debate & Practice, 4(1): 75-83.
Hundley, V., Cheyne, H.C., Bland, J.M., Styles, M., Barnett, C.A. (2010) So you want to conduct a cluster randomised controlled trial? Lessons from a national cluster trial of early labour, Journal of Evaluation in Clinical Practice 16: 632-638
Helmreich, R.J., Hundley, V., Norman, A., Ighedosa, J., Chow, E. (2007) Research in pregnant women: the challenges of informed consent, Nursing for Women’s Health 11(6): 576-585.
Parker, J., Penhale, B., Stanley, D., (2010). Problem or safeguard? Research ethics review in social care research and the Mental Capacity Act 2005. Social Care & Neurodisability, 1(2): 22-32.
Parker, J., Penhale, B., Stanley, D. (2011) Research ethics review: social care and social science research and the Mental Capacity Act 2005, Ethics & Social Welfare, 5(4): 380-400.

28 January 2017

New paper CMMPH PhD student Sheetal Sharma

international, open access, PG research, Publishing, Student Engagement, writing Edwin van Teijlingen

Focus groups in open air in rural Nepal, (c) Sheetal Sharma

Congratulations to Sheetal Sharma, postgraduate student in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) whose latest paper on the process of the research in her PhD fieldwork was accepted today by the Journal of Asian Midwives [1]. Sheetal used an innovative mixed-methods evaluation which was applied to a long-running maternity intervention in rural Nepal. The intervention has been supported for nearly seven years by Green Tara Trust, a Buddhist charity based in London. Sheetal’s supervisors are supervisors are Prof. Vanora Hundley, Prof. Edwin van Teijlingen, Dr. Catherine Angell (all in CMMPH) and Prof. Padam Simkhada, who is Visiting Faculty in the Faculty of Health & Social Sciences and based at Liverpool John Moores University.

This paper is part of a larger body of health research work conducted by CMMPH in Nepal.

Reference:

Sharma, S., Simkhada, P., van Teijlingen, E., Stephens J, Hundley, V., Angell, C. (2017) Evaluation of Maternity Care Intervention in Rural Nepal: Lessons learnt, Journal of Asian Midwives (accepted Jan. 2017).

7 January 2017

First 2017 publication by CMMPH academics

open access, Publishing, writing Edwin van Teijlingen

Yesterday saw the publication of the paper ‘Antenatal care trial interventions: a systematic scoping review and taxonomy development of care models’, which is the first paper this year for the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) [1]. The paper is based on a cross-UK collaboration led by Dr. Andrew Symon from the University of Dundee which is published in the Open Access journal BMC Pregnancy & Childbirth. This is the second paper from this collaboration, the first one ‘Midwifery-led antenatal care models: Mapping a systematic review to an evidence-based quality framework to identify key components & characteristics of care ‘ was published last year [2].

The latest BMC Pregnancy & Childbirth paper is a first step in establishing a taxonomy of antenatal care models. The article concludes that interventions can be defined and described in many ways. The intended antenatal care population group proved the simplest and most clinically relevant way of distinguishing trials which might otherwise be categorised together. Since our review excluded non-trial interventions, the taxonomy does not represent antenatal care provision worldwide. It offers a stable and reproducible approach to describing the purpose and content of models of antenatal care which have been tested in a trial. perhaps key is that the paper highlights a lack of reported detail of trial interventions and usual care processes.

Our paper provides a baseline for future work to examine and test the salient characteristics of the most effective models, and could also help decision-makers and service planners in planning implementation.

Moreover we look forward to conducting more research as part of this exciting collaboration in midwifery and maternity care.

Prof. Edwin van Teijlingen & Prof. Vanora Hundley

CMMPH

References:

Symon, A., Pringle, J., Downe, S., Hundley, V., Lee, E., Lynn, F., McFadden, A., McNeill, J., Renfrew, M., Ross-Davie, M., van Teijlingen, E., Whitford, H., Alderdice, F. (2017) Antenatal care trial interventions: a systematic scoping review and taxonomy development of care models BMC Pregnancy & Childbirth 17:8 http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-1186-3
Symon, A., Pringle, J., Cheyne, H., Downe, S., Hundley, V., Lee, E., Lynn, F., McFadden, A., McNeill, J., Renfrew, M., Ross-Davie, M., van Teijlingen, E., Whitford, H, Alderdice, F. (2016) Midwifery-led antenatal care models: Mapping a systematic review to an evidence-based quality framework to identify key components & characteristics of care, BMC Pregnancy & Childbirth 16: 168 http://www.biomedcentral.com/1471-2393/16/168

