A5088710439- Global Maternal and Child Health
- Neonatal Respiratory Health Research
- Birth, Development, and Health
- Maternal and Perinatal Health Interventions
- Infant Development and Preterm Care
- Child and Adolescent Health
- Health disparities and outcomes
- Cardiac Health and Mental Health
- Peripheral Artery Disease Management
- Pregnancy and preeclampsia studies
- Grief, Bereavement, and Mental Health
- Maternal Mental Health During Pregnancy and Postpartum
- Ethics and Legal Issues in Pediatric Healthcare
- Migration, Health and Trauma
- Diabetic Foot Ulcer Assessment and Management
- Ophthalmology and Visual Impairment Studies
- European and International Law Studies
- Cardiac pacing and defibrillation studies
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiovascular and exercise physiology
- Global Health Care Issues
- Global Cancer Incidence and Screening
- Assisted Reproductive Technology and Twin Pregnancy
- Prenatal Screening and Diagnostics
- Neonatal and fetal brain pathology
University of Leicester
2015-2024
Department of Medical Sciences
2021-2024
University of Missouri–Kansas City
2023-2024
University Hospital Southampton NHS Foundation Trust
2024
Glan Clwyd Hospital
2023
Indiana University – Purdue University Indianapolis
2021-2023
Université Paris Cité
2022
United Nations Children's Fund
2022
University of Massachusetts Amherst
2022
University of British Columbia
2022
Conventional systematic review techniques have limitations when the aim of a is to construct critical analysis complex body literature. This article offers reflexive account an attempt conduct interpretive literature on access healthcare by vulnerable groups in UK project involved development and use method Critical Interpretive Synthesis (CIS). approach sensitised processes conventional methodology draws recent advances methods for synthesis. Many analyses equity rested measures utilisation...
Previous estimates have highlighted a large global burden of stillbirths, with an absence reliable data from regions where most stillbirths occur. The Every Newborn Action Plan (ENAP) targets national stillbirth rates (SBRs) 12 or fewer per 1000 births by 2030. We estimate SBRs and numbers for 195 countries, including trends 2000 to 2015.
Although digoxin is effective in the treatment of patients with chronic heart failure who are receiving diuretic agents, it not clear whether drug has a role when angiotensin-converting-enzyme inhibitors, as often case current practice.
BackgroundStillbirths are a major public health issue and sensitive marker of the quality care around pregnancy birth. The UN Global Strategy for Women's, Children's Adolescents' Health (2016–30) Every Newborn Action Plan (led by UNICEF WHO) call an end to preventable stillbirths. A first step prevent stillbirths is obtaining standardised measurement stillbirth rates across countries. We estimated their trends 195 countries from 2000 2019 assessed progress over time.MethodsFor systematic...
<h3>Objective</h3> There is a paucity of data relating to neurodevelopmental outcomes in infants born late and moderately preterm (LMPT; 32<sup>+0</sup>–36<sup>+6</sup> weeks). This paper present the results prospective, population-based study 2-year following LMPT birth. <h3>Design</h3> 1130 1255 term-born children were recruited at At 2 years corrected age, parents completed questionnaire assess neurosensory (vision, hearing, motor) impairments Parent Report Children9s Abilities-Revised...
1. This Framework has been developed by a multidisciplinary working group in the light of evidence of improving outcomes for babies born before 27 completed weeks of gestation, and evolving national international changes approach to their care. 2. Management labour, birth immediate neonatal period should reflect the wishes values mother her partner, informed supported by consultation partnership with obstetric professionals. 3. Whenever possible, extreme preterm be managed maternity...
To investigate the extent of socioeconomic inequalities in incidence very preterm birth over past decade.Ecological study all 549 618 births former Trent health region, UK, from 1 January 1994 to 31 December 2003. All singleton 22(+0) 32(+6) weeks gestation (7 185 births) were identified population surveys neonatal services and stillbirths. Poisson regression was used calculate (22-32 weeks) extremely (22-28 by year decile deprivation (child poverty section Index Multiple...