17 December 2016

Top three most accessed 2016 paper BMC Pregnancy & Childbirth

international, open access, Publishing, writing Edwin van Teijlingen

It is always nice to receive some good news just before Christmas. The journal BMC Pregnancy & Childbirth informed us that our paper ‘“Is it realistic?” the portrayal of pregnancy and childbirth in the media’ was in the top three most popular papers [1]. This interdisciplinary paper crosses the boundaries between the study of maternity care & midwifery, sociology of health & illness, and that of the media. With BU’s Dr. Ann Luce as first author, it is one of the top three accessed articles of nearly 400 articles published in 2016 (as of Dec 16^th).

Reference:

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

13 December 2016

New publication CMMPH student Donna Wixted

Festival of Learning, PG research, Public engagement, Publishing, student research, writing Edwin van Teijlingen

Congratulations to CMMPH’s Donna Wixted, Joint BU-Portsmouth Hospitals NHS Trust, doctoral student who just had a paper published in MIDIRS.[1] The paper is titled ‘Drinking in pregnancy: poor guidelines or lack of evidence?’ The paper reports a very lively debate at the 2016 BU Festival of Learning which was a debate around the motion: “Advising pregnant women to avoid drinking alcohol during pregnancy is symptom of the Nanny State and another step towards the medicalisation of childbirth”. The debate was chaired by CMMPH’s Prof. Vanora Hundley.

The Festival of Learning event grew out of Donna’s PhD research. Donna’s PhD is jointly supervised by Dr. Greta Westwood of Portsmouth Hospitals NHS Trust & the University of Southampton and FHSS academics Dr. Liz Norton and Prof. Edwin van Teijlingen.

Reference:

Wixted, D., Hundley, V., Norton, L., van Teijlingen, E., Westwood, G. (2016) Drinking in pregnancy: poor guidelines or lack of evidence? MIDIRS Midwifery Digest 26(4): 462-65.

8 October 2016

CMMPH disability & childbirth research

Publishing Edwin van Teijlingen

Last month’s press release for the latest study in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) was picked up by the Journal of Family Health. The study ‘Human rights and dignities: Experience of disabled women during pregnancy, childbirth and early parenting’ appeared under the heading ‘Maternity care failing disabled women, charity warns’ in the Journal of Family Health. The charity in question is Birthrights which funded the survey of women with physical or sensory impairment or long-term health conditions and their maternity care experiences. The research was conducted by midwifery researchers Jenny Hall, Jillian Ireland and Vanora Hundley at Bournemouth University and occupational therapist Bethan Collins, at the University of Liverpool.

Last month this important study had already been reported by the Royal College of Midwives (RCM) on their webpages (click here to read more). On the RCM website Louise Silverton Director for Midwifery at the RCM said: “It is deeply disappointing to hear that women with disabilities are not getting the maternity care they need and deserve. Although this is only a small survey, it does provide a very valuable insight into the realties of the care these women have received while pregnant. The RCM believes that maternity services should treat disabled women like every other woman, while ensuring that the care provided does not ignore or overreact to their specific wishes and aspirations.”

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

29 September 2016

New inter-interdisciplinary media & health paper

international, open access, Publishing, writing Edwin van Teijlingen

The week saw the publication of multi-disciplinary paper ‘Media, Health & Health Promotion in Nepal’, co-written by Faculty of Media & Communication academic Dr. Ann Luce, Centre for Midwifery, Maternal & Perinatal Health (CMMPH) professors Vanora Hundley and Edwin van Teijlingen and Bournemouth University (BU) Visiting Faculty Prof. Padam Simkhada (who is based at Liverpool John Moores University) [1]. The paper appeared in the latest issue of the Journal of Manmohan Memorial Institute of Health Sciences, an Open Access journal which is part of the Journals Online Project.

The paper paper ‘Media, Health & Health Promotion in Nepal’ offers insight into the media and health promotion in Nepal as well as advice to health promoters, health policy-makers and practitioners about collaborating with the media to get health messsage out to people across the country. The paper is freely available online, which was an important feature in our decision to publish in the Journal of Manmohan Memorial Institute of Health Sciences as this reduced the cost barrier for underpaid health workers and underfunded project to accessing information. We have also written a short piece about the topic (and the paper) on the site: Media & Midwifery

BU has a long history of conducting health research in Nepal [see for example 2-9] and it has a growing number of publications in the inter-disciplianry field where health and media overlap [10-18].

References:

van Teijlingen, E., Simkhada, P., Luce, A., Hundley, V. (2016) Media, Health and 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
Milne, L., van Teijlingen, E., Hundley, V., Simkhada, P., Ireland, J. (2015) Staff perspectives of barriers to women accessing birthing services in Nepal: A qualitative study BMC Pregnancy & Childbirth 15:142 biomedcentral.com/1471-2393/15/142
Acharya, J., van Teijlingen E., Murphy, J., Hind, M. (2015) Study of nutritional problems in preschool aged children in Kaski District in Nepal, Journal of Multidisciplinary Research in Healthcare 1(2): 97-118. http://dspace.chitkara.edu.in/jspui/bitstream/1/560/1/12007_JMRH_Acharya.pdf
Subedi, Y.P., Simkhada, P., van Teijlingen, E. (2016) Where is Nepal in the Demographic Transition within the wider context of the Nutrition Transition? Open Journal of Social Sciences 4: 155-166. http://file.scirp.org/pdf/JSS_2016052310320947.pdf
Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2016) Birthing centres in Nepal: Recent developments, obstacles and opportunities, Journal of Asian Midwives 3(1): 18-30. http://ecommons.aku.edu/cgi/viewcontent.cgi?article=1033&context=jam
Sharma, S., van Teijlingen, E., Hundley, V., Angell, C., Simkhada, P. (2016) Dirty and 40 days in the wilderness: Eliciting childbirth and postnatal cultural practices and beliefs in Nepal BMC Pregnancy & Childbirth 16: 147 https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0938-4
Sharma, S., van Teijlingen, E., Belizán, J.M., Hundley, V., Simkhada, P., Sicuri, E. (2016) Measuring What Works: An impact evaluation of women’s groups on maternal health uptake in rural Nepal, PLOS One 11(5): e0155144 http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0155144
Simkhada, B., van Teijlingen E., Simkhada, P., Porter, AM, Wasti, S.P. (2014) Why do costs act as a barrier in maternity care for some, but not all women? A qualitative study in rural Nepal, International Journal of Social Economics 41(8): 705-713.
Simkhada, P., van Teijlingen, E., Devkota, B., Pathak, RS, Sathian, B. (2014) Accessing research literature: A mixed-method study of academics in Higher Education Institutions in Nepal, Nepal Journal of Epidemiology 4(4): 405-14. nepjol.info/index.php/NJE/article/view/11375
Devkota, S., Simkhada, P., van Teijlingen, E., Rai, L.D. (2012) Media use for Health Promotion: Communicating Childhood Immunisation Messages to Parents. Journal of Health Promotion 4(1): 1-9.
Devkota, S., Simkhada, P., van Teijlingen, E., Rai, L.D. (2013) Childhood Immunisation in Nepal: Parents’ knowledge, attitudes and behaviour & implications for Health Policy. Health Science Journal 7(4):370-383
Devkota, S., Maharjan, H.M., van Teijlingen, E. (2015) Media and Health. In: Wasti, S.P., Simkhada, P.P. & van Teijlingen, E. (Eds.) The Dynamics of Health in Nepal, Kathmandu, Nepal: Social Science Baha & Himal Books: 169-184.
Hundley, V., Luce, A., van Teijlingen, E. (2015) Do midwives need to be more media savvy? MIDIRS Midwifery Digest 25(1):5-10.
Devkota, S., Simkhada, P., van Teijlingen, E., Rai, L.D. (2012) Media use for Health Promotion: Communicating Childhood Immunisation Messages to Parents. Journal of Health Promotion 4(1): 1-9.
Devkota, S., Simkhada, P., van Teijlingen, E., Rai, L.D. (2013) Childhood Immunisation in Nepal: Parents’ knowledge, attitudes and behaviour & implications for Health Policy. Health Science Journal 7(4):370-383
Devkota, S., Maharjan, H.M., van Teijlingen, E. (2015) Media and Health. In: Wasti, S.P., Simkhada, P.P. & van Teijlingen, E. (Eds.) The Dynamics of Health in Nepal, Kathmandu, Nepal: Social Science Baha & Himal Books: 169-184.
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
Hundley, V., Duff, E., Dewberry, J., Luce, A. and van Teijlingen, E. (2014) Fear in childbirth: are the media responsible? MIDIRS Midwifery Digest 24(4): 444-447.