<h3>Objective</h3> To describe neonatal outcomes and explore variation in delivery of care for infants born late (34–36 weeks) moderately (32–33 preterm (LMPT). <h3>Design/setting</h3> Prospective population-based study comprising births four major maternity centres, one midwifery-led unit at home between September 2009 December 2010. Data were obtained from maternal records. <h3>Participants</h3> All LMPT eligible. A random sample term-born (≥37 acted as controls. <h3>Outcome measures</h3>...
Abstract Stillbirth rates have stalled or increased in some European countries during the last decade. We investigate to what extent time-trends and between-country differences stillbirth are explained by changing prevalence of advanced maternal age teenage pregnancies multiple births. analysed data on stillbirths live births multiplicity from 2010 2021 25 using Kitagawa decomposition separate rate into compositional components. Rates significantly decreased six countries, but two. Changes...
Abstract Background People with intellectual disability (ID) experience a variety of health inequalities compared the general population including higher mortality rates. This is first UK population‐based study to measure extent excess in people ID population. Method Indirectly standardized all‐cause and disease ratios (SMRs) exact Poisson confidence intervals were calculated by age sex for all adults, aged 20 years or over, moderate profound living Leicestershire Rutland, UK, between 1993...
Objectives To assess the prevalence of positive screens using Modified Checklist for Autism in Toddlers (M-CHAT) questionnaire and follow-up interview late moderately preterm (LMPT; 32-36 weeks) infants term-born controls. Study designPopulation-based prospective cohort study 1130 LMPT 1255 infants.Parents completed M-CHAT at 2-years corrected age.Parents with were followed up a telephone to clarify failed items.The was rescored, classified as true or false positives.Neurosensory, cognitive,...
Objective We sought to determine the economic costs associated with moderate and late preterm birth. Design An study was nested within a prospective cohort study. Sample Infants born between 32 +0 36 +6 weeks of gestation in East Midlands England. A sample infants at ≥37 acted as controls. Methods Data on resource use, estimated from National Health Service (NHS) personal social services perspective, separately societal were collected birth 24 months corrected age (or death), valued pounds...
Established in 1952, the programme of surveillance and Confidential Enquiries into Maternal Deaths UK is longest running such worldwide. Although more recently instituted, confidential enquiries perinatal deaths are also now well established nationally. Recent changes to funding commissioning have enabled both a reinvigoration processes improvements methodology with an increased frequency future reporting. Close engagement stakeholders regulator requirement for doctors participate supported...
Objectives To explore the effect of changes in national clinical recommendations 2019 that extended provision survival focused care to babies born at 22 weeks’ gestation England and Wales. Design Population based cohort study. Setting Wales, comprising routine data for births hospital records. Participants Babies alive onset labour weeks+0 days weeks+6 23 24 comparison purposes between 1 January 2018 31 December 2021. Main outcome measures Percentage given (active respiratory support after...
To examine the prevalence of novel newborn types among 165 million live births in 23 countries from 2000 to 2021.Population-based, multi-country analysis.National data systems middle- and high-income countries.Liveborn infants.Country teams with high-quality were invited be part Vulnerable Newborn Measurement Collaboration. We classified by six based on gestational age information (preterm <37 weeks versus term ≥37 weeks) size for defined as small (SGA, <10th centile), appropriate (10th-90th...
<b>Objective</b> To investigate time trends in socioeconomic inequalities cause specific neonatal mortality order to assess changing patterns due different causes, particularly prematurity, and identify key areas of focus for future intervention strategies. <b>Design</b> Retrospective cohort study. <b>Setting</b> England. <b>Participants</b> All deaths singleton infants born between 1 January 1997 31 December 2007. <b>Main outcome measure</b> Cause per 10 000 births by deprivation tenth...
<b>Objectives</b> To investigate socioeconomic inequalities in outcome of pregnancy and neonatal mortality associated with congenital anomalies. <b>Design</b> Retrospective population based registry study. <b>Setting</b> East Midlands South Yorkshire regions England (representing about 10% births Wales). <b>Participants</b> All registered cases nine selected anomalies poor prognostic audited as part the United Kingdom’s fetal anomaly screening programme an end date between 1 January 1998 31...