6 July 2016

New CMMPH paper by PhD student Sheetal Sharma

international, open access, PG research, Publishing, student research, writing Edwin van Teijlingen

Today saw the publication in BMC Pregnancy & Childbirth of the paper ‘Dirty and 40 days in the wilderness: Eliciting childbirth and postnatal cultural practices and beliefs in Nepal’ with as lead author FHSS PhD student Sheetal Sharma [1]. This paper argues that pregnancy and childbirth are very much socio-cultural events that carry varying meanings across different societies and cultures. These are often translated into social expectations of what a particular society expects women to do (or not to do) during pregnancy, birth and/or the postnatal period. The study explored beliefs around childbirth in Nepal, a low-income country with a largely Hindu population. The paper then sets these findings in the context of the wider global literature around issues such as periods where women are viewed as polluted (or dirty even) after childbirth.

Sheetal is doing very well with her PhD publications as a few weeks ago her major quantitative findings paper was published in PLOS One [2]. Both papers are published in Open Access journals and therefore easily available to researchers, health promotors, health care providers and health policy-makers in low-income countries. Sheetal evaluated a research project funded by the London-based charity Green Tara Trust. Her PhD is supervised by Dr. Catherine Angell, Prof. Vanora Hundley and Prof. Edwin van Teijlingen all nbased in CMMPH with external supervision from BU Visiting Faculty Prof. Padam Simkhada (liverpool John Moores University).

References:

Sharma, S., van Teijlingen, E., Hundley, V., Angell, C., Simkhada, P. (2016) Dirty and 40 days in the wilderness: Eliciting childbirth and postnatal cultural practices and beliefs in Nepal BMC Pregnancy & Childbirth 16: 147 https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0938-4
Sharma, S., van Teijlingen, E., Belizán, J.M., Hundley, V., Simkhada, P., Sicuri, E. (2016) Measuring What Works: An impact evaluation of women’s groups on maternal health uptake in rural Nepal, PLOS One 11(5): e0155144 http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0155144

19 June 2016

FoL debate pregnancy & alcohol

Delicious links, Festival of Learning, Knowledge Transfer, PG research, student research Edwin van Teijlingen

We are preparing a lively debate on the motion: “Advising pregnant women to avoid drinking alcohol during pregnancy is symptom of the Nanny State and another step towards the medicalisation of childbirth”. The venue for this event is the Executive Business School on 89, Holdenhurst Road. Members of the public, staff and students are invited to come along on Tuesday 28th June 13.30-14.30!

The UK Government state there is no known safe level for drinking alcohol in pregnancy. Therefore, it recently changed the official recommendation to pregnant women avoid drinking any alcohol as a precaution. In doing so the UK follows countries like Canada, where a similar recommendation has been in place for over a decade. At the same time one can ask whether such approach undermines a woman’s right to make an informed choice regarding the health of her unborn child. Some would argue that is represents yet another step towards the medicalisation of childbirth.

Faculty of Health & Social Sciences’ staff Liz Norton and Edwin van Teijlingen affiliated with the Centre for Midwifery, Maternal & Perinatal Health and will argue in favour of the motion. Donna Wixted, Joint Bournemouth University (BU)-Portsmouth Hospitals NHS Trust, doctoral student and Greta Westwood of Portsmouth Hospitals NHS Trust & the University of Southampton will argue against the motion.

The audience will be asked to vote for or against the motion, both before and after the debate, to see if the debate has helped anybody in making up their mind. Our debate will be chaired by Prof. Vanora Hundley from the Faculty of Health & Social Sciences. In previous Festival of Learning events she has been involved in various debates around childbirth, such as The media is responsible for creating fear in childbirth and the year before that on Caesarean Section on demand under the title Intervention in childbirth: What’s wrong with letting women choose?

The debate is part of BU’s annual Festival of Learning which this year for the first time has satellite events in China and Malaysia.

If you are interested to come along please book your free ticket here! The Executive Business School is easy to find on 89, Holdenhurst Road near Bournemouth Railway Station.

Donna Wixted, Liz Norton, Greta Westwood, Vanora Hundley & Edwin van Teijlingen

Tagged / Prof. Vanora Hundley

Successful Breastfeeding Debate in 2017 Festival of Learning

Poster presentation Dr Alison Taylor at ICM conference

New publication: vital signs obstetric charts

First 2017 publication by CMMPH academics

CMMPH disability & childbirth research

